Permit 2191 Fairway Villas Ln CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
--- --- ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
I Ujilt
Application Number . . . . . 08-00001310 Date 10/02/08
Property Address . . . . . . 2191 S FAIRWAY VILLAS LN
Application type description RESIDENTIAL ADDITION/ALTERATION
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1000
----------------------------------------------------------------------------
Application desc
garage door
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
HUMPHRIES, NEIL & KAY OWNER
2191 FAIRWAY VILLAS LN
ATLANTIC BEACH FL 32233
--------------------- Structure Information 000 000 ----------------------
Construction Type . . . . . TYPE 5-A
Occupancy Type RESIDENTIAL
Flood Zone . . . . . . . . ZONE X
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee 17 . 50
Issue Date . . . . Valuation . . . . 1000
Expiration Date . . 3/31/09
----------------------------------------------------------------------------
Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS.
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING
DEPARTMENT IMMEDIATELY.
WINDOW AND DOOR INSPECTION:
*INSTALLATION INSTUCTIONS REQUIRED
*ALL STICKERS ARE TO REMAIN ON THE WINDOWS
*PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total 17 . 50 17 . 50 . 00 . 00
Grand Total 52 . 50 52 . 50 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08
rk OFFICE:(904)247-5826 0 FAX NO.z(904)247-5845
SU;LDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
W -17
WI.
a\Ck( A-1,
Atlantic Beach, FL 32233
U� 104 QTSI�0F.'S!MCTUR5-;,W
El NEW BUILDING 0 DEMOLITION 0 RESIDENTIAL
LOT_BLOCK SUB DIVISION E3 ADDITION 0 CONVERTING USE 13 COMMERCIAL
[I ALTERATION 0 ACCESSORY BLDG.
bRjp,,rfbN,0e o
0 REPAIR 13 POOL I SPA 0 YES El N/A
Ga'101��e 1�bo 0 MOVE E]OTHER 13 NO
9MMMA RQKRWQWNER' �OM MW� �09� NTRA rif
CTQR9MWN7W ARCHITE 1�'ENGINEEFM
9.NAME: 15.COMPANY NAME; 23.COMPANY NAME:
16.NAME: 24.LICENSEE NAME:
IO.ADDRESS:
17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
18.ADDRESS: 26.ADDRESS:
IC L
11.OFFICE PHONE: 12.FAX NO.: 19.OF iVkIHONE: J20.FAX NO.: 27.OFFICE PHO��FAX NO.:
I . .1(t X -
13.C (0"J j.� 6j MELL HONE: 29.CELL PHONE:
V-7"1 � - 932-6
14.EMNIL ADDRESS: r V 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
—0 "a
,L-xd
'K
...... .... .
�MON r PTHERT.HM
31.NAME: 33.NAME: 35.NAME:
1
32.ADDRESS: 34.ADDRESS: 1 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or
abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNEWS AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
taws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
"M N
p
Sir ONT
C MC-0 ffP0
W.1;
t
5i��.Qw &nAGENR
NEW t
(1W`0 of Attdln�YbtM.Ad�t J�W Ulf0d $
<Z Date: Signed: Date:
Before me thl.�O Wday of ji'a Ie,:r 2007 in the county of Before me this day of ,2007 in the county of
Du', I State of Florida,has persorlaily aksared' Duval,State of Florida,has persona Ilyappeared
herin t;y hirriself/herself and affirms thIt all statemAts and declarations are herin by himself I herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large,State of County of Notary Public at Large,State of_,County of
11 P r Ily Kn own 13 Personally K o
�roducadIdentificatiqW-- 11 Produced Identi tio
Notary Signature: Notary Signature:
R CODE E
�'R Y., SHIRLEY L. GIAHA
CITY OF ATLANnC BEACH
Notary Public-State of Flori
PERMI'M FOR Aj---)I)InoNAL
IT
'--MY Commission Expires Feb 14, rL(
REOUIREMENTs ANL)CONDMONS.
Commission#DD 518533 �0
y
T
c 1B IWNWI Notary A FILE COP jkf,�qp-wkppy.
]DAME:
CITY OF ATLANTIC BEACH
.......... .......
(OWNER / BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE E)MMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE-OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING
MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT
IT FOR SALE OR LEASE, WHICH IS IN VIOLA-EON OF TMS EXEMPEON. YOU MAY NOT
HRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCEON MUST
BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING
ORDINANCES.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE
OWNER.
111. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(l). AN"OCCUPATIONAL LICENSE- IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
ADDRESS PHONE NUMBER
PRINT NAM
SIGNATURE DATE
Before me thi.�)o lay oq4z6&_V— 2007 in the county of
Duval,State of Florida,has P.rsonallyFappeared
herin by himself/herself and affirms that all statements and-cig-,clarafions
true and accurate.
Notary Public at Large,State of County of SHIRLEY L. GRAHAM
0 Notary Public-State of Florida
13 P nally Known :My Commission Expires Feb 14,20 10
%M`=roduced Identincatio V Commission#DD 518533
Bonded By National Notary Assn..1
Notary Signature:a�
COAB FORM BLDGM07;RMSED: 8114/2007
04/15/2015 09: 45 FAX
MIAMI-DADE COUNTY,FLORIDA
MIAMF METRO-DADF FLAGLER BUILDING
ONG"M COMPLIANCF OFFICE(BCCO) 140 WEST FLAGLER STRtET,SUITY 1603
I'RODUCT CONTROL DIVISION MIAMI,FLOP IDA 33130-1563
(305)375-2901 FAX(3D5)375-290tI
NOTICE OF ACCEPTANCE (NOA) , wwjy.buildingqqdugnIine.com
JIELD-WEN, Int.
3737 Lakeport Blvd.
Klamath Valls,OR.97601
Scoyr;
This NOA is being issued under the upplicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami-Dade County Product Control Division and accepted
by the Board of Rules and Appeals(DORA)to be used in Miarni Dade County and other areas where allowed by
the Authority Having.lurisdiction(AHJ).
This NOA shall not be valid after the expimtion date stated below. The Nliami-Dade County Product Contml
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have lhi� product or material tested for quality usurance purposes, If this product or material fails to perform in
the accepted trianner, the manuracturer will incur the expense of such te5ting and the AFIJ may immediately
revoke, modify,or suspend the use of such product or material within their.jurisdiotion. BURA reserves the right
tu revoke this ucceplance, ir it is dcaennined by Miami-Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building codc.
This product is approved as described hercin,and has been designed to comply with Ihc Florida Building Code,
including the I ligh Velocity H orricane Znne,
]DESCRIPTION: Series 6-8 Gladialor/E.S.Outswing Steel Door w/Wo Sidelites-Non-Im pact
An,]KOVAL DOCUMEXF- Drawing No.6-2004,dtled"6-8 Gludiator/E.S.Oultswing Stout Door w/wo
Sidelites",sheets I through 8 of 9,dated 07/10/07 and lost revised on 05-06-08, prepared by manufacturer,signed
and sealed by Joseph R. Evans, P.f--'.,bearing the Miaini-Dade County Product Control Renewal stamp with the
Notice or Acceptance nur7ibUl'and expiration date by the Miami-Dade County Product Control Division.
MISSILE IMPACT RATINQ None, Approved Hurricane Protection Devices,complying w/FBC,its
applicable are required.
Limitations:
1. Vent pancl is cipproved with Sing,!q Door application only.
LABELINC: Fach unit shall bear a pci-manunt label with the manufacturer's name or lCgO, City,St3te 3nd
following statement, "Miami-Dade County Product Control Approved",unle.4s otbonyise noted herein.
RLNEWAL of this NOA shall be considered after a renewal application ha.s bccri Filed and there has been no
change in thcapplicable building code negatively affecring the performance of this product.
nRMINATION of this NOA will occur after the expiration date or il'there.has been a revision or change in the
materials, use, and/or manufacture of the product or PTOCCSS. Misuse of this NOA as fin endorsement of any
product, for sales.adveiiising or any othcr purposes shull uuturnatically terminate this NOA. Failure to comply
with any section ofthis NOA shall be cattse for termination and removal of NOA.
ADVERTISEMENT: Tht! NOA number preceded by the words Mjarni-D.Lde County, Florida, and followed by
the expiration date may be displayed in advertising litermure. If any poriion of the NOA is displayed,then it shall
15c done in its entirety.
LNSPE CTION! A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available fbr inspcction at thejobsim at the request of the Building Official,
This NOA revises NOA No.02-1211.11)consists of this page I and evidence pages E-1,os well as approval
document mcritioned above.
The submitted(incumentation wan reviewed by 1-4haq 1.Chanda,P.E.
NOA No 08-GS16,07
MIAMI-DAD11 COUNTY Expiration Dalv: July 12,2009
I')=UNTY Approval Date:July 03,2008
Page I
City of Atian-tic Beach
APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach, Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
rd 1119, E-mail: building-dept@coab.us Date routed:
Cityweb-site: http://www.coab.us 'I
APPLICATION REVIEW AND TRACKING FORM
Property Address: A2?111 &rAbf L4 D2pWment review required Yes No
rBuilding_)
Planning &Zoning
Applicant: Public Works
Public Utilities
Public Safety
Project: Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St.Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPI.,6ATION STATUS
Reviewing Department First Review: Approved. ODenied.
(Circle one.) Comments:
(::B U:I L:D:l N:G:�
PLANNING &ZONING
PUBLIC WORKS Reviewed by: Date:
PUBLIC UTILITIES Second Review: ElApproved as revised. [:]Denied.
Comments:
PUBLIC SAFETY
FIRE SERVICES
Reviewed by: Date:
Third Review: []Approved as revised. ODenied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00025704 Date 3/18/03
Property Address . . . . . . 2191 FAIRWAY VILLAS LN
Tenant nbr, name . . . . . . INSTALL 9 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
HUMPHREYS STEEG PLUMBING CO. , INC.
2191 FAIRWAY VILLAS L 1601 MAIN ST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 98 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 98 . 00 98 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 98 . 00 98 . 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.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
APPLXCATION FORPLUI-MING PERMIT
JOB LOCATION:— 02 w
OWNER OF PROPERTY: ' TELEPHONE NO.
PLUMBING CONTRACTOR
CONTRACTOR' S 'ADDRESS: I)'
STATE- LICENSE NUMBER: —TELEPHONE:
HOW bOXY OF THE FOLLOWING FIXTURES
RE—PIPED OR NEW
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
RE—PIPE (LIST .FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES: x $3. 50 $15 .00
MINIMUM PERMIT FEE -- �25. 00
SIGNATURE OF .OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------
__l-----------------------
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
CITY OF
9&ud4
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
April28, 1997
Judith A. Shutters
ne South
Atlantic Beach, FL 32233
Dear Ms. Shutters:
During an area inspection of Fairway Villas Lane, a structure was observed at
2191 Fairway Villas Lane South that has been added on to the south side of the
house. This shed encroaches the side yard setback and is a violation of Section 24-
136 of the Code of Ordinances of the City of Atlantic Beach.
Please contact me at (904) 247-5826 as soon as possible concerning this
matter.
Sincerely,
;(, I�� U"C.
Don C. Ford
Building Official
DCF/pah
cc: City Manager
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
April 1, 1986
Pre-Service JEA
233 West Duval Street
Jacksonville, FL 32202
The following final inspections have been made and are satisfactory:
Permit #4646 - 654 Aquatic Drive
Permit #4647 - 660 Aquatic Drive
Permit #4648 - 666 Aquatic Drive
Permit #4649 - 672 Aquatic Drive
Permits issued to Allstate Electric Co,
Permit #4707 - 2185 Fairway Villas Lane South
Permit #4734 - 2191 Fairway Villas Lane South
Permits issued to D & W Electric Company
Permit #4858 - 20 Levy Road
PErmit issued to Brooks & Limbaugh Electric Co.
Permit #4857 - 1451 Beach Avenue
Permit issued to Early ELectric Company
S*ncerely,
Hilary Thompson
Building Department
INSPECTION LOG
JOB ADDRESS
r
CONTRACTOR
OWNER
BUILDING PERMIT— ELECTRICAL PERMIT
PLUMBING PERMIT— TEMPORARY POLE PERMIT
MECHANICAL PERMIT MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved j.E.A.
Temp Pole
Footing
Slab c,2-
Framing
Plumbing (R)
Electrical (R) 2 -7
Mechanical
Fireplace
Top out
Other
Electrical (F)
FINAL INSPECTION
Certificate of Occupancy Issued
COMMENTS :
CITY OF ATLAMC IKJOI
APPLIGOCK Fts PUBSIND AMT
IMT1
LOCATI Vi AS
Pumin Flot hs.�"
5k
CI?Y/CMMY COMPATI CNAL LI CENSE "0...1 tL>>.,A 1 - 060-6
.S:TATE CM I F I CATE 00. L I cl I
ouluxit m cmnucm 5 Lh
rve (F MIMI to.�k SaL.
imm pew=
L-mTin wATm
-2jklm min
—Lpm*m wo*m
00M
-LLWM nxnm omw
I�WAUA-n a# W PUM NO AflD FI MM JMT 13E I M WITH im mw
RMW MITICIN CF THE SOUTHM PUMl** OCDE.
DEPARTMENT OF BUILDING K T
CITY OF ATLANTIC BEACH,FLORIDA PEfttMT NO.—L �T a
PERMIT TO BUILD 7111 1 *OOCIAC
THIS PERMIT MUST BE POSTED ON JOB
Date -Janiist= 21 19 Rfi
Valuation$ Fee$ 48.50
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that DW HARM PLUMIX OD, Da
has permission to bu& i nst s,11 p!tabi ag
Classification -rec i rlen:t i it I Zone PUD
owned byStokes & Collins
Lot 32 Block S/D Fairway Vi I I as
House No. 2191 Faiarway Vilkag Tane South
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
"n AFTER DATE OF ISSUE
4 01 0 Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tracto or owne
(-:;o ing Official.
7 rY,
PERMIT
FOR OFFICE DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
JI I
$
'I.%Y 10.11F Ti
"A
'J
A
A
17'�';s t
:4 '%.atv of AU oi fhe City I�t� A 11�'n ti4t
340" WW AU ralft "d mejuLations of rho Bt,��-I!aj tj)t oLf AcAndt 3'r-uh, A��111 I-'§ z-O'Mpijed 41'011' ex
%&M�A nwiBed or noL
T�A Contrat-Wr or Owner-Buiider itho �As ��M A 1'IX'njr ta
eaxtrut4r% eagaged by him arsduly u
mzmA in '�h* City Df AI�Ixnf�c illi�`ffa, To prevint (14'ay or
or fInAl inspections it it Tugg-a-Ifed :.�*t I Ust of to
stokes & Collins
--------Ad&--,:4L----- -------
Plan Shoppe
C-'mI:r&ct*r Stokes &
Ut NO--------
Fairway -FC qL",
......Street-...... .... .-S—e �et*
what parposse *U hu-111ding B-- :�se jie— Faini 1
e site
Dimt'nsions of Rail ding, en."'ona Of 1,0L, �SEI
.. ....... .size of FootLn;'M.........
..SJU of sli-Is
....... I Siil Span in ft---------- 'Z,--,pe Roof.......
Urea te st
t 0
.... ....... be on -ar Filleed Groandl.
3"ZO Of Ceil'111C J013�XJ2.X."t D*,stance on C-enters....
------ pan. ---------
�:�Aa of Floor Joijtd- -------' Distanee on Centers,, ...... ............. Greatest Span............. �-------
S:u Of RJU tiers. ......... ........... ....... . Distapte on Centers 21 Greatest 5p&-ix.---- ..................
-is re�--tazgle to tSs !.it
L,C.--A"e the b'i�71nx or buz� Iry on �Ilft
r�aht am t&r.cv z
all aa�d
32A,R tA)T 1-U-7E
��-o coPies of plans and speciflestions ghan
St s;
'Ib-mitt4d with application.
insPections reqyiired.
I s s-e
W�e3 Steel is in plaft azd ready to pour footing.
wlttn xteo! is in pixcee &ad r-sady to pour c-ol=n. t anVor lintel. 2"
f7l"an !st�oel la in plliiiza and ready to pow be&=
friming is completod.
rOligh 7-,Iumb�r4 Is completed,amd reAdy to cover up.
Wtith septic tank drain field or sewer is Wd but before it is covemd.
7. VoctriC&I iTtsPection by City*1 JackoornUs.
L TInal iAFpftti*U.
404' la UAW Of Say r*JWU^ro-Lurpoction MUST be caUod for sitter
corrections an mad&
FWNT OF LOT
In consideration of permit given for doing the work as deurfl3od in the above statement. we hereby agree to perform said
work In accordaince with the ed p SJW specifications, wtkk an a pan hereof, and In atcordsime with the building
b"
?Culationx of the City tic
-V%&tux* of Bun ............
der Address-
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.7425
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 1-24--86 '19-
Valuation$ Fee$_ 15.00
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law*
STOKES COLLINS &
This is to certify that
FIREPLACE
has permission to build
Classification Zone
Owned by
Lot 35 Block S/D_
House No. 2209 FAIRWAY VILLAS LANE SOUTH
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
M
4 10 4 11111 0 Building material,rubbish and debris
z from this work must not be placed
in public space, and must be cleared
upanAhauled a ay by either con-
It ctor ner.
FOR OFFICE PERMIT DATE CONT6r R B ilding Official.
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
AOW Aft
DEPAR TMENT OF BUILDING
PERMIT No.7 OUT-115gu'x
CITY OF ATLANTIC BEACH,FLORIDA
674 h 1 1/24/F 03
PERMIT TO BUILD 74 1 U 00CAC 3
THIS PERMIT MUST BE POSTED ON JOB_ 6740 1 A I/24/E 9
6
19::;:X I nor I
Date January 21
Valuations 43,588.85 Fee$ 182.25
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 Stokes & Collins
9000 QE12ress Greent JackgcInvillp- FT.
has permission tobudd Single Family Home
Classification Residential Zone PUD
Owned by Stokes & Collins
Lot 32 Block s/DFairway Villas
House No. 2191 Fairway Villas LanesSouth
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
4 0. 4 10 0 Building material,rubbish and debris
_zA from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
r r owner.
Buo Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
Alow Awk
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9
of the Energy Code. An alternative to this method for single-family detached dwellings, and multifamily attached dwellings of three stories or less, is
provided in Section 10 of this Code.Only dwellings which are above ground frame(wood siding,brick veneer,etc.)or concrete wall type construction may
be calculated using Sections 9 and 10.Other types of construction must comply under Section 4 or Section 5 of this Code.Additions to existing residential
buildings shall comply with the requirements of Section 10 of this Code.Detailed information on how to complete this form may be obtained from your local
building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301.
'T NAME 4— PERMITTING OFFICE:
PROJEC 90" -
AND ADDRESS: CIRCLE CLIMATE ZO!r. 1 Z2
BUILDER: UO�Q[I hNn PERMIT NO.:
OWNER: C_(za—a.4 rv:D JURISDICTION NO.:'[;�)Lo
IF MULTIFAMILY,NO.OF UNITS GLASS AREA AND TYPE
E��ETACHED COVERED BY THIS CALCULATION: CLEAR TINT,FILM,SOLAR SCREEN
SEPARATE CALCULATIONS ARE REQUIRED SGL SGL
FOR EACH WORST CASE UNIT TYPE.CHECK IF
ATTACHED THIS CALCULATION REPRESENTS A WORST DBL DBL
CASE CONDITION. El I
NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION
CBS R= FRAME R= FLOOR AREA —UNDER ATTIC SGL.ASSEMBLY
FT) TG-T% [Gil.E Fi I I 01cr;j� R R
COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM
0 11^
CENTRAL NONE ELECTRIC STRIP 1-1 GAS 1:1 NONE ELECTRIC RESISTANCE 1:1 SOLAR
F-1 ROOM OIL F1 SOLAR HEAT RECOVERY F] GAS
F-1 PACKAGE TERMINAL AC ��_HIEAT PUMP:COP DED.HEAT PUMP:COP
EER = F-T6.0 ID OTHER: OTHER:
CALCULATED E.P.I.- CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS
In accordance with Section 553.907 FS., I hereby certify that the plans Review of the plans and specifications covered by this calculation indi-
and specifications covered by this calculation are in compliance with the cates compliance with the Florida Energy Code. Before construction is
Florida Energy Code. completed, this building will be inspected for compliance in accordance
with Section 553.908, F.S.
OWNER/ E T. BUILDING OFFICIAL:
DATE: ii4l DATE:
9A I PRESCRIPTIVE MEASURES(Must be met or exceeded by all residences.)
MINIMUM REOUIREMENTS CHECK TO INDICATE
COMPONENTS REQUIREMENTS COMPLIANCE
WINDOWS(903.1) MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK.
DOORS(903.1) MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.INCLUDES SLIDING GLASS DOORS.
EXT.JOINTS&CRACKS(903.1) TO BE CAULKED,GASKETED,WEATHER-STRIPPED OR OTHERWISE SEALED.
CEILING INSULATION(903.9) MINIMUM OF R-19.
MUST BEAR ASHRAE STANDARD 90-80 LABEL OR A MAX.4 WATT/SO.FT.STAND-BY LOSS.SWITCH
WATER HEATERS(903.2) OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF VALVE(GAS)MUST BE
PROVIDED.
SWIMMING POOLS(903.3) IF HEATED BY OTHER THAN SOLAR,MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS.
ALL NON-COMMERCIAL POOLS MUST BE EQUIPPED WITH A POOL PUMP TIMER.
HOT WATER PIPES(903.4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEAT
LOSS SHALL BE LIMITED TO A MAX.OF 17.5 BTU /H PER LINEAR FOOT OF PIPE(SEE 504.4).
SHOWER HEADS(903.5) WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE.
HVAC DUCT CONSTRUCTION CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE.
(903.6) DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R-4.2.
HVAC CONTROLS(903.7) A SEPARATE,READILY ACCESSIBLE MANU I AL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
1
FORM WO-A-134 CLIMATE ZOhES 112,31
9C DESIGN CREDIT POINTS(C 9D HEATING SYSTEM CREDIT POINTS
CEILING FAN IN COND.SPACE(max 5 CP) I NATURAL GAS/PROPANE HEATING 16.0
MULTIZONE A/C SEPARATED BY DOOR 5 OIL HEATING .110 SRI
CROSS VENTILATION(I CP per room) 1
WHOLE HOUSE FAN(min.1.5 cfm/s.f.) 5
WOOD STOVE 7 9E DESIGN PENALTY POINTS
FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 WASHER AND DRYER IN COND SPACE �3
TOTAL GLASS OPENS LESS THAN 4(r/o
9C TOTAL(not to exceed 12 points) FIREPLACE WITH INSIDE COMBUSTION AIR- 5
9F WINTER OVERHANG FACTOR(WOF) 9F ..SUMMER OVERHANG FACTOR(SOM
FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW
0-0.9 1.00 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
1-1.9 1.00 0.98 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00
2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98
3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95
4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91
5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88
6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85
7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83
8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81
9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79
10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77
11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76
112 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75 ,
913 HEATPG-MTEM MULTIPLIER(HS
COP 2.5-2.163 �j 2.7-2.8 2.9-3.0 3.1. 4 3.5&UP
HEAT PUMP HSM (t��.40 )1 .37 .34
.29
SOLAR HEATING SYSTEM P SYSTEM FRI C'TIONI - (8 ACKUP SYSTEM HSM)
ELECTRIC STRIP HEAT 1.0
NATURAL GAS/PROPANE/OIL 1.0(SEE TABLE 9D FOR CREDITS)
PTAC&ROOM HEAT PUMPS MINIMUM COP 2.2.HSM FOR COP 2.2- 2.4= .45.
SEE TABLE ABOVE FOR COP>2.4
9H -L-QOLING SYSTEM MULTIPLIER(CSM)
ELECTRIC EER/SEER 7.8-7.9 r 8.0-8.4 1 45-8.9 1 9.0-9.4 9.5-9.9 1 10.0-10.4 110.5-10.9 111.0-11.9 12.0-UP
cSM .83 .81 0.7 0.72 0A 0.59 0.54
GAS COP 0.40-0.44 7!�0.49 0.50-0.54 0.5-S-0,59 1 0.60-0.64 0.65-0.69 0.70&UP
cSM 1.50 1 1.25 1.2C 1 0.92 0.89
MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS;MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTAC.
FOR ROOM UNITS AND PTAC,CSM FOR EER 7.5-7.7= .87.SEE TABLE ABOVE FOR EER>7.7.
91 HOT WATER CREDIT POINTS(HWCP)
ELECTRIC RESISTANCE WATER HEATER 0
GAS WATER HEATER 10
INSTANTANEOUS WATER ELECTRIC 4.5
HEATER GAS 12.6
ELECTRICBACKUP 6.7
HRU(A/C)WATER HEATER GAS BACKUP 13.9
HRU(HP)WATER HEATER ELECTRIC BACKUP 9.7
GAS BACKUP 14.5
HEAT PUMP WATER HEATER COP 1.60-1.89 1.90-2.19 2.20-2.49 2.50-2.79 2.110-3.00
(DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4
OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 0.5 0.6 0.7 0.8 0.9 1.0
SOLAR 12 CKUP 2.4 4.8 1.6 24.0
.. I ELECTRIC BA 7.2 1 9.6 12.0 14.4 16.8 19.2 2
HOT WATER FS E I GASBACKUP 11A 12.8 14.2 1 15.6 17.0 18.8 ---- 919 296 24-0
*PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM-. loo=OVERALL SOLAR FRACTION
4
ENERGY DATA SHEEr,
'AME.0
Mgt
013 ADDRESS:
I. Type Insulation in Walls R_
2. Type Insulation in Ceilings (Lba R_ [ q .
3. Type Insulation for Wood Floors R_
4. Concrete Slab Edge Insulation R-
5. Insulation Around Ducts In Condit. Space
6. 7ype Heating System G�ej PA(L .:Rime cop ID C5
7. Type Cooling System �j IYYTN�
8. Type Hot Water Heater
9. Type Glass in Windows and Doors:
Double Glazed Tinted
Single Glazed Tinted
.0. Type Exterior Doors _t
.1. ' Fireplace? �-D C) w/Inside Ccabustion Air
w/Outside Ccnftstion Air
.2. Woodstove?
.3. Are the dimensions of all windows and doors shown? If note this is
required 'either on floor plan, elevations or in a Oi_xWe.
A. Size of Roof Overhang? 4L-",4:J L�A I
.5. Are the washer and dryer located on floor plan?
.6. Any ceiling fans? ( 14 )Q if no, identify on floor plan.
U "*�_ C-)
-7. Is a multi-zone A/C system to be used?
L8. is the building oriented on plot plan with conpass directiom? tM_Q
L9. Is there a whole house fan (attic-type fan with 1.5 CEM/SF)?
I certify that the above is the correct data used to calculate the EPI on the wmwW
form submitted, and willbe incorporated in the subject job.
><-� - , C—) /'-�— 'r) ., —
Address
Heated Square Footage :�k @ $ ---Per sq ft = $
Garage/Shed @ $ _____per sq ft = $
Carport/Porch @ $- per sq ft = $
Deck $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
Total Valuation lst $
Remainder Valuation per thousand or
portion thereof
-------------------------------------------- Total Building Fee $ ARX�W
ADDITIONAL PERMITS and/or FEES REQUIRM, + �2 Filing Fee $
Fireplaces @ 15.00 $
Mechanical
BUILDIW3 PERMIT FEE $
Plurrbing
Electric/New
-------------------------------------------------
Electric/Temp BUILDING PERMIT $
Septic Tank WATERmom CHARGE $
Well
Mnming Pool SEWER DTACIC FEE $ Z )o
sign WATER IMPACr FEE $ C�,
Water Connection mism.1 ANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate
G&W TOTAL DUE
------------------------------------------------------------------ ---------------------------
CALCULATIONS and/or NOTES
CITY OF ATLANTI C REACH. FLORIDA
Approv od by ArrLICATIon ron Wif-TRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE yjnPK As nF.SCRII3Fn IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE Vilt'll '111F Al 1ACH11) I'LANS Ativ nmiricnoms'
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
:�4 Z&
L4:jL) f�\�H I del JOURNIVMAN
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNA:T:URE�
NAME- -ADDRESS: I Vk-,_dLLt_L__*FD_BOX_
W
BLDG.SIZE T
RES.(Vf APT. ( COMM. I PUBLIC INDUS. NEW OLD ( I REW.
ADDITION ( I ' TRAILER I TEMP.t SIGNS ( SQ. FT.
SERVICE: N (L-f" INCREASE( I REPAIR I FEE
CONDUCTOR SIZE AMPS k_j-C. OPPF 11 1 A 11 RA,
SWITCH OR BREAKER KNMPS PH P_�)W 01.'r
�n&CEV.LAY
EXIST.SERV.SIZE AMPS PH [_ Wl VOLI RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN -, TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES,
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. O-Viii
APPLIANCES -BELL TRANSF.
AIR til. RATING H.P. RATING
CONDITIONING Comp.Mu'ron______OTHER MOTORS AMPS CEIL HEAT- KW-HEAT
0-1 OVFR
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE MIS
MISCELLANEOUS
TRANSFORMERS77 UNDER 600 V. OVER60OV.
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 31233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: vpsse.6� 'S �� 73 2,
LOCATION ft V11 L44ft<
OF Intersecting Streets: Between And
WILDING Sub-division T—_AsRWA,?f
11. IDENTIFICATION — To be completed by all applicants.
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attacked plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good.practice listed therein.
Nam* of Mo4honical Contractors
Contractor (Print) Master n-)t-t P-P,- 15L('a
Namw of
Property Owner
S;9;:#.,�.f Own 000� Signature of
W thormed Ag:r Architect or Engineer
t
MNAL ILFO
.E/ATION
A, Type of hooting fuel: B. IS OTHER CONSTRUCTION BEING DOME ON
X,Electric THIS BUILDING OR SITE I Yes
0 Cm-0 LP 0 Natural 0 Central Utility
IF YESt GIVE NUMBER OF CONSTRUCTION
00 PERMIT
Othw — Specify
IV. W111CHANICAL ICUIPMINT TO N INUALLM NATURE OF WORK
(Provide complete list of compowmfs onbod of this form) Residential or 11 Commercial
XHeat 13 Spe" E3 Recessed X'Contall 0 now Now Building
32QU,Conditioning: 0 Room fi(control 0 Existing Building
hetew me D_i)a ky-b Thick 0 Replacement of existing system
Maximum capacity '( New Installation(No system previously Installed)
C) C3 _tX.tension or add-on to existing system
(3 Cooling tower: Capacity 0 Other — Specify
13 Fire Wrinklon: Number of hee
C) Elevator C) Monl;ft 0 Escalloto (number) THIS SPACE FOR OPPICS USE ONLY
0 Gasoline pu Ps —(number)
C) (number) Remarks
13 LPG"Ofti"m (number)
13 Unfired Pro"ure ve"
0 bihin Pormii Approved Date—
Other — Specify Permit
U&T MX MUIPMENT
7!77'Ant_C0ND'M0N1Ad I Aft" ig ZIGEItA�TION PQUWWNT 7 701�77'
AnTavin 9
Number Unft DeWriptiM Model Number Manufacturer A&=7
t cotolb VL�a Bf�� CARe I Ek- 0/1
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMIT No.-7412
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB '19v09 T
I
Date January 21 19—AL 9111 1 P P/24/ri
Valuation$ Fee$ 38,00 7412 *90CA
9111 1 A, 2,/2;4/(3
This permit not valid until above fee has been paid to City Treasurer,and is I Ulu
subject to revocation for violation of applicable provisions of law.
This is to certify that Ocean State Heating & Air Conditioning
MHAR-786--
has permission to
Classification residential Zone PIM
Owned by StOhkS & C-01 I ins
Lot 32 - Block S/D_Rai rway Vi I I a
House No. 2192 Fairway Villas Lane South
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
4 10. 0 Building material, rubbish and debris
Z-4 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tr ;wt or owner.
BuilVfficial.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
AVOW