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Permit 64 Jackson Road " w 'i CITY OF '� rgtea�t�c &cu.% - p 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 S4 TELEPHONE (904) 247 -5800 olk ,( FAX (904) 247 -5805 • SUNCOM 852 -5800 DATE . JEA Construction & Maintenance 2325 Emerson Street Jacksonville FL 32207 _Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. DDRESS '7 _ dc° Please call me at 904 - 247 -5826 if you have any questions. Sincere , - (t. ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH DEPARTM OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PER �__ It �t tMA" tf N ` LOCATION INF 1 Permit Number: 24670 Address: 64 JA ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: DONNER Est. Value: Parcel Number: r. Improv. Cost: OWNER INFORMATION Date Issued: 8/19/2002 Name: BRYAN, RICHARD Total Fees: 25.00 Address: 64 JACK ROAD Amount Paid: 25.00 � ATLANTIC BEACH, FL 32233 . � phone. ' ®Q Q 000 -0000 _ Date Paid:_ 8/19/2002 6 . _._ � �, ^ 4 ' — �- Work Desc: WIRE FOR RE .1 ` 500 '4 ALLEN DEES ELECTRIC 4 '' ' . ` fl � a , : ti ; {�v�n. as . S 1 ,,, d ? T NOTICE - IN' ECTIONS UST BE REQUESTED AT LEAST 24 HOURRIOR TO VSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT4BE PLACED II ' UBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OWNER "FAILURE TO COMPLY WITH I NS tI CT N LIEN .A`W 1 SULT IN THE PROPERTY OWNER PAYINGi 'Tvy, FOR B I L[ DING II PI 1 � 5" 7, ISSUED ACCORDING TO APPROVED PLANS OVHIGI4ARE P,, TOFIAIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Ores: D8sIT0 Type: OC Orator: 1 olor: aITS si Receipt Bo: 25. -- r _ 1! PERRITS-d/IW 1 Date: 125.0 ATLANTIC BEACH UILDI PT. sinstl•�nO1s « 31013011 RD $25.00 Trap dig*: 8/20102 Ties: 15:01:26 CITY OF ATLANTIC BEACH, FLORIDA thi(\ APPLICATION FOR ELECTRICAL PERMIT ' L' TO THE CHIEF ELECTRICAL INSPECTOR: DATE: g// 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. ELECTRICAL FIRM: MASTER ELECTRI AN SIGNAT . E oo / 3 '&5 OWNERS NAME:;`l /ChAiZ,.'& N ADDRESS: t y rfAC�CJQ/1l (dRFD BLDG. SIZE BETWEEN: RES.(/ APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( ) ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SAS y SQ. FT. 0 SERVICE: NEW( ) INCREASE( ) REPAIR( ) CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE O AMPS / PH , VOLT RACEWAY FEEDERS NO. SIZE �i/© NO. / SIZE i NO. SIZE 'RA LIGHTING OUTLETS .5 CONCEALED OPEN TOTAL 5 RECEPTACLES / CONCEALED OPEN TOTAL / 0.30AMPS 31.100 AMPS SWITCHES INCANDESCENT FLOURESCENT & M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CELL. KW -HEAT CONDITIONING COMP. MOTOR OTHER MOTORS AMPS HEAT 0 -1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: NO. KVA NO. KVA NO.NEON TRANSF. NO VA MA MOTOR SIZE SWITCH FLASHERS EACH SIGN Updated 5/20/2002'`" nymcn l CITY OF ATLANTIC BEACH I DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877 ELECTRICAL PERMIT PERMIT OR Lam: Permit N umber: 24670 A ddress: 64 JACKSON ROAD Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: DONNER Est. Value: Parcel Number: Improv. Cost: OWNER =INFORMATION Date Issued: 8/19/2002 Name: BRYAN, RICHARD Total Fees: 25.00 Address: 64 JACKSON ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/19/2002 Phone: (000)000 -0000 Work Desc: SAFETY INSPECTION FOR JEA ;IT -< ":1) ; AP�C . , ALLEN DEES ELECTRIC P 25.00 6, 3 FINAL ELECTRIC 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. AL ATLANTIC BEACH BUILDING DEPT. - q g') a / C� Duval County Property Appraiser - Parcel Summary Page 1 of 1 CITY OF ATLANTIC BEACH r� � �� 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 MP" .. ` 14, 1ues from the 2001 Certified Tax Roll TELEPHONE: (904) 24 -5800 SUNCOM: 852 -5800 RE is 2041 0000 http: / /ci.atlantic- beach.fl.us Own * _ : + : RYAN , KAREN W Property •ss: 64 JACKSON ST Unit No. ATLANTIC BEACH 32233 Mailing Address: 4741 ATLANTIC BV SUITE B2 JACKSONVILLE , FL 32207 Property Use: 1292 RES /COMM ZONING Legal description: 17- 2S -29E .132 PT GOVT LOT 2 RECD O/R 10473 -1190 Neighborhood: 129241 1292'S MAYPORT Sec -Twn- Range: 17 -2S -29E OR BK & Page: 10473 -1190 Map Panel: 556A2 Sale Date: 5/2/2002 No. Buildings: 1 Sale Price: $14,000.00 Land Value: $5,750.00 Heated Area: 816 Class Value: $0.00 Exterior Wall: CONCRETE BLOCK Improvements: $24,000.00 Taxing Authority: USD3 Market Value: $29,750.00 County Tax: $0.00 Assessed Value: $23,512.00 School Tax: $0.00 Exempt Value: $23,512.00 District Tax: $0.00 Taxable Value: $0.00 Other Tax: $0.00 Sr. Exempt: $0.00 Voted Tax: $0.00 Sr. Taxable: $0.00 Total Tax: $0.00 This page displays values from the 2001 Certified Tax Roll with weekly updates of ownership & sales. Map -It maps & data are updated & maintained by COJ -GIS, not the Property Appraisers Office. Please direct inquiries regarding the maps & data to Map -It Feedback (below), not the Property Appraisers Office. Map-It Feedback Payment Feedback Home PRC Map-IT Taxes Y- Appraisal Feedback http: / /pawww.coj.net/ pub /property/RENO.asp ?RENUM = 172041 +0000 8/8/2002 CITY OF ATLANTIC BEACH ' 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 TELEPHONE: (904) 247 -5800 IS FAX: (904) 247 -5805 SUNCOM: 852 -5800 z' y '° httpa /ci.atlantic- beach.fl.us Monday, July 22, 2002 All American Mortgage & Investments, Inc. 4741 Atlantic Blvd. Suite B -2 Jacksonville Fl. 32207 Attention: Richard O. Bryan Subject: 64 Jackson Rd. Mr. O'Bryan, The repairs mentioned in your letter of July 8, 2002 are acceptable to the Building Department to return the structure to a habitable condition. The city will release the electric and water at this location so the repairs may be initiated. The property must not be inhabited until all repairs are completed and a final inspection is approved. Please contact this office if you have any questions concerning this matter. Sincerely, Don C. Ford CBO Building Official Cc: File Building Clerk City Manger iLsi, c 9 / 6m- • ,Lr CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 -5445 A '\\ TELEPHONE: (904) 247 -5800 FAX: (904) 247 -5805 SUNCOM: 852 -5800 http: / /ci.atlantic- beach.fl.us Monday, July 22, 2002 All American Mortgage & Investments, Inc. 4741 Atlantic Blvd. Suite B -2 Jacksonville Fl. 32207 Attention: Richard 0. Bryan Subject: 64 Jackson Rd. Mr. O'Bryan, The repairs mentioned in your letter of July 8, 2002 are acceptable to the Building Department to return the structure to a habitable condition. The city will release the electric and water at this location so the repairs may be initiated. The property must not be inhabited until all repairs are completed and a final inspection is approved. Please contact this office if you have any questions concerning this matter. Sincerely, Don C. Ford CBO Building Official Cc: File Building Clerk City Manger RICHARD 0. BRYAN, JR KAREN W. BRYAN 4741 ATLANTIC BLVD. SUITE B -2 JACKSONVILLE, FLA. 32207 A, .'" it' `dtM1' k il t� y uJtNa DEAR DON FORD, City of Atlan Jc L'ach Building and Zo.iing AS PER OUR PHONE CONVERSATION ON JULY 8, 2002 CONCERNING THE PROPERTY LOCATED AT 64 JACKSON ROAD. WE WERE RECENTLY DEEDED THE PROPERTY IN LIEU OF FORECLOUSURE. IN AN EFFORT TO MAKE THE ABOVE - MENTIONED PROPERTY HABITABLE, THE FOLLOWING REPAIRS WILL BE MADE: PAINTING "INSIDE AND OUT" ANY /ALL REPAIRS INSIDE THE HOME I.E.DRY WALL, LIGHT FIXTURES, FLOORING, PLUMBING, BROKEN WINDOWS AND ETC. IN A TIMELY MANNER. SINCERELY, RICHARD O. BRY , JR. KAREN W. BRYAN STATE OF FLORIDA COUNTY OF DUVAL The foregoing instrument was acknowledged before me this 8 day of July, 2002 by Richard O. Bryan, Jr. and Karen W. Bryan, who is personally known to me or who has produced Florida Drivers License as identification and who did (did not) take an oath. Ok i L 1 ., S A. KIRK Notary Publ'c Of MY COMMIS SION CC WSW EXPIRES: Nov 15, 2003 I Xi r) 1-600-3-NOTARY Fla Notary Service 8 Bondtm ��`�� Printed Name • Prepared by: Book 10473 Page 1190 RICHARD O. BRYAN, JR. 9 RICHARD O. BRYAN, JR. 4741 ATLANTIC BOULEVARD, SUITE B2 Jacksonville, Florida 32207 peer File Number: TILLMAN Boak� %0 0 4 6063 Pod 5 MIN. RETURN ��� ,�;, > � Pages: 11'90 — 1191 31 12( C� :�'.�� �, � °: FiIed a Recorded 05/06/2002 04:16:48 PM JIM FULLER CLERK CIR COURT DUVAL TRUST FUND 1.50 DEED DOC STAMP $ 98.00 MORTGAGE ROC DOC ST $ 2 General Warranty Deed Made this May 2, 2002 A.D. By HATTIE L. TILLMAN, a single person, whose address is: 64 JACKSON ROAD, Atlantic Beach, Florida 32233, hereinafter called the grantor, to KAREN W. BRYAN, A MARRIED WOMAN, whose post office address is: 4741 ATLANTIC BOULEVARD, SUITE B2, JACKSONVILLE, FLORIDA 32207, hereinafter called the grantee: (Whenever used herein the term "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives and assigns of individuals, and the successors and assigns of corporations) Witnesseth, that the grantor, for and in consideration of the sum of Ten Dollars, ($10.00) and other valuable considerations, receipt whereof is hereby acknowledged, hereby grants, bargains, sells, aliens, remises, releases, conveys and confirms unto the grantee, all that certain land situate in Duval County, Florida, viz: SEE ATTACHED EXHIBIT "A" ATTACHED HERETO AND BY REFERENCE MADE A PART HEREOF. SUBJECT TO THAT CERTAIN MORTGAGE RECORDED IN OFFICIAL RECORDS VOLUME 10402, PAGE 2286, WITH AN APPROXIMATE OUTSTANDING BALANCE OF $12,000.00 WHICH THE GRANTEE EXPRESSLY AGREES TO ASSUME. Parcel ID Number: Together with all the tenements, hereditaments and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants with said grantee that the grantor is lawfully seized of said land in fee simple; that the grantor has good right and lawful authority to sell and convey said land; that the grantor hereby fully warrants the title to said land and will defend the same against the lawful claims of all persons whomsoever; and that said land is free of all encumbrances except taxes accruing subsequent to December 31, 2001. In Witness Whereof, the said grantor has signed and sealed these presents the day and year first above written. Signed, sealed and delivered in our presence: C� ,t1,4 ` C� UD—y0 )y)61_,L, • L _411 ' �� . i /�� (Seal) HATTIE L. TILLMAN Witness Printed Name DAWN. SCHOONMAKER Address: 64 JACKSON ROAD, Atlantic Beach, Florida 32233 M I i L _/.�t L I� d (Seal) Witness Printed Name Amy /14. . / I DAt N Address: ctt..,f At flDTTlA _ Higgins, Larry J. From: Ford, Don Sent: Monday, June 17, 2002 7:23 AM To: Higgins, Larry J. Subject: FW: 64 Jackson Larry, Please do a follow up inspection at this address today. Don Original Message From: Jackson, Renee Sent: Friday, June 14, 2002 10:04 PM To: Ford, Don Subject: RE: 64 Jackson If it's not too much trouble, keep me posted. Thank you again, Renee Original Message From: Ford, Don Sent: Friday, June 14, 2002 10:01 AM To: Jackson, Renee Subject: RE: 64 Jackson R. Jackson, Inspector Larry Higgins performed an inspection of the premises on June 12. He has cited the owner with a twenty four hour notice to have the utilities turned on ( the water has been turned off also). We will return to the property on June 15th for a follow up inspection. Don Ford Original Message From: Jackson, Renee Sent: Thursday, June 13, 2002 7:28 PM To: Ford, Don Subject: RE: 64 Jackson Thank you. I called the Abuse hotline last night in reference to the house at 64 Jackson Rd. The worker, Deirdre Johnson #353 -2194, called me from the home. The residents were not home at the time. She stated the house was not suitable for the children and they would be removed when they returned home. If there is anything I can do, please let me know. I am working 5 pm to 3am. but can come in early if needed. I really appreciate your help, R. Jackson Original Message From: Ford, Don Sent: Thursday, June 13, 2002 8:39 AM To: Jackson, Renee Subject: RE: 64 Jackson R. Jackson, Section 303.4 of the Standard Housing Code requires minimum utilities including water and electricity for a structure to be considered habitable. We will perform an inspection of the property and give the occupant 24 hours to have the electricity restored. After 24 hours they will have to vacate the premises. We will not force children out onto the street. We will call the Duval County Children's Services to house them until the mother can find a suitable home. Don Ford 1 Original Message From: Jackson, Renee Sent: Thursday, June 13, 2002 2:46 AM To: Ford, Don Subject: 64 Jackson The family living in 64 Jackson Rd. is without electricity. I had to ask them to unplug an extension cord from the utility pole across the street. I am concerned because there are children living in the house. Unfortunately, helping the mother is not very effective because she refuses to work and it will only be shut off again. Is there anything we can do (at least do for the children)? R. Jackson 2 4 : 4 - 8871 e...„„ , , „„. , i f DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ---'w_ ?EMIT INFORMATION' �.- - LOCATION INFORMATION Permit Number: 8871 Ad; re 64 JACKSON AOIAD 9 ` ermit Type< BUILDING ATLANTIC BEACH FLORIDA 32233. { "" lase 1,f Work : REMODEL . ' LEGAL — DESCRIPTION Cvn: tr Tv : WOOD 'FR AME L t Flock: Sect_o_ i . F e,: SINGLE FAMILY Towner :4.x ,,,.�.,;. NC ! r I»we s . 1 Code: 0 subdivision ; DOI`NER( ' IrrF r V. Cost S0'.00 Tat 1, '',3 :'' ;Q 0 11 AAsrtau: i, SO . 00 �1'°, i r * , "� `% d r VP' .._. _ I fi . 'I ON ""' API LIGATION FEES I ER2I T " }, r ? ! , I N RIA W ' t A���� x � �; ��ri � ' fn s $ . ,F CAS xt.' �Tw�� fi r" "�'�� i�.J` L.F 11s � e e. f r > CR '"LOB 4 A , �' 1 �, .,c A. o- F ra''• s -'. a F r : ' T 1 1 �� <<�,w WA ..' r -, TAB 1. , i . . ,., � r . " • d RADON C AS- II . R . � D . 0 1 . �,» , .: N ` O ; iM QN —w—_ fi— RAD C AB fit?. IJ , Name : $ _ER f' NCE OENE , R R.. ILA. CAP iTAL LM RO�JE a .. S . { Ate" es 9. , zk t LL LA-Nt SEWER TAP SO. I ' A ''' -I LLLE . FL 32211 ROSS C0NNE�"T I CI .O0 r L , #I Typo: I SEC H IMPaCT FEE CM fk , ` t ;ICS •OTESY , i . y I NOTICE --A LL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE • BUILOING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE GLER RRED UP AND HAULED AWAY BY'EITHER CONTRACTOR OR OWNER' "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR,8UI1,DING IMPROVEMENTS." f ISSUE, D ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ` VIOLATION OF APPLICABLE PROVISION ROVISIONS OF LAW. ,. T , ALANTIC B '° ACH BUILDING EP RTMENT j t CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s): / / Address: A t Phone: Lot Block or Unit # Subdivision: Contractor: ea.- irr- � e or , 0c7 , 1 � - - • G Address: 33 - Phone No: 04 Describe work to be done: 4 - 4 - 4- u f, e 1 Present use of building: ' .- Valuation of Proposed Construction: " 7 2202 Proposed use: Is this an addition? If yes, what are the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase). New plumbing fixtures? fireplace? New Heat /AC? SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: t ,.I /1) Date: Signature CONTRACTOR: , A gate: / / • ♦ r CONTRACTOR'S AFFIDAVIT STATE OF FLORIDA • COUNTY OF DUVAL SS • BEFORE NE, the undersigned Notary Public, es .! p W a personally appeared • me, •eposes an • say : • , who, being first duly sworn y That on' . - 7 _ 19 q�,, , .---- as owner, an — w mov(Li as contractor, en ere nto a certain cons ruc , o con r c w -r (/* a • contractor • agreed to provide certain labor and materials for said owner upon following described lands longing to said owner, located in the City of -- County of and State of Florida, to-wit: `�� R-'`" • v I - That deponent is the ' •S otd 0/00k( • herein referred to as the con rector, an• as pe one of said corerf, Y supervised the performance AUG 22 '94 09:19 CiTr ELECTPIC SUPPLY OPANGE FRK 90427:6199 TO: 2475805 POI Lockwood Electric )11■1110■■•■=11111=0/ (904) 276-5697 331-5 Parirridge Ave. ER 0013172 Orange Park„, Florida 32065 Department Of Building City Of Atlantic Beach Attn. Don Ford IvLerno: As per our convers. 8/1B/94 this letter is to request tLcAt our electrical permit t • from 100 amp to 150 amp service, to be installed e" - r; . Any further information ni will gladly 1e providecfPTease call me at the number listed ave. Thane you for your help. Todd A. Lockwood Owner Lockwood Electric PSR444 ' int j DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH P ERMIT IMF 0 , 1 044T, 1014 L OCATI ON INFORI ATION P i t Number : 8 961 Address JACKSON ROAD ? I ln t Type: MEC fANICAL ATLANTIC BEACH FLORIDA 32233 • CI tit Work: LE4AL DES - ._._. • Ca tI Type: WOOD F`R. Lot : B1 >ock: Section:. P p Use: SINGLE FP LY Township:. RNQ: D D el in9s w .0 Code: 0 S divi ion: E t r ac ed Value :. $0. 00 Impl+ env. Cost >: Total ,� .Q0 N W. ■ " ft :a s t , l 'C :,per • p .>., xT 4a..., —_ APPLICATION FEES �, : ; �• ! 0444' P �+ Addr RON ROAD 'NA IMPACT FEE, ;;* D t0 . "N FLOR I S f N RADON GAS -H R b S SO .00 N r OE "'A • NEAT., I PROVE . fl . 00 "*'" "RL > • SFEF'"AP • �C . Cho • . ?LORI IAA 2.. 3 . CROSS CONNECTION . r? L R Type SEC IMPACT FEE • F dNST'. SURCNARE O ` N> ES: • NO : -- ALL CONCRETE FOAMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING • PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATER #AL, 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 "IAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN ` PAYING `TWICE ING IMPROVE FOR BUILDM THE PROPERTY OWNER IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: W BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH . / & i ATLANTIC REACH, FLORIDA saaaa APPLICATION FOR MECHANICAL PERMIT CALR..IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I . LOCATION Street Address: 6:7 '� l ,/ / / � � � 14 l OF Intersecting Streets: Between 1 r 1 .q And t�V' �J� r er ( WILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work es described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are • part hereof end in accordance with the City of Jacksonville ordinances end standards of good practice listed therein. Mateo of Mechanical /� Contrition Csatraster (Print) CCt SP.`12.('.t�4- -b4l1L-.- Master Name of Properly Owner f s i1 s v Signature of Owner Signature of or Arlfrorisd Agent Architect or Engineer 111. GENERAL. INFORMATION A' Type of hosting fuel: 8. IS TN OMER OR SITE? SEIq(i 1�[ ON EfeCtrss: `�' O._ O IF 0 Noh►ral ON IF YES. GIVE NUMBER OF CONSTRUCTION O OJ PERMIT Q Other — Specify IV. h1104R goutomet TO Rif INVALID NATURE OF WORK ( Preside complete list of components ors beck Ibis form) k Residential or 0 Commercial 54 • Meat ❑ Spew ❑ Emerald Central 0 Rees ❑ New Building Boons * CuMrel ii_ jel Existing Building 0 Se 0 �re ❑ Replacement of existing system Q Drat System: • III. _26..t. .4 .ii,:,, s i / ° 0 ❑ New installation (No system prerlouily installed) Maximum capacity 0 Extension or add•on to existing system O Refrigeretien ❑ Other — Specify Q Cooling tower: Cepscity 11 ' Q Rare sprinkles: Number of hoods Q Elevator Q kleslift 0 Esoaleter (sessrS,) MO MAR' rat OlSll� use ONLY Q Gaseliiee pecan _______- -- (sum►sr) ( di . O Tasks (weber) Remerb Q LNG oerdeiesl (oa MAW ) Q Wee/ pewee vow ` pens* Approved by f1Nt' O IIIIIIIN Q Oshsr — Specify Pennif Iles.,.. LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Number Vane Description Redd Manner Mamds ftr C� A yyNN Zile w�.� tir L.— - 1 4 'tkncwict. • NAV a ''A /-0 ll - 0 4 1 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 9V 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. ,n 4 C �i,�ut :aPc-i r, C, �"-- ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME 1-10-4:f-- 77 l VV t V \ ADDRESS: 6 l 3 &J< ' SC)r. Z C RFD BOX BLDG. SIZE 1 ova S �Z BETWEEN: RES. ( APT.1 1 COMM. 1 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD REW. ADDITION ( ► TRAILER ( ► TEMP. ( 1 SIGNS 1 ► SD. FT. SERVICE: NEWt INCREASE ( i REPAIR ( 1 FEE CONDUCTOR SIZE 4r4,2 AMPS OD COPPER ALUM. IL , TCH OR BREAKER 0(D AMPS 111111111119MIIIMPI, . . EXIST. SERV. SIZE CD AMPS / PH 3 W 2 Y° VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED _ OPEN TOTAL RECEPTACLES _ CONCEALED _ OPEN TOTAL 0•30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT 6 M. V. FIXED 0.100 AMPS. pyCR APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT a1 YER MOTORS H.P. VOLTAGE PHS NO. 1M.P. 111111 all VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: 1 UNDER 600 V. 1111 nvco QM t•