Permit 650 Jasmine Street CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247.5826 - FAX: 247 -5877
PERMIT INPORMATiON LOCATION INFORMATION
Permit Number: 21769 Address: 650 JASMINE STREET
Permit Type: BUILDING ATLANTIC BEACH, FL 32233
Class of Work: SHED Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 1,200.00 OWNER INFORMATION
Date Issued: 4/13/2001 Name: WILLIAM MARSHALL
Total Fees: 25.00 Address: 650 JASMINE STREET
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/13/2001 Phone:, (904)247 -0887
Work Desc: STORAGE SHED
CONTRACTORS a : ", ' CATION FEES .
I PROPERTY OWNER ‘, PERMIT 25.00
Y
4%
FINAL
NOTICE INSPECTIO z UST E!E REQUESTED AT LEAST 24 HOURS PRIOR TO INECTION
BUILDING MATERIAL, FkUBBISH AND;DEBRIS FROM THIS WORK MUST NOT Be PLACED IN UBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR WNER }'
"FAILURE TO COMPLY WITH 3 14E TilECONSThUSTICitittltiSiA.AW RESULT IN THE
PROPERTY OWNER PAY IN ,TWICE1 ORii U LDtN IMPI EI TS"
ISSUED ACCORDING TO APPROVED PLANS -W CFrAR!"P T OF T�11# `'ERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS O il"ii' "-
f J
I
x
y �, ,.,
ATLANTIC BEACH BUILDING DEPT. te: 4/2 'x!31 =3 i,ecEl t
;tiw%P;S
- - -_ 33 :L ;391? ,22; z1.
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS, O R ALTERA
IONS,
11 Marez)."\c\)\ MOVING, DEMOLITIONS APR 1 2 2001
Owner(s) `ll CANA Ci of AtIdi ilic Bedell
�tbrn,na_ S,.-- Phone C10 ) onin
Job Address GS.) Ai 11
Lot # t.` Block or Unit # ( (o Subdivision .52.Gt 1 U"
Contractor t . 01.....)64.r- State License #
Address Phone ( t04) 0y1_05059
City State Zip
Describe work to be done 6 c 4\, A ?Vox 0 -`e
Present use of building iV cXNA-
Valuation of Proposed Construction 1 aoco
Proposed use `t �y
Is this an addition? ■N) 0 If yes, what are the dimensions of the added space: ft. x ft.
Will the added area be heated and cooled? 0 New electrical (or increase) 'N 0
New plumbing fixtures? 0 CI New fireplace? 0 U New Heat/AC? 1\16
SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) C. ∎, - - 'S OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS ! - =-•MMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVIT, IF OWNS: = !f• -= % ='' 0: - '
Signature of OWNS: %� Date:
� / b)
Signature of CONTRACTOR Date
STATE OF FLORID
COUNTY OF v/04 (�
Sworn to (or affirm 0--p 2001
affirmed) and subscribed before me this day of
AS TO OWNER: Notary's Signature n'Cv-Y-l`- ///
V
Personally known
' _ — MARY ANN HOLMES ❑ Produced Identification
- , " T4 MY COMMISSION # CC 966801
a ' D EXPIRES: January 10, 2005
#r� Bonded Thru Notary Public Underwriters Type of identification produced
Sworn to (or affirmed) and subscribed before me this day of , 200
AS TO CONTRACTOR: Notary's Signature
❑ Personally known
❑ Produced Identification
Type of identification produced
, ,, .
MAP SHOWING BOUNDARY SURVEY OF
71 S x.J rr-, 40,o0 o v r 5 • r] JF THE NG.vLTN
2o. AS SHOWN ON MAP OF
x� aF LoT 4� F3(� -K 13 .
ATLA10716 f3E/c%•I sECTica&v 1-(
AS RECORDED IN PLAT BOOK /6 PAGES 34 OF THE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
CER71FlED FOR: ea7�- 16/2//t)E S, / <x I SN) t c/47SG ) Mv)276AE CvMPA+JY' UC_D 2EPUFg.i .
AJ/ T /UnJAL. 7171.E /AJS,,, CO) M67 cPv(_..I 7AkJ TiT(-e6u,424iV"T>/ C.).
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(so' ,e4(?)
111E PROPERTY SHOWN HEREON APPEARS TO LIE WITHIN. FLOOD HAZARD ZONE X AS SCALED FROM FLOOD
INSURANCE RATE MAP / FOR THE CITY OF Ai la 6 - , FLORIDA, DA TED el- 7 - 69 . AND
IS SHOW AS A COURTESY ONLY AND DOES. NOT CONSTITUTE A CERTIFCATION OF SAME.
I _ MAP SHOWING BOUNDARY SURVEY OF
2a�z, o eer 4 g� c.K / 3G E ' 12TH
AS SHOWN ON MAP OF
, 4 - ILA AJ7l . J C S 6 " C1--1 S ECT I caw I--!
AS RECORDED IN PLAT BOOK /F3 PAGES 34 OF 7HE PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA
C E R 7 1 F i E 0 F O R : 7- 1 6 i Ei2 we S . KA 2 r S N; t_. T S aJ / curt PA ' o. D RE ti
AJ T /ult.1 AL 7771.E /nJC.. CO.) M6?/evPoL-JTAKJ TI 64.442 .4.77y CU.
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ti
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L: /,r. l Luc S Te CC T
(s° '
THE PROPERTY SHORN HEREON APPEARS TO LIE WI THIN FLOOD HAZARD ZONE X AS SCALED FROM FLOOD
INSURANCE RATE MAP / FOR THE CITY OF 4;57. g 4 - , FLORIDA, 0,47E0 4 - 1 "1 - 69 . AND
IS SHOWN AS A COURTESY ONLY AND DOES. NOT CONSTITUTE A CERTIFCA770N OF SAME.
6
1
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•
MAP"'
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877
PLUMBING PERMIT
-- --
� , LOCATION INFORMATION _
PERMIT
Permit Number: 18832 Address: 650 JASMINE STREET
Permit Type: PLUMBING ATLANTIC BEACH, FL3 2233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: SECTION H
Est. Value: Parcel Number:
Improv. Cost: _ OWNER INFORMATION
Date Issued: 9/13/1999 Name: KARISH, KATY
Total Fees: 1,275.00 Address: 650 JASMINE STREET
Amount Paid: 1,275.00 ATLANTIC BEACH, FL 32233
Date Paid: 9/13/1999 j Phone: (000)000 - 0000 -
Work Desc: SEWER IMPACT FEE AND INSTALLATION
CONTRACTOR(S) ,
APPLICATION FEES I
CHRISTY FIRST COAST PLUMBING PERMIT 25.00
SEWER IMPACT FEE 1,250.00
:.... Inspections Required;;`.. -;; _
FINAL — - - — -
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
c/ f 1258.88$ 14
C Date: D iii /` 41/99 9tceipl�ec8(a8t#4 86344
ANTIC BEAC BUIL G DEPT. CHECKS 211531 43.M
4188888221888
i
DEPARTMEN OF BUILDING 7 864 1 \
I PERMIT .
NO
CITY OF ATLANTIC BEACH, FLORIDA /d ty ,
PERMIT TO BUILD 9 9 ,/l � 3CA s� , P.
THIS PERMIT MUST BE POSTED ON JOB 1 A i/
June 30 a 19 86 i GI
Date
I Fee$ �� L) 0
Valuation $
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for ifiglation of applicable provisions of law \ ,
This is to certify that "
ki has permission toViit INSTALL HEAT & AIR
Zone
Classification
Owned by BAKER
Block____ - - - - -
Lot 65 0 JASMINE STREET
House No.
According to approved plans which are part of this permit OTICE —ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
.n SPECTED BEFORE POURING.
PERMIT FTER DATEIOF ISSUE
MONTHS
, - -♦
0
Fi 4______ --4 0 Building material, rubbish and debris from this work must not be placed
in public space, and must be cleared
up a ,_. .. anted away by either con-
tile +. or owner,
®■ CONTRACTOR
'I I FOR OFFICE PERMIT
USE ONLY
NUMBER
PLUMBING Wi rrilMilll
ELECTRICAL
1 SEWER
1 WATER 1111111111111111111111
BUILDING AND ZONING INSPECTION DIVISION
a CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32293
APPLICATION FOR MECHANICAL PERMIT CALL -IN NUMBER
IMPORTANT - Applicant to complete all items in sections 1, II, III, and IV.
I. SO s. ok t w
LO CATION street Address: /
OF Intersecting Streets:; Between G And i fri )
BUILDING
Sub- division
IL IDENTIFICATION — To be completed by all applicants
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 pert hereof and in accordance with the City of Jacksonville ordinances and standards
of good.. practice listed therein.
Name of Mechnical Ctr
Confecfor (Prinat) 4, J t kr" ,_ 5.f �1 Ce ..+ ,I f , Monaster as +ors
Name of a
Property Owner Mp
Signature of Owner 7.......... Signature of
err AuHMrised Agent Oat- , Architect or Engineer
111. GENERAL INFORMATION
A, Type of Mating fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
❑ Bectric THIS BUILDING OR SITE?
a Gas — ❑ LP ❑ Natural ❑ Centre, Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
0 Oil PERMIT
O Other - Specify
IV. MECFIAN1CAL IQUMMENT TO RE INSTALLl1d NATURE OF WORK
(Provide complete list of components on back of this form) ❑ Residential or ❑ Commercial
❑• Neat ❑ Space ❑ Recessed 0 Centre, 0 , Floor ❑ New Buliding
0 Air Conditioning: ❑ Room 0 CeMnl ❑ Existing Building
Q Duct System Ma Thickw. _ ❑ Replacement of existing system
Maximum capacity c.f.m. ❑ New installation (No system previously installed) . ;.
0 Refrigeration
❑ Extension or add -on to existing system
❑ Other — Specify
O Cooling tower: Capacity g.p m.
0 Rae sprinklers: Number of heady
• Bowater ❑ Menlift 0 Esc later (number) THIS SPACE POR OPiNCE USE ONLY
O : Gasoline pump' (number) (Received)
O Tanks._ (number) Remarks
0' LPG contai (nurnbN)
O Unfired pressure vessel
Permit Approved by pats .,..
0 Sellers
0 OMir .... Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT T --
Ntuailber Vatts Description Model Number Nranufactur•r (=t7 £w
■
1
DEPARTMENT OF BUILDING 7 Q 6 V
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
■ PERMIT TO BUILD is * 50 Tt.
THIS PERMIT MUST BE POSTED ON JOB 55•50CIM
370 I r nit 9/ E
Date June 30 86
86 706 00 CACIa
55.50 370 ! A 1/18/8(
Valuation $ Fee $ I non'
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 DUCKWORTH PLUMBING
I _.
I
has permission to bui INSTAL PLUMBING
Classification RESIDENTIAL Zone
DAVID BAKER
Owned by
Lot Block S/D
House No. 650 JASMINE STREET
According to approved plans which are part of this permit
NOTICE —ALL CONCRETE FORMS
t AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
, AFTER DATE OF ISSUE
/-- ----10 O Building material, rubbish and debris
�� -1 from this work must not be placed
in public space, and must be cleared
up an hauled away by either con -
t r owne,t
(7-e
Build fficial.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
Allik Al
3 • CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
n
JOB LOCATION �.!'.,•-. 7/--�, .e'. -�
PLUMBING CONTRACT.' 4_040` -L ,144(
LICENSE NUMBERS /r'.- ; � � 6%j
OWNER il r
•
BUILDING CONTRACTOR , .,.. -
TYPE OF BUILDING e j � 2.-- .
• / SINKS
SHOWERS
LAVATORY / WATER HEATERS
r BATH TUBS / DISHWASHERS
URINALS DISPOSALS
- CLOSETS / 'WASHING MACHINE
FLOOR DRAINS "HER
/-
„,-,,64.:,_e./54.1.
/3 TOTAL FIXTURE COUNT '
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. .••:..
``
•
•
1 Trrtifirate of ®rrupaurg
l CITY OF
flrparfmrni of +&nilding 31nsprrtim1
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following. f ;'
4
Use Classification Bldg. Permit No
'%,,
Group_ Type Construction Fire District ' -'' ,.r'
' 144r Owner of Building .. Address _ — '
Building Address. Locality
$wilding Official Date: <
\ ter' N. ,j' j POET IN A CONSPICUOUS PLACE j y( N y( A g
, \ i ' J _ - \ 1 \ \ `.‘
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19'
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN 'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: E LECTRIC SIGNATURE JOURNEYMAN
RFD BOX
BLOC. SIZE BETWEEN:
RES. ( APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. 1 ) NEW >CL OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS 1 ) f SQ. FT.
SERVICE; NEW 1 ) INCREASE! ) REPAIR ( ! FEE
CONDUCTOR SIZE / AMPS COPPER 1 ! ALUM
SWITCH OR BREAKER l AMPS ( PH 3 w 2 3 0 VOLT 4FEZ4 RACEWAY
EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY.
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
✓
RECEPTACLES 0 CONCEALED OPEN TOTAL
0. SO AMPS. 81.100 AMPS
SWITCHES ( 8
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS. 1 OVER
APPL1ANCE9 I BELL TRANSF.
AIR H.P RATING H.P. RATING
cON TI 1NG; CAMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT
04 OVER
MOTORS H.P. VOLTAGE; .PS NO:
'-'.-
k W4SCELLANEOUS
TRANSFORMERS: I UNDER 600 V. ! I OVER 600 V. I
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877
PLUMBING PERMIT
PERMIT - .INFORMATION,'_ . -_ • LOCATION INFORMATION
r .r - t A ddress: 650 JASMINE STREET
Permit Number: 18832
Permit Type: PLUMBING ATLANTIC BEACH, FL3 2233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY i Lot(s): Block: Section:
Square Feet: Subdivision: SECTION H
Est. Value: _ Parcel Number:
Improv. Cost: OWNER INFORMA7IOW
Date Issued: 9113/1999 Name: KARISH, KATY
Total Fees: 1,275.00 Address: 650 JASMINE STREET
Amount Paid: 1,275.00 ATLANTIC BEACH, FL 32233
Date Paid: 9/13/1999 Phone: (000)000 -0000
Work Desc: SEWER IMPACT FEE AND INSTALLATION
APPLICATION FEES:
..° . COl�tTRiIkC�RISI!=" , .:. �::� :.>_ .-,:_ � P ERMIT 25.00
CHRISTY FIRST COAST PLUMBING SEWER IMPACT FEE 1,250.00
� I
E �
.y - - � .1aections-aeauir‘ . x:
FINAL
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING SPACE, AND D MUST BE CLEARED UP DEBRIS PUBLIC
HAULED AWAY BY EITHER CONTRACTOR OR OWNER
SPACE, AND MUST BE CLEA
"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 PERMT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
•
f1�5g. N 14
C Date: 1401/11/99 tGl BfceipeN / /� 978
r .
A NTlC BEAC BUI G DEPT. rmeg
•
CITY OF ATLANTIC BEACH Ai l a c kh Pei m:4
APPLICATION FO1 PLUMBING PERMIT 4
JOB LOCATION: bj SO a S 0 r rkg 4VC I_
OWNER OF PROPERTY: k A A ; S L
PLUMBING CONTRACTOR. ..( _._ , L !'i . __
CONTRACTOR'S ADDRESS: (/ w �� / ;�, % ± j ‘34.9
STATE LICENSE NUMBER: C 7t O5 ' 437 TEl C7 --I249
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SAS
LAVATORIES WASPS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHER SfAAWAr re
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE ■ $25.00
SIGNATURE OF OWNER: �
SIGNATURE OF CONTRACTOR: — jS A,
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247 -5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP — (904) 247 -5834.
P5W -3844 11458
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
{ PERMIT INPORMATIGIY LOCATION INFORMATION
Permit Number: 11458 Address: 650 JASMINE STREET
Perm, t Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION -. .._ LEGAL DESCRIPTIONI
i. Corastr. Type: WOOD FRAME Lot: Block: erection
Proposed Use: SINGLE Ix'AMiLY Township R 1410 . 0
131.re I1ings: 1 Code t 0 Subdivision: SECTION H
Estimated Value: "$0,00
improv . Cost =: $0 00
Total Fees: 2 «00
Amy � � a , � $25.00
' ,� 2 14/96
W or k ' ''''';'1`t:''' ' � , T" R HEATER
r " _� - - *RMATION - -_ .- APPLICATIt N' FEES
� P PERMIT $25.00
Ads rs"` . 3 1NE STREET WATER IMPACT FEE 50.00
CB ,� FLOR I 3 5 �+ ` I P ` FEE « 00
RADON - H.R.S. $
9
i[ � �� I LU I FOR A ON RADON CAB OAS 5 $0. 00
I ame . . P . MBIN4. • . CAPITAL IMPROVE. SO .00
PAO ' ''TULLE: FL 32245 ''' CROSS CONNECTION 50.00
Lice. .' ` rc ' °' " 5 Type : 3 SEC H IMPACT FEE t? .
` G NS'1' SURCEARGE . 00
+ 'r '' { ^SL"afati ^`wanes . av +namw�i w * , "...x.. k
E''1" s .. •
NOTES:
6
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRi5 FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
'I "FAILURE' TO CPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING FORTHE BUILDING IMPROVEMENTS"
:'
. ISSUED. ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATtQ , F fi
� �4N `O APPLICABLE PROVISIONS OF LAW. Date: 2114/96 01' I a 0034078 , sett ATLANTIC BEACH BUILDING DEPARTMENT 00104043221040
. +r.
CITY HALL ATL BCH TEL No .2475805 Nov 18. , 94 14:12 No . 002 P.01
OP A
CITY OF ATLANTIC BEACH
APPLICATION POR PLUMBING PERMIT
JOB LOCATION : , t 5 Q a , �.-� _ S i
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
PLUMB/NO CONTRACTOR . - S P.� L ,. 4
AND ADDRISR :
TELEPHONE NUMBER: r' -
STATE LICENSE NO:
TYPE OF BUILDING:
TYPE OF WORK: C�
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
.,...`..,__
MKS SHOWERS
LAVATORY 1 WATER HEATERS
TUBS -- , DI8HWA8HERS
URINALS _DISPOSALS
_ CLOSETS ASHINO MACHINE
FLOOR DRAINS . SHOWER PANS
OTHER _
TOTAL FIXTURE COUNT : x $3.50 + $15.00 = $ _�.`_^
INSTALLATION OF PLUMBING AND FIXTURES MUST 88 IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAT AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826
SEWER CONNECTIONS MUST •R CALLER INTO PUBLIC
WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247 -S834
1 DEPARTMENT OF BUILDING 7 6 6'`
8
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. V V VV
PERMIT TO BUILD r 39.no r�►
THIS PERMIT MUST BE POSTED ON JOB u, f h 39 0
Date June 30 86 7066 .00CACC
44 139.00 5056 1 A 7/C12/9
Valuation $ ' Fee $
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 DAVID BAKER
has permission to build
SINGLE FAMILY HOME
Classification RESIDENTIAL Zone
Owned by DAVID BAKER
Lot S40' #3 & N20' #4 Block 136 S/D Section 11
House No. 650 Jasmine Street
According to approved plans which are part of this permit
NOTICE —ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
—�
4---* 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-
trkctO0 or owner.
/j lr ( I7/ 71.1
g Official.
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRALTO
PLUMBING
ELECTRICAL
SEWER
WATER
41111114, 41019K
91L1‘17-71--4- kt-s- "O
CITY OF A A IC BEACH
ir F
APPLICATION FOR BUILDING PERMIT
Owner Address zi Ph 2
Phone
p
Architect Address , zip Phone
Contractor,,' Address ['" �' ) zip 2-173- Phone7 n 7. r,
Contractor's License Number A & p o ( 1,44;4 Expiration Date (Copy on File
Lot # Block or Section # Subdivision Zoning
Street Between and side 211
Valuati $ Type of Construction 7 /hp--
Purpose of Building r , 1 Number of Units Fireplaces
Utility Service: Water Sewer
If the City if providing water or sewer service, do we need to make taps ?.
Din nsions : Building Lot 60 , to 2- Size Footings / X 2.O
Sz. Piers Sz. Sills Greatest Span Sills
Sz. Ceiling Joists Distance on Centers 2_ ( Greatest Span
Sz. Floor Joists Distance on Centers Greatest Span
Sz. Rafters Distance on Centers Greatest Span
Method of Heating ilkto..4_1 Solid- Filled Ground Roof _
Flood Zone � If located within a FLOOD HAZARD complete page 2
SUBMIT: Two complete sets of plans, including a detailed site plan.
Florida Energy Efficiency Code Sheets
Recent Survey
Inspections Required:
1. When steel is in place and ready to pour footings.
2. When steel is in place and ready to pour columns /lintel.
3. When steel is in place and ready to pour beam.
4. When framing, mechanical, plumbing, electrical, fireplace, is completed and ready
to cover up.
S. Final inspection. SETBACKS
NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB.
In case of rejection, reinspectio MUST be called for after Rear Lot Line
corrections are made.
In consideration of permit given for doing the
work as described in the above statement, we w w
hereby agree to perform said work in accordance @'
with the attached plans and specifications, o r+
which are a part hereof, and in accordance rr rr
with the building regulations of Atlantic Beach.
'ld /V.
Signature Owner �rU-Lt
Signature Contractor
ron • ine
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development: New Building
Alterations to Existing Building
Flood Zone
Required Floor Elevation
Actual (as built)Lowest Floor Elevation
If located within a flood hazard zone (zone A) a survey must be
made after the slab has been poured, certifying that the "lowest
floor elevation" is equal to or above the base flood elevation
established for that zone.
No Final Inspection will be made and No Certificate of Occupancy
will be issued until the survey is on file with the Building Department.
COMMENTS
Applicant acknowledgement: I understand that the issuance of this
permit is contingent upon the above information being correct and
that the plans and supporting data have been or shall be provided
as required. I agree to comply with all applicable provisions of
Ordinance No. 25 -7 -11 and all other laws or ordinances effecting
the proposed developemnt.
Date Applicantls Signature
Department Use
Survey filed with the Building Department on
Certified Lowest Floor Elevation
Required Lowest Floor Elevation
Building Department Representative
•
. tiddres s La...kJ L - o._. C ' \_ _
Heated Square Footage \ \ a0 @ $ 3 00 per sq ft = $ L 1 , Lo $O. 00
Garage /Shed @ $ per sq ft = $
Carport 'orch ' \0 @ $ 1 ..0S per sq ft = $ 1aa.00
Deck @$ per sgft =$
Patio @ $ per sq ft = $
TOTAL VALUATION: $ L1 L1 a 00 , 00
L N, oo,), DO L1 °,.00 .$ y9 .o0
Total Valuation 1st $ i5, ooc
aol, ooa. 00 - 7s. 00 $ Ths. 00
Remainder Valuation '$ a . Soper thousand or
portion thereof
Total Building Fee $ l a ti , 00
ADDITIONAL PERMITS and /or FEES REQUIRED + z Filing Fee $
Mechanical ✓ Fireplaces @ 15.00 $ 15.00
Plumbing ✓ BUILDING !PERMIT FEE $ X 39. 00
Electric /New
Electric /Temp /
Septic Tank / BUILDING PERMIT $ 1 ci . 00
Well WATER METER CHARGE $ S5.00
Swanning Pool SEWER IMPACT FEE $
Sign WATER IMPACT FEE $ a y 0.0 (
Water Connection ,/ MISCELLANEOUS $
Sewer Connection $
Water Meter ✓ $
Elevation Certificate
GRAND TOTAL DUE $ L A (DLt . 0 0
CALCULATIONS and /or NOTES
IL L. r1 vJ
PLUMBING WORKSHEET
I SINKS Z SHOWERS I DISHWASHERS
Z CLOSETS Z BATH TUBS FLOOR DRAINS
1 WASHING MACHINE 1 WATER HEATERS 0 DISPOSALS
Z LAVATORY O URINALS 1 OTHER
TOTAL FIXTURE COUNT 1
* * * * * * * * * * * * * *•* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
1 a BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
ICE Yfli\REi2
D 3KING- F9UNTAIN ( UNIT URINAL, WALL LIP
FLOOR DRAIN (1 UNIT) (4 UNITS)
3 WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (8 UNITS)
WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANK- OPERATED (8 UNITS)
(4UNITS) I
L SHOWER STALL, DOMESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
2_ DISHWASHER (2 UNITS) Z KITCHEN SINK (2 UNITS)
KITCHEN SINK /WASTE GRINDER
(3 UNITS)
a L/ X TOTAL FIXTURE UNITS @ $10.,00 EACH a'7 o , DC
STATE OF FLORIDA ( / ,, E j r
-
'. . DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
.1
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION PERMIT
�
\'6.,:,."-'1,:.:7 .= ,
' sR'ry Authority: Chapter 381 FS
Chapter 10D -6, FAC
Applicant Iuoran Chapman Permit umber 51978
650 Jasmine, SAO' �c 3 )-7 2c <� �1. 1 , ft /acv. -1-
PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL
Treatment Tank Minimum Draintrench OR Minimum Absorption
Size Bed Size
Septic tank or Grease
aerobic unit _d0J gallons interceptor gallons Square Feet 375 Square Feet
Septic tank or
aerobic unit gallons Dosinc tank gallons Square Feet Square Feet
Gravwater
tank aalions
Square Feet Square Feet
Laundry
waste tank gallons Square Feet Square Feet
Other Requirements:
(a) Installation must be in accord with requirements of chapter 10D -6, FAC.
(b) A system construction permit is valid for a p riod of one calendar year from date of issue.
(c) Final installation inspection and approv I is r iced before the system is covered.
(d) Invert of stub -out for Houzc / to be 26" above existing grace benchmark.
Invert of stub -out for f1/4, it,F to be benchmark.
Invert of stub -out for �to �`ii be benchmark.
Invert of stub -out for e
benchmark.
(e) Fill quality and quantity: Public water required. • Permitted for 3 BRs single family.
Scrape off organic topsoil and backfill to grade. In area 30 X 58 provide 1I+" of
sand, 12" of rock. Cover with 9 -12" of sand and sod over drainfield within 7 days
of installation.
(f) Other. _
,-'J- _ .
System design and specificatio s by: ••l J. 7 Silva T Title EIS
Construction authorized by: ,)amps T. sal 7,Pr. Supervisor Date 3125/86
nzra i County Public Health Unit
Note: Completed copies of this form will be provided to the applicant, installer and the building department.
AUDIT CONTROL NO. 13078 '
HRS•H Form 4016.. Feb 85 (Obsoletes previous editions which may not be used)