Permit 1912 Hickory Lane (3) 1
G
C tTY OF ATLANTIC E EAC H
ROOFING PERMIT APPLICATION
JOB LOCATION: / r 12- r' cc Ket 444 '"L
OWNER OF PROPERTY: MA_ t,/14.1 /At(._
CONTRACTOR: - 5 7 / C i t L goo f ')
CONTRACTOR'S ADDRESS: g?!cf 747 f v L 5 /►in,./ I ,4 '/U, / 3 5
J4<S, -Lc.l, /7 72 " I .2 LS
STATE LICENSE NUMBER: 0 CC GS'k0'7 1 TEL EF-HCNE. .2'1( -t 2
DESCRIBE WORK TO BE PERFORMED: �1- iocaoof 7a /(`w`t. csvi. , - f h.1
VALUATION OF PROPOSED CONSTRUCTION / 'TOO
MATE-i1ALS 70 BE USED: L/� I/tti^- f h... /(
SIGNATURE OF OWNER:
•
SIGNATURE OF CONTRACTOR: i,.e'�G/
SWORN TO AND SUBSCRIBED' BEFORE ME THIS / DAY OF 2 __ , 19i/
.(2.4. s•--)1-6
NOTARY PUBLIC
. ,,,, p�da Amanita
Liability Insurance Supplied ". u. .... WY COMMISSION # CC 553881 S
1 �, :, � a August 27, 2000
'.;x,1. TROY FAIN INBURIXCE.
BONDED TNIUI INC.
Wcr<ers Compensation Insurance Supplied Pft�
Contractor License Information Supplied
Occupational License Information Supplied *ar -,^ o
Jul 13,93 11:05 No .004 P.01
TEL No .24?1224
CITY HALL HTL BCH
CITY OF ATL.Al■ITIC BEACH
PERMIT APPLIcATION ROOFING
Owner(s): Layne Wallace
Address: 1912 Hi ckor Lane Phons:__ 249
Lot # 8.10OR Or Unit ft ' Subdivision.
Contrac tor; aR The Man e Cor oratjo
Addreas s 5400 Verna Boulevard PlIone: 786
State License NQ. CCC041352
Describe work to be dons: Roof Re air
Materiels to be.used:_mutufact •
Signature OWNSR: / • Date: /, _Eicly/f5
Signature CONTRACTOR:
•
•
•
t
fY m ''� � CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
1 _ ATLANTIC BEACH, FL 32233
N,
INSPECTION PHONE LINE 247 -5826
Application Number . . . . . 08- 00000882 Date 7/01/08
Property Address 1912 HICKORY LN
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
INSTALL 2 FIXTURES
Owner Contractor
WALLACE, LAYNE ATLANTIC COAST PLUMBING CORP.
1912 HICKORY LANE DBA:ATLANTIC COAST PLUMB. &TILE
ATLANTIC BEACH FL 32233 Q /A: PARRISH, NICHOLAS
JACKSONVILLE FL 32224
(904) 249-5381
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 49.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Expiration Date . 12/28/08
Fee summary Charged Paid Credited Due
Permit Fee Total 49.00 49.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 49.00 49.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
•
// / Date: 7
Property Address: / !n / 7 6r7eeni
Owner: ( a.) ,C-C, Telephone #: L71(2_
Contractor: � %c // Fig/'r$ ' 1 Telephone #: 5,3 ��
Contractor Address: ,365, lU � Fax ti: _-
!n consideration of permit given for doing the work as describeu in the abovee statement. we hereby agree to perform said work id
accordanx with the attached plans and specifications which are a pan hereof and in accordance with the Cite oi'Atlantic Beach
ordinance and standards of good practice listed therein.
installation of plumbing and fixtures must be in accordance with the must recent edition of the : outhem 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:
Bath Tubs Showers
Closets Slower Pans
Dishwashers Sinks.
Disposals
•
Urinals
Floor Drains -,. Washing Machine
Lavatory • Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: 535.00 1�
Total Fixtures: (% X 57.00 + S35.00 /. 0
800 Seminole Road • Atlantic Beach, Florida 32233-5445
Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fi.us
Jul 01 08 09:34a Susan Parrish 904 - 246 -3673 p•1
CITY OF ATLANTIC BEACH
PLUMBI
NG PERMIT APPLICATION
Date: !- /-"%
Property L / +~
Address: 9ln� / Y •(fi 17
own r: ( ( _ Telephone #: G� � ( `!�
Contractor: /Ur ^/45 2,gicrt6 ' 1 Telephone #:
Contractor Addreais: r
.. .+L� ` eckti o .. Fax th _ 1
in consideration of permit given for doing the work as describes in the above statem eti. we hereby wee to perform
accordance with the attached lens and 3 r work
p pccificatiorts which area an hereo! - and in accordance with the City o ;'Atlancic 9each
I ordinance and standards of good practice listed therein.
installat;un of plumbing and fixtures must be in accordance with the mast recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: if other construction is being done on this building or site,
0 New list the building permit number:
0 Re -Pipe — ,• _ __
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
• Dishwashers Sinks
•
Disposals • Urinals
•
Floor Drains Washing Machine
Lavatory • Water
Sewer Water Heaters
Other
Feet
Permit Issuing Fee: 535.00
•
1)i 00
Total Fixtures: X S7.00 + S35.00
800 Seminole Road • Atlantic Beach, Florida 32233.5445
Phone: (904) 247 -5800 • Fax: (904) 347 -5845. http :lfwww.ci.atlantic- beach.fl.us
•
• •
f. r' *b ,
Ati � ° ` ila CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
Az � , '' " ATLANTIC BEACH, FL 32233
_ °� -'° INSPECTION PHONE LINE 247 -5826
Application Number 09- 00000729 Date 6/02/09
Property Address 1912 HICKORY LN
Application type description RESIDENTIAL OTHER
Property Zoning TO BE UPDATED
Application valuation . . . 7000
Application desc
WINDOW AND SHUTTER REPLACEMENT
Owner Contractor
WALLACE, LAYNE VISIONAIRE WINDOWS LLC
1912 HICKORY LANE 2611 OLD MIDDLEBURG RD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210
(904) 861 -1992
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 65.00 Plan Check Fee . . 32.50
Issue Date Valuation . . 7000
Expiration Date . . 11/29/09
Special Notes and Comments
*2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS.
2007 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 65.00 65.00 .00 .00
Plan Check Total 32.50 32.50 .00 .00
Grand Total 97.50 97.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
., ! JasL s7( -77 �7
�r %, CITY CITY OF ATLANTIC BEACH 09- II I I
' " ? 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233
s` OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845
BUILDING- DEPT @COAB.US
-' =r '' BUILDING PERMIT APPLICATION DUVAL COUNTY
t e M P * cc eep�
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p � ❑ NEW BUILDING ❑ DEMOLITION PRESIDENTIAL LOT BLOCK it SUB DIVISION L/ Agr -,i- 4/ /2-3 ❑ADDITION 0 CONVERTING USE 0 COMMERCIAL
'7w1 ¢ ,I IOT0r`�'i `" FtI@',a``". -.,_,-. ..?.,.e P ,, RA ,,. LTERATION ❑ ACCESSORY BLDG. TitREr,.,`�t, KERrigt
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� „ � �; ARCkI�TECT1��FlGtNEER� �%A:k4
9. NAME: 5 COMPANY NAM 23. COMPANY NAME:
Sk ��G jl�tt e- 15. // --
LJ /Sd..l ce. G✓woi!/S
16. NAME: 24. LICENSEE NAME:
'►R Slat-LaW e
10. ADDRESS: 17. STATE OF FLORIDA LICEN O.: 25. STATE OF FLORIDA LICENSE NO.:
1/12 11cry Alter C,R-- e- C73a33'1
5c l SSL o mi _1 i l r 11J 19 ADDRESS:
Atitihi,� f3e41, Ft. --s i u ` I 32-7 1u 4
11. OFFICE PHONE: 12. FAX NO.: 1 %O OFFICE PHONE ' a 20. FAX I ci � 27. OFFICE PHONE: 28. FAX NO.:
13. CELL PHONE: 21. CELL PHONE: ; 29. CELL PHONE:
14. EMAIL ADDRESS: 22. EMAIL ADDRESS: 30. EMAIL ADDRESS:
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31. NAME: 33. NAME: 35. NAME: ..//
32. ADDRESS: 34. ADDRESS: 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 I
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.
OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws 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.
� g N s ER +f AGF It� ' x i "' y O 2 x is ,s �
` �iiioli €R rorK. m e $ 4 p i of . I "zs ' ` �� r� :•
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rl :4
,.M _ .- . , ._ ,- ��, , -, � � - �^�,.>� ^ � ,,. � w� � • , rstuafl �=s2 r'
Si ned:� _ Signed: ��
9 ate: Si red: � r" Date: i a
Before me this 1 1 day of '1 Y t , 2009 in the county of Before me th '(i l of .. 1 " Y‘ , 2009 in the county of
Duval, State of Florida, has personally appeareTl Duval, State of Florida, has personally appeared
herin by himself / herself and affirms tha and declarations are herin him elf / hersenents and declarations are
true and accurate. pp� ,_, nn true and accurate.
Notary Public at Large, State of 3. I l my of Va-D- Notary Public at Large, State caLCIA,,, of 1 -4&V
❑ Personally Known . T�� Known
produced Identification -_,.....3).- Q 4LVl. -Y . Q.�• 41„ .. _ - L1 Produced Identification -
Notary Sig � e: . f. - �,�mwsh„ Notary Signature: ,,,f, r., .' , ., 1 �r
£ LIL �fliifirS,EESI i /' 1R4tflli�ifll'�'t�:YY.fir. a .
Tracy L. W :.
oot iiz a o1gr a _
Fv Cornrnission #DD686328 -
Expires: JUNE �, 2011 1 • , ' N 1 � .1 , 4 E COMPLIANCE
NDEp T
B THRB ATLANTIC 8 , `` � �l�C BEACH
BLDG01 Permit Application Bldg: REVI`, as
SEE P� FIONAL
•
FILE REQUIRF- 11�NTS OR AND ADDIT CONDITIONS.
U REVIEWBDBY:
DATE: .5-%;170
Florida Building Code Online
Page 1 of 4
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7 e'�* FL #
FL11834 -R0
i Application Type New
h " ). era: Code Ve 2007
w ,1 ., 1
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a k . .
f .. , -, V Comments
, Archived
Product Manufacturer Atrium Companies Inc.
Address /Phone /Email 3890 West Northwest Highway
Suite 500
Dallas, TX 75220
(214) 583-1828
jason.seals @atrium.com
Authorized Signature Jason Seals
jason.seals @atrium.com
Technical Representative Jason Seals
Address /Phone /Email 9001 Ambassador Row
Dallas, TX 75247
(214) 637-2696
jason.seals @atrium.com
Quality Assurance Representative Tommy Smith
Address /Phone /Email 300 Welcome Center Blvd.
Welcome, NC 27374
(336) 764 -6400
tommy.smith @atrium.com
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year (of Standard) Standard
Year
AAMA /WDMA /CSA 101/I.S.2/A440 2005
ASTM E1886 & E1996 2005
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
http: / /www.floridabuildin .or / r/ r a o .
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lorida Building Code Online
Page 1 of 4
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!,',,,:e.:' , .j Product Approval
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r w r. FL # FL11834 RO � � /
Application Type �-f '��L� I �J�./
r New
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4 ar F v Application Status
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y Comments
M 4 x Archived
Product Manufacturer Atrium Companies Inc.
Address /Phone /Email 3890 West Northwest Highway
Suite 500
Dallas, TX 75220
(214) 583 -1828
jason.seals @atrium.com
Authorized Signature Jason Seals
jason.seals @atrium.com
Technical Representative Jason Seals
Address /Phone /Email 9001 Ambassador Row
Dallas, TX 75247
(214) 637-2696
jason.seals @atrium.com
Quality Assurance Representative Tommy Smith
Address /Phone /Email 300 Welcome Center Blvd.
Welcome, NC 27374
(336) 764 -6400
tommy.smith @atrium.com
Category Windows
Subcategory Single Hung
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association •
Referenced Standard and Year (of Standard) Standard
Year
AAMA /WDMA /CSA 101/I.S.2/A440 2005
ASTM E1886 & E1996 2005
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
http : / /www.floridabuilding.org /pr /pr a pp_ dtl. a spx? param wGEVXQwtDqub %2fM2eroZ'... 5/26/2009 i
Florida Building Code Online Page 1 of 3
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� s BCIS Horne Log In User Registration Hot To Submit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map r Fi
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Affairs , Product Aooroval Menu > Product or Application Search > Application List > Application Detail
r r FL # FL11828 -R0
k
I ,V
Application Type New
j � Code Version 2007
Application Status Approved
Comments
„ Archived
Product Manufacturer Atrium Companies Inc.
Address /Phone /Email 3890 West Northwest Highway
Suite 500
Dallas, TX 75220
(214) 583-1828
jason.seals @atrium.com
Authorized Signature Jason Seals
jason.seals @atrium.com
Technical Representative Jason Seals
Address /Phone /Email 9001 Ambassador Row
Dallas, TX 75247
(214) 637-2696
jason.seals @atrium.com
Quality Assurance Representative Tommy Smith
Address /Phone /Email 300 Welcome Center Blvd.
Welcome, NC 27374
(336) 764-6400
tommy.smith @atrium.com
Category Windows
Subcategory Horizontal Slider
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By American Architectural Manufacturers Association
Referenced Standard and Year (of Standard) Standard Year
AAMA /WDMA /CSA 101/I.S.2/A440 2005
ASTM E1886 & E1996 2005
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
http:// www. floridabuilding .org /pr /pr_app_dtl.aspx ?param= wGEVXQwtDqub %2fM2eroZ... 5/26/2009
Florida Building Code Online Page 1 of 4
44.'" 4"4 ; - BCIS Home Log In User Registration Hot Topics Submit Surcharge Stets & Facts Publications FBC Staff BCIS Site Map Links Search
( Product Approval
$ USER: Public User
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Affairs ' Product Aooroval Menu > Product or Aoolication Search > Aoolication List > Application Detail
FL # FL6409
141 :'"* F Application Type New
fat
12 Code Version 2004 Application Status Approved
, Comments
Archived
Product Manufacturer Atrium Windows and Doors, NC
Address /Phone /Email 300 Welcome Center Blvd
Welcome, NC 27374
(214) 637-2696 Ext 577
jason.seals @atrium.com
Authorized Signature Jason Seals
jason.seals @atrium.com
Technical Representative Kent Woodward
Address /Phone /Email 300 Welcome Center Blvd.
Welcome, NC 27374
(336) 764-6400
kwoodward@atriumwindows.com
Quality Assurance Representative Donnie Robbins
Address /Phone /Email 300 Welcome Center Blvd
Welcome, NC 27374
(336) 764-6400 Ext 576
drobbins @atriumwindows.com
• Category Windows
Subcategory Fixed
Compliance Method Certification Mark or Listing
Certification Agency American Architectural Manufacturers Association
Validated By
Referenced Standard and Year (of Standard) Standard Year
ANSI /AAMA /NWWDA 101 /I.S.2 1997
Equivalence of Product Standards
Certified By
Product Approval Method Method 1 Option A
Date Submitted 03/16/2006
http: / /www.floridabuilding.org /pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgt7ojPAGuflPU... 5/26/2009
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We FL # FL11610
Application Type ppl' tion T e New
Code Version 2007
Application Status Approved
Comments
Archived
4
Product Manufacturer Atrium Companies Inc.
Address /Phone /Email 3890 West Northwest Highway
Suite 500
Dallas, TX 75220
(214) 583-1828
jason.seals @atrium.com
Authorized Signature Jason Seals
jason.seals @atrium.com
Technical Representative Jason Seals
Address /Phone /Email 9001 Ambassador Row
Dallas, TX 75247
(214) 637 -2696
jason.seals @atrium.com
Quality Assurance Representative Tim Robinson
Address /Phone /Email 4800 SW 51 Street
Davie, FL 33314
(954) 689-7545
tim.robinson @atrium.com
Category Shutters
Subcategory Fabric Storm Panel
Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed
Florida Professional Engineer
Evaluation Report - Hardcopy Received
Florida Engineer or Architect Name who Walter A. Tillit Jr., P.E.
developed the Evaluation Report
Florida License PE -44167
Quality Assurance Entity National Accreditation and Management Institute
Quality Assurance Contract Expiration Date 12/31/2011
Validated By John Henry Kampmann Jr.
Validation Checklist - Hardcopy Received
Certificate of Independence FL11610 RO COI Certification of Independence.PDF
Referenced Standard and Year (of Standard) Standard Year
TAS 201 1994
TAS 202 1994
TAS 203 1994
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{
01,A4t City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by ,t a Building Department.)
1 � 800 Seminole Road U
Ai 1 -71 Atlant Beach, Flo 32233 -5445 jZ
_" Phone (904) 247 -5826 • Fax (904) 247 -5845
s t]r E -mail: building- dept @coab.us Date routed: 7 0- 9
City web -site: http: / /www.coab.us
APPLICATION REVIEW AND TRACKING FORM
Property Address: /9 Meisey Z ,9 - /L j2 • •gent review required Y es o
K›-i Buildin.
Applicant: D71 f9" / r2 L 01 - ' ; ing & Zoning
Tree Administrator
Project: 4(J/ p S) 7/ /,iQ he¢ ip Ai Public Works
1 Public Utilities
Public Safety
Fire Services
r ' 4 .� '�. °r x i '^ ' � -i t7�"" }f �5. �, i � dy � n � { ,
R� l fea $Bg . i t � .Qept }. > � .Y.._ ..., g
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:
APPLICATION STATUS
Reviewing Department First Review: Approved. ❑Denied.
(Circle one. Comments:
UILDIN �.y
PLANNING & ZONING eviewed by: / n Date: S/v p
TREE ADMIN. Se • d Rev' : ❑Approved a revised. ❑Denied.
PUBLIC WORKS C • mme /1
PUBLIC UTILITIES b
1 f, 1 f; C t' M e
PUBLIC SAFETY Reviewed by: Date:
FIRE SERVICES Third Rev ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Revised 05/14/09
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—246-3673 ATLANTIC COAST
P. 01
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CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
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Property Address: to y •
Owner: J /1 /A I ._,Y• a / V9
Telephone #:
Contractor:a/44W) LI: 14 ' , )?.(•; . :7!./ (1/ • 4r h ielephoue c; 1 ; 1 : 4 5.5k
Contractor Address: 2_0 / • L.1 Am /0
Fax th ,;? 3( 7,
_ .
•
In a;n7tideration of permit given for doing the work describea in abuve stay ein"..;ra. we herel;Y Ver to MI brftv irn
accordance with the ertached plans end specifications which are a pan hereof and in uccorclance with the Cit. a.' Atiamk; Beach
ordinance and standards of good practice listed therein.
Installigion of plumbing and fixtures must he in aueurdamx with the must recent edition of the :iouthem Sttuidlird Plumbing
Code.
--- —
Plumbing Type: If other construction is being done on this building or site,
0 New list the building permit number;
0 Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets / Shower Pans
Dishwashers Sinks
Disposals Urinals
floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
rtnnit Issuing Fee: 535.00
Total Fixtures: X 57.00 + $35.00
500 Seminole Road • Atlantic Beach, Florida 32233-544S -----
Phone: ( 247.5300 • Fax: (904) 247-5845 httpahanew.clatlantie-beach.fl.us
. •
.........
t
DEPARTMENT OF BUILDING 4 32 5
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date April 3 ig 80
Valuation $ 7 1, 767,40 Fee $ 180.03
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 Eberling Builders, Onc.
has permission to build a Alf dun.] ling Aecnrrling to plans tted.
Classification Reaidemtial Zone
Owned by Eberling Builders. Inc.
Lot 5 Block S/D Selav Marina 1213
House No. 1922 Hickory Lane
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
• ■ 0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and hauled away by either contractor
or owner.
x TI.
! fsR'o1l.
13±11 ' = Dav1$ Ott iJ 1
Building Official ,,...
FOR OFFICE PERMIT /03/Pti
USE ONLY NUMBER DATE CONTRACTOR f;14.3_,
PLUMBING
PLUMBING
—
ELECTRICAL
SEWER
WATER
it
Date ......
Permit' ... Fee R1
CITY OF ATLA . -
"1 Valuation $ 7/,,, 767 9
liV C137704 ' RI "'' MI House 4 2 2. ..:1- /a:Ok'•�►....,C`e¢tsle
MAR I. 0 1980
* tit • R BUILDING PERMIT
CITY OF ATLANTIC BEACH
CITY. OF ATLANTIC BEACH _.._ _ _.. _. __.
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 this office so that licenses can
be verified.
Date.. //4 .rll ./4...t 1'9 . 19
Owner.. t,i1V1 61.'zLp, L „Leg. Address...11 /2- r ,' ' a� T ')C Telephone No.-2-44 2
Architect .Addresa +wv ? 4G.4
Telephone No..
Contractor Builder .. gES: LtiAl =.... ' f tr p . Address . fill Telephone No.. 41. .. 15.
Lot No 1 7 Block No. Sub Division 7r LVA MA J ►•14 IZ 13 Zone ---
OFF lee"' . Street 0it. Side Between ..4Le.- KI:?. ' 1-(1 - and. Sta.
Valuation $..5 , 4 /' 4` e: For what n Type of construction 9TH 4M
p rpose will building be used �'�;:`.ai- 3? -.. . E
Dimensions of Building Dimensions of Lot* X , . . s a > 1 >4 Sise of Footings-.1C K V.-`
Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof
How will Building be Heated i.. t [ L E - t-t:_TJzt4 Will Building be on Solid or Filled Ground? .... ... .................._...._...
Size of Ceiling Joists - Tel , '"'"* - ' , , Distance on Centers 2 4 1 0 4 -' , Greatest Span. •
Size of Floor Joists Z)'t/ , Distance on Centers 1e < '• C --- , Greatest Span. PI ° ' `' M •
Sise of Rafters TR�' , Distance on Centers r t' C - , Greatest Span. •
This rectangle is to represent the lot.
APPROVED right the building or buildings in the
CITY OF ATLANTIC EEACH all lot -pes am Give distance from
BUILDG OFFICE REAR LOT LINE
Two copies of plans and specifications shall - 1
be submitted with application. f il ► b 2 $ 80 .
Inspections
required. i 1 `
/
1. When steel is in place and ready to pour footing. p • f /
2. When steel is in place and ready to pour columns 'f / . m-11 ( f - . ' I # y . 1 jE r L AI4
8. When steel Lin place and ready to pour beam.
4. When framing is completed. G. BI>C K
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. [ W [ �
7. Electrical inspection by City of Jacksonville. b3 t
8. Final inspection.
Note: In case of any rejection, re- inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of e
Signature of Builder. = � M._.._ ................... A ddress i / /�' ' � 4 57 fvt5e LF EC i-1 4 ) I%
Signature of Owner Address
DEPARTMENT OF BUILDING PERMIT NO.
4322
CITY OF ATLANTIC BEACH FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Da
! �1� 2— Fee 1
V i -� and fs
This permit not valid until above fee bas been paid to City Treasurer,
subject to revocation for violation of applicable provisions of law.
This is to certify that. $ &
G Plumbica' --
: 1_ _ +g insets
f a l L ._ , l washing
has permission to r rt 1 dishwasher , l
1 shower,2 water heaters,
Machine __7.one
Clasaificatio Builders , Inc.
EberliaS Se1va Baratta #1''
Owned by Bloc S/D I
Lo bane
House No
According to approved plans which are part of this permit
NOTICE —ALL CONCRETE FORMS
BE MS
AND FOOTINGS MUST
SPECTED BEFORE POURING.
•fl
PERMIT AFTER DATE OF ISSUE
MONTHS
•
p Building material, rubbish and debris
F, fro this work must not be eared up I
f — I i public spaced must be
and hauled away by eithei
.---------1 or owner. , .,A • tt f
y t
B111 N•i o j.i.g j ;i
':-ti^ .3 Buil$i4 Wititi,sf C: ,a∎.2
CONTRACTOR
PERMIT DATE
FOR OFFICE NUMBER
USE ONLY
PLUMBIN
E LECTRICAL
SEWER 1111111111 \
WATER 111111111111111111111-------------------------- \
CITY OF ATLANTI C BEACH
APPLICATION FOR PLUMBING PERMIT.
smasc
<-
LOCATION
PLUMING FIRM r
MASTER PLUMBER : ;.- 121cesd
CITY/COUNTY OCCUPATIONAL LICENSE NO.
MOS•02.,
STATE CERTIFICATE NO _
BUILDER OR CONTRACTOR LILT- _ 11).
TYPE OF BUILDING
j SINKS LSHOWERS
1 LLAVATORY
JA....,WATER HEATERS
•2 BATH TUBS LD 'SMASHERS
URINALS ... LDISPOSALS
$_CLOSETS j WASHING MACHINE
FLOOR DRA IN
OTHER_
_TOTAL FIXTURE COUNT
SfltC
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDIT OF THE SOUTHERN STANDARD PLUMBING CODE.
CITY OF ATLANTIC BEACH 0
WATER CONNECTION CHARGE ,�f
7
LATE
IOCATION � OJ ( -11C -A2i y 4/1)
MIER , ,f .�sAO . ,roc
PLUMBING FIRM ,r(' y< /2 ,b 1/..3)
0
MASTER PLUMBER "i47€.4 T .9 9/7
BUILDER OR CONTRACTOR f j L;6c'„//�c, .
TYPE OF BUILDING 6//-
3 BAT ROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC (2 units)
WATER C7OSET LAVATORY & BATHTUB
OR SHOWER (6 units) SHOWER GROUPS PER HEAD (3 units)
BATHTUB (WITH OR WITHOUT OVER SURGEOND 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, SCA rEUY SINK (4 units)
CINATION SINK AND TRAY W/FOOD DIS.
(4 units) URINAL, PEDESTAL, SYPHON JET
BIDWOUT (8 units)
DENTAL UNIT OR CUSPIDOR (1 unit)
URINAL, W7 LL LIP (4 units)
DENTAL LAVATORY (1 unit)
URINAL STALL, WASHOUT (4 units)
• e i r FOUNTAIN (1/2 unit)
URLNAL TROUGH EACH 2 -FT. SECTION
DISHWASHER (2 units) (2 units)
FLOOR DRAINS (1 unit) / WASHING MACHINE RES. (3 units)
KITCHEN SINK (2 units) WASH SINK EACH SET OF FAUCET
(2 units)
KITCHEN SINK W/FOOD TASTE GRINDER
(3 units) WPJTER CLOSET, TANK OP (4 units)
LAVATORY (1 unit) WATER CLOSETS, VALVE OP (8 units)
LAVATORY, BARBER, BEAUTY PARLOR LAUNDRY TRAY (2 units)
(2 units)
LAVATORY, SURGEONDS (2 units)
111
. , ^ �= �m
ENERGY EFF IcflENC y
-��
m�`�'�^/J
ANALYSIS ,, ,
,,
`'
���� 8����
����NN�N�0�����v%w���^ 1112 3rd STREET, SUITE 10 • NEPTUNE BEACH, FL 32233 • (904) 241'3163
LOT r. BLOCK SUBDIVISION � ��L_wA A4Ag. INA _ / ` DATE ��-/�°^-&�~�
__'- '_ -
J08 NUMBER 0C4-
.
WALL SECTION ANALYSIS ' % WINDOW/ DOOR AREA TO WALL ARE
MATERIAL
�
���/ ' —� t��\T`T- ��
// .
�^ / �
,^� ^^ �
/ __'-'____ __—__-_—_._�—_—� __—�_____'_- '
0����� — �/�' � ��,�� �
/
`' ..,.~ __ _ ' ,
- ' ,
--_ _-_._-.
_--__ ----
3E[lU| WALL R FACTOR 67nUt31.6. ^ ~ ~ � TOTAL ( ACTUAL R ) . �� '�
_� _^/
;!,`0F/CEiL .ANALYSIS
MAlZR|AL
R FACTO R '
�, !I
/:• �4 � �/<' ^~��'
��/' /�� .
^ °~' / / ~^ - - _ -___---- �u�t m�«�,
� '
/'� ^ � / >\ ^ eo��. .
�
_ _--_ ___
__-
REQUIRED CEILING R FACTOR ___T ( ACTUAL R ) 3 i'> 7
OFF ; ANA LYS|S
MATERIAL `
R FACTOR
- ----'- --------''-----
___ _'___________
_ -_-'_-___-_--__'-
.'
--_ . —_- ~^~'•___
RE[lD|RED OFF GRADE R ~----- TOTAL (ACTUAL ---~----
_______ _ __ UAL R )
CERTIFICATE OF COMPLIANCE
! CEP.T|FY THAT THE BUILDING AT THE ABOVE Jo~ ADDRESS VV|LL , BE BUILT IN
.ACCORDANCE WITH THE. LOCAL ENERGY EFF ~' /
. �
� i +'--~ -� ^--- -----� ' - _ /L. ^= = ----------'
CONTRACTOR EwG/m - .n Jn
CITY OF ATLANTIC BEAC11
716 OCEAN BOULEVARD
ATLANTYC prAcR, FLORIDA
ADDENDUM TO BUILDING PLAN
Building iocation: g 4 _5 AitapytiA,
2. The attached plan for the above huildIng tr approvold siibject to mmetlng the following
applicsbin construction requirements:
A. Fooi_Ings shall be continuous monolithic concrete war exterior malls, reinforced with
two 5/6" deformed reinforcing rods to one-story building and tbafte 5/8" deformed
reinforcing rods for two-storY buildings. Reinforcing rods shall be placed in the
lower one-third of the footings, proparly placed and fastened on metal sel4lee
witb wire. Footings shall be six inches wide on each nide than the wall above,
shall be at least eight inches thick and shall rest on firm soil at leait twelve ,
inebee below undisturbed soil.
b. Tn botlow_TEntamaRs construction, each unit call-shall be reinforced with at
teeet one No 4 bar at all corners, poured and tamped with concrete, such
reinforcing shall be properly tied into the footing and spandrel beam.
All wood truss raftert4 (roof constructioni, shall be securely fastened to the
oxtericIr walls *tth approved hurricane anchors or clips
cr1.1,1.rt of kwarby ono-tamily ir hh ar e duplicates or latenF;ely
similar, shall be avoided. Such siaLlarity consider5. the external configuration
aod Appeatene (i.e., roof, outwir wall materials, window Woe and design, and
Lche4e
ik ehatacto4latics) of structures. In aceord with the foregoing, similar
Upt' hclivi.s shall mot be constructed vithin cloAe proximity of each
and ahali bo at least 500 fevot pcat kt dkny one oimilAZ dvPillng t
•hlo h any other similar dwelling.
final coontion between the Puse pi na drain eked the sower aervic,'
the oropirty lino) mast to ,00 the ty beform being
•
c! y rtag
- 'k,i0v iY cctiftea tilat he has read tho above aPd undaratanet; that thin
pr4te:PdCe ove-t: any c7kir details to the plans and spectti
r(pi' t intAnc. ot 0104 Addetichral,.
'Par
C.ont„ractorl
A4/14' J f/e'
FAA(
^ ~ 111
ENERGy 0
BERLING ANALYSIS
��U UNN ��N����� ����~
����UN���0�����vUN���° 1112 3rd STREET, SUITE 10 • NEPTUNE BEACH. FL 32233 • (904) 241-3153
L[}T �� BLOCK -- SUBDIVISION ��
-'---- .�� 12 DATE ��--/12`- 9��
JUB NUMBER
WALL SECTION ANALYSIS ' Y6 WINDOW/ DOOR AREA TO WA L AREA (4 e7 �
MATERIAL
.,R .FACTOR
BA/�r p/
/ ' __^� ����
^
6
.._`_ re^°~e --_-_ *y��
/@�/��� -�� ^�/u� -----'
- ' ' _ ' °
pE{)/j/REO WALL R FACTOR Ue - TOTAL (ACTUAL R ) 12.3e) �
%00F/ CE/L|NG ANALYSIS,
»� A\TER|AL
�/ R FACTOR
� C��
9 '
s4-p- ��
^2�' �y
, ~_
_
_ -_--'-___-__-.__ .
REQUIRED CEILING R FACTOR 20 TOTAL ( ACTUAL R ) 7
OFF CiRADE ANALYSIS' —
MATERIAL
•R FACTOR
_---
__--
REQUIRED OFF GRADE R �� TOTAL <ACTUAL R -- - '�—
CERTIFICATE OF COMPLIANCE
CEFTiFY THAT THE BUILDING AT THE ABOVE Jo- ADDRESS WILL BE BUILT IN
ACCORDANCE WITH THE LOCAL ENERGY EF EN •
e4/74c.., - _ _
C(tv7R/\ MR ENG|N'R �
` '' �
CITY OF ATLANTIC BEACH
•
APPLICATION FOR WATER CUT-IN
APPLICATION IS ELY MADE FOR 7F' L./A/O WATER CUT-IN AT
THE FOLLOWING ADDRESS FOR / UNIT (S)
CUMIN CHARGE OF L 9t ,Ly) CC,ttSJ: 2-.
STREET NO. / / / cv.1 - `>. '. / ,( 4
LOT , BLOCK K SUBDIVISION J/ / d
ACCOUNT NO.
MASTER PLUMBER
MAILING ADDRESS
DATE #(/...74 `l1
METER NO. s ID 3,3 7 DAZE INSTALLED so , / /4 / ; 9e�
gig-I:1 ti
CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER LIONS
ACCOUNT NO.
DAB ' ge
LOCATION / 9/0l /7` j GkOl2 f,�
LOT D. BLOCK / � BLNO- SUBDIVISION S/7) '' a
TYPE OF BUILDING t5 //- x2e- 6 ,/,e7`, --e.) 7/94
MASTER PLUMBER
DATE
INSPECTED BY
1
ARTMENT OF BUILDING 9
977
pF ATLANTIC BEACH, FLORIDA PERMIT NO. V / +J
gMIT TO BUILD
/ ‘IT MUST BE POSTED ON JOB
_wlit4,7 99 6 75 Tt
D ate June 6 , .i9 88 ?T9.75C!{TI
s O Fee �� 2 71.,;74 ! S/ /�R
entICACG
747l; IA g/07/96
This permit not valid until above fee has been paid to City Treasurer, and is IO
subject to revocation for violation of applicable provisions of law.
This is to certify that .TAMES C. LAMOURRUX -
CRC013277 2402 Swan Street, Jacksonville
has permission to build (;lacc rn %lc per p1 an
Classification Resident Zone
Owned by Mr _ Lyn et Wal 1 are
Lot 5 Block 128 S/D
House No. 1912 HICKORY LANE
According to approved plans which are part of this permit
j t NOTICE —ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
, AFTER DATE OF ISSUE
' r 4 D O 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 con-
tract or owner
-i e c-�'-h -Lc r,,. -
uil 'ng Official.
FOR OFFICE PERMIT DATE CONTRACT R
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER _
Address Pf i a '
, Z xi_
Rea■eed Square Footage
___pper sq ft = $
____________________@@ $
Garage/Shed
er sq ft = $______72.11:12::::::_
Carport/Porch
________________@ er sq ft = $
Deck
___________________0 $ er sq ft = $------------
Patio
__________________J $ er sq ft
CZ)
TOTAL VALUATION: $ 7 —
.2c a-6Z A
7
.$ 5:
Ibta a uation
Remainder Valuation '1.7-EliWilii7tTd-CT6E----
palion thereof Z /- ,-- e-- ) —
Total Building Fee y(y_E________
ADDITIONAL PERMITS and/or FEES REQUIRED '
+ k Filing Fee $T32-__
Mechanical Fireplaces @ 15.00 $ S2?
BUILDING'PERMIT FEE $ ' ------
amp
Plumbing
—
Electric/New
Electric/Temp
BUILDING PERMIT $
Septic Tank
WATER METER CHARGE $
Well
— SEWER IMPACT FEE $
Swimming Pool
APPROVED WATER IMPACT FEE $
Sign
- CITY OF ATLANTIC BEACH
BUILDING OFFICE MISCELLANEOUS
S________________
Water Connection
Sewer Connection — JUN S
,....— _
$
Water Meter
--
— -------
■
Elevation Certificate BY
...
GRAND TOTAL DUE $
CALCULATIONS and/or NOTES
9 ) ----.
,
f 1
x1C gE
C� TTY OF A'LZ'l�N AMEBIC-LIONS
' I M A DDITIONS OR .2(7/4:/-75
APPLICATION 'I'0
' 6 ' / C, G,�id Rhone
�, � I �(�� �'Addx � 7e
i L t% . . ) Aft. Phan -
Owner ® �
Address �� �� ! 3 g -
Architect rn '� r 5 Phon
C_ m�v2ev Address E ,2yv 2
Contractor ��� '. �, /� � � 7 '
Contractors License /Certification Numbers J `;
' , �
Expiration llate(, •
Proper Address 1 ( (�� 0 Ps rn i
13 Subdivision t .
I t ��� Dl ock or Unit # fiction
G. T YPe of C
Valuation of Construction $ v� � � + 0 � � g145.5 karri A dei 1 ti Ofr.,
Describe Work to be Performed Coto 5ta t (1
Materials to be Used lJ" R S. ' °
Present Use of Building
Proposed Use of Building 5
Flood 7_oLie .
Dimensions of New Area:
-�zsF'
GARAGE OR STURALZ
CARPORT OR PORCH
DECK .
ECK Np NUri
PATIU ,
• Aber of traits? y
• Will there be an increase in =bet' 1 . /�
Will there be a decrease in umber of units? __ — •••
• Any aclfli tional plwbing fixtures? '
A117 tiew fireplaces ,
sui
UT �zi� W11P CZC SETS of FLANS
st iat _ jNC ,( uyv SIZE r��, '``�•�
P� ure UWCiI `" " 1 ,
f, r T � a CITY OF ATLANTIC BEACH
-, ;,� 800 SEMINOLE ROAD
'" --. r l ATLANTIC BEACH, FL 32233
\" /1 INSPECTION PHONE LINE 247 -5826
Application Number 05- 00031020 Date 8/19/05
Property Address 1912 HICKORY LN
Tenant nbr, name 1 FIXTURE
Application description . . PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . • 0
Owner Contractor
WALLACE, LAYNE ATLANTIC COAST PLUMBING & TILE
1912 HICKORY LANE 323 9TH AVENUE NORTH
ATLANTIC BEACH FL 32233 AX BE2C9 -5381 FL 32250
Permit PLUMBING PERMIT
Additional desc . .00
Permit Fee . . . • 42.00 Plan Check Fee . .
Issue Date . . . • Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 42.00 42.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 42.00 42.00 .00 .00
PE I S APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TILE FLORIDA
BU CODES.
N.. 484., C lek
BUILDING OFFICIAL
— CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach,
FI 32233 - Tel. ( 904) 247 -5826
ROOFING PERMIT
___ -- PERMIT INFORMATION_ -� - LOCATION' INFORMATION ___ �—
Permit Number: 17916 Address: 1912 HICKORY LANE
ATLANTIC BEACH, FLORIDA 32233
Permit Type: RE -ROOF Township: 0 Range: 0 Book:
Class of Work: ALTERATION Lot(s): Block: Section: 0
Proposed Use: Subdivision:
Square Feet: Parcel Number: —
Est. Value: � .'
.Improv. Cost: 1,800.00 OWNER INFORMATION
Issued:
3 /17/1999 Name: LAYNE WALLACE
Date Is HICKORY LANE
Address: 1912HC
KOR
Addr
Total Fees: 25.00 � ATLANTIC BEACH, FLORIDA 32233
Amount Paid: 25.00
Date Paid: 3/17/1999 Phone: (904)249 -1487
_ ONE HALF ROOF 40 YEAR Work Desc: RE ROOF ON AR SHINGLES
CONTRACTORS) APPLICATION FEES SHORE ROOFING RE -ROOF 25.00
Inspections Required
NOT APPLICABLE {
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
"FAi URE 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 I
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
$25.80 14'
Date: 3/17/99 81 Receipt: 8842847
CITY OF ATLANT C BEAC 081888 83221888 582
JUN 2 - 7988
Building and Zoning
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APPROVED
CITY EP ATLANTIC BEACH
.21 U BUILDING OFFICE
b
. 0 ______ _ JUN 1383 Ai, tiiou C.) . ' no ,_.
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BUILDING AND ZONING INSPECTION DIVISION c ed.
Z 4 CITY OF ATLANTIC BEACH, FLORIDA = #.�"jt
ELECTRICAL PERMIT Q
Dote 6.22_ U Fee $ 2°*" Permit No. 6I
J
1 1 1 2 II� Ian* m 4 "
Location di ; . V i
Between and a i
This is to certify that a
Datlial limetrie Stanley Denson °
W
•
(Electrical Contractor) (Master Electrician) E,
hos permission to install Electrical Construction as described herein in W a
accordance with the provisions of the Electrical Code and regulations a °e
of the City of Jacksonville, and subject to the information shown on the Ila
application, drawings and specifications which are made a part of this Y
permit. t- Z
for low L ys11sa g •
d 1
Type of work:. Res 41.0141pt o 1
SERVICSIziat Service Sias 200 asps 1 ph 3w 120 /240 1%0V u
4 s
0 V
Feeders: "'
S
Outlets: u
Receptacles :1n 1 20 silty m
Switches: N
Incandescent• _
t—
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
Signs:
Miscellaneous:
If NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
MONTHS PERIOD, PERMIT Electrical Inspection supervisor
t
BECOMES VOID.
.40111‘ -40111*
WING AND ZONING INSPECTION DIVISION
z 44 CITY OF ATLANTIC BEACH, FLORIDA z
< F EL "
EC T RICAL PERMIfi a cet
1e 4 0 ,12 0 40,______ Fee $ Permit No '' 4
�4tion > : „ x ,w
Between and �� �
This is to certify that n^a. ;l
G
W
(Electrical Contractor) (Master Electrician) '
has permission to install Electrical Construction as described herein in i aa,
accordance with the provisions of the Electrical Code and regulations g
of the City of Jacksonville, and subject to the information shown on the I . o
application, drawings and specifications which are mode a part of this 3 t
permit. N- :n
for e iii. 1 641111400 g a
•
Type of work: *MIL °` 1
SEI VIG # gb SIP lailiii. l v
J 1
Q
0
Feeders: W
Outlets: 0
Receptacles: ' 1 ' co
Switches: vs
Incandescent:
Fluorescent:
Appliances:
AirCanditioning:
Motors:
Transformers:
Signs:
Miscellaneous:
11 NO WORK IS DONE UNDER J
�
THIS PERMIT DURING ANY SIX ISSUED BY'..'--' . y 4t1' --..'"'''''
MONTHS PERIOD, PERMIT Electrical In Supervisor
BECOMES VOI
V9- 2-39
CITY OF ATLANTIC BEACH, FLORIDA
I PProwd by
A
APPLICATION FOR ELECTRICAL PERMIT Ca
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 6—'7 19sLEV
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.
. . c / t/ c
ELECTRICAL FIRM: M TER ELEC .rI N SI , A U
NAME t .T 4/ia / / 4 C . o ADDRESS:/ /./f /ar RFD BOX
BLDG. SIZE BETWEEN: /0
RES. Vol'
APT. ( 1 COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( ) RE
W.{
ADDITION N" - TRAILER ( ) TEMP. ( ) SIGNS (
SO. FT.
SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE
CONDUCTOR SIZE AMPS COPPER 1 ALUM.
SWITCH OR BREAKER AMPS PH W . VOLT
' RACEWAY
EXIST. SERV. SIZE m PS "y‘
VOLT IL;. , RACEWAY
FEEDERS NO. SIZE NO. SIZE NO.
SIZE
LIGHTING OUTLETS CONCEALED OPEN
TOTAL
RECEPTACLES 02009010 CONCEALED OPEN
0.30 AMPS. TOTAL
91.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P, RATING
CONDITIONtNG COMP. MOTOR TIER 140T AMPS
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
talSCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.