Permit 1265 & 1275 Begonia Street CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00027945 Date 3/23/04
Property Address . . . . . . 1275 BEGONIA ST
Tenant nbr, name . . . . . . ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4000
Owner Contractor
------------------------ ------------------------
TIETJEN, IAN ROMANO ROOFING SERVICES
1275 BEGONIA STREET P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
-------------------------- ------- -------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4000
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 75 . 00 75 . 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.
, ), ( - !.K*--
BUILDING OFFICIAL
CITY OF ATLANTIC BEACE PERMIT .CALCULATION SHEET4
Address SIT
Date -312-Z tv�j
Heated Sauare Footage $ per sq ft = $
Garage/Shed -.- per sq f t = $
Carport/Porch
per sq ft = $
Deck per sq ft = $
Patio $_per sq ft = $
TOTAL VALUATION : $
s
Total Valuation ist $ t
s
Remaining Value $ 57 per thousand
or portion thereof
TOTAL B
UILDING FEE
+ 1/2 Filing Fee
Fireplaces $15 ..00�
BUILDING PERMIT FEE
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $ I -
CAPITAL IMPROVEMENT $
SEWER TAP $
) RADON (HRS) . 0050
,SECTION H PAVING
HYDRAULIC SHARES $
CROSS CONNECTION
SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE
ADDITIONAL PERMITS OR FEES : 4echar-ical_; ..Plumbing
Electric/New Electric/Temp_; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS arid/or NOTES :
CITY OF ATLANTIC BEACH Cc:
D. Ford
g MP
BUILDING / ZONING DEPARTMENT -7g:
SS
800 Seminole Road oerr
Atlantic Beach,Florida 32233
(904)247-5800
"A,i (904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application oLv- Z-7 9 45
Property Address: ISIE�Gc)iotr)r
Applicant:
Project:
This permit application has been:
Approved
E:1 Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: JAk-- Date: ?[ZZ,16c(
ly,
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
-OR
Date:
Job Address:
Owner of Property:
,,,jqW0Address: 12A 7.5 6eV,0-11-y .-T"elephone:
ontractor: K10 P-lu h 0 lklo 4/Al S�IL"170- State License Number: C,-/-
ontractor's Address: ao
Telephone:
,z Fax: q1?'7,/0L/ 0
Scope of Work: L- 0 0 1-7
Deck Slope: I/ 7Z;.- Greater than 2:12 Less than 2:12
Valuation of work: 62 0 0 CA LI,
Product Name(Example:Timberline): 7713 k-t
Manufacturer(Example: GAF): rAzu
ASTM Designation(s):
Required Inspections: Sh and F,L-4f
Signature of Owner: Date:
Signature of Contractor: Date:
AS TO OWNER:
Sworn to and subscribed before me this day of 920
St I ate of Florida,County of Duval Notary's Signature:_
,%GWRIAJ.CASTERUNE-M,LAu(j��.., Personally known
My COMMISSION#CC 976739 Produced identification
�e!)F,50- EXPIRM-Demmber8,2004 Type of identification produced
-111 7) 1
AS TO CONTRACTOR:
Sworn to and subscribed before me this /9- day of 20-e-4
State of Florida,County of Duval Notary's Signature:
.100,
)RIALCAMRUN&WAI� Personally known
MyCoMMISSION*CC9' Produced identification
F - produced
X :December 8.2U, Type of identification
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atlantk-beach.fl-us
Page I Revised 2/21/03
Romano Roofing Services Inc.
P.O. Box 330337 Atlantic Beach, FL. 32233
904-246-5649/Fax: 904-247-9040
To whom it may concern:
We have received a notice stating that a reinspection must be done at
1275 Begonia St. Atlantic Beach, Fl. 32233. We feel that all the
specifications have been met and the work has been completed 100%. We
will proudly standby all the work that has been preformed. If you have any
ftuther questions concerning this matter feel free to give me a call at
904-571-6142.
Thank you for your time.
Joseph Romano
i 1��Mlllmlijljiijjjlli
----------------------
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STATE OF FLOP19-
PERI-11T
DEPART142NT OF HEALT14 ANr) REHA9,1LITATIVE SERVIcES DATE PAIF)
ONSITF, SEWACE DISPOSAL SYSTEM FEE PAID $ 90 .00
CONSTRUCTION PERMIT
RECEIPT 161023
Authority; Chapter 381, FS & CIIARPter IGD-t�;, FAC
CONSTRUCTION PERMIT FOR:
f I New Sy,,gtefj-j Existing Syetell) Hold:
[Xj Repair, f ) Lng Tank Tr--tTtl,)orary/PxPeritilerita1 Systerr
( I Aballd0r)ment Other(Specify)
APPLICANT:_11�-!4 AGENT: NA
PROPERTY STREET ADDRESS: 1275 & 1265 BEGONIA ST. ATL. BEACH FL. 32233
LOT: 5
3TOCK, 221 SU2DIVISION:--SECTION H
PROPERTY ID #: — (SECTI QN/TOWNSHIP/RANGS/PARCEL NO. )
(OR TAX ID NUMBER)
SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECI PI CATIONS Aff) STANDARDS OF CRAPTER 10D-6�, FAC
REPAIR PEFdJITS AND HOLDING TANK PERMITS EXPIRE 90 DAYS FROM T142 DATE OF ALL OTJ42R PERMITS
EXPIRE ONE YEAR FROM THE DATE OF ISSUE, HRS APPROVAL OF SYSTEM DOES NOT GU,,RA_1qTER SATTSFhCTORY
PERFORW%NCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIA1, FACTS WHICH SERVED AS A
8ASIS FOR ISSUANCF OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCII
MODIFICATIONS MAY RESULT IN THIS PERMIT BEING �=E NULL AND VOID.
SYSTEM DESIGN AND SPECIFICATIONS
T 13SO I [GALLONS (_3,PDj SEPTIC TANK/AEROBIC UNIT CAPACITY MULTI-CHAMBERED/IN SERIES: [Y)
A 0 1 (GALLONS, GPDJ CAPACITY MULTI-C.HMIBERED/IN SERIFS: (N]
0 1 GA�JjONS
N RRASS INTERCEPTOR CAPACITY fMAXIVIUM CAPACITY SINOLE TANK: 1250 QALLONSI
K 300 GA_TjL0NS PER DOSE DOSINOT TANK CAPACITY DOSE RATF, [2) PER .34 HRS No. OF PLNPS, 1111
D 60 0 1 SQT_1ARE FEET PRI�IARY DRAINFIELD SYSTEM
R 0 1 SQUARE FEET SYSTEM
4 TYPE SYSTEM: STANDAR6--(X PILLED MOUND
I CON F I OU RAT I ON- I TRENCH [X BED
LOCATION OF BENCHMARK: LIVE OAK L REAR PROP 1 PINK RIBBON
ELRVATION OF PROPOSED SYSTEM SITE IS (40.0 !HES BELOW J_�ENCHMARK/REPERENCS POINT
BOTTOM OF DRAINFIELD TO BE [43 . 0 PLOW BENCHMARKIREFERENCE POINT
FILL REQUIREDi (15.0 ) INCRES EXCAVATION REQUIRED: INCHES
REMOVE 110" HORIZON BENEATH THE DRAINFIELD, S14OULDER AND SLOPE OF THE ENTIRE
FILL SITE PRIOR TO CONSTRUCTION OF A FILLED OR MOUND SYSTEM.
PECIFICATIONS TITLE: ENV. SPEC. I
'PROVED BY-. TOM RIF). _�_—TITLE:—FINV. SPEC- I DUVAL — —CPHU
TF ISSUED: 0-1/14/98 EXPIRATION DATE! 04
,5-H Form 401F. March 1992 (Obsoleres Prevkoue. v-dir-ion's Whirl-[ 14-1,v N-0- Re�
Cl TY OF ATLANTI C BEACH
_AERLJC��TMLFOR PLU.131-NG PER411
DATE:
r
LOCATION Z07
PLU1431 NG FI RM Qi G
MLASTER PLU-2ER
CITY/CO,Ul4TY OMPATIONAL LICENSE
STATE CERTIFICATE NO.
BUILDER OR
TYPE OF BUILDING_,0U/j�,`EX._
__�_S I 14KS --SH,:)',,,'ERS
LAVATORY WATER HEATERS
BATH TUEESS DI SM1ASHERS
--URI NALS ---DISPOSALS
__��OSETS WA SH I NG 11AC11i I N E
-FLOOR DRAINS
TOTAL F I MRE COU1.4T
I NSTALLATI ON OF PLU431 NIG AND FI XTURES 14UST BE I N ACCORDANCE WI TH THE MOST
RECENT ED)TI ON OF THE SOUTHERN STANDARD PLUl,,21NG CODE.
-:r3
B U 11,1)1'NG P! i,,l 11,1 S fi 1: T
HEATED SQUARE FOOTAGE @ s.
per
GARAGE �PRIVATE/SHED) per s.
CARPORT per s. $
$ per
PORCHES S.
DECK $ per s.
TOTAL VALUATION DATA. . . . . . . . . . . . . .$
-------------------------- 7
PERMIT FEES
$
TOTAL -VA—LUATION DATE 1 s t
$
REMAINDER VALUATION @ $ per thousand
TOTAL BUILDING PERMIT
PLUS 1/2 THE BUILDING PERMIT FOR PLAN FILING FEE $
TOTAL FEE DUE $
----------------------------------- -
PLUMBING PERMIT FEE $
WATER METER SIZE & FEE $
SEWER CONNECTION: SQUARE FOOTAGE FEE $
WATER CONNECTION: FIXTURE UNITS @ $10.00 PER UNIT $
TOTAL BP & PC FEES DUE . . . . . . . . . .$
TOTAL WATER METER CHARGE . . . . . . . .$
TOTAL WATER CONNECTION CHARGE. . . .$
TOTAL SEWER CONNECTION CHARGE. . . .$
GRAND TOTAL DUE. . . . . . . . . . . . . . . . . $
FOR OFFICE USE ONLY
Date....................................19 ......
Permit *--------------.........Fee$........................
CITY OF ATLANTIC BEACH Valuation $......................................................
FLORIDAHouse #...........................................................
............................................................................
APPLICATION FOR BUILDING PERMIT
...........................................................................
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-BuiIder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date...... An........................................
Owner..,P
- -------------------- ------------_---------------------._..-_Address_*..*..7_��,4---<- -------7rj4n_i..1-----Telephone
Architect-----P& ....................................-------------- Address,111L.��T.0-.D'LoLs-
-----------------�41�f..F!)Telephone No.......................-
Contractor Builder._6�_e_vka.e......S-T -!�:-CA?_11..................Address-r_r-.1......F&ZY ----Telephone NoJ-JYA!!.4r02-1
T_
Lot No....... --_-------------------------------Block No-1-11.---------------Sxq�en.... ........I -------------
-------Side Between-W....... 27
.....................and......................................................Sts.
e K
Valuation $ -------For what purpose will building be used..P -------Type of construction...Fn?�nAtz_gE..........
00 Y,1_0.............
Dimensions of Building._:3_9'._X_.3S!-----------Dimensions of Lot- .....................Size of Footings----8----------
Size of Piers---------_—------------------_Size of Sills------------—-----------.-.GTeatest Sill Span in ft------=---------------Type .............
How will Building be Heated? .....Will Building be on Solid or Filled Ground?...5-1).h_ ................
Size of Ceiling Joists--- --------------------..... Distance on Centers-.1k. -------------------------- Greatest Span... ------------------------------
Size of Floor Joists.--------------------------------------I------. Distance on Centers..........—.......... Greatest Span---------- ................................
_Aw=� ly I
Size of Rafters-12-11)(�...........--_-------------------- Distance on Centers.. ....................... Greatest Span.......VW------J- ----------------
This rectangle is to represent the lot
Locate the building Or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,-and ready to cover up.
PQ 4 _01 N
6. When septic tank drain field or sewer is laid but before it is covered. A
7. Electrical inspection by City of Jacksor.ville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City o tlantle Beach.
1#
Signature of Builder_'_-.'���.... ... .. ............ ..... ......5.7 ..................
Signatureof Owner-.kol� I......... . ...... .... ....................... Address----------------------------------------------------------------------------------------------------
5_3 -3�P/c, - (loo& KII'�"e
STATE OF FLORIDA ITIC BEACH
DEPARTMENT OF HEALTH �OULEVARD
& REHABILITATIVE SERVICES H, FLORIDA
SEPTIC TANK CONSTRUCTION PERMIT
IILDING PLAN
17356
Duval o*unty Health Dept. No.
I Owner G. W. Stansell approved subject to meeting the following
I For Installation At: Lot #5 Begonia Street
Drainfield Size 480 —Sand Filter Size
Septic Tank Capacity Minimum 1050 concrete under exterior walls, reinforced
Grease Trap Capacity Minimum for one-story bui'ldings and three 5/8"
Dosing Tank Drain Tile buildings. Reinforcing rods shall be
eave �yildjn§ sewer stub-out no lower than 6" ootings , properly placed and fastened on
n s e grade.
11 ?aJOWInstallation musr be in accord with requirements of Chapter be si-x inches wider on each side than the
1OD-6, Florida Administrative Code. hes thick and shall rest on firm soil at
(b) Final inspection required before work is covered.
W Permit void if not used within one year.
(cl)� Approved installation does not guarantee performance. ich unit cell shall be reinforced with at
Date of Applicati %/13480 Issue— 7/2/81 ired and tamped with concrete; such rein-
footing and spandral beam.
I ssu C�l
eiry on) , shall be securely fastened to the
anchors or clips.
ings , which are duplicates or intensely
similar, shall be avoided. Such similarity considers the external configuration
and appearance 0 . e. , roof, outer wal I ni aterials, window si ze and design, and
other like characteristics) of structures. In accord with the foregoing, similar
and shal I be at I east 500 feet apart i f any one s imi lar dwel I ing is vi si'ble f rom
any other similar dwelling.
e. The final connection between the house plumb.ing drain and the sewerzser�ice
connection (at the property line) must be inspected by the City before being
covered.
City P.anager
ie undersigned hereby certifies that he has read the above and understands that this
idendum takes precedence over any contrary details to the plans and specifications and
jrees to comply with the intent of this addendum.
Contractor/Owner
Date
S- 33061'
PUBLIC HEALTH DIVISION
Environmental Health Services
City of Jacksonville, Florida
Received From:
Address:
Owner/Mgr.: za�r �
Payment For:
-jp
CHIEF,PUBLICHEA H IVISION
By: --Titl
EHS-2-4000 8-69
FORM 900 AND 901 -123
-WHE sj,, FLORIDA, MODEL ENER' ICIE
GY EFF NCY CODE
FOR BUILDING CONSTRUC"TION
MW GRAHAM SECTION 9 -Govowmft ENERGY OFFICE
-wal GOVEM06P POINTS METHOD LEX HESTER9 DIRECTOR
PREPARED BY: BRASNAM KUHNS DEBAY- CONSUILTING ENGINEERS
A'101J."
PROJECT NAME JURISE;CTION
AND ADDRESS o�71 5—t, 7/7 Azz�/-
/;;/,J, 'BUILDM PERMIT N
ell 101
BUILDER 9
OWNER 0 W FILLED In 8Y 9LD6.OFFICIAL
rmill.
To 99 m wd
Lite in sy Deal#=*
L/
STATISTICAL DATA
J=%pc 30_�_ coo, jjjm&j 9PI
32-7-33 its $-a /00
I gy.6
HEATING SYSTEM TYPE WATER SYSTEM TYPE ON NUMBER of UNITS
110 IMEC
STRIP PMUMp I GA$TOIL L" CLIC r If I GAS I OIL ISOUM I COS hms au
0 1 0 1:071 0 1 1 0 1 0 10 1
emmuom 011111111ft WALL common ceiling I MAXIMUM ALLOWED
/ 00 —1
0 XG a x1t /00
?a ON mvemx FEW0111 TOTAL PONT$ 1111AVIO MATM GAVIVISS
EPI :
CERTIFIED BY: MTE
9D DESIGN CREDIT POINTS( 9E 'DESIGN PENALTY POINTS(PP)
CEILING FANG (in come.sPacal I PER FAN 0 WAF07M AND DRYER (Nam*Pawl 3
WIPMATIS BY )
MULTI ZONE A/C (01101MAOLE boom 6 01 MAX-OPENINS OF KAU 40% 5
an a ON low
OPERAKE WINDOWS (sm w Room) I PER ROOM
WHOLIE HOUSE FAN Me cirm/$F) 5 TOTAL .33
901 *PERSCRIPTIVE MEASURES
CHECK FOR COMPLIANCE SECTION CHECK
HEATING SYSTEM EFFICIENCY 50&4
AIR CONDITIONINS CONTROLS SO&?
A/C DUCT CONSTRUCTION $03.9
PIPING INSULATION $03.10 0
WATER KATO I"N"a *D-re LAvW 604.2
11111111mme POOL$ 604.2 0
TOTAL SHOWN FLOW R9SMCTORS 604.9
CITY OF
---------- 716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
June 24, 1986
Pre-Service JEA
233 West Duval Street
Jacksonville, FL 32202
The following final inspections have been made and are satisfactory:
. Permit #4883 - 2014 Duna Vista Court
Permit issued to ,Adkins Electric
PeTmit #4937 - 1267 Beach Avenue
Permit issued to Munson & Bryan Electric
Sincerely,
HilaryQrhompson
Building Department
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
July -10, 1986
Pre-Service JEA
233 West Duval St
Jacksonville, FL 32202
The following address changes have been made.
545 Begonia Street - to - 1245 Begonia Street
551 Bi--gonia Street - to - 1255 Begonia Street
555 Begonia Street - to - 1265 Begonia Street
561 Begonia Street - to - 1275 Begonia Street
Sincerely,
Rine s
Community Development Director
cc: file
DEPARTMENT OF BUILDING PERMIT No.- 6610
CITY OF ATLANTIC BEACH,FLORIDA 60 0 0 0
PERMIT TO BUILD 60,U U,.K,
THIS PERMIT MUST BE POSTED ON JOB 6 7 A UP5/8
611, C.C,C AJ
85 /a
February 25, 19 7 6 P 1A P/� 5/8
Date
00
000
Valuation$ 11,088.00 Fee s 60.00
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 (EDIM STANSEU
561 Begonia Street
has permission to buiid Wit-IM aS = 121aM SUAld-tted
Classification— ReSidMtial —Zone
George Stamell
Owned by ----
Lot Block S/D
House No.— 561 Begonia Street
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
M
0 Building material,rubbish and debris
z from this work must not be placed
in public space, and must be cleared
up and hauled away by eit er con-
t5vac-'i-QW'o -owner.
Building Official.
FOWOFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
ADDRESS MECHANICAL PERMIT#
PLUMBING PERMIT #
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT #-
�7 3z TEMPORARY ELECT. #
Heated Square Footage @ ___per sq f t =
Garage/Shed $ _per sq ft = $
Carport $ __per sq ft = $
Porches @ $ ___per sq ft = $
Deck @ $ per sq ft = $
Patio (a $ per sq ft = $
TOTAL VALUATION $
Total Valuation Data ist
ET',
Remainder Valuation @ s per thousand
or portion thereof
TOTAL BUILDING FEE $
+ -, FILING FEE sc;2
FIREPLACE @15 . 00 $
TOTAL BUILDING PERMIT $
---------------------------------------------------------------------------------
PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ELECT. TEMPORARY $ ELECTRICAL PER14IT $—
WATER METER SIZE —$ ACCOUNT NUMBER
SEWER IMPACT FEE $
WATER CONNECTION $ (@10 . 00 per fixture unit)
APPROVED BY: TOTAL BUILDING PLAN FILING FEE $
APPROVED TOTAL WATER METER CHARGE $
CITY Gir- ATLANTIC BEACH
BUILDING OFFICF_ TOTAL SEWER IMPACT FEES $
TOTAL WATER CONNECTION CHARGE $
FEB 25 T835
MISCELLANEOUS CHARGES $
0
GRAND TOTAL DUE: � �
$
Date 00
DEPARTMENT OF BUILDING
City of Atlantic Beach, Florida
Application for Permit for I Permit No.B E Office
Miscellaneous Alterations Use
and Repairs M P Only
Contra c tor6i.&,,,,,.O Address_'5��j
V -.1 - 57, Phone.lw_-.�
Owner Sa_ Address Phone
The undersigned hereby applies for a permit to Z,12
Building on_L_g,�r -----Part of Lot No . Block Subd. ,&
At_.
between. –and -Streets .
Valuation $ —Present use for building
If residential, what type dwelling (single-family, duplex. . )_L2't pl-9 X,
How many families accomodated now?- . When altered?— VI-
If business , what type?
Will food be prepared for sale on premises?—
What plumbing/mechanical work to be done?
Size of present building ' y
__R 0 , Size of extension jA ' /4,
Size of lot '�-4), 9 APPROVED
CITY, Of AT!L.ANTIC
Number of stories now #WLDUNG orriiWeh altered
– 02
Material of existing building n E7 M5 Extension
----------------------------- -------------------------
NECESSARY PLANS IN DUPLICATE To BE SUBMITTED HEREWITH
In consideration of permit given for doing the work described in the
above statement, we hereby agree to perform said work in accordance
with the attached plans and specifications , which are a part hereof, and
in accordance with the building regulations of the City of Atlantic Beach.
S-ighatuliZ-Contractor Date
Siq�naturei�T� er Date
CITY OF ATLANTIC B4��Clli FLORIDA
Ap
APPLICATION FOR ILE AL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
La_l 7
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING TI-It�"Mi0k AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE10 PERFORM SAID WORK IN ACCORDANCE;;""
0
110"INE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A''PART NEREOF, AND IN ACCORDANCE WITH THE'Ut RICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH'ORDINANCES.
e
(-';A,V 6
ELECThICAL FIRM: Ff�TRICIAN RE JOURNEYM
NAME-&6-14r' —ADDRESS: RFD—BOX
BLDG.SIZE
RES. APT. COMM.( PUBLIC INDUS. NEW( OLD( REW.4
ADDITION ( TRAILER ( TEMP. SIGNS ( SQ. FT.
SERVICE: NEW I)MCREASE REPAIR FEE
CONDUCTOR SIZE AMPS COPO;i4ij ALUM.I Jf
tll��"111'1""7'7
SWITCH OR BREAKER AMPS PH 7 W 4&�r-RACEWAY
EXIST.SERV.SIZE AMPS PH W RACEWAY
FEEDERS NO. SIZE IND. SIZE
LIGHTING OUTLETS CONCEALED TOTAL
RECEPTACLES 2--3 CONCEALED TOTAL
0.30 AMPS 3
PSI
SWITCHES
INCANDESCENT 47
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES
LL TR F.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AM L HEAT. KW-HEAT
0-1
VOLTAGE PHS
MOTORS H.P. VOLTAGE PHS No.
MISCELLANEOUS
UNDER 600 V. 0 V E
TRANSFORMERS: 1
CITY OF ATLANTIC BE.ACH, FLORIDA
APPLICATION FOR ELEOilCAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 17 19 of
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 Wl"THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE jiil�jRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
-4A
ELE&RICAL ilRM: mAs(rFR ELECTRICIAN 61ruRE JOURNEYMAN
NAMEIZfaA-r' 11Y14 f-2 f r�Z' ADDR ESS:
RFD-BOX
BLDG.SIZE
RESA I APT. comm.( I PUBLIC I I INDUS.41, NEW( I OLD ( REW.
ADDITION I I TRAILER ( I TEMP.I SIGNS ( SO. FT.
SERVICE: N; FEE
�( l INCREASE ( I REPAIR
CONDUCTOR SIZE AMPS COPkit� I ALUM.0
SWITCH OR BREAKER /S AMPS PH TW 4f%g�eRACEWAY
EXIST.SERV.SIZE AMPS PH W RACEWAY
FEEDERS NO. SIZE IND. SIZE
f
k''
LIGHTING OUTLETS CONCEALED 00114 TOTAL
RECEPTACLES 2-3 CONCEALED TOTAL
0.30 AMPS
3 1�,J,0 0,�A P S,
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
1 0.100 AMPS. OVER
FIXED
APPLIANCES
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS A.jWi�i
KW-HEAT
0-1 0
MOTORS H.P. VOLTAGE PHS No. VOLTAGE PHS1
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVE91101v.
MAP SHOWING SURVEY OF
. Z07* 5 &OCAl 221
SLCTION '9".4TZM 3f,4C11
Recorded in Plat Book-------�6----------Page--------------7-4--------------------_of----c uj-7,-e.&--------Public Record8 of Duval Co., Fla.
for:___6L0__RG_,E-------5ZANSY�L---------------------------------
LEGEND R. L. CROASDELL & COMPANY NOT INC.
0 Denotes Iron
X—X—x— Denotes Fence CIVIL ENGINEERING & SURVEYING Date___Aa-6,---4__1,960-----
P.R.M. Denotes Permanent
Reference Monument 429 East Adams Street - Jacksonville, Fla. Scale 1" __20------------------
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C"ki
�Z
x
/021
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