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Permit 400 Garden lane CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Syrl 44 Application Number 08- 00001174 Date 8/27/08 Property Address 400 GARDEN LN Application type description ROOF PERMIT Property Zoning TO BE UPDATED Application valuation . . . 6000 Application desc reroof fl 1956.2 Owner Contractor FAIRWEATHER, RICHARD SHORE ROOFING COMPANY 400 GARDEN LANE 914 7TH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241 -8842 Permit ROOF PERMIT Additional desc . Permit Fee . . . 60.00 Plan Check Fee . . .00 Issue Date . . . Valuation . . . . 6000 Expiration Date . 2/23/09 Fee summary Charged Paid Credited Due Permit Fee Total 60.00 60.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 60.00 60.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s • BUILDING PERMIT APPLICATION J , c S 1 f f CITY OF ATLANTIC BEACH ,, z 800 Seminole Road, Atlantic Beach FL 32233 ' . 01'}9 1 Office: (904)247 -5826 • Fax: (904) 247 -5845 Job Address: `10b Coc.kc de s) VSare.. Permit Number: Legal Description f) -1 60/ O ate' 1otf Se\Nia Mxr era Garde, o Valuation of Work (Replacement Cost) $ C ,. 00 0 • Class of Work (Circle one): New Addition Alteration • Use of existing/proposed structures) (Circle one): Commerce tr.. esiden ; • If an existing structure, is a fire sprmkler system installed? (Circle one): es o c • Is approval of homeowner's association or other private entity req ? (Circle one): es N Describe in detail the type of work to be performed: �� 7e,ac ocq a rt ccoc r id( v ;4 � 3 4 �,, , �e i ?s1.. Property Owner Information /"t Name: yrl N-1c, t a V e.< \ e o Address: '`k00 Coca C c'.te c, 1-- e. City i�1- kar1.,q. ?ac State\ Zip'ba,3,'43 Phone cVk 5 '3,ZLp Contractor Information: Name of Company: C O \ Cx re_ kcoo Qualifying Agent \\omm L c1 Address: 1• 0, A tA. 5 City ?)or, State ''c Zip '•gasp Office Phone r �4% 4io4'h Job Site/Contact Number 9 2•,Rt0.2 State Certification/Registration # C..c -c 0.5 y b\1 Office Fax # ,L\\ SIY:K3 Architect Name & Phone # Engineer's Name & Phone # Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work installation has commenced prior to the issuance of{a permit and that all work will be performed to meet the standards of laws regulating construction in this jurisdiction. This permit becomes null and voidork is not commenced within six months, or i construction or work is suspended or abandoned for a period of six (6) months at any time after won commenced I understand that separate perm its must be secured for Electrical Work, Plumbing, Signs, Welk, Po, Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT Mi RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF Y( INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNI BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. thereby certify that I have read and examined this # lication and know the same to be true and correct. All provision laws and ordinances governing this type of work wi be complied with whether specified herein or not. The granting. permit does not presume to give authority to violate or cancel the provisions of any other federal, state, or local regulating construction or the performance of construction. X of Pro Owner: ` - Signature perry Own ' Signature of Contractor: Sworn to and subscribed before me Sworn to and subscribed before me this a,I Day of At,c �4 l 3.oce) this 3\1 Day of AL, o ` \ ,'fib Notary Public AQxilY W X (S,c1s r1.n - \\ QVi a AD Notary Public' - b Cn 'sit a(Sa - \\v)4 f' MARJORIE M. ADAMS- HARRUP i MARJORIE M. ADAMS- HARRUP ,w' rrnr+r-■ i AC A•Y i rrit:ZN COMM. women . V p P"'4a Com,i 0004ae623 k ; ExpW s 10/30/2004 1 1440 = Expires ionor2000 `Pti,, 6 on d sd tlxu ' (600432 -4254 a,; ; F �0 3 (x00432.4254 i `��? ` o f 5 Bonded eft Florida Notary Assn Inc s ^n i Florida Notary Assn.. Inc 06/18/2008 88:43 9047377618 SNJILAND PAGE 01/01 ti FLORIDA BUILDING CODE NUMBERS (}AF -ELK Timberline Prestique 30 Architects FL 9631.7 Timberline Prestique 40 FL 9631.8 Lifetime FL 9631.9 Royal Sovereign 3 -Tab FL 183.8 Starter Strip Shingles FL 9631.2 Seal -A -Ridge FL 9631.3 Tamko Heritage 30 AR FL 1956.3 40 yr FL 1956.4 50 yr FL 1956.5 20 yr 3 -Tab FL 1956.2 25 yr 3 -Tab FL 1956.1 AWAPPLAN 170 Rolled Roofing FL 735.3 751b. Glass Base FL 735.11 431b. Organic Base FL 735.14 15 lb. Felt FL 1481.4 301b. Felt FL 1744.6 • 15 lb. UL .!+• FL 1481.5 • Moisture Guard Plus FL 1481.2 TW Tile and Metal FL 1478.1 CcrtainTecd Landmark 30 FL 5444.7 40 yr FL5444.8 50 yr. FL 5444.9 XT 25 FL 5444.14 XT 30 FL 5444.15 Owens Corning Classic 3-Tab FL 3663.2 Oakxidge Pro 30 FL 36633 40 yr FL 3663.4 50 yr FL 3663.5 _ Bites Torch Down FL 1251.3 Imperil= Base FL 1251.8 Imps flex Cap FL 1251.7 HydroStop PL 6623 Black Diamond Base Sheet FL 479 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX 247 -5877 PERM'"I'I I .., ��., O , . r k „ LOGATIONANFRMATIQN . - " ,r-- - - 3 - :: . - Permit Number: 19227 Address: 400 GARDEN LANE Permit Type: GARAGE DOOR ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 750.00 1 ' ' „ , - .�_�4.��:. �Q , W[NER:; I�fF�Q1�M�tTtON�.�� ,` ��.M. <,. Date Issued: 11/23/1999 Name: FAIRWEATHER Total Fees: XlanD 50.00* Address: 400 GARDEN LANE I Amount Paid: X1J0 50.00* ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/23/1999 Phone: (000)000 - 0000 Work Desc: GARAGE DOOR REPLACEMENT t _ b S e y 1 ;..w.e . d _ " ,.. .1�, ":, §.. --) �'Ax,i , .... w, r .: 7 ...'�° t „ o FEE , 4 .a, . :a .! fi ' ,. .` Y'" d jc . ,. OVERHEAD DOOR COMPANY OF JAX PERMIT $50.00 *PERMIT FEE DOUBLED. WORK COMMENCED PRIOR T PERMITTING. NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. $58.88 14 Cr--- _ Date: 3/81/88 81 Receipt 8836 AT NTIC BEACH B J ILDING 001800 2227 66186883221:1 4l, CITY OF Atteetatie &each - j eateela. 800 SEMINOLE ROAD ~ 4 ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE (904) 247 -5800 � `44L - - '1-%0+- FAX (904) 247-5805 SUNCOM 852 -5800 February 25, 2000 James C. Ward Overhead Door Company 6884 Philips Parkway Dr. N. Jacksonville, FL 32256 Re: 400 Garden Lane Dear Sir: On November 23, 1999 your company applied for a building permit for the above location. Permit Number 19227 was printed on the same day. - - Telephone calls were made to your office several times informing that the permit was ready and you needed to submit the original application and pay the permit fee of $25.00. The permit fees have now been doubled due to the fact that the work was completed prior to obtaining the permit. A notice was left on the job site on February 24, 2000. Please be advised that the total amount now due is $65.00 due to the doubling of the permit fee and the $15.00 inspection on February 24, 2000. - My next communication to you will be in the form of a copy of a complaint filed with the Department of Business and Professional Regulation or other regulatory department against your license for performing work without a permit. Please contact me as soon as possible concerni g this matter. Sincerely, � f Don C. Ford, C.B.O Building Official DCF /pah cc: Fairweather Residence CITY OF ATLANTIC BEACH FLORIDA NAME —(,,,c,-(..-1-- m(.rL._ _. m. 1Z 1, ,,,, , . :1\ t :'r a.. ( (...,..,‘",.: )..„ , ADDRESS ''''''.1.--:'''''''''' -"c t" -- _ j °a. l '''''''''''0„,t.' .4w. 1-q .e CITY r „3 ?�, ) . . . a � 4 s 1 f , '1 ,- i x .„. a , , ',: . 4 ;.. -,it cr a i 4_.. e Sf5.4 'd4 Ditpt 3,11/00 631 Receiut; t234 +Z ?7 When Signed, Detect and Numbered, This Becomes an D a , 3 , c ipt 4AKE CHECKS PAYABLE TO Received P ' ;� "' ,ITY OF ATLANTIC BEACH, FLORIDA TREASURER , CITY OF rideurctic Feae% - eafztda �� ,,, SEvII�oLF Ro - m-) - _ L \\Ti( HE\CH. FI .A► �s, 1 ∎ 904) ` t F:A (90 -1 '-li -iSr); SLV S; -5(H) February 25, 2000 James C. Ward Overhead Door Company 6884 Phillips Parkway Dr. N. Jacksonville, FL 32256 Re: 400 Garden Lane Dear Sir: On November 23, 1999 your company applied for a building permit for the above location. Permit Number 19227 was printed on the same day. - _ Telephone calls were made to your office several times informing that the permit was ready and you needed to submit the original application and pay the permit fee of $25.00. The permit fees have now been doubled due to the fact that the work was completed prior to obtaining the permit. A notice was left on the job site on February 24, 2000. Please be advised that the total amount now due is $65.00 due to the doubling of the permit fee and the $15.00 inspection on February 24, 2000. My next communication to you will be in the form of a copy of a complaint filed with the Department of Business and Professional Regulation or other regulatory department against your license for performing work without a permit. Please contact me as soon as possible concerning this matter. Sincerely, Don C. Ford, C. B.0 Building Official DCF /pah cc: Fairweather Residence CITY OF ATLANTIC BEACH j DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 - 5877 ;' PLUMBING PERMIT . _ .,... `PERM#T'iNlFORMATION , , , „7 - Permit Number: 19064 Address: 400 GARDEN LANE t Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: w% A�. .a., , ,.W ¢ xOWNERINFORMM � m 1ON _ Date Issued: 11/01/1999 Name: FAIRWEATHER Total Fees: 25.00 Address: 400 GARDEN LANE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/01/1999 Phone: (000)000 -0000 Work Desc: REPIPE 'fa3. 1: :. . 4 9 - 7: ,3 . :'t.„-,., ,rte'A a$ .; nr ° < ATLANTIC COAST PLUMBING & TILE PERMIT 25.00 I i z _ -, <. w . x a s • ectionSR _ : taiif 72 f' u NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. 7 LO Date: 11/81/99 81 Receipt: 8887878 ATLA IC BEACH :UILD G DEPT. 01008 0 2434 80188883221888 I CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 100 dA., OWNER OF PROPERTY: /M v �� , , � 4 4 I, ,� - _ TELEPHONE NO CONTRACTOR /, e Larktotil CONTRACTOR'S ADDRESS: (-5.W3 7 J l &o2SO STATE LICENSE NUMBER :C fr(3 5 "0 TELEPHONE : "$ e/ HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER 1 )1( 7 , REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 / MINIMUM PERMIT FEE - $25.00 f �` SIGNATURE OF OWNER: 1 -_ -- SIGNATURE OF CONTRACTOR: i er 7"1111.1 1 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247 -5834 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247 -5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18586 Address: 400 GARDEN LANE Permit Type: WELL ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: _ Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/30/1999 Name: FAIRWEATHER Total Fees: 10.00 Address: 400 GARDEN LANE Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 _ _ _Date Paid: 7/30/1999 Phone: (000)000-0000 Work Desc: SHALLOW WELL FOR IRRIGATION PURPOSES ONLY CONTRACTOR(S) APPLICATION FEES PROPERTY OWNER PERMIT 10.00 _ ______ Inspections Required _ NOTICE E - I SPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. - - -- ____1,g_s___C $18.88 14 ATLANTIC BEACH BUILDI DEPT. D ate: 8/82/99 81 Receipt: 8875983 CASH 891808832218 Ft nO APPLICATION FOR WELL PERMIT CITY OF ATLANTIC BEACH PROPERTY (Ji,MR Name: l< 07 �i4 C ! w - �4i ' &n. Day Phone 246-8f38 Address c q-a 4 1 &A ( t b t 1-1./ A N c �tAC J ~ C� Zip 3 lz-33 APPLICANT, IF OTHER THAN OWNER Name: Day Phone Address: Zip JOB • • Address or Location: 40 0 A ( e +v L N) Legal Description: Is well to be used for drinking purposes? N ' • Any person, individual, corporation or other entity receiving a permit as provided in Section 22 -40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report ftvi,t the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beath. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: p r- n 1999 City Of /\tiantic Beach B and Zoning PAID • JUL 3 0 1999 I agree to carmly with regulations stated herein: Ott i+tbntic gch. Si Lure 7 X 0/99 Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 PLUMBING PERMIT PERMIT. INFORMATION LOCATION INFORMATION Permit Number: 18121 Address: 400 GARDEN LANE Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 4/22/1999 Name: FAIRWEATHER Total Fees: 25.00 Address: 400 GARDEN LANE Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/22/1999 Phone: (000)000 - 0000 Work Desc: REPLACE SHOWER PAN CONTRACTOR(S) APPLICATION FEES ATLANTIC COAST PLUMBING & TILE PERMIT 25.00 Inspections Required FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. 1/4C2 D"--- c! ATLANTIC BEACH BUILDING EPT. • CITY OF ATLANTIC REACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: (ll� lf'v,4!li 1 700 A---a--��/v L OWNER OF PROPERTY: 110447 k^i'NJ 14tr ELEPHONE NO. 2- - FY PLUMBING CONTRACTOR A r7e CONTRACTOR'S ADDRESS: �Z3 A)C /- - ` STATE LICENSE NUMBER: C (C`C 505 j0 TELEPHONE : 7 ` -5 3 F HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS < ?4�e146'e "‘) 7-- LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: Pi SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247 -5834 „a 140 f DEPARTMENT OP BUILDING ( CITY OF ATLANTIC BEACH I f PERMIT INFOR I'ON - ---- L OCATION NF - -. pry t- er.„ ,. ,, ess- � � 4R�T /015 ., _ _� _ _ .. ”, i 1 - . Add , 400 GARDEN LANE Permit T7pe:EL)CTRICA ATLANTIC BEACH FLORIDA 32233 Clare ,, ,. r ti ERAT/C .., - .. .r.., . LEGAL 1'3E.K3{rlGtII?'TIOH �.»�.M.._- �.�.�. Constr Type :WOOD FRAME Black: Lot: Twp: , 3 a Pa 4o Use:..:. Section: 0 Subo • 0 Rng: , 0 Dwe11 inclss : 1 Subdivi,aiorn: . ,.:,V <a 1,ue: 0..00 ImprQv t Cost : 0.00 mon 0 ;� 35`y00 „ < a X'CR ., - , ,� - � �� - �= _ �, - APP'L I CAT X ON FEES - , - -' ,- -'-' _ _ _ : --v. .. ' 'ar '. ); ., ,, '''''', , ' ' '-,, , :, :., , ' . , 6 : '.:: , , .: ( , , :i:'; : q..Atk. , .. a ,,. ,,,:.. ,, ' N am. , . , , _�. :;t, ,, P E R M I T 35.0 , , Add r + . ' ; " ��++ . ,, ` ' . , y� . = r. , I Sr * FL ORIDA JI g ' a' ,` 1 ' , -, p µ ? , � " r ". 4 p � ,:, ,,;rw � a ' � j ,�"� � #,„�` , a # �' 1 �� i �� v . � °+ a ''�� '� ;�n arw�+'��` .�� F "'� "its' y C ` "� � > aS , � 1 i �� r..,.. C ' A. ,t , , - - .. 1 p Ad 's - P () , . xis +6 , , ..... . ' ; 'IDLE ,� L - 3205 ' Lio', ' R 0 •'9 g a i :. Exp: / 1 1!,� „.,,w . ^` sw4"fi7T ,fix. v7a�ai .� sue„ NOTES:' 1 i NOTICE — ALL. CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING ., PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL; RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST SE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTQR OR OWNER ' "FAILURE TO COMPLY. WITH THE MECHANICS' LIEN LAW CAN RESULT IN ' { ” THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS '." 3SSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT' AND SUBJECT TO - REVOCATION 'FOR . i . 1 V IOLA OF' TION APPLICABLE PROVISIONS OF LAW. $L. -11.14 M 5/21/57 *1 tkceip i ATLANTIC w A BUILDING . PA-TMENT 8811* ' -' -<-- BY- ,4 -- - -' - -‘ -' ' - - - - -- - - = - ' -"----- '' '''' 7 CITY OF ATLANTIC BEACH, FLORIDA (4D > I Approwd I by APPLICATION FOR ELECTRICAL PERMIT J 7 . /7 TO THE CHIEF ELECTRICAL INSPECTOR: DA TE: 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 4 ) ,f,, cA.-, Pep ff, 0,.. i/i . ELECTRICAL FIRM: MASTER E SIGI(k4 RE JOURNEYMAN - FCc. ,2 'J,,: 7 40c� c w rde' i_, NAME -A----_%-_- . ,�-" -- .. �... p-sw; 1 • DDRESS•,, _ . _ - RFD BOX BLDG. SIZE BETWEEN: RES. ( ) APT. ( 1 COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. '1 1 SIGNS ( ) SO. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE we -0 AMPS i PH 3W Q (( ° VOLT I " 4 ' RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 131.100 AMPS._ SWITCHES INCANDESCENT FLUORESCENT & M. V. FIXED f 0.100 AMPS. I OVER APPLIANCES J! BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW - HEAT 0-1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ? 1 1111 1 -----:::-. 1 : ,.,„ ,, , 13891 , � DEPARTMENT OF BUIILDING CI TY OF ATLANT BEACH i PERMIT INF0k A 'PION � .. ._ _...�.� Lt�CATION IN1`ORMA'I'I�? s : P rmj t Nut er : 1 1NG 391 Addr S 4 00 GARDEN Permit TT e. SW XMM P O O L ATLANTIC AEA "3. LANE ON , 0A 322 ,,, 3 ,...... ' ot I r N W LEGAL DESCRIPTION Cons ,� Ty e. NOD P AHE �1! 1;. Lot ; T 0 Proposed tJS W Rn e sc orn : S trbd�L Ire1.1xnu. Sak,+ivin° Eat. Value: C+.O! Imprny. Cost : 15H 0I .Q0 Total ,F ti 1 , 0,00 Amount ,."3A , L P3r Env ;''' .'v' °L' a � � �s �� i, � ,: say„ a , • r r r. U i : TON ' r w APPLICATION Addr )~ x ' . S . FLORIDA' 3r 1 „ ' . " Name: P/ S B ,fir ,HN C RKSO� ' ".i... :.� :� � `X �`r t J °5 1 '; O N ' JLtR,IDA 1 a e S ri . i d �� ,.aa,; d %;� '^�hHxaz. ,,.. y x `' ar t NOTES: ,� 1 i I NOTICE -- CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 1 BUILDING MATERIAL, RUBBISH AND DEBRt$ FROM THIS WORK MUST NOT BE PLAC D IN PUBLIC SPACE, AND MUST BE t CLEARED UP AND HAULED AWAY BY.EITHER CONTRACTOR OR OWNER l' ii "FAILURE Tfl COMPLY WITH THE MECHANICS' LIEN LAW CAN 'RESULT IN 1 THE PR PER TY OWNER- PAVING- TW10E FOR BUILDING IM RC}V ME1�1'�" ." IS SI,I D ACCORDIPLIC NG TO APPROVED PLANS WHICH. ARE PART OF THIS PERMIT AND SUB TO i'EVOCA IQ FOR ' {° ATIO F 0 - ,--F APPLICABLE PROVISIONS OF LAW. , , . � . -, : ' ', ,,. r r, r A ' TLANTIC BEACH BUILDI a EPARTMEN,T � =32'1 ij w ... .. ,., x^.;EfiCs .< n . - k ,.. .. x , ,. .- .. l,. ra, x„ �s :,.....,, ' . . i CITY OF ATLANTIC BEACH APPLICATION FOR POOL PERMIT Job Address Let Owner M R FA A IA)eA•THE/ Address LIDO IA4.13E A) AtJE ri..AN11 2 eAcii r L. 22 Contractor •,,Ls 8 .)-hi CLARK.504■J Address 60SL/- 3 ARL ) r-0,3 5 Xl TAcK5-0viLLE FL 322(1 License Number C P -. -) ectc- -- 2- Valuation $Gallons_.____L,..2,,n. 72 7 - 17 1 /‘) SITE PLAN • front cL 111 .czle:\ts$, v Ii.: . : ob : i ( )i rear $•A Signature Owner 1, , Air AoPAOPP ac A ., /01/ke A Signature Contract° ARP' Date . • RE CE/VED CsituyildoMifnA g At lantic 19 0 8 9 n7einagch • MAP SHOWING SURVEY OF • 'r . .. 1.1 Y 1 ' 14 , SELVA MARINA GARDEN.. AS RWORDEI IN • PLAT ; 1300K " 37 • PAG)\E 84 ' OF.. TI1E CURRENT PUBLIC 1 : FCORDS OF DUVAL COUNTY, .`FLORIDA• ;;. . . . 1 I HEREBY . CERTIFY THAT,' THE r * PROPE ' SHOWN HEREON LIES IN FLOOD ZONE " " AS SHOWN ON THE F1..00ID HAZARD BOUNDARY.' MAP. , FOR: : JAG LLE . FLORIDA. NOTES' Q � D �c r �G�) 4 OBEARINGS AS' PER PLAT C ' Q ` P Q� , O. 2)NO . a R.L: AS PER PLAT PART OF SEC.9,T 2S, R 29 E / j 3)THIS 1S A BOUNDARY SURVEY ,• . ` a .`!..1. .� /uf ',1 1, �, (FIELD70.06) • - „ , FN 13.1/2"11% FD.1 / "1R FND.N c• 1 R °. 08'46" E 70.00 No.1o/ • . / . . � . r (kJ „ .I _ ) J 1 - . S C , J'G' JS • U. O CI 0 .` j .i, —, co IT ,,�r L.,:: . ..�” r �" q ' 14.8 • ,N /�j; X22.1...- • ' :r. . &I 2 o ;A 1 y N j{d�y144T(/y�� W 111 f � '4 . �f R11 Z • . ,,,.. . ki , t ' , i;i i STO ' Y t � FRAME 0 ' ;.,;;::' R ESI • E 15 w • l: ' : ' 7 t40. 40 0 " ''' 7.2 M • • • ^ ZI: FRWOOD ((� 41 , 1'"� ;.1X 115 . • ` . i- • 1.s • 117.5 CO • • , 1 • ,. r �,�1, 0 .. 0 � LOT 13 =t I,OT 14 e ^v (r Io 1 • ' -3' CONC. 0.. r 0 ,, WALK o Q - 2 217 ` t 4. SET1 /2 "1.R W �✓ L. ' : . , • 'JO Ib. 372 . GONG. ... A i —, � - R E E f ' .4 1' RETAINING 4 • t 4 /L �� , � � , . •4 / 4., ' + ' WALL' b` ••• ,• NI lot J (/• , � Z 0 2.0 - . ,/ �, �'° M Y 2 1 S 89° 0 8 46 1 W 3g. City of Atlan'i;� reach P. FN 1 /2' 1. P. (Fl L D 33.10 w C• P N D. I /2 • I. ) , SET 1/2 1.R Building and Zoning No. 167 --- (2.S'N,L3 M ), N0.3872 11 20TH STREET 6O'Ri`N, PAV(iD m (n i 2 g l' ii - , g Zs g 6 - $ . rn s n 'T1 n O 1 i A 1 r = v . P A W J • ...._ --.. t (..., N ` c N _ M - V b ; i _,,c) - 1 m x) g 1.1 0 o w G -.or- ut- n% ol G IT b � + • , / C.4. V • c-.> ril. 3 z d < z f -3 z.-- ' r ■ n - 0 4,!, U7 C� -1 . . 15' QT ` l i7 1n I _ m ' . z —1 -" o � v 1- rr + r v --1 1 c - c --1. G 0-v r-= • f a z ;(--) 111 D �- z ; rn m d ® L. Z Oa 1 C C. C o �" mrn N ME ! f R1 -C 0 , - 0 Z 11 i • _r 3 rn • 'T -1 - H d _'_ l . • O ` rr . ' . V ES T AEI S ., w I A ( r ( _ I 03 ' IT . a0 , FT 4 3 ' L." z _ i �® c m . r - - , N ` I ? o Q 1 i . o r, „ ! . I -� rn i I o ca oo ; y m Cn C Js w a' 1 r m- r- p = rT o n r `"- - -0 r O z - 0 rn � 1 n-, r- 0 te o ? q ' ?' • r �, rrr Z rn r-� ri 0 C) r" O r 1' Z rr 0 Z _„4 --I . z , = -f Z - 1 = r a 3 U, Z co 1i r- Z ?l 1T1 S. cti f n rn - 1 W 5, '1, 3 a y o m b o- al c • n i C -.d O b to --1 � �' rr 'rt O 0 • n L) �' r • 1r � to 0 3 t i n W ► , I 0' 0 ' c a n � Q' L' L > 3 z o Cr) u� ° p 5' `^ - -- ti c, m n - -4 r 0 o � �' TIT r•-• n W Z (n = � w r - ° . • = 9 z z 3 o a' to • ri• .I • Y•.Vi /•YY M11 • t•Y•V 1• • • BottCe' of Commencement • t►aer�"e us eunnumn To whom It may consents Book 8611 The undersigned hereby informs you Mat p ' 9 1392 accordance with s h t isnproveoaents will be made to certain real property, and to OF COMMXNCZId>. 4W.li of the Florida Statutes, the following information L stated in this NO'TICZ Description 01 property ..,t A r L A a T 1 C J3.efiackt_4:-/ygt_ trulkm NN_- .. -V.N. .•NM•w••..•_ • •...«•YNNwwN• . General description of improvements SN ST144 -1- S „��,.� f oo& - N.••wY .•M NO•Y•N .N -• NMw •.•_.•N . Owner M A cJ Cf}T H E • Address 4° C7f4 q. QE'3 L. A a E . Owner's interest lea alt. of the improvement ». Fee Simple Title bolder (It other Wan. owner) «wNwoi_.• «_.,,� Name •N•w.«N.N.wr...111 N•N•••• Address _ _. r•• ru•••.••. wN••NN••w » - •wNrru.N._- -..-. Contractor V0Qt-s � ti g G+ A¢ICs,2-.J /wddrs� GpC L.1 - 3 ' A¢j,tac..rot.1 gLeezi$A_Q A � yd L. 6 4 , ( 32 Surat' Of any) Addrs*R -- ».•N.Amount or bond i_ • ._•._NrN•.._ 'Name snd address of tiny person mains s a loan foe the construction of the Improvenunu. Nema • Add ress _ _ • _ N_« N• N«. ••.wN•wNNw.••_ «�N� «N- _- ...___ -. Name be o penoo vitiate the Slats of Ploddds, outer than himself. dcsidpated by owner upon wham node= Or odor document' r Name • Address - -- --•- In addition to himself, owner designates We following person to receive a copy of the Ltsnor'a Notice as provided la Section 11341 h1 1b), S'lorldt Statutes. (y'hl b at Owner's option). Name Address • - - - - -• TIM SPAM" Wen lemPuoulmmago 11290 T OF BUILDING CITY DEPARTMEN OF ATLANTIC BEACH �.;. M _ _ E!ICRI.1 T I I'09Et+IAT 101l I ''+� ii t I � Z I er NP : R " _ -� - - - .� _ LOCAT I D T NFORMAT I °I4 . t ;' " Address. 400 ? GA DEN LANE Type'. 1 E -ROOF` A' LAN ZC BEACR. FLORIDA 32233 w . ;LTE3 RATION LIOAIr, DESCRIPrION __ C€n tr 4, Type. WOOD ERA E Lost . .. -- cipa ec tae: SINGLE FAMILY Bl c,ck. • RNO: cap c)wns h3 p : RNO s ' 1 < . 1 Code . 3. Subd ! , ,,, 11 a r ' mp ov = Co t Y $0 0O Total Peers A *' # 1 10`96 ° r r Ewe 'FION � ... --- APPLICATION PEES sig. g ,',. Ad » " . �� ` ` EN LANE LATE IMP FE $0 , 00 e ,..-, .-- , ' , ;,.-..,- RADO i GAS -jH . R . $ . 0 DD «..� �. _. ,. ��° � � ` +t► t �+ a NF`OR.tdA �, ON "" � .Y "*"" RADON CAB Std .0TD Aiii, i , � P ; c + C CA ' I 'AL It+ PROVE . 0 , 00 �r ' 47. ' SAC I LLS, FL 32225 C ROSS CONNIECTION S0w00 L1 CO's': , 8 SEC H IAMPAWT FEE C NS **' BURCHARGL Oft �� .P.�SE,,u.,uwu::�a��, . m ,��" .- � -" a ., 1 {3T S: } , NO TICE -- ALL CONCRE t"E FO RMS A FOOTING MUST BE INSPECT BEFORE POURING PERMIT VOID SIX MONTHS AFTE DATE OF ISSUE B UILDING MATERIAL, RUBBISH AN DEBRIS F THIS WORK MUST NOT BE'PLA IN SPACE, AND MUST BE CLEA UP AND HAULED A WAY BY EITHER CONTR O R OWNER "1"AI�UR T+ CC MIPL.'1 WITH THE MECH LIEN :LAW CAN RESULT IN 1 ` HE PR 1 P PAYING TWICE FC�R`THE BUILDING IMfPR V A ENTS" ISSUED ACCORDING TO A PLANS WHICH ARE PART OF THIS PERMIT AND S BJECT TO REVOCATI 10R 9 ATLON OF APPL:#GABLE PROVISI OF' IAW. Qt1�t1t�flAtlQ a t� t a i/ 5 ^� callit 1/101' ' �s .ANTIC LEACH BUILDING DEPAR' MENT ` ". 0010 I CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: ' U O (,+- u v v' 1 - 4 - OWNER OF PROPERTY: Fir G tr r 1 , 1 Q r i e L - r CONTRACTOR Li l C-- n , -- (;' ",;.. (21 CONTRACTOR'S ADDRESS: ! b Z ( : " / c: , Tct ,-,a (b1 1( STATE LICENSE NUMBER: /'� C 0 0,5 0 2 VP TELEPHONE: 6 t-/ 'Z - 0 c DESCRIBE WORK TO BE PERFORMED: 3 O Al 4 «'0 r I VALUATION OF PROPOSED CONSTRUCTION L- '_I r,''5 MATERIALS TO BE USED: J �,� /. SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information Supplied • PSA.344 • 9478 DEPARTMENT OF BUILDING j ` CITY OF ATLANTIC BEACH "' ° - • Pzt I T I NFORMAT I ON - a� LocAT I ON Pe> t er r 947 Ad4�� : 400 OARDEN LANE ermit ?ype: • MECHANICAL. ATLA iTIC BEACH, FLORI1)A 32233 C cif Work REPLACI4T PERMIT - LEGAL DESCRIPTION • • HOOD FRAM • Lot._ to k, Section: __ • 'r Pc Uses SINGLE FAMILY Townshi RNG: 0 i Cade: 0 Subdiviisns Estimated Value: X000 I prov. Cost $O. v • .. $44:00 4400 N Aky i � AT I ON� -r� M � .. » APPL !CATION FEES - �..� PER)IIT X44 4 Add � ' LANE A IM A FEE 1� � R . CH F L0R I �; � � � S * 1. _.. q�� } �� , � . ' +Ntb'e hA' TAP 5 �. ai ' e �, 'S f �'d. ° 1? I TER / 0.00 �a Ef. ��. R RADON GAS -H . R i E . S0 . 0 0 • . , _ ° T O ~ y IF ORM1lTo N -^ RADON CAB 5% SO .00 • Marne' , ➢ e ;4 N EE R "` .. , ...., CAPITAL IMPROVE . Ar d e s : L 00 N AVENUE SEWER TAP .� .,, at3.Ot� A C .° ILLS, FL 32204 CROSS CONNECTION ,.S +3I3 Lx 0 Type: 0 SEC H IMPACT PEE R � r "Y: P s+•b.- n k+X „ gYkSi" +No °k4t P J.. ar. rt mR � "k d ' SCRARGE ATL, . BC)! . i 1} e . : 1 NOTES: ;1 1 • PAID i DES • City of At4IM1C Bch; L NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "f AILU TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN TH P Rt' PERTT OW PAYING TWICE FOR BUILDING IMPROVEMENTS." !� ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIQN FOR { � OF APPLICABLE PROVJ$tONS OF LAW. i • iA TLANTIC BEACH BUILDING DEPARTMENT j • 412 s. fit • By: "1 1117LL ti 1 L li L,I-1 d TEL No.2475805 Dec 16,94 9:01 No.001 F.01 BUILDING AND ZONING INSPECTION CITY OF ATLANTIC BEACH DIVISION ATLANTIC SRACM, moluca SUSS APPLICATION FOR MECHANICAL PERMIT Kiang IMPORTANT Applicant to complete all items in actions I, II, I. III. And IV, LOCATION Sfr ost Addrenr r Q o �DG1.L 1 -1•4 , - OF IMsrsesfing Shoots: $Mw.. WILDING Abli sr1.- dl.iirsn 11. IDENTIFICATION -- To be completed by all a pplica nts In consideration of permit given rot doing the wort es described In the ebovie stHSm.nf we hsroby eves to perform s.id week In ace.rd.nc with the *Necked pleas end speeifiutions which err a good poetics lixtad tAersin. part home and in accordance .virA /h. City of Jaetsenville ardin.nsas end stand•+ds .. . Nees of Mechanical _ Gsfrashr WO) GA'Ci ket . � c. 1 A46CQ.y Mes !on /j r►"'.►"".r Owl 11`�au,.1 RN Ns �Co L 1 O el 51001•1•1* el Of Muiw A jsnf - Alb � � tilt of !>t(i( _ til t w ,ins., lragIIIMIIIIIIIII 111. tM. IN • / • ' A. Typo el heeds, WI 0. Ca SMeKiC . ti oTNli! CON1TwC1I0M1 "" eM Tat$ ffwtLoltra Ow uTtt t O Soo — I,P Q N.hn) O Costal Witty ° ..�,.... 0 01 t tr YRS, OM PNIMSRR OF COM>iT101C110s O 0 1 6 0 — 4.0 0141/411' IV, M 104411CAM IpUll'MINT TO IM:TMPJ NAME OF WORK Prwi& c.mpNh lief of seispenatis es boot if OA form) Ca' Rasldsnttal or 0 Coln 13' Nast 0 Sp.p 0 Rowe W d ' Cordial O foss 0 Now Mullane Fff000lst Q- Air Cofidhisaktv O Room L'1' Co** CI Existing Ssullding , �"t o 1 tf.ia..�...,..,..,�,..� Q' Aiplaosenool of skating *yaw Maslow* capacity ....... OA. New Installation (No avant previously Metaled) o hf$g.lMfis. Q ixlNnsian Or <tl odd-on to existing ato A 001101 — Opooly O C.00410 C.00410 tower C.pooity __ -.. _ •dAL O MAO �rindsrst Nsnsb.r • .f - �- d Elaasr 0 Moo11N O bsw1. ,_,....... .lswi.r) O %seta.. oo (MwnMri Me NAOI! i f p1r�f fl 41111 ONLY Q t- ..- , --..„ � —lnwaied R o in oM.t. *W !00x14«) Q thsAwd MUM MN/ NIA A110001.14 IllY■wimml■wousl■ 011.16.1■•=11. CI Mos spa* FIN* O stow . sw ion ALL !QI1IilURNT AIR CONDITIONING AND REFRIGERATION EQUIPMENT l ''' .. . ''':' . ..', , i:4 ,,As :'-',..'.,''', . '. 7191 D OF BUILDING CITY OF ATLANTIC BEACH P ERMIT ` INFORMAT ION LOCAT ,• : e.t ' mt Nwmber: 7191. ION INFORMATION - - ,-_ -- l ss rrni T I « 'L I7191C . ddre s : 40L NGARoDEN LANK o Work, T�EPAI ATLANTIC BEACH, FLORIDA 32233 Cristo - -- -_--- L,EQAL DESCRIPTION -� -- : WOOD FRA$E at: B1ook: Section: _ Proos�d Us e: SINGLE' } 'AMTLY Township RNO: 0 ! I incl : 1 Code: 0 i' stjmated Value: " u3�d Visican: 50,0 Improv. Cost: .0 Total 51850.50 0 Mount . .. . ,P $1$ . 50 IAA ,, ..v i...- e x R � 1 7 a m y x• ..— '>, : , : ° m "ION - —, = -- APpLTCATION FEES RB a � �� s 'ERI4IT $18 ' re- ,, LA a � tA'I E PACT E -- � � � „ `LORID $�$ ; - ,k ,. EE , $ . G} ' 'yy � '�A'� � � e d+ :nb ` 9� �,v ra ' ,,e 1 ��. �..`.� a s�D° R'^fi w� RADON OAS -II . R . . , $0 00 tort. — .._.... w_ RADON C -� 5 Z $0.OQ "' N ame : $. ' LE > - I �� FLt3�l WA A ' dam . ''f'' " 'A' x A. AN .. R ' $O ;c�l� SEMER TAP „_ $0 00 3 A P CKSO , LE BEACH , FL . 3 2 2 50 HYDRAULIC SNARE �� . i 50.00 p Type: 4 CAPITAL IMPROVE. �Q r •. ,:. «: , ... ,, .., �,...,, g MI'ACT I+'EE ° (Ip . NOTES: ''''''''''''':::''''''''''''''''''''''''...'::: ry N OTICE -- ALI. CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE l 4 . 'BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WOAK MUST NOT: BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND ,HAULED AWAY BY EITHER CONTRACTOR OR OWNER ° d i ` "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PRtPERTYxO PAYING TW FOR BUIL.D IMPROVEMENTS." r ;'�' , , , DATE; tI9I17 3 ISSUED AC CCORC IN'G TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ T it., TO R dfitl $11.1,,,,i.)1 VIOLATION OF APPLICABLE PROVISIQNS OF LAW. f.OII � - A TLANTt , =EA BUILDING DEPARTM MM� ER: 101778 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: .90 OWNER OF PROPERTY:__ ac--- e-41 0 4,e- BUILDING CONTRACTOR: PLUMBING CONTRACTOR _2.S4Z4jr_,;t/ "7,4?;, AND ADDRESS: 2 TELEPHONE NUMBER: STATE LICENSE NO: __C:::/e /5'/7 TYPE OF BUILDING: SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE ' 1UNT: x $3.50 4. $15.00 = $ 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