Permits 1202 Jasmine Street STATE OF FLORIDA 0�___#'
DEPARTMENT OF HEALTH& REHABILITATIVE SERVICES
1
SEPTIC TANK CONSTRUCTION PERMIT.
pwal County Health Dept. N° 004094
Owner G W Stansell PERMIT #51334
For Installation AtJn mino q+ Tot ', Rlk 204
Drainfield Size2R--n aq ft Sand Filter Size
Septic Tank Capacity Minimum7-5Q—gal
Grease Trap Capacity Minimum
Dosing Tank Drain Tile
(a) Installation must be in accord with requirements of Chapter
1 OD-6, Florida Administrative Code.
(b) Final inspection required before work is covered.
(c) Permit void if not used within one year.
(d) Approved installation does not guarantee performance.
Date of Application 6/17/85 Issue 6/24ZSS --
I IssuedYy__�ji_seSalzer, sor
deep 75' from all waterwells.Keep top of dra.infield
) even with natural grade. Permitted for maximum
sq tt heatedand coo a .area. Recommend
separate system for washing machine
DEPARTMENT OF BUILDING 6916
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD 1679
THIS PERMIT MUST BE POSTED ON JOB 1 67*P5CK T
July 15, 19 85 4153 1A 7/19/
Date 691 G *OOCA
Valuation$ 39,774,010 Fee$ 157.25 41�u 1 A 7/19/6
1 Q13
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 GEORGE STANSELL
has permission to build SME FAKILY HOW AS Pte' Pt
ANS
in accordance with attachm t RE: assessnmt
Classification residential Zone
Owned by George Stansell
Lot Block_ D S!D
House No. 1202 JASHM STRg.T
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
s --► � 0 Building material, rubbish and debris
-zi from this work must not be placed
j in public space, and must be cleared
up and hauled away by either con-
tractor r,.6 `vjnen
je
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING NO SIMDR BUUDING WMEN
ELECTRICAL 500! OF PROPERTY
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner U� s4� 25;7;c..'4' Address 6/ ,T' SL'. Phone
Architect Don Peclr Address Phone
Contractor GeAddress Phone
License NumberC)eC dp6-,9;2. Expiration Date �3c>
Lot #_ _Block # Q Subdivision Jf Zoning p- d1c_y r,- c /
Street `�- ,- yi E, BetweenhJ• / '� and side pc- ,g7-
Valuation $ Purpose of Building pW,n,//,-Ag Type Const. '� .tee
Dimensions : Building 3c>' x 3y Lot , ' Z( ID?,' Sz.Footings /p'' )C A,,I)
Sz.Piers " X f 6`' Sz. Sills "x � '' Greatest Span Sills ' - p
Sz. Ceiling JoistsrruMeS Distance on Centers 2.YGreatest Span ,30 49
Sz.Floor Joists 'X Distance on Cent ers91 k Greatest Span /p ' --p '`
Sz.Raf ters Tru- is Distance on Centers Greatest Span
Heating Cl& CZ7, Solid-F444-4&d Ground Roof�;j,�,,4�Q�S
Flood Zone G If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
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, rough plumbing and fire place
is completed and ready to cover up.
5 . Rough electrical.
6. Final inspection.
In case of rejection, reinspection MUST be called SETBACKS
for after corrections are made.
In consideration of permit given for doing Rear Lot Line
the work as described in the above statement,
we hereby agree to perform said work in
accordance with the attached plans and (n
specifications , which are a part hereof, and a. a
in accordance with the building regulations m
of the City of Atlantic Beach. o 0
r* S. ct
r B Dwell ` r
m m
u
Signature OWNER 4&��
c
Signature BUILDER
Front Lot Line
FLORIDA ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
SECTION 9—RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
This form may be used to demonstrate compliance with the Energy Code for new single-family detached or multifamily attached dwellings under Section 9
of the Energy Code. An alternative to this method for single-family detached dwellings, and multifamily attached dwellings of three stories or less, is
provided in Section 10 of this Code.Only dwellings which are above ground frame(wood siding,brick veneer,etc.)or concrete wall type construction may
be calculated using Sections 9 and 10.Other types of construction must comply under Section 4 or Section 5 of this Code.Additions to existing residential
buildings shall comply with the requirements of Section 10 of this Code.Detailed information on how to complete this form may be obtained from your local
building department or the Department of Community Affairs,Energy Code Program,2571 Executive Center Circle East,Tallahassee,Florida 32301.
PROJECT NAME I PERMITTING OFFICE:
AND ADDRESS: S')'7 CIRCLE CLIMATE ZONE: 1 2 3
BUILDER: &&Ova PERMIT NO.:
OWNER: O e S TA,��� �� JURISDICTION NO.:
IF MULTIFAMILY,NO.OF UNITS GLASS AREA AND TYPE
DETACHED COVERED BY THIS CALCULATION: CLEAR TINT,FILM,SOLAR SCREEN
SEPARATE CALCULATIONS ARE REQUIRED SGL SGL
FOR EACH WORST CASE UNIT TYPE.CHECK IF
❑ ATTACHED THIS CALCULATION REPRESENTS A WORST
CASE CONDITION. DBL DBL
NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION
CBS R= FRAME rnR= FLOOR AREA UNDER ATTIC SGL.ASSEMBLY
M.[I O161 [a].[I C> R= ®.❑ R m.❑
COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM
CENTRAL ❑ NONE ELECTRIC STRIP ❑GAS ❑ NONE ELECTRIC RESISTANCE 1:1
SOLAR
FA
❑ROOM ❑ OIL ❑ SOLAR ❑ HEAT RECOVERY. ❑ GAS
❑PACKAGE TERMINAL AC ❑ HEAT PUMP:COP = ❑ ❑ ❑ DED.HEAT PUMP:COP = ❑ m
EER/SEER= I I ❑ ❑OTHER: ❑OTHER:
CALCULATED E.P.I.: ❑ CALCULATED E.P.I.MUST NOT EXCEED 100 POINTS
In accordance with Section 553.907 FS., I hereby Certify that the plans Review of the plans and specifications covered by this calculation indi-
and specifications covered by this calculation are in compliance with the cates compliance with the Florida Energy Code. Before construction is
Florida Energy Code. completed, this building will be inspected for compliance in accordance
/ with Section 553.908, F.S.
OWNER/AGENT / BUILDING OFFICIAL:
DATE: DATE:
9A I PRESCRIPTIVE MEASURES Must be met or exceeded by all residences.
MINIMUM REQUIREMENTS CHECK TO INDICATE
COMPONENTS REQUIREMENTS COMPLIANCE
WINDOWS 903.1MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK. >__�
DOORS 903.1 MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.INCLUDES SLIDING GLASS DOORS. L®_
EXT.JOINTS&CRACKS 903.1 TO BE CAULKED,GASKETED,WEATHER-STRIPPED OR OTHERWISE SEALED.
CEILING INSULATION(903.9) MINIMUM OF R-19. y'
WATER HEATERS(903.2) MUST BEAR ASHRAE STANDARD 90-80 LABEL OR A MAX.4 WATT/SQ.FT.STAND-BY LOSS.SWITCH
OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF VALVE(GAS)MUST BE
PROVIDED.
SWIMMING POOLS(903.3) IF HEATED BY OTHER THAN SOLAR,MUST HAVE POOL COVER DESIGNED TO MINIMIZE HEAT LOSS.
ALL NON-COMMERCIAL POOLS MUST BE EQUIPPED WITH A POOL PUMP TIMER.
HOT WATER PIPES(903.4) INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS. IN SUCH CASES,PIPING HEC,T
LOSS SHALL BE LIMITED TO A MAX.OF 17.5 BTU /H PER LINEAR FOOT OF PIPE(SEE 504.4).
SHOWER HEADS 903.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE. ✓
HVAC DUCT CONSTRUCTION CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHANICAL CODE. v
903.6) DUCTS IN UNCONDITIONED SPACE MUST BE INSULATED TO A MINIMUM R-4.2.
HVAC CONTROLS 903.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
1
R
FORM 900-A-84 CLIMATE ZONES 1 2 3
9C DESIGN CREDIT POINTS(CP) 9D HEATING SYSTEM CREDIT POINTS
CEILING FAN IN COND.SPACE(max 5 CP) 1 NATURAL GAS/PROPANE HEATING 16.0
MULTIZONE A/C SEPARATED BY DOOR 5 OIL HEATING 12.8
CROSS VENTILATION(1 CP per room) 1 f
WHOLE HOUSE FAN(min.1.5 cfm/s.f.) 5
WOOD STOVE 7 9E DESIGN PENALTY POINTS
FIREPLACE WITH OUTSIDE COMBUSTION AIR 2 WASHER AND DRYER IN COND SPACE 3
TOTAL GLASS OPENS LESS THAN 40% 5
9C TOTAL(not to exceed 12 points) FIREPLACE WITH INSIDE COMBUSTION AIR 5
9F WINTER OVERHANG FACTOR WO 9F SUMMER OVERHANG FACTOR SO
FEET N NE E SE S SW W NW FEET N NE E SE S SW W NW
0-0.9 1.06 0.98 0.99 0.74 0.71 0.82 0.93 1.00 0-0.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00
1-1.9 1.00 0.98 ,, 0.99 0.75 0.73 0.83 0.93 1.00 1-1.9 1.00 1.00 0.99 0.98 0.97 0.98 0.99 1.00
2-2.9 1.00 0.98 0.99 0.77 0.76 0.84 0.94 1.00 2-2.9 1.00 0.98 0.94 0.92 0.91 0.92 0.94 0.98
3-3.9 1.00 0.98 0.99 0.81 0.79 0.87 0.94 1.00 3-3.9 1.00 0.95 0.89 0.86 0.85 0.86 0.89 0.95
4-4.9 1.00 0.98 0.99 0.84 0.83 0.89 0.94 1.00 4-4.9 1.00 0.91 0.84 0.80 0.82 0.80 0.84 0.91
5-5.9 1.00 0.99 1.00 0.87 0.87 0.92 0.95 1.00 5-5.9 0.99 0.88 0.79 0.76 0.79 0.76 0.79 0.88
6-6.9 1.00 0.99 1.00 0.90 0.90 0.93 0.96 1.00 6-6.9 0.99 0.85 0.75 0.73 0.78 0.73 0.75 0.85
7-7.9 1.00 0.99 1.00 0.93 0.94 0.96 0.97 1.00 7-7.9 0.99 0.83 0.72 0.70 0.77 0.70 0.72 0.83
8-8.9 1.00 0.99 1.00 0.95 0.96 0.97 0.98 1.00 8-8.9 0.99 0.81 0.70 0.68 0.77 0.68 0.70 0.81
9-9.9 1.00 1.00 1.00 0.97 0.98 0.98 0.98 1.00 9-9.9 0.98 0.79 0.68 0.67 0.76 0.67 0.68 0.79
10-10.9 1.00 1.00 1.00 0.99 0.99 0.99 0.99 1.00 10-10.9 0.98 0.77 0.66 0.66 0.76 0.66 0.66 0.77
11-11.9 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 11-11.9 0.97 0.76 0.64 0.64 0.76 0.64 0.64 0.76
12 UP 1.00 1.00 1.00 1.00 1.00 1.00 1.00 1.00 12 UP 0.97 0.75 0.63 0.64 0.76 0.64 0.63 0.75
9G I HEATING SYSTEM MULTIPLIER HSM
HEAT PUMP COP 2.5-2.6 2.7-2.8 2.9-3.0 3.1-3.2 3.3-3.4 3.5&UP
HSM .40 .37 .34 .32 .30 .29
SOLAR HEATING SYSTEM (BACKUP SYSTEM FRACTION) x (BACKUP SYSTEM HSM)
ELECTRIC STRIP HEAT 1.0
NATURAL GAS/PROPANE/OIL 1.0(SEE TABLE 9D FOR CREDITS)
PTAC&ROOM HEAT PUMPS MINIMUM COP 2.2.HSM FOR COP 2.2- 2.4= .45.
SEE TABLE ABOVE FOR COP>2.4
9H COOLING SYSTEM MULTIPLIER(CSM)
ELECTRIC EER/SEER 7.8-7.9 8.0-8.4 8.5-8.9 9.0-9.4 1 9.5-9.9 1 10.0-10.4 10.5-10.9 11.0-11.9 12.0-UP
CSM .83 .81 0.76 0.72 0.68 0.65 0.62 0.59 0.54
GAS COP 0.40-0.44 0.45-0.49 0.50-0.54 0.55-0.59 0.60-0.64 0.65-0.69 0.70&UP
CSM 1.50 1.25 1.20 1.09 1.00 0.92 0.89
MINIMUM SEER/EER LEVEL 7.8 FOR STRAIGHT COOL OR HEAT PUMPS;MINIMUM OF 7.5 EER FOR ROOM UNITS AND PTHC.
FOR ROOM UNITS AND PTAC CSM FOR EER 7.5-7.7= .87.SEE TABLE ABOVE FOR EER>7.7.
91 1 HOT WATER CREDIT POINTS HWCP)
ELECTRIC RESISTANCE WATER HEATER 0
GAS WATER HEATER 10
INSTANTANEOUS WATER ELECTRIC 4.5
HEATER GAS 12.6
HRU(A/C)WATER HEATER ELECTRIC BACKUP 6.7GAS BACKUP 13.9
HRU(HP)WATER HEATER ELECTRIC BACKUP 9.7GAS BACKUP 14.5
HEAT PUMP WATER HEATER COP 1.60-1.89 1.90-2.19 2.20-2.49 2.50-2.79 2.80-3.00
(DEDICATED HEAT PUMP) CREDIT POINTS 9.0 11.4 13.1 14.4 15.4
OVERALL SOLAR FRACTION* 0.1 0.2 0.3 0.4 0.5 0.6 0.7 1 0.8 0.9 1 1.0
SOLARo= ELECTRIC BACKUP 2.4 4.8 7.2 9.6 12.0 14.4 16.8 19.2 21.6 24.0
HOT WATER ISS GAS BACKUP 11.4 12.8 14.2 1 15.6 17.0 18.8 1 19.8 1 21.2 22.6 24.0
*PERCENT OF ANNUAL HOT WATER PROVIDED BY SOLAR SYSTEM_100=OVERALL SOLAR FRACTION
4
2;ECHANICAL PERMIT#
ADDRESS- PLUMBING PERMIT
g BUILDING PERMIT WORKSHEET ELECTRIC PERMIT
TEMPORARY ELECT.
leated Square Footage l Q 2 @ $_sper sq ft = $
;arage/Shed .•�I @ $ per sq ft = $
;arport @ $ per sq ft = $
'orches @ $ per sq ft = $
)eck @ $ per sq ft = $
'atio @ $ per sq ft = $
TOTAL VALUATION $
'otal Valuation Data 1st $
remainder Valuation @ $ per thousand
or portion thereof
TOTAL BUILDING FEE $
+ k FILING FEE $
FIREPLACE @15 .00 $
TOTAL BUILDING PERMIT $
--------------------------------------------------------------------------------
LUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
LECT. TEMPORARY $ ELECTRICAL PERMIT $
ATER METER SIZE $ ACCOUNT NUMBER
EWER IMPACT FEE $
ATER CONNECTION $ (@10. 00 per fixture unit)
PPROVED BY: TOTAL BUILDING/PLAN FILING FEE $
TOTAL WATER METER CHARGE $
R -D TOTAL SEWER IMPACT FEES $
1Cr1 TOTAL WATER CONNECTION CHARGE $
MISCELLANEOUS CHARGES $
GRAND TOTAL DUE: $
•
t�
r = lcli
PLUMBING WORKSHEET
SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS ,
LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH W R FIXTURE
UNIT INSTALLED AND, CO\TNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY RGE IS HEREBY
FIXED AT $10.00 PER'FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTMG OF LAV RY (1 UNIT)
WATER CLOSET, LAVATORYt
BATH TUB OR SHOWER STALL �� SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
FOUNTAIN 1 UNIT \ URINAL WALL LIP
DRINKING F (� ) ,
(4 UNITS)
FLOOR DRAIN Cl UNIT)
t•:ASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON 3 UNITS)
JET BLOWOUT (8 UNITS)
_ WATE LOSETS, VALVE OPERATED
WATER CLOSETS, TANK-OPERA (8 UNIT
(4UNITS)
_ SHOWER STALL, 01MIESTIC
BATHTUB (_W./OR W/O ERHEAD (2 UNITS)
SHOWER) (2UNITS
LAUNDRY TRAY
BIDGET ( ITS) (2 UNITS)
DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE LZITS @ $10,00 EACH
C7 FOR LAB USE ONLY
State of Florida
Department of Health and Rehabilitative Services f
Office of Laboratory Services
P.O. Box 210
Jacksonville,Florida 32231
DRINKING WATER BACTERIOLOGICAL ANALYSIS 1
SYSTEM NAME: �- t'v� � ' SYSTEM`Ld!NOr *�`•�13�'ju? ���?i`,J; 't: i a i DER DISTRICT:
ADDRESS: �'r" <<^ "� COUNTY: �i���L COLLECTOR:I�•t'v^ �M o
t
nT7SA SITE(Locality or Subdivision): l
C �ect<
RAW TREATED: DATE AND TIME COLLECTED:
TYPE OF SUPPLY(Circle one): C ublic water system Non-community public water system Other public water system
rivate well Swimming pool Bottled water
TYPE OF SAMPLE(Circle one): Compliance Recheck Main Clearance G Well Survey Other(specify)
REMARKS:
TO BE COMPLETED BY COLLECTOR OF SAMPLE TO BE COMPLETED BY LAB
COLIFORM
COLL. ON
NO. SAMPLE POINT ClRES,D pH SAMPLE NUMBER COLIFORM MF/100 ML(303) �00 ML
{�3) TOTAL I FECAL (305)
RAT 13 F9
-SAT SF
- 1 ATI 3"15A C du
M-jS� - F: `3 n
z
��Ja s- ` 'L 1 LA
r
n rR; .
INTERPRETATIONS-RECOMMENDATIONS BY DER OR HRS REVIEWER
SATISFACTORY
UNSATISFACTORY
NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT
RE.SUB MIT
REVIEWING OFFICIAL:
TITLE:
HRS Form 655,Apr 83(Replaces Feb 79 edition)
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:
DATE: //-7 19 ?s
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBEDIN 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 ELECTRICIAN SIGNATURE JOURNEYMAN
NAME G X4' ADDRESS:...Lj QQ S hQf S RFD BOX
BLDG.SIZE BETWEEN:
RES. 1 APT.( 1 COMM.( 1 PUBLIC I 1 INDUS.( 1 NEW Al, OLD ( 1 REW.( 1
ADDITION( 1 TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SO. FT.
SERVICE:; NEW( ., INCREASE( 1 REPAIR ( 1 FEE
OOND SIZE 0 AMPS COPPER( ALUM.
f. K
SWITCH OR BREAKER � AMPS PH3'W � OLT RACEWAY
�
EXIST.SERV.SIZE AMPS PH W VOLT - RACEWAY
FEEDERS: NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN ' TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
*.30 AMPS: 31.100 AMPS,
SWITCHES
INCANDESCENT..
FLUORESCENT.&M.V.
FIXED' i 0-100AMPS. oVSR
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVIR
Fr _ N" Rftw
L A' `# NI7. -1Ih. 1:FAO PIKS
MISCELLANEOUS
Mis:Q RM V
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION /2G "Z-- ��51°r I/✓
PLUMBING CONTRACTOR IVaRTjf FL/f PLvAy 6iL,16-
LICENSE NUMBERS
OWNER
BUILDING CONTRACTOR
TYPE OF BUILDING
-�
SINKS SHOWERS
/ LAVATORY WATER HEATERS
_BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
` DEPARTMENT OF BUILDING �+[� J1
j CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. Q 7 �1"
I
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB It 900 T
Date July 15, 19 85 11 •(IOCKT
s94 1A I1 /01/C
Valuation$ PU$IM Fee$ 31.00 6914 •C 0r A
j a94 1r if/01/9
This permit not valid until above fee has been paid to City Treasurer,and is
1 r2rlt?
subject to revocation for violation of applicable provisions of law.
I
This is to certify that NORM FLORIDA PLUABI '
has permission to W1d ZNSTAU P11MUM
i
i
Classification MSIDENNAL Zone
STANSI L
Owned by
1 Lot Block S/D
House No. 1202 JAS'1T E STREEIC
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
O Building material,rubbish and debris
Z_4 from this work must not be placed
in public space, and must be cleared
( up and hauled away by either con-
tactor,or,owner
Building Official.
FOR OFFICE PERMIT r
DATE CONTRACTOR
USE ONLY NUMBER r4."
I t�
I
I PLUMBING
ELECTRICAL
i
SEWER
WATER
1
I
- DEPARTMENT OF BUILDING.
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. /ham y v41
PERMIT TO BUILD 11 .L�OCStT T
THIS PERMIT MUST BE POSTED ON JOB { T
Date Ju-y 15, 19 85 1490 •00CAC
1316 1 11/11/0
Valuation$ MEGRANWAT, Fee$ 38.00 1 000:
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 14171 TAM & S=
has permission to b1W TNS'TMI. IWAT +§ ATR
Classification Zone
Owned by GEO SI`AME 1.
Lot Block S/D
House No. 1202 J"ME STRM
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
I PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4`—� ♦------► O Building material,rubbish and debris
--II from this work must not be placed
in public space, and must be cleared
= u-p_and hauled away by either con-
tractgf'or dwner.
Building Official.
�r
FOR OFFICE PERMIT DATE
USE ONLY NUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
L=U(LE�If�G AND01': �G INSV (;T1014 DIVISION
CITY OF 1,TLA"1110 BEACH, YLOPUDA
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT—Applioent to cornplofe all items in it-ct'rons 1, 11, M. end IV.
1. On __s:de Of��. �3�Sm�\1C �3T b„t.s.� \b �T[ St. •.d `� M St.
LOCATION (►lortA, Stk.fast,West) IAddreu) (Intersa.ct;wq Str"tt)
OF
rU)L wrw W No Frock He S.rbd;v:►:om
(State porton of lot if lea than fuo to--Nthd Iwtcl daacripl:on per dPed :n dYpl;ut• if fte4*%ary)
u. TYPE OF kPOTOSS tirEECK%NICAL WOP.x — NI epprcants ccwnp�#,. Pew A — o
A. US3 OF WILDING tL OMrIMMIF
RESIDENTIAL IS. Private (;ndiy;d�al, :nrYonCom,
I. Orw family 11. ❑ Utility nnmpnofit imiif►rt:y', eft)
It. ❑ Pubrc (FtdersI. State o+tical tov'er"''Mf)
2. ❑ Two or more tsm;ly— 12. ❑ Se44ol. N rery. —
False pumber of rooms other &,&cat;" C. KAT`UKE OF WORK
3. ❑ Trans:enl. hotel, motet. I?. (� New li+ridinq
►oomimq Fouse— 13. ❑ Store, Mercantile `
Enlar number of
4. ❑ Olhet tes:den6d 14. ❑ OTrER-SPECIFY It. ❑ RsFra;ae.cfit of as;d;mq sYstew
20.x Ntw ;nrtallaton (NO.System r-,.:orsly intt.IWI
NON-RESIDENTIAL 21. ❑ 6teni.on or add-0n to a,;tf:nq ty:4erst.
L. ❑ A,nusement, reu•sl;ona) 22. ❑ Other--Specify
R. ❑ Ckv;sk other rol;q;ows
)• O Industrial .
�. O Garage. serv;ce stoi;om
t. ❑ Hosp;tel. ;ntt;tuf:onal E TYrE OF eUIUNMG
10. ❑ Wilke.bank. profetr;onal 3E. ❑ M tuber of.ier,..c
37. ❑ Wcod frame
D. MECHANICAL EQUIPMENT TO tE INSTALLED 38. ❑ ►laron-y and w-.od
(Provide complete Cst of componanh on beck of that f*-m) 39. ❑ Rainforctd concrete
23. Fu moce: ❑ Space ❑ Roteued '*b4antral ❑ Fww
40. ❑ Siruchral steal
24. Air Comd:lioninq: ❑ Rooms Cent 41 ❑ Ot;or
IS. Dect Syslem. L/afary ��(i\e'rc!
_ Rlsrim6m cap+c;ty Cho,
,�
246 RTONAGE:efs:geral;om --
_
21. ❑ COOZnq lower. Capac;ty q THIS SPACE FOR OFHC* USE ONLY
IR.«yei»d)
JR. ❑ Fire tpr;nllanr Nurn6or of ,nerds
29. ❑ Elastter O M&FLMt ❑ Esu:ate► (number)
3Q O 6atafiwe p�mpt_ __(nurn4.er)
St. Q Tank (nur*E+►) Reenarkt
32. O LM eemta:nerr (nYn+bOt)
33. 0 Unfired prestura vtual Permit A:F'o'ed kry Ota_
34. ❑ UUS
3L. 0 Ofbtr — Specify Permit Fee
III. GENUAL INFORMATION
A' TCN of Aaat;*q tial: B.
IS OTHER CONSTRUCTION EEIMG DOME OM
42."- EV"tric THIS BUILDING OR SITE? C JO.5
I
I
j
DEPARTMENT OF BUILDING
j CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 7379
PERMIT TO BUILD Inerin rL
THIS PERMIT MUST BE POSTED ON JOB It 4 1 t, / J
Date December 30, $5 7x75 00CA
19 4462 1 'I 1
Valuation$ Fee$ 10' 1 1
i
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation off+applicaabbleepprroovisions of law.
lj GORGE S J.tsl SELL
This is to certify that
i
has permission to build
Water Well; S�teBacte ological Test
i
Report for Cerfificate of BBcu�ncy
Classification
Residend al Zone
Owned by George Stansell
Lot 2 Block 204 S/D Sectim H
House No. 1202 Jasmine Street
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
f ; AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
�---� �-----► O Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
up-- nd hauled away by either con-
tr r or �w r.
uilding Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
i
I
ELECTRICAL
i
SEWER
I
WATER
f
i
I
I
FEE $10.00
4
A.PPL.ICATICN FOR WELL PEST
CITY OF ATLANTIC BEAM
'PRCPEMY ' .
Name: �� u STcz .� sem- // Day Phcneb.%z
Address cl get 'gp'.r h e s'7 / . B Z' Zip 3 7-
APPLICANT, -IF
.APPLICANT, -IF O= THAN OWNER
Name: Day phone
Address: Zip
JOB
Address or Location: _ ze .�
Legal Description: ,�,_, „L 1s'/r� G' �.✓ Sr' r ,,.
Any, person, individual, corporation or other entity receiving a pe nit as
provided in Section 22-40 of the Atlantic Beach. Code, and who plans to use
water from the pezmitted well for &=king purposes, must first obtain a
bacteriological test report fmm the State of Florida Health Department,
f9umishing a certified copy thereof to the building department of the City of
Atlantic Beach. A certificate of occupancy will not be issued until said
report is on file with the building department.
Department Notes:
I agree to comply with regulations stated herein:
gnaturV $ate
y
mtta
Standard
itt� :11 the
e ou e
g of c w
S th
Sectio'o l� th com4'lta++c= ith
of as i+�
t1� ents cture'ry
�Q aut to the requlle ua,Lce this stru the follototvti�
v
01
ed purse
r
u .ng that at the imc�istructio+t or Use. r /
iss o � i
,,Cate Qccm`ZN
�ertii $�a$
This certif?"' uildin�
vw,1 t4 C�nauces reg"latt" b
variat{5 Ort
i
UseG�t�*p°n 'Sy!'nco-��
8Y '
Group vote.
o48ud�m8
Op nd�s r�gc
�ildinS �N+t,cn°`�
v ear` in "
�ainB
a
INSPECTION LOG
JOB ADDRESS
CONTRACTOR4At_Al,
S
OWNER
BUILDING RMIT ` / ELECTRICAL PERMIT ^
PLUMBING PERMIT- yr�{/ TEMPORARY POLE PERMIT
MECHANICAL PERMIT / 1rf._ MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved J .E.A.
Temp Pole
Footing
Slab
Framinglow Q
Plumbing (R) (� f't
Electrical (R)
Mechanical
Fireplace
Top out
Other
Electrical (F) _9( / (�
FINAL INSPECTION
Certificate of Occupancy Issued / - - -
COMMENTS:
CITY OF
716 OCEAN BOULEVARD
L P.O.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
January 20, 1986
Pre-Service JEA
233 Duval Street
Jacksonville, FL 32203
The following final inspection has been made and is satisfactory:
J Permit #4844 - 1202 Jasmine St.
Permit #4845 - 1212 Jasmine St.
All permits issued to Brooks $ Linbaugh Electric.
Sincerely,
ene' Angers
Inspection Supervisor