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Permit 1915 Creekside Cir CITY OF ATLANTIC BEACH i1 s� 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028734 Date 7/26/04 Property Address . . . . . . 1915 CREEKSIDE CIR Tenant nbr, name . . . . . . INSTALL 3 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- MANNING, GERALD ATLANTIC COAST PLUMBING & TILE 1915 CREEKSIDE CIRCLE 323 9TH AVENUE NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (9 04) 249-5381 --------------------------------------------------- ------------------------- Permit PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: —�--- � j /I I Property Address: ` Owner: A �"�' Telephone #: � � R Contractor: Rf�A ldi n/ t� �An-i6,�� Telephone _ 36 . Contractor Address: �� _. Fax 9: ' 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 Cite or Atlantic Beach ordinance and standards of good practice listed therein. :50 j u Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is bein' done on this building or site. d New list the building permit T� Re-Pipe - --- -- �:� Number of Fixtures: Bath Tubs Showers Closets '�� —�� Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine I _ Lavatory Water Server Water Heaters 1 1 Other Fees Permit Issuing Fee: $35.00 / �+ ` Total Fixtures: X 57.00 + $35.00 800 Seminole Road . Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 . Fax: (904) 247-5845 . http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD �J s ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptycoab.us Application Number . . . . . 07-00001452 Date 12/27/07 Property Address . . . . . . 1915 CREEKSIDE CIR Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc INSTALL DUCT SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MADDY OWNER 1915 CREEKSIDE CIRCLE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 6/24/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD j v ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028423 Date 6/04/04 Property Address . . . . . . 1915 CREEKSIDE CIR Tenant nbr, name . . . . . . 3 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------ ---------- ------- ------- ----------------- MADDY, JERRY ATLANTIC COAST PLUMBING & TILE 1915 CREEKSIDE CIRCLE 323 9TH AVENUE NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-5381 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 00 . 00 . 00 f PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 0-t� ( - 10 BUILDING OFFICIAL =L�1r CITY OF ATLANTIC BEACH s PLUMBING PERMIT APPLICATION Date: " Property Address: q Owner: Z`e A-0 Telephone#: � r ` Contractor: /�'tt SWT(@ � Z� Telephone #: 'VO - 537 x Contractor Address: 3 2.1 � �a -�/��4 Fax#: �G J� 673 3 ZZ 0 In consideration of permit given for doing the work as described in theabove f4atement,we hereby ee o perform said work in accordance with the attached plans and specifications which are a part h e `the CC" of Atlantic Beach ordinance and standards of good practice listed therein. Z W Installation of plumbing and fixtures must be in accordance with the most "Tent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: ❑ Re-Pipe Number of Fixtures: j Bath Tubs �e AC lf- Showers l Closets K Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine �i Lavatory e' Water Sewer Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 +" $35.00 800 Seminole Road. Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http://www.ci.atiantic-beach.8.us CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 oil1%I Application Number . . . . . 04-00028333 Date 5/20/04 Property Address . . . . . . 1915 CREEKSIDE CIR Tenant nbr, name . . . . . . HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------- ----- ------------------------ MANNING, RICHARD I . SNYDER HEATING & AIR 1915 CREEKSIDE CIRCLE P .O. BOX 16826 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 641-0600 -------------------------- -------------------------------------------------- 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 N 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 IWROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. , ( - BUILDING OFFICIAL BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. Street Address: NiS LOCATION OF Intersectio;Streets:Between 5!yv\,n„it. IPA . And lv BUILDING Sub-division IL INDENTIFICATION—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 City of Ada 'c Beac ordinances and standards of good practice listed therein. Name of Mechanical Contractors Coatractor(Print) S Qv r- Master ` Name ofPmperty �1 Owner c� C. Signature of Owner Signature of Or Authorized Agent I Architect or Engineer M. GENERAL INFORMATION A. -Type of heating fuel: B. (>Y Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: _LP Natural _Central Utility BUILDING OR SITE? &0 Cl Oil A Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BENATURE OF WORK INSTALLED tY Residential or Commercial ❑ New Building —/(Provide complete list of compoaents oy back of this form) Q/ Existing Building t!f Heat _Space _Recessed _✓Central _Floor �/ Replacement of existing system V Air Conditioning: Room ✓Central O New Installation(No system previously installed) 0 Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacity cfm C2Other- Specify ❑ Refrigeration Cl Cooling tower. Capacity Qym ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ Manlift Escalator (Number) (Received) ❑ Gasoline pumps (Number) ❑ Tanks (Number) Remarks ❑ LPG containers (Number) ❑ Unfired pressure vessel Permit Approved by Date Cl Boilers ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Desc 'prion Model Number Manufacturer Capacity Approving —�" (Tons) Agency 1 W 910 11 ALL i 1 HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving I (BTU) Agency AM TLAX-M 19 7VA41r- UL r r TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency UE'PART ENT OF SUILOW0,111 CITYOF`ATLANTIC BPER EACH, ,. ..:.� � " � C � r ` 1 ! IT Lot:" 'Pro d�A« D r ,1 cat & ubdiv10* � S�tv 'katal $225 00 Am ul 21/95,, + F $ r 4 ' �AY PER PLANS y -41 It ION �uR rrYr N� .Nn M d A g � e d f p 3■q } �,tm 'A ��K ,rt ,�. r 5 Cl ,fit'{ 33 1j-'�I}� �{ �' �i�'5 RXA,p I O01 k-A 4 nrcm, +e M1 v+unv.Yd^&� xuru„inwiTA �'�' 3�.!sk ��a v � i N1Dm, y t NOTICE --AII. A1TE`FCIIS`ANQ FOOTING S MUST B NSPEC`I' #�HEPQ #E RDU �r ' 'ERfi/11TVOID SIX MONTHS AFTER,QA1*g: t sUE. BUILDING MAI I fA�I,;I�BSt` I`Al+tt CII BFt1S FROM THIS WORK MUST NOS SI I'I:ACI t3 l PUI LI S€ACE;"4fVi 'MUST Cl. GRED UP AND HAUL'tD,AWAY'sy,EI r";ER'CONTRACTOR OR OWNER SUI 1SSU D ACCORDING TO AP'�'Ft EIS R 1+�S WHICH ARE BART OF THIS pE�tl4t11fT AN>��SUS, T TO�#�EV��:�� ION OF API�LICABLE PI C t/ISIUNS C) LAW. ATLANTIC BE: BU1[. ZING DEPARTME NT x By; . „_ CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS owner(s) : � � Jhoe:(Address: 42 2 Lot # Block or Unit # Subdivision: Contractor: State License -- - Address: Phone No: Describe work to be done: PCLI Present use of building: Valuation of Proposed Construction: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace?_,New Heat/AC? SUBMIT THREE LETE ETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE ORMS, NOT CE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, OWNER IS ONT C Signature OWN Date:/ Signature CONTRACTOR• Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: 4 DEPARTMENT Of BUILDING CITY OF ATLANTIC BEACH T II `QRMAT ON ------ _�. �� _ LOCAT1OR I?e, I~: Weber: ?9t}9 Address. 1915. 4CRZEK$IDE +", RCL P e lt' T P S RE I ATLANTIC RZAC , Fl (OAIDA 2233,,. . as -of Nock» NEW ,: LE 4L DESCRIPTION :'Cots �r.' Tyjj, : WOOD rgAM1� Lest : BIoi�k BeO't ori ' P used q-s e: �1NGLE PAMI LY Town hi ' : . RR'O; ; U code 0 Eubdivisio a litilhated, vbae: n,. 1971 .00 Tat 1 I $225 AiT� u 22. 50 LOSS AT 1 OR -47 - _ f AP I OAT% � R . . OPE RM 2,2.0 ;�A Z � � " I L E C RCLE WA's NFAG' 803 04 I H, -' 'LORILt �q' ref er f,W�ke-.Al RADON CAR H," t. r. 0.00 T ION _., ,___ RADON C k R " R0,0 Ririe. O RRTUCT ON CA?T* A ._,T1iPROVE ,.e... SOUTH SEWER TAP .00 JACKB ?L , 32211 LLL, HY RAULIC SHAME $0.60 TY0 CROSS CflmNtc,"Ti �£t SEC.H IMPACT n TRC X or, Std p 0 NATES s NOTICE—ALLGONCRETE FORMS ARID FOOTINGS MUST BE INSPECTED BEFORE POURING, PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDI G MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE;AND MUST BE L"l EAR d `Up AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER MILO E`TOOPL.'Y WITH THE MECHANICS' LIEN: L.AW .CAN :RESULT IN p "L0 PERT1t OWNER PAYING TWICE Ft?R Bt.MIL SING 11 PI L ENTS." i I a A cORDjNG TO ARAROVED'PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEtr '�D i&t . ON FOR . . VII ;A"6IOi CIF AP.Pt�iCAE1.E PRK?vl ( l+tS bFl#1W. iTLAN tIC BEACH BUI'LDiNd.DEPARTMENT Vie ; CITY OF ALANTIC BEACH ROOFING IT APPLICATION owner(s) : Address: 194Phone: Lot # , Block or Unit Subdivision: Contractor: 2146,C-M-5- Address: City, State and ZipC��Sdt/!//.C,C� Phone �03 C7 State License # 4SLf�. 72 Describe work to be performed: ,Pr,6 -4-" Valuation of Proposed Construction. Materials to be used: )&66eS Signature of Owner; Signature of Contractor: Liability Insurance Suppliedf.,5 Workers Compensation Insurance Supplied �a6S License Information 2 J P� �0SZ- ky P of 0 �� BOO 14/ 9 P ole c IO vdb S`o5��,'"9a S� t dee y,_ 10 \`\ �'S�,�� t� tba'` �� •y�.�", �, e SIS 4.��' 40��`' p� $ape ZC L CP vO�}4� G O �g \� tis Qetfi sti 4et Oil �O $�� 19 St 04 ttipo ate ,�� t,b�gb lt �asS��Ga 9�' ,Gase 4 S Q� ��ate�� ti � e s , .N e, 4 q, Oyo �p a4�tp�ea 4 �0 vc, a ei �*p�sS to CoQ Stu GOia \ op:; NJ >, kpaE loo E � �� 5 -44 ; 1 W CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT DATE_— 28 May 1981 LOCATION. _,/f PLUMBING FIRM Guardian Contract Systems, Inc. MASTER PLUMBER___ThQMaa_ p. Rausch _ CITY/COUNTY OCCUPATIONAL LICENSE NO. 882200 STATE CERTIFICATE NO. CFCO 19134 BUILDER OR CONTRACTOR Holmberg Construction Company TYPE OF BUILDING, Residence 1 SINKS 1 --SHOWERS 2 LAVATORY 1 WATER HEATERS 1 BATH TUBS DISHWASHERS URINALS DISPOSALS 2 CLOSETS 1 WASHING MACHINE FLOOR DRAINS OTHER 9 TOTAL FIXTURE COUNT INSTALLATION OF PLWMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CITY OF ATIAWIC BEACH APPLICATION FOR SEWER CONNIDZ'IONS ACCDLUr NC).#050148 DATE 4/22/81 LOCATION 1915 CREEK SIDE CIRCLE. LOT NO. #7 BLOCK NO. UNIT -12 SUBDIVISION SELVA MARINA OWNER M/M R.I.MANNING TYPE OF BUILDING S/F DWELLING,RESIDENTIAL MASTSR PLUMBER DATE INSPECTED BY CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT-IN APPLICATION IS HEREBY MADE FOR HOLMBERG CONSTRUCTION CO. WATER CUT-IN AT THE FOLLOWING ADDRESS FOR SIF DWELLING RESIDENTIAL UNITS (S) CUT-IN CHARGE OF $85.00 3/4" WATER METER,$4.00 CONST WATER. STREET NO. 1915 CREEK SIDE CIRCLE. ATLANTIC BEACH FLA. 32233 LOT #7 BLOCK UNIT-12 SUBDIVISION SELVA MARINA ACCOUNT NO. #050148 MASTER PLUMBER I DATE METER N0. _�)() �t 5 Y9 5 c)• DATE INSTALLED i III DEPARTMENT OF BUILDING 4679 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD c '�» � L I�,�ft;��t�% f.; THIS PERMIT MUST BE POSTED ON JOB w. „, fc�iftill F. APRIL 28� 1981 s:+uC9Cu Date L Valuation S 513,000 Fee S 140.50 ! ! This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Orr. This is to certify that—HOUIBER.G CONST COMP. 835 CESEBY BLVD. JACKSONVILLE FLORIDA has permission to build S f F DWELLING AS PLANS SUBMITTED. Classification RESIDENTIAL 7.One Owned by NR & MRS R.I.MANNING Lot # 7 BlockUNIT-12 S/DS ,TE_VA MARINA House No 1915 VRT n1_T1)'F rTRCU AMT AUTIC BEACH FIA 39933 According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE ,�______ ► O 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 either contractor or owner. ACTING CITY MANAGER CARL F. STUCKI Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER etMMh► FOR OFFICE USE ONLY .. "FAILURE, V COMPLY WITH THE MECHANIC'S Date- .. ...............19 LIEN LAW C-A RN DU Permit *--W.;.P..........Fee _Hr OWN.;R PAYS;" C Valuation $__IXIAPPAP�............................ ' IMPROVEMENTS.01 FLORIDA House #. ,r f&-,6 APPLICATION FOR BUILDING PERMIT ��7 ............................................................................ 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-Builder 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 is office so that licenses can be verified. D��96J1?_A_(Jk..tTelephone .................. ....... ...... Z. ........................I IS Owner.. -- ---- .6----------------Addresi��___. No*� Architect_------------- -7--- Address.....-----•• ------ ------- ---- - Zone elephone No............................. Contractor Builder -d.)...Address...tV-�J' _Telephone No.:7Y --; '?Z/ k /T ----------------- -------_----_- Lot No--------7-_------- Block No------------------- ---Sub Division_._ _Vw.eZi.Street-----------_------......Side Between.........W2�................................and-----------------------------"----------------------Sts, Valuation $ ... ......For what purpose will building be use ... ..... ..................Type of construction.-A&w.Z-------- Dimensions of Building----------------------------•--._------Dimensions of Lot.......................................................Size of Footings................................. Size of Piers.__-----------------------------Size of Sill's....------------------------Greatest Sill Span in ft--------_-----------------Type Roof................................. How will Building be Heated?-____.................................. -------_--------Will Building be on Solid or Filled Ground?--_-.-_.--.............................. Size of Ceiling Joists------------------------------------------- Distance on Centers---.........._........._......._............. Greatest Span____.............._..._......__............. it Size of Floor Joists...................................--------.,Distance on Centers.......... ..... ..................... Greatest Span............................................ Py Size of Rafters.-- ----------_------..........-------......Distance on Centers........ ...... .................... Greatest Span-------••-................................. it This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from APPROVeo all lot-lines and existing buildings. CITY OF ATLANTIC BEACH REAR LOT LINE 13UILDING OFFICr:, Two copies of plans and specifications shall be submitted with application. APR 27: 1981 Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns 3. When steel is in place and ready to pour beam. a,, / 4. When framing is completed. E-4 5. When rough plumbing is completed,-and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT given statement, w In consideration of permit •--.. forngt)ie work as described in the above state e hereby agree to perform said work in accordance of s d specifications, which are a part hereof, in accordance with the building regulations of the City e Signature of Builder..... . .. ..... . .. . ........ .................. Address.... - ( �.r !/_ !'1...3... Signature of Owner._ t/ . . .............................:..••.. ........ Address.../%3 ' .4... ................... 60se 12 z oV CITY OF ATLANTIC BEACH WATER CONNECTION CHARGE$"640 DATE .dLCGA ?,Zj }�I LOCATION /f/.f' �/'�LC �•.S/f� �..�i��/ •► OWNER 000 f 1,L.,o PLUMBING FIRM MASTER PLUMBER BUILDER OR CONTRACTOR TYPE OF BUILDING oZ BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS) WATER CLOSET,LAVATORY AND BATH TUB OR SHOWER STALL.(6 UNITS) SHOWERS GROUP PER HEAD ( 3 UNITS) BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS) HEAD SHOWER) (2 UNITS) FLUSHING RIM SINK ( 8 UNITS ) BIDET (3 UNITS) SERVICE SINK TRAP STAND ( 3 UNITS ) COMBINATION SINK AND TRAY ( 3 UNITS) POT,SCULLERY SINK ( 4 UNITS ) COMBINATION SINK AND TRAY W/FOOD DIS. ( 4 Units) URINAL, PEDESTAL,SYPHON JET BLOWOUT. ( 8 UNITS ) DENTAL UNIT OR CUSPIDOR ( 1 UNIT) URINAL, WALLL LIP ( 4 UNITS) DENTAL LAVATORY ( 1 UNIT) URINAL STALL, WASHOUT ( 4 UNITS) DRINKING FOUNTAIN (31 UNIT) URINAL TROUGH EACH 2'SECTION DISHWASHER ( 2 UNITS) �Z ( 2 UNITS) FLOOR DRAINS ( 1 UNIT) WASHING MACHINE RES. ( 3 UNITS) KITCHEN SINK ( 2 UNITS," WASH SINK EACH SET OF FAUCETS ( 2 UNITS ) KITCHEN SINK W/WASTE GRINDER ( 3 UNITS) WATER CLOSETS, TANK- OPERATED ( 4 UNITS ) LAVATORY ( 1 UNIT ) WATER CLOSETS, VALVE OPERATED LAVATORY,BARBER,BEAUTY PARLOR ( 8 UNITS ) ( 2 UNITS ) LAUNDRY TRAY ( 2 UNITS ) LAVATORY, SURGEONS ( 2 UNITS) 11769 M(7WELl WSIN[SS FORMS L7 IACKSONViIIE FI-M- . CITY OF ATLANTIC BEACH No. 07545 FLORIDA 4/22 1981 NAME HOLMBERG CONST.COMP. ADDRESS 1915 CREEK SIDE CIRCLE. CITY ATLANTIC BEACH FLA 32233 ACCOUNT No.#40-343-3700 — WATER CONNECTION CHARGE. $200.00 ACCOUNT No.#41-343-5200 — SEWER CONNECTION CHARGE. $700.00 $900.00 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE" TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 92298 ATLANTIC BEACH, FLORIDA 92295 TELEPHONE: 249.2598 s UTILITY BILL OFFICE COPY DATE WATER WATER SEWER GARBAGE OTHER TOTAL DATE WATER WATER SEWER GARBAGE OTHER TOTAL METERS DUE METERS DUE +/22/81 j $85.00 $4.00 $89.00 4/22/81 $85.00 $4.00 $89.00 3/4 It CONST 3/4" CONST WATER WATER WATER WATER METER METER RETAIN THIS STUB PAYABLE !N ADVANCE SERVICE DISCONTINUED NO REFUNDS IF NOT PAID WITHIN 90 DAYS OF DATE SHOWN 1 s f t y ACCOUNT # 050148 HOLMBERG CONST COMP. SERVICE ADD 1915 CREEKSIDE CIRCLE. Different 855 CESERY BLVD. Mailing Address NAME HOLMBERG CONST COMP. JACKSONVILLE,FLA MAILING ADDRESS NAME HOLMBERG CONST. COMP. HOLMBERG CONST COMP. 855 CESERY BLVD. SERVICE ADDRESSj915 CRE .KS DE CIRCLE. JACKSONVILLE FLA. ACCT. #050148 ll' a � ?1G Ca '_p i.: ULf_ •.Cry t.r• ic' 25 ss -- rl .^• ATI_hNTIC JULY 29, 1981 PRE-SERVICE SECTION 3RD FLOOR JACKSONVILLE ELECTRIC AUTHORITY BLDG. 233 WEST DUVAL STREET. JACKSONVILLE,FLORTDA 32202 DEAR SIR: THE FOLLOWING LISTED FINAL INSPECTIONS HAVE BEEN COMPLETED AND ARE SATIS- FACTORY. PERMIT NO. 113180 -1915 CREEKSIDE CIRCLE. ATLANTIC BEACH FLORIDA 32233 UNITED ELECTRIC CO. PERMIT NO.#3059 -331 19TH STREET. ATLANTIC BEACH FLORIDA 32233 FERRIS ELECTRIC CO. Sincerely, GAE/REV G.A.EDWARDS DIRECTOR OF PUBLIC ?,'ORKS DEPARTivtENT OF BUILDING 4679 .moi. f CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.— PERMIT O.PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB _ Date .—.i T '4 51,10D0 Fee >�_l�u..`>0 (. Valuation � --- z Tbi" permit not valid until above fee has been paid to City Treasurer, and Is ..�j. •abject to revocation for violation of applicable provisiona of law. ..' This is to certify that T has permission to build_ Classification 1' ___-Zone - Owned by h - —T j' _i> —SSD'"? ',i -� i _—Block_ — House No— , r. t According to approved plans which are part of this permit NOTICE--ALL CONCRETE FORMS AND MUST BE is a SPECTEDOTINGS BEFORE POURING. IN- f PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE M �— ® 0 Building material, rubbish and debris _41— 10 from this work must not be placed in public space, and must be cleared up and hauled away by either contractor E * or owner_ _ t � -- — Building official. i FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER r PLUMBING ELECTRICAL , t SEWER _ r k WATER — --- k i FOR OFFICE USE ONLY 1,'AILURr TP COMPLY � lIT11 THE MECHANICS Date . 0�0 19 LlrN LAW C. .I !CL Permit # �f.._........Fee $ l .s..... 001'. PAY--,i J°� /�� J Ii � � � Valuation $. 1.00 C/...... ................... HCti ROVE E '.S." FLORIDA House #-�9�5 / � ks�44 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-Builder 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 Pis office so that licenses can be verified. p --, -r Da -Z ---- ---•-----•----.._ C � � x ? - --`Telephone Nos , 19.x`?.-_/71 --------Address/WOwner--/ Architect--------------_---. - -------------------------------- elephone -. No..-----------------------_ Contractor Builder_. �_wl .GJ�'✓'...Telephone No.�X--?-�O-ZZ Lot No. `/ Z- - ---- Sub Division------ __ /�rS-F�lr... �!------'�1_JlA-------- ,... Zone. &t -- l Block No.- - `- •-/: ="/ C.,.,r_:..Street----- -------- -... Side Between.------4-2-7- Dimensions ----------------------and------------------------ --.Sts. Valuation $..... ... c ----- _ For what purpose will building be used-.- �.-.--------------Type of construction.._ .�-�l'!1'1�....... of Building_-------------------------------------Dimensions of Lot--.------------------------------------------------Size of Footings-..............-------------------- Size of Piers------------------------------------Size of Sills---------.----------.---------Greatest Sill Span in ft._-.----------------------Type Roof-------------------------_--------_ How will Building be Heated?---- ------.-------------------------...................._..._.Will Building be on Solid or Filled Ground?----------------..- ...... Size of Ceiling Joists---...........__.._.._--------- -------, Distance on Centers.................................. ....., Greatest Span_.__...._..-.-...._--....-___....... " Size of Floor Joists........................_____.___._...-...._, Distance on Centers.......... ----------.._--------_.--- Greatest Span...._-----------------_---------------- or Size of Rafters ---------------- ----- ------_-------------, Distance on Centers, ---- ----- -------------------------.._, Greatest Span_-------------•----------------------_ B This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from APPROVED all lot-lines and existing buildings. CiiY OF ATLANTIC QEAC{I REAR LOT LINE DUILDING OFFICE Two copies of plans and specifications shall be submitted with application. APR 2,7_ 1981 Inspections required. 1. When steel is in place and ready to pour footing. W W z 2. When steel is in place and ready to pour columns ,.y 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. W li�ti W 6. When septic tank drain field or sewer is laid but before it is covered. q A 7. EIectrical inspection by City of Jacksorville. 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 dqing e work as described in the above statement, we hereby agree to perform said work in accordance with i6a ns And specifications, which are a part hereof, n� in accordance with the building regulations of the City e J Signature of Builder.._ - ------ •- -----•-- .................. Address... Signature of Owner. . .. -/ -� .+...... V ------ Address.. _O ry- - �.E'i":r.2sE .5�.............. 12Z w , CITY OF ATLANTIC BEACH eG -- WATER CONNECTION CHARGE y"60 DATEE,� LOCATION OWNER _W PLUMBING FIRM MA_S T E R PLUMBER — -- --- ------- ----- — ---- ---- - BUILDER OR CONTRACTOR TYPE OF BUILDING az- BATHROOM GROUP CONSISTING 0'F SHOWER STALL, DOMESTIC ( 2 UNITS) WATER CLOSET,LAVATORY AND BATI-I TUB OR SHOWER STALL. 06UNITS) -- SHOWERS GROUP PER HEAD ( 3 UNITS) BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS) HEAD SHOWER) (2 UNITS) FLUSHING RIM SINK ( 8 UNITS ) BIDET (3 UNITS) SERVICE SINK TRAP STAND ( 3 UNITS ) COMBINATION SINK AND TRAY ( 3 UNITS) ( ) COMBINATION SINK AND TRAY W/FOOD DIS. POT,SCULLERY SINK 4 UNITS ( 4 Units) _ URINAL, PEDESTAL,SYPHON JET ) DENTAL UNIT OR CUSPIDOR ( 1 UNIT) BLOWOUT. ( 8 UNITS — _ URINAL, WALLL LIP ( 4 UNITS) DENTAL LAVATORY ( 1 UNIT) URINAL STALL, WASHOUT ( 4 UNITS) _ DRINKING FOUNTAIN (Z UNIT) . URINAL TROUGH EACH 2'SECTION DISHWASHER ( 2 UNITS) ( 2 UNITS) FLOOR DRAINS ( 1 UNIT) WASHING MACHINE RES. ( 3 UNITS) J KITCHEN SINK ( 2 UNITS," _ _ WASH SINK EACH SET OF FAUCETS KITCHEN SINK W/WASTE GRINDER ( 2 UNITS ) ( 3 UNITS) — WATER CLOSETS, TANK- OPERATED ( 4 UNITS ) LAVATORY ( 1 UNIT ) WATER CLOSETS, VALVE OPERATED LAVATORY ,BARBER,BEAUTY PARLOR ( 8 UNITS ) ( 2 UNITS ) LAUNDRY TRAY ( 2 UNITS ) LAVATORY, SURGEONS ( 2 UNITS) NO11769 s ' WfII 6USI Nf SS IOUAS I.^1K RSONvlllf IIOfIOA 4 Y ' � 7 CITY OF 07545 FLORIDA s 4/22 198.1 {f NAME HOLMBERG CONST.COMP. ADDRESS 1915 CREEK SIDE CIRCLE. CITY ATLANTIC BEACH FLA 32233 ACCOUNT No. #40-343-3700 — WATER CONNECTION CHARGE. $200.00 ACCOUNT No. #41-343-5200 — SEWER CONNECTION CHARGE. $700.00 $900.00 i 7 I When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY/ Oi ATLANTIC SEACH FLO.ZIDA TREASURER L I CITY OF ATLANTIC BEACH CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 ATLANTIC BEACH, FLORIDA 32233 1 � TELEPHONE: 249.2395 , UTILITY BILL OFFICE COPY DATE WATER WATER SEWER GARBAGE OTHER TOTAL DATE WATER WATER SEWER GARBAGE OTHER I TOTAL ME�TERS� I DUE METERS DUE 122/81 j $85.00 $4.00 $89.00 4/22/81 $85.00 $4.00 ( $89.00 i 3/4" CONST 13/4" CONST WATER WATER WATER WATER METER METER RETAIN THIS STUB SERVICE DISCONTINUED PAYABLE IN ADVANCE IF NOT PAID WITHIN NO REFUNDS 30 DAYS OF DATE SHOWN r /moi j r f , a 'f. t ACCOUNT # 05014$ HOUIB ERG CONST COMP. SERVICE ADD 1915 CREEKSIDE CIRCLE. Different $55 CESERY BLVD. NAME HOLMBERG CONST COMP. Mailing Address JACKSONVILLE,FLA MAILING ADDRESS NAME HOLMBERG CONST. COMP. HOLMBERG CONST COMP. $55 CESERY BLVD. SERVICE ADDRESS1915 C( �1KSIDZ CIRCLE. ' JACKSONVILLE FLA. ACCT. x$05014$ '" - � . � f�i t c� = � Q 9_. `L C; r �a'� '. �'`i.J ._ T,:� � u' �� r �� -�• SLS y T y 1 N T 10/17/2007 11:49 904-269-6360 CLAY CAL*iTY BLDG PAGE 01/02 CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICA MN 6 Ja`7 Dltte: -t•"1-b"1 J?"perty Addrm: Jct 1 S R4f 5 F0� c+2 Owner. `Scar*+,.a P4^w4y Tef of a#: g,45. it3.t Contrmewn 5p a&,Yz cu Tekphove#: S 1 Coatraeftr Address: P0. JS--x- 149JA Flt Ali: kyr' 23-01 Cen&zcte r Na:tart: 2-e;asidaabmt aI penait f6w& of=a desa,'bw in dta swnw-k we Mw,7 apse a axe "wk;a aoaordaoae with do a-- 1,t1 plan-=d spedfdcMim vftch ars a pat!ho ad is aeootdenee wi*the City of AMOW ilseclt&dW*"M aid salad"of baud thadn. Typa etHu ting Fuch If other epnsttucdnn is beans dotfe an this building or sift�list the WWft permit wmnber: W/Elecu4c a Gas _jy Naberat Central Utility a Oil O thherInd I - MI MC CAL]COUV MMM TO BE[MS1'/ uzo NATURE OF WORK Q Heat _Space _ 1C}xmal _Floor Q �i Air Condirt�ioaiW !_Roam //Centtal V DWSY*M: M aaial jf �Thicknesa C-4 a commereol Mwd=un �' IAP tdttt O New Building ❑ T�tefrigaat;an ❑ Coohnig Tower_Capacity E*sftg Buttals i, Fire*idlers:Number of Heads o Elevoor _— Mamuft Escalator_(Number) Q' tleplmcm nt of 8uisting Sy:*= oGasoline Pumps_ _(Number Ta ) a a New hutaPagm C3 LPG Contsstas (Nwnber) (No sy tweviotWy in*Wkd) O UaSred Pro astuc vessel a Flan or Add-ort ie Exit"Syeem O Boilers o G"Piping O Otho—Speclt'y - LIST LIST ALL Unomm Atli COM MOMPOGr WXFOCIPtATIOW VQgft WWW•[.'pMplElWi(WS A"wvving; WMAM Units Dasawi-- MrAd K taw(awa Tort's Aptly WA.TMG-FURMACfr8,HAI4M nRtiM AC:U A AIR VIANDg.E1t'S App"ft Nuns"shuts Atswotion Madel N b+hn-f-elurer Burs Apoey AdiliS WiQ Cepaeity Type C)"W Said Appmvivg Haw uny Dionewiota 90"094 atmex No. Astog 00 ftnkoir Rind•Ads We Heack,Florida 32233-SW ftow.(W)247-Mg• Fu: ("4)247-6W• 1qW;6N.Md&d@w &4mck.B.a,t RawhW I/M