Permit 1842 Hickory Lane Date........... ...... ....._..1S .._..
Permit # .Fee $.----....._
CITY OF ATLANTIC BEACH
Valuation : _....�.
FLORIDA House # Ar.Y-: ....
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the spproval 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 s list of sub - contractors be submitted to this office so that licenses can
be verified
Date. Fd b ? N 1ee.1...
Owner Address f No.
Architect s _ Cootie Address. / Telephone No 2
Contractor Builder E 1 EV A. ; X 1 4-0 A $ Address 1 2 . '3 D` D S7 Telephone No. ) "` 3) 5 3
t No.
,,,, 5 Block No. Sub Division S € t),4 N 413. 04 .4 i Z- G. yore
k KZY L1t& +/ r Street Side Between L and 1 9 S T • Sts
Valuation $ .6.c For what purpose will building be used IP itt Type of construction...., !a:..
Dimensions of Building 1' Y 7 Dimensions of Lot --- ....7 / /a 5 Size of Footings. z 0
Size of Piers 1 Size of Sills... 8) & di , p , N
Greatest Sill Span in ft... .3' Type Roof. Oil" 5
How will Building be Heated T..- 'XX c4► 14 ' . f!4 .. Will Building be on Solid or Filled Ground? 56'1'1 i7 ...
Size of Ceiling Joists A gel. , Distance on Centers Z i'f' Pt , 9 . G reatest Span_
Size of Floor Joists Oh • , Distance on Centers , Greatest Span "
Size of Rafters As l , Distance on Centers , Greatest Span "
This rectangle is to represent the lot.
APP R O V E D Locate the building or buildings in the
CITY Of �iNTIC BEACH ri ht positio Give distance in from
GUI' G OFFICE l ot - lines and � �
REAR LOT LINE
Two copies of plena and specif • p Lions shall •� 1 7 • 11 Oi
be submitted with application.
Inspections
required. ce ? T R.410 1. When steel is in place and ready to pour footing. B / 1 . ,
2. When steel is in place and ready to pour columns .. o I - a e 44.1411) T 1t
8. When steel is in place and ready to pour beam. FL A S ►
4. When framing 1. completed.
5. When rough plumbing is completed, and ready to cover up.
Pr 01 03
6. When septic tank drain field or sewer is laid but before it is covered. P
7. Electrical inspection by City of Jacksotvill..
8. Final inspection.
Not.: In case of any rejection, re- inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of . .. - , for doing the work as described in the above statement, we hereby agree to perform said
work in accordance wi , a . e . ed p . s «one, which are a part hereof, and in accordance- with the building
regulations of the City •s ' , tic . / �/ Signature of Builder /.._.. ' / .........�. ....._.._......_... Adds..... /.. � f V • 326 —Cr ` /� �(.. � o
Signature of Owner Address
FORM 900 AND 901 -123
r� � `e. ii, M ! `' _ ,
tw �L EN E RG Y � Y % ir�i r' .
POR t." IG COt TRUCT$�I ,, .
K E ►t 9 Gx E Y
' *QPa w .' P,E � POINTER' .ME C . L # & . w R
$ PiOritt BY . BRA A 0tIAV Y .. ,.¢ . ' ERS
> JURISUCTION
PROJECT Nil i
AND ADDRESS 1$42 Biic'kory Lane,Selva Marina Duvg], Group III
Lot. #. 5. ` tlnit ## 12C . �NI RMIT NO.
.DER ..., . '� Eberling Builders , "Inc ,'. 4
WIPER - "'TO a ''D . 1 , f►�.1tio 1011Y sl OOTIVIOS.
. , PIL,L.e. N1 sv soot ,
ti
STATISTICAL. ,D 4 i .,;,.. ,..' ' r=11111
ligr lit' rota :i.eY . [. ,, %E.� V ° Sl ot ~ 'II +0► ;ta 1 t l1
HEATING SYSTEM TYPE • W AT ER SY TYPE R c 1a11T5
SINS R 11 a 016 SOLAR ELEC. 5As. OIL 541.AA Ci8 .
❑ iiiiii...i 11 ■ ril. PM ■ 1101 ■
Two DRATo TO R KRT TO TNt OOVIIpNR'O 91KMT O. ICI 9'Y' T rig i W JIN; OA1CIM .04.1 WI ?
BASE #Iltlsr COYMO wALS.i CC Mo w:.1o0► 1 MA1t1MtNN A OWIQ
FROII opium* ft -
3
I' -: . , , , *.s !P` E 1 /' / 2
t d (� f .. '�
CERTIFIED 8Y: / / /f DATE 1' a I / EPI : /,
' /
9Q 1 ;ROOT + TS 9E 1 DES P' .;N TY P INTStPP)
CEN:N15 1,5185 +w spats,' - 1 le* foie M'AI NEiN *111 GAYER 440110 t 1EI 3 - 0 -
MuLT1 ZONE A/C 1 a $ MAX.t EN1N !1F �.A58 <40% O -0- `
q1 s oR MORE 11a1M
plEitJW.f w1 sr M�J1111f0M
11
‘,A401,1 N0 $E AN t1.$ cYnrsF1 5 TOTAL
' . 941 PERS+ PTIVE MEASURES %.
CHE FON ,COMKIANIli s[CTION CHECK
NEATI NC sYITEM EF!ICIENCY 503.4
AIR COIDITIONIN$ coriTR0L$ 503.7 ❑
A/C OUCY c01110114X Y1401 ., 50*.!
t 54►a
WATER iilAyttli 1411011111414 soar L.4IIU 504.2
$11/00 a x001.5 8O2.*
. _�1 �u p ,
TOTAL ♦ � siovlRl,Ft.01R AE�C . 504.1 0
CITY OF ATLANTIC BEACH
WATER CONNECTION CHARGE Fee $220.00
DATE 2/18/81
LOCATION 1842 HICKORY LANE. ATLANTIC BEACH FLA.
OWNER : ► !: •
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR EBERLING BUILDERS
TYPE OF BUILDING S/F RESIDENTIAL _
BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS)
WATER CLOSET,LAVATORY AND BATH
TUB OR SHOWER STALL.('6UNITS) SHOWERS GROUP PER HEAD ( 3 UNITS)
2 BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS)
HEAD SHOWER) (2 UNITS)
FLUSHING RIM SINK ( 8 UNITS )
BIDET (3 UNITS)
SERVICE SINK TRAP STAND ( 3 UNITS )
COMBINATION SINK AND TRAY ( 3 UNITS)
POT,SCULLERY SINK ( 4 UNITS )
COMBINATION SINK AND TRAY W /FOOD DIS.
( 4 Units) URINAL, PEDESTAL,SYPHON JET
BLOWOUT. ( 8 UNITS )
DENTAL UNIT OR CUSPIDOR ( 1 UNIT)
URINAL, WALLL LIP ( 4 UNITS)
DENTAL LAVATORY ( 1 UNIT)
URINAL STALL, WASHOUT ( 4 UNITS)
DRINKING FOUNTAIN (2 UNIT)
URINAL TROUGH EACH 2'SECTION
1 DISHWASHER ( 2 UNITS) 1. ( 2 UNITS)
FLOOR DRAINS ( 1 UNIT) _ 1 WASHING MACHINE RES. ( 3 UNITS)
1 KITCHEN SINK ( 2 UNITS; WASH SINK EACH SET OF FAUCETS
( 2 UNITS )
KITCHEN SINK W /WASTE GRINDER n !
( 3 UNITS) 2 WATER CLOSETS, TANK- OPERATED X
— 4 7,11 3 LAVATORY (:.i UNIT ) ( 4 UNITS )
WATER CLOSETS, VALVE OPERATED
_ LAVATORY,BARBER,BEAUTY PARLOR ( 8 UNITS )
( 2 UNITS )_
LAUNDRY TRAY ( 2 UNITS )
LAVATORY, , SURGEONS ( 2 UNITS)
DEPARTMENT OF BUILDING 4 612
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 2 / 1 9 19
Valuation $
Plumbing Fee $ 12.00
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that B. & C. Plumbing
haspermissiontolfffif install 1 Sink, 2 Lavayorys, 2 Bath tubs, 2 Closet:
2 Water Heaters, 1 Dishwashers, 1 Disposals, 1 Washing Machine
Classification lac ident Lai Zone
Owned by Eberling Builders
Lot Block__ S/D
House No. 1842 Hickory Lane
According to approved plans which are part of this permit
NOTICE —ALL CONCRETE FORMS
4 AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
11 AFTER DATE OF ISSUE
X
44---01' • O. 0 Building material, rubbish and debris
I Z from this work must not be placed in
public space, and must be cleared up
and hauled away by either contractor
or owner.
Bill M. Davis I ,P„ar CL
Building k 1 LiLii
FOR OFFICE PERMIT DATE CON7 /C41OR •kijCi' b €a
USE ONLY NUMBER
141CiU11
PLUMBING
ELECTRICAL
SEWER
WATER
40010, .010110,
BERING
BUILDERS INC. 1112 3rd STREET, SUITE 10 • NEPTUNE BEACH, FL 32233 • (904) 241-3153
/ 2
/ L )
(/ I APPROVED
CITY OF , LANTIC BEACH .
I V .
BU • / G OFFICE
r r 1 7 1' 71
By All
41, i 4 -
1 1
70 ` li
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.
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247 -5826 - FAX: 247-5877
- PERMIT INFORMATION 1 LOCATION INFORMAT1ON
Permit Number: 22601 Address: 1842 HICKORY LANE
Permit Type: MECHANICAL 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 ;i
Date Issued: 8/31/2001 Name: SHIRLEY DOWLING
Total Fees: 37.00 Address: 1842 HICKORY LANE
Amount Paid: 37.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 8/31/2001 Phone: (904)262 -7663 _
Work Desc: REPLACE HEAT PUMP AND AIR, HANDL,,. ,R
CONTRACT 5 APPI CA'TIO FEES
~ OCEAN STATE HEAT & AIR � ER T = ° ^• 37.00
zt ,h
t µ i 4 N
.r"
t 4
FINAL - �`
mow �" , Z"*"."'
4
NOTICE - INSPEC x : ^ ST- BE R V E T E D AT LEAST HOURS PRI TO INSI CTION
BUILDING MATERIA.RUBBISH 'tee_ PIS FROM THIS WORK MUST NOT BE PLACED IN p LIB LIC SPACE, AND
MUST BE CLEARED AND HA ,AWAY BY EITHER CONTRACTOR OR 0 '. R A`
"FAILURE TO COMPL" „WITH T ~ ONS`i"RIJCTION LIEN AN REstVr IN THE
PROPERTY OWNER PA1NG DIN E 4 TS"
.. WI-E .P
ISSUED ACCORDING TO APPROC? P H . RE �' ° T: FAH AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PR S . _
''' ------- . L ;"__ , )
(37.88 14
ATLANTIC BEACH BUILDING DEPT.
— gate; x/31/81 8 88854?-
16679
_.. - - - 88�1�818i3� _
` ' � , CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
j * ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247 -5826
......„")
Application Number 03- 00025639 Date 3/06/03
Property Address 1842 HICKORY LN
Tenant nbr, name . . . . . REPIPE 9 FIXTURES
Application description . . PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
DOWLING, SHIRLEY M. STEEG PLUMBING CO., INC.
1842 HICKORY LANE 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
4
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
SULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS
CH ARE PART OF THI , ■ RMI r AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
c „,... C . t
BUILDING OFFICIAL
•
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: /1 <% / , • j ,,. c -
OWNER OF PROPERTY: /291 TELEPHONE NO.
PLUMBING CONTRACTOR 5)4e'4 , ✓` (
CONTRACTOR'S ADDRESS : AG/// Ai; 4,"' /,` •
STATE . LICENSE NUMBER: 01'C/,0;,'7/ 94 TELEPHONE : 0 ,9 57 /
HOW MANY 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
9 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:
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
-Now
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC •2ACN. FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL•IN NUMBER
' IMPORTANT — Applicant to complete all items in sections 1, 11, III, and IV.
I. IS��
. LOCATION Street Addruu �"{ kGK
OF Intersecting Sheets. Between I q K g
BUILDING And �f'LYA MA ��Ate���
Subdivision
II. IDENTIFICATION — To be completed by all applicants.
fn consideration of permit given for doing the work as described in the above statement w hereby agree to perform said work in accordance
with the attacipd plans end specifications which are a part hereof and in •ccoodance with the City of Jacksonville ordin•ncu and standards
of good.prectke listed therein.
Name of Mechanical
Confronter )Print) Contractors
OCE L� STAT tie:: Air- tp-A- Master
C/10.0493/0
a me of
Prepusy Owner 5 ....,........... , j ,
r. a ►(t I
Signature of Owner ,'� •
et Au*, °- ' dare e! •
•
ct or Engin•r l
11 GENERAL If ORM e
A. Ty. hosting fuels
Elacfrlc� IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE?_ A/O
❑ 6a — ❑ LP-- • Central Wilily
❑ OII IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Other — Specify
IV. MIICMANICAL IQUIPMafT TO 1E INSTALLED
NATURE OF WORK
(Provide complete list of companonts on bad of this fen%) Ce�� j�
�q Residantlei or ❑ Commercial
X Meat ❑ Spool CI Rac esnd T I GRIND 0 Seer ❑ New Building
it C 3 Ale Condrtiosinq; ❑ Room Centel hsr Existing Building
❑ Duct System: Materiel Thlckn... Replacement of existing system
❑ New Installation (No system previously Installed)
Me■Imvm capacity aft
❑ RafrigereHon ❑ Extension or add-on to exlettng system
0 Coeliac *wen Capacity c•p ❑ Other — Speclly '
❑ Fins eprinUens Number of heads
❑ Sonata ❑ Manllft ❑ Escalator )number)
❑ . Gowns. puns %a THIS SPACE POE OFFICE USE ONLY
THIS
0 ' Tam (nvmber) I!<aMled)
❑ L?G ossrtelaeR Remarks
•
(number)
❑ Unfired prwwre vowel
❑ Seiler( Permit Approved by Date
❑ Olhor — Specify Permit Fe`
•
LIST ALL EQUIPMENT
r AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Valta Description Modal Number Manufacturer ( ) '
w
OAT POMP T�C30, eta 2.s w+ �
HEATING • FURNACES, BOILERS, FIREPLACES
Number Unita Description Model Number Manufacturer ��..;,,; aseeee
I """r
Ate_ NAW)t Flt T (141)30 TIZA t � . - ) s c —
TANKS
Mow Many Naninal Capanity Type Lgwd Name of Serial A
Contained Manufacturer N p�E
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION: g y a,
OWNER OF PROPERTY: /
CONTRACTOR R r 1 u.�( ..-'_
CONTRACTOR'S ADDRESS: x.'6.15' �J2n "' �� J-(
STATE LICENSE NUMBER: CCe p3,i 1 TELEPHONE: a .( a � -- - )<06.3
DESCRIBE WORK TO BE PERFORMED: 67_29-O ( J
VALUATION OF PROPOSED CONSTRUCTION 1710 o0
MATERIALS TO BE USED: d,O -xf.��,� `
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: �0-e,
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information Supplied
.
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUT -IN
APPLICATION IS HEREBY MADE FOR EBERLING BUILDERS WATER CUT -IN AT
THE FOLLOWING ADDRESS FOR S/F RESIDENTIAL UNITS (S)
CUT -IN CHARGE OF $85.00 & $4.00 CONST WATER
STREET NO. 1842 HICKORY LANE. ATLANTIC BEACH.
LOT #25 BLOCK S/M #12 -C SUBDIVISION SELVA MARINA
ACCOUNT NOS 210096
MASTER PLUMBER
DATE
METER NO. .2, ,15.7.2 D s � 2 ) DATE INSTALLED 2- .- S' /
- !
CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
AUNT ND- #210096 •
DATE 2/10/81
LOCATION 1842 HICKORY LANE ATLANTIC BEACH,
LOT NO. 112 5 HLDCK ND . C
SUBDIVISIOMELI7A MARINA
OWNER EBERLING BUILDERS
TYPE OF BUILDING S/F Res d ntial
TASTER PLUMBER
DATE
INSPECTED BY
CITY CT' ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT •
Date
Location I ficeev A fi-v-da,
Plumbing Finn ' Q L44? (ccd(
013
Master Plumber
City/County Occupational License No.
State Certificate No. 7C 37
Builder or Contractor e ro('i-i)6e5"
Type of Building glus.e.
/ SINKS • SHOWERS
LAVATORY vaTER HEATERS
BATH TUBS / DISHWASHERS
URINALS i DISPOSALS
;2 CLOSETS 1 WASHING MACHINE
FLOOR DRAINS
OTHER
TOLAL FlaTURE COUNT' 2 4 ' )
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CCCE.
, I
1
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
• PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 2/18 1981 4607
0,,
ki6..L TL
11JU0'..?JCTO
Valuation $ 72.000 Fee $ 18 . 50
TXTa 1 i'; "zir.ViA
This permit not valid until above fee has been paid to City Treasurer, and is .Ll 4
subject to revocation for violation of applicable provisions of law. 7 i+4. ' 4/0/J1
This
is to certify that Bberling Builders
has permission to build SIF Residential Dwelling
Classification Residential Zone
Owned by Eberling, Builders
• Lot Block_ S/DSelva Marina 12C.
House No. 18 Hickory LaUP
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
4 AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
-n AFTER DATE OF ISSUE
X
•—■ . • li■ 0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and hailed away by either contractor
or owner.
Bill M. Davis
Building Official.
FOR OFtCE PER MIT
DATE CONTRACTOR
USE 0 Y
' PLUMBING NUMBER
ELECTRICAL
SEWER
; WATER
it I
Aft. Adiffik