Permit 175 177 Jackson Road CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
C E R T I F I C A T E O F O C C U P A N C Y
P E R M A N E N T
Issue Date 2/06/03
Parcel Number 172129 -0100- -
Property Address . . 175 JACKSON RD
ATLANTIC BEACH FL 32233
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . TO BE UPDATED
Owner LYLES, THOMAS
Contractor BREW CONSTRUCTION INC
Application number . 02- 30022777 000 027
Description of Work . TWO FAMILY RESIDENCE
Construction type . .
Occupancy type . . .
Flood Zone
Approved t C
Building Of ici
VOID UNLESS SIGNED BY BUILDING OFFICIA
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
C E R T I F I C A T E O F O C C U P A N C Y
P E R M A N E N T
Issue Date 2/06/03
Parcel Number 172129 -0100- -
Property Address . . 177 JACKSON RD
ATLANTIC BEACH FL 32233
Subdivision Name . . .
Legal Description . . .
Property Zoning . . . TO BE UPDATED
Owner LYLES, THOMAS
Contractor BREW CONSTRUCTION INC
Application number . 02- 03022778 000 028
Description of Work . TWO FAMILY RESIDENCE
Construction type . .
Occupancy type . . .
Flood Zone
Approved �. -
B ilding Off cia
VOID UNLESS SIGNED BY BUILDING OFFICIAL
r sit- Richard Graves Electrical Contracting
w 6515 Beach Blvd Unit 4
` 904" 6
ELECTRICAL Jacksonville, FL 32216
CONTRACTING 7P-/-g.42.<,
ER0005820
..28 785s
0,,c,t 1$JOZ/
PFCVTVED.
nr.T 1 8 2002
:j 67 11-e bet
B
fies,Lo O 4.
v/ p c /TS o /Z d p 3 2
l 7 c� i /, 1/ 0 402._040023,-- APPROVED
A3/9A / CITY, OF ATLANTIC BEACH
)7 �/ /1 r BUILDING OFFICE
7 // // (2-3 UL 12 1 2gT
173 ,, ii ii g 3/ 7
17/ it // /1 j et 4 9.3/ e lip
igS' „ tst,) /zJ f€'tir-ar 0 23/ 51
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d l -"'.` ,ate✓
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.mil 60 p
- U/14•LX-,9 el afi djf-11-'- )Z--ah
7
iill--61 Cfr 7-41t-
e i y , jV
/01,6/
- 1,y,
AVID FRANCIS MAROVICH
” MY COMMISSION +Y CC 966312
't BXP' Sep 7, 2004
1- E004•NQTARY Fl Notary Savtoe & Sandtnp, Ine.
1-75 Q2—:30022 "7-1-7
17 02 — 03 C
OB ADDRESS 1 7 5 7 77PE WORK VCIA)
PROPERTY. OWNER otilco c L 1 L , 5 TELEPHONE I - 9
CONTRACTOR (..Ablyilnkt TELEPHONE c
PERMIT NUMBER 111 4- 877B DATE
INSPECTIONS: FOOTI&G
SLAB +1 t e9-01
TIE BEAM
LLVTEL
NAILINGISHEATIDNG
FRAMING/COVER DP 2 - - LI -
INSULATION 3 --Li-
FINAL BUILDEVG
CERTIFICATE OF OCCUPANCY ' 4 O3
FLECTRICAL PERMITI# Ci -
INSPECTIONS ROUGH -
FINAL
4-€Aty- povv
MECHAVCAL PERMIIII 32-
1VSPEa7ONS ROUGH -7 - P7 - 2-
FTNAL el63
PLUMBING PERMI171 C9-3 6 P-3
INSPECTIONS ROUGH/UNDER SLAB 1 (- 0 0
TOPOUT - 2-
WATER/SEWER
.FINAL 03
NOTES:
: '\--J-r17\ CITY OF ATLANTIC BEACH
( 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE: (904) 247-5800
FAX: (904) 247-5805
SUNCOM: 852-5800
http://ci.atlantic-beach.fl.us
\ ,.. .,.
Application Number 02-00025033 Date 10/17/02
Property Address 181 JACKSON RD
Application description . . ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
LYLES, THOMAS RICHARD GRAVES ELECTRIC
60 ARDELLA ROAD 5355 AIRPARK LOOP ROAD WEST
ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043
(904) 284-7855
Permit ELECTRICAL PERMIT
Additional desc . NEW 200AMPS SERVICE
Permit Fee . . . 105.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 105.00 105.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 105.00 105.00 .00 .00
r fl '
/
\ ;
, _
v
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 20
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,
ANA IN ACCORDANC / .,WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
F CTRICAL�FIRM: MAS EL .
� / IAN SIGNA i'
OWNERS NAME: T /)p n ,,, $ ,' DRESS: 7S i c -/ WD / BOX
BLDG. SIZE BETWEE _
RES.(L4 APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( OLD
( ) OLD( REW.( )
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT.
SERVICE: NEW( ) INCREASE( ) REPAIR( )
CONDUCTOR SIZE / AMPS: COPPER( ) ALUM.e., - FEES
°? tre0
SWITCH OR BREAKER
?iU 0 AMPS / PH ...... W VOLT RACEWAY
EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS /0 CONCEALED OPEN TOTAL
RECEPTACLES 3o CONCEALED IOPEN TOTAL
0.30AMPS 31.100 AMPS 1
SWITCHES / v
INCANDESCENT
FLOURESCENT & M.V.
FIXED 0.100 AMPS. I OVER I
APPLIANCES BELL TRANSF. I
AIR H.P. RATING H.P. RATING CEIL. KW -HEAT
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS I HEAT
0 -1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
UNDER 600V OVER 600V
TRANSFORMERS: _
NO. I KVA NO. I KVA
NO.N SOIGN�SF. NO I VA I MA I MOTOR SIZE I SWITCH I FLASHERS
Updated 5/20/2002
a.
CITY OF ATLANTIC BEACH
0 l'j-\j‘j"rlo' 800 SEMINOLE ROAD
ATLANTI BEACH, FLORIDA 32233-5445
TELEPHONE: (904) 247-5800
FAX: (904) 247-5805
SUNCOM: 852-5800
http://cLatlantic-beachnus
'`e
Application Number 02-00025032 Date 10/17/02
Property Address 179 JACKSON RD
Application description . . ELECTRIC ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
LYLES, THOMAS RICHARD GRAVES ELECTRIC
60 ARDELLA ROAD 5355 AIRPARK LOOP ROAD WEST
ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 32043
(904) 284-7855
Permit ELECTRICAL PERMIT
Additional desc . WIRE FOR NEW HOME
Permit Fee . . . 105.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 105.00 105.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 105.00 105.00 .00 .00
, ,--/--,---,, / ,,„
2_5 u `3 2--
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR DATE: 20
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,
• n� �� WITH TI-T.,ELECTRIC� GULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
E CT • •i FIRM: ' - ■ v `TER CTRICIAN SI URE:
OWNERS NAME��A ... . ADDRESS: / 7 / �/Pc i. 0 • D BOX
BLDG. SIZE BETWEEN:
RES.( APT.( ) COMM.( ) PUBLIC( ) I•DUS.( ) NEW( ) OLD( ) REW.( )
" ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( ) SQ. FT.
SERVICE: NEW( ) INCREASE( ) REPAIR(
CONDUCTOR SIZE AMPS: COPPER ) ALUM.( FEES
SWITCH OR BREAKER e7 2 00 AMPS / PH W VOLT RACEWAY
EXIST. SERV. SIZE AMPS ( PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS / J CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30AMPS _ 31.100 AMPS _
SWITCHES /0
INCANDESCENT
FLOURESCENT & M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES /' BELL TRANSF.
AIR H.P. RATING H.P. RATING CEIL. 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
1 CITY OF ATLANTIC BEACH
DEPARTMENT O BUILDING
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247-5826 - FAX: 247-5877
' !.,-,!!,, -, .. '
1; ''' PERMIT INFORMATION. .,. ,=-., „
.,:'-' ` • : ''''-' ' .
22778 1 77 JACKSON
Permit N2'.',..373',7,..'::::..5'
Permit Number:
Perm!
Type: DUPLEX RESIDENCE Address: A
Township: ATLANTIC BEACH, Book:
,
Class of Work: NEW
Proposed Use: SINGLE FMLY(ATT) L Block: Section:
Square Feet:
Est. Value:
Parcel Number:
57,030.00
Improv Cost:
'''j'''''' ' ' ' - '. : ::: 7'' ' ' ;:''''. :OWNER INFORMATION
10/04/2001
.
Date Issued: '' ''''''' ' ' d r4 d i' e i'i s 'a s:: ' 6 1_ o y L E THOMAS LL A ROA D
'
Total Fees: 2,614.86
Amount Paid: 2,614.86 ATLANTIC BEA CH, FL 32233
Date Paid: 10/04/2001 Phone: A ( O A O ) O - OO O
Work
NE HOME RE,F6P4ANS:14;
, . , -... • - : , •:,,7G:.V1. , *".i. 'LL.L,;•:J :,, :.- ,, ., .,
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470.00
' '' ' '' CONSTRUCTION INC. , e - t:'. , '‘''''. '.:T .."Iil. .:,,, :- - ° : '' 14 iiiiPA0tFE.N.,...,
BREW CON ,,, ., N _,i,..4„,, .: ...., . ,- - .. 4; ., N,.. 1,250.00
"' : ''''''' '.. °IMPACT Fz ,;,,,.,,,4„
,,,,,: ::- : ..-,,,,, :. 44 -- TwooK ...T. i: ' fl,FrAp491.,0::t: -':`..-, 8500
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0o ' ::.:1- $ : 0)NCiOtt*CA [41. : , 5A'!.tNi't..' . ....::: . ....,,,NA 325.00
0 .5% .4":'''. ..;,e'IM.,.:,t.' ......,.,.:'..''.'1:"-,..k:. IMPROVE ii6'iit'S.V.E ;: .....-,1 r ':''`V; A
tl, .,..,/ , ....,. :: ,, sr ,:„: ..,,.:!, - .., ,1,7.!!-;-, \ ... 4 . . ..:.1, 35.00
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CERTIF/OCCU .2.. ;
TREE bikk IN rx I %-orl'' :. $ '4',": . 4142G,,-6;k'ifi'LAYs-il;:::'_;.,:,N.,:n,..:,.::;:e.!Tti,,'":1?;'4ki..:),„p,r-.:,,,Ai:,,,:;./
P 'i '' - ,-] . ; 'trir:;.' 1 r ',,.! ' 17'r-7 '',411iii:-:"1.,,•:,:YS,'-'"'LL'Lk,r,,-,.?,-441",,,.-V4"Ci*Ze.Vf.,,,
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I
INSPECTION .:,..: i ID p
- S.,Ri TO .
61ktid. LEAST ,1tici. - PR 1Q : . : - ,
BUILDING MATERIAL;UB H IS. WO RK ,4 C TOR OR 0 O+:k T 4g'Pl
' Islaw.(wAy BY EITHER .CONTRA , , .,..,.: ..., _
Ft 5E , , ,.. .D . ,.,.... .p . BLIC SPACE, AND
MUST BE CLEARED OVAIND ..-. . , ..-. 4.v.
..,,.:.,.;.?„ .,...., :: ,.,T ... ... ::. 3 , ,, ..,- ., ,... , 1 Ft E IN THE
,
"FAILURE TO COMPLY',. .ITH: :, , .,,,, ,, ... 4misv . etiTs.ote
R PA' ' TViteEr :130 .. .'• .
i N xitcot.
PROPERTY OWN ER ck ,..4 ' :,... : .0s .. 4,,,,,. lk .. 4i- ::74.. ..k. ,:e....:...:.
PROVE14.. PLAte&adV 464 4 4^P . Al T .i4 :: ,,,. .:
ISSUED ACCORDING TO PM? AP t3/4„....,,...., : t,:bF,, -;;„„Ii. AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROvrue4 . - . ! :., ! '•
. .
Operator: CNERTLE__ Receipt: e85966
Date: 18/22/81 111
$2614.b6
Total Payeeot
,11.--.., C.- •
AT&I IC BEACH B ILDING .T.
...
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address / 7 1" 40tS 000 f P
Date q
Heated Square Footage 06 Co @ $ 17 per sq ft = $ SS , Of&
Garage /Shed d @ $ ° per sq ft = $
Carport /Porch � @ $ /0 per sq ft = $ 7-6
Deck O @ $ CJ per sq ft = $
Patio e? @ $ per sq ft = $ -C-
TOTAL VALUATION: $ -c 43,0
5 030 X 60 $ 260 .
Total Valuation 1st $ 0P S , 0
30 � $ 32
Remaining Value $ .coper thousand
or portion thereof
TOTAL BUILDING FEE $ 9 2_.
+ 1/2 Filing Fee $ / c-/
( ) Fireplaces @ $15.00 $
BUILDING PERMIT FEE $ 'Y3 C'
WATER IMPACT FEE $ $ 0
SEWER IMPACT FEE $ /25
WATER METER /TAP $ FS
CAP ITAL IMPROVEMENT $
SEWER TAP $
O , ) RADON (HRS) .0050 $ 5 3 `3b
SECTION H PAVING ( ) $ -0 -
HY DRAULIC SHARES $ ^ n -
CROSS CONNECTION $ 3�
( SURCHARGE .0050 $ 3 y/_Ci
OTHER $
GRAND TOTAL DUE $ 2 c (`(.3
ADDITIONAL PERMITS OR FEES: Mechanical ; Plumbing
Electric /New Electric /Temp ;SwimmingPool
Septic Tank ; Well ; Sign Finish Floor Elevation
Survey ; Other
CALCULATIONS and /or NOTES:
t CITY OF ATLANTIC BEACH
DEPARTMENT OF B
800 Seminole Road - Atlantic Beach, FL 32233 Tel: 247 -5826 - Fax: 247 -5877
ELECTRICAL PERMIT
",,,,:it,94.mITAIF OR ATCOt ,. L{3Cl Ttt N`.INI t I i t ` Ol =
Permit Number: 23192 Address: 177 JACKSON ROAD
Permit Type: ELECTRICAL A TLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FMLY(ATT) Lot(s): 13 & 14 Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Numbe
Improv. Cost: EflaNE011llll/x"I11001�I. ,_ � I
Date Issued: 12/21/2001 Name: LYL ES, THOMAS
Total Fees: 45.00 Address: 60 - AR ROAD
Amount Paid: 45.0 ATA
Date Paid: 12/21/200_1 P a fl `00)000 - LANTIC 0000 BE CH, FL 32233
Work Desc: NEW 150 AMPS 4, I , .�.
p . >, �r TION FEES -
CONTR CTO 74; x �. .p , ,l'; _ ,
RICHARD GRAVES ELECT � ' g� i 45.00
� ' pair;
� . . "$
'„.:' Iir - 7.1 ' ; .. Ah 7•;,:,..T.:flr -' -..--‘41tiOi-Ai".':;n:1-:::::f';,....:3-',::,,,,:.-
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'fi t r'' 6 -G ?+,-, '� {'s.�'2� . $ a ' .
ac � '�.'- i�'�` ,, �. W > .+-fi
ROUGH ELEC f C �, / ti � 1 � , - ; , r v 4t
!ii.., en 7'a�5''a.� x t� a.�s`' .Fap 4 lY', -* t.$11rr.' r ,,, tg agi rk. j E -x r y .� Y ,
NOTICE - INS �. T1O S $ i E TED A ` ! 2a�HOU : , . RfOR T IN SPECTION
BUILDING MATERIAL, ' I' - . $RS MP l M U S T N. - P LA '' S'PUBLEC SPACE, AND
MUST BE CLEARED UP A +' HU D �N TRA CTO " t N
SULT 1N THE
"FAILURE TO COMPLY W , '� L
PROPERTY OWNER PAYING . ' i , � S"
ISSUED ACCORDING TO APPROVED PLANS 1 IS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I
Y — y \
4 { �.! !' '� /�, ' (---- - E. M5. 14
' ATLANTIC BEACH BUILDING DEP t.et 12/21/81 11 Rec�ipti tih 152 Q
pEq(g D � 2�
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