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Permit 1505 Jordan Street CITY OF ATLANTIC BEACH f 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025774 Date 3/28/03 Property Address . . . . . 1505 JORDAN ST Tenant nbr, name . . . . . . REPLACE HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ BROWN, SHEILA SNYDER HEATING & AIR 1505 JORDAN STREET P.O. BOX 16826 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 641-0600 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 9/28/03 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ----------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 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 - BUELDNG 0WICIA BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT IMPORTANT —Applicant to complete all items in sections I, II,III, and N. I. Street Address: LOCATION OF Intersecting Streets:Between And L)Qnaer M, BUILDING Sub-division II. INDENTIFICATION—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 part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Name of Mechanical Contractors / Contractor(Print) Master C AC Name of Property ro vi n Owner Signature of Owner Signature of Or Authorized Agent Architect or En ineer III. GENERAL INFORMATION AT of heating fuel: B. Electric IS OTHER CONSTRUCTION BEING PQNE ON THIS ❑ Gas: _LP Natural Central Utility BUILDING OR SITE? O ❑ Oil .❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BETURE of woRx INST LED Residential or Commercial O New Building "vide complete list of components o ck of this form) � nstmg Building eat _Space _Recessed Central Flo orReplacement of existing system Air Conditioning: Room Centra CI New Iastallatioa(No system previously installed) Cl Duct System: Material Thickness Cl Extension or add-on to existing system Maximum capacity efrn O Other. Specify ❑ Refrigeration O Cooling tower. Capacity m ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY ❑ Elevator: _ lvlanlift Escalator (Number) (Received) O .gasoline pumps i (Number) O Tanks (Number) Remarks O LPG containers (Number) ❑ Unfired pressure vessel ❑ Boilers permit Approved by Date ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer Capacity Approving (Tons) Agency a To HEATING—FURNACES,BOILERS,FIREPLACES Number Units DC c ' t'on Model Number Manufacturer Capacity Approving (BTU) Agency UL— TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency P . 9089 i DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ -------- LOCATION INFORMATION -- Perimit _Number: 9089 Address: 105 JORDAN STREET Permit Type: MECHANICAL .ATLANTIC BEACH, FLORIDA 32233 Class of fork; ALTERATION ---------- LFOAL DESCRIPTION --------- Con s t r . #eonstr . Type. WOOD FRAME Lots B'lock': Section; rcPosed Use; SINGLE FAMILY Township: RN(,',,* O Dwel1hags ; 1 Cadet 0 subdivision: DONNER Estimated Value SO ,'00 "Timprov . Cost ., Total Fees: $O m 00 Amount �d�. BO .`�►�? • Dart. a Mork De ' TRAL HEAT AND AIR ° 3RMAT I ON APPLICATION CATION FEES �. T �ro PERMIT ' ; )", Add;' a4 STREET WATER IMPACT FEE $0 .00 GH FLORIDA , 2 2 $ `� �� $ � � '� �� �� IMPA�"T,� FEE x� � '�0 00 4 BZ Ph AP- so 11110 0 FORMATION - RADON CAB 5 Name^ m A TA 'HEA" & �AjR CAPITAL IMPROVE. 10 .00 Add esR 1 6 " ANT T " ?3I,VL' a.°� .�` .;�. SEWER TAP w: �. ., ± � w,.. .# .... NEPT EACH. FLORIDA 32233 CROSS CONNECTION $0 .00 License, MHAR TyPt SEC R IMPACT FEE S .QO r� CONSTSURCHARGE St? 00 +"H1hRt3E J�ATL 1 �" $0.0 NOTES, NOTICE=ALL CONCRETE FOAMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 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 MECHANICS' LIEN LAW CALT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPRO ATS." , man OLT 119 ' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. city IC AttaIrmiIi ATLANTIC BEACH BUILDING DEPAR MENT BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 31233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Subdivision II. 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 atteclLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Naw* of Mechanical Contractors Cewtractor (Print) fi t/ S Master C 4 93/0 No"N *of yT t Property Owner Sig"ture of Own - Signature of at Authorized Age t 2 Architect or Engineer III. GMEM 140WATION 60 r z1A40f A' T of Mating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Eiactric THIS BUIk.01NG OR SITE? (� Q 6a—❑ LF ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION D OR PERMIT O Otho► — Specify IV. hiIECMANICAL EQUIPMWT TO M INSTALLED ATURE OF WORK (Provide comph h list of compons is on bad of thb form) Residential or O Commercial Heat ❑ Space ❑ Recessed �_* Control O Roof New Building Air CondWoning: ❑ Room (;ACenfrol ' O Existing Building orf Replacement of existing system �t OuN System: Mater6l Ti►kk Maximum capacity 9— '7 c f.m. New Installation(No system previously Installed) D Refrigeration Extension or add-on to existing system Q Cooling tower: Capacity 9. O Other— Specify Q Rw sprinklers: Number of heap Q Hwator ❑ Manlift ❑ EmlaMf 1 ) TMS SPACE POR OFHCE US ONLY Q 6aotine pumps (Iwmbef) (Raaetr+d) Q T••lk (number) Ram*rkt Q LPG contain (numbs) Q Unfked pwssure vessel — - - D Eeihs Fermi► Approved by p Q OtMr — Specify hrrnit a-- LIST ALL EQUIPMENT AM CONDITIONING AND REFRIGERATION EQUEPMENT Number Vnlh Deecdittlon MOW Number K"Uftot um (Torry PSFT-38aa ,, '` 8872 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH; PERMIT INFORMATION - - LOCATION INFORMATION Permit. Number ! 8872 Address 1505 JORDAN tTREET, Permit Type; EUILDIN'C ATLANTIC BEACH, FLORIDA 3223 l Cl a:ss of Work:: REM.ODEL LEGAL DESCRIPTION - - C nst.r Type: WOOD FRAME Lot : Block- Sectlon; 'ropos d Use: SINGLE FAMILY Township: RNG 0 f Dwe 11 n ,s z , I Code , O Subdivision: DONNER Estimated Value* $I2427 ,00 Improv Cost : "l`Aal . e ! , A#lCr, ` ' �AC L. Ig grin Q ONNER d "._ MATICkN ..a -*-f- PPLICATION FEES PERMIT $0 ,00` Adores- N dsTREET k SMPA 'I FEE�'� � $ T C H n T1x �"LC I�E��� .� � � ;� � u���`S � T' �:E I � RADON GAS 3 . $0 .00 � . T T NFORMATi ON RADON CAB 5% p tame w 'PER A ICE f3ZN R ' f40NTR. FLA— CAPITAL IMPROVE. 0.ISO- A ores � E� FE ' SEWER IAP $0 . 00 JACKq ILLS, FL 32211 CROSS CONNECTION0 .00 L i,+; fit` 1 Type: SES"' II IMPACT FEE O D ra„#„ 3�,. ,r x I kk � " NOTES: i. k NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE 1 CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER r "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULTIN THE PROPERTY OWNER PAYING TWICE FOR BUILDING'IMPROVEMENTS." a ISSUI50 ACCORDING TO APPROVED.PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. AtLAN-tICBEACH BUILDING pEP RTME[N 3 > 7 1 1 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS /�4 Owner(s) :-- `-� C'%Ll- ".nClL Address:. 5 a Phone: -2- -t L-5 T-- Lot -Lot Block or Unit # Subdivision: Contractor: vyncinc- ,aJ (L_yh EL Address :. is VL� Phone No `'`'1) 7 �f r �� 71 Describe work to be done: Present use of building: Valuation of Proposed Construction: 22-,, 112- -7, 0L17 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? New 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: Date: Signature CONTRACTO %f �J Date: i' CONTRACTOR'S AFFIDAVIT STATE OF FLORIDA SS —�- COUNTY OF DUVAL BEFORE ME, the undersigned Notary Public, personally appeared (_ZOLJ �­M .�, , who, being first duly sworn by WW; doposes and Says: That on - —'.'7— 1014 0 LL) as owner,,and as contractor, entered into a certain construction contract wrWrehy sald contractor agreed to provide certain labor and materials for said owner upon the following described lands belonging to said owner, located in the City of , County of and State of Florida, to-wit: That deponent is the h�J�Ow Ia"YY0UK I of said corporation, herein referred to as the cont actor, and has personally supervised the performance of said contract. That said contract, has been fully and completely performed, and said contractor and all persons, firms and corporations contracting or dealing with , or directly employed by said contractor in connection with said building operation or in connection with said contract, have been paid in full . This affidavit is made in compliance with the provisions of the Uniform Mechanic's Lien Law as approved June 4, 1935, as revised, Laws of Florida, and to enable said contractor to receive his full and final payment from the owner, under the construction contract above referred to. ' �•..LwwN1�wA �M/l lL1A NM �A /1A TA MA me �t17Q /! ,i PSR-3844 O DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH TIC? I~er2 t I<luber2C)Ir' ddress: 15C?5 JORDAN Rpt. rmi t mbert ELECTRICAL ATLANTIC BEACH, FLOR DA 32233 ,of tracks ALTERATIOiV --- LEGAL DESCRIPTION __ » Cons t.r .. fiy'ge WOOD FRAME ct : PI ock , Section' P` rage,sed Use: SINGLE FAMILY Township: RNG: �► Dw,e 114ngs 1 Code: 0 ubdivision: Donner Es.t11 :v!ted Value: 50 . Improv, Cost: 0 Total Fees: $000, Amount Paid Date ' . ' L circa .amp smo e oetectors !71MO�_J _.. `. --------- .....».. Herne, jqa ERMIT SC) 00 NATER IMPACT FEE $0.00 Addrest , CH, » FLORIDA 32233 S EW 114PACT FEE $0 .00 R +►P ' �0 OCI Flan WAT T ��� 8 x• « < POP14AT I ON ----_ ,- RADON CAB 5% SO .00 Name: FE R. CAPITAL IMPROVE. $0 .00 Address : A,"��7 �S ST SEWER TAP $0.00 I »1A �E g _ `ItCTS. �"C'kiiEG"'1`i�OIV $O X30 License: EIt001 � � Type* Cl SEC H IMPACT FEE $0.00 �� CONST»SURCHARGE $011,00 SCHARGE/ATL BCH 0 Ct0 f WN 1 NOTES: 1 r f NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING f PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE f BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHERCONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT Its 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. s ATLANTIC CH BUILDING EP MENT CITY OF ATLANTIC BEACH, FLORIDA L A,p►owd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Ll Z 1! 94/ _L 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 SPECIFiCATLONS, WHICH ARE A PART HEREOF, AND IN-ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. -�G c 4 ELECTRICAL FIRM: NAME' ADDRESS• © 'a"' � RFD-BOX BLDO.SIZE BETWEENt RES.(f.' APT.t ► COMM.( 1 PUBLIC t l INDUS.t 1 NEW t ► OLD t 1 REW.t 1 ADDITION t ► TRAILER i ► TEMP.1 1 SIGNS ( 80.FT. SERVICE: NEW t I INCRILABE t I REPAIR t l FEE CONDUCTOR SIZE M TCH OR BREAKER EXIST.SERV.SIZE D O PH 3 W �`tv VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.00 AMPS. 3 1.100 AM SWITCHES INCANDESCENT FLUORESCENT d M.V. MIXED 0.100 AMPS. vidt APPLIANCE! f I I I BELL TRANSF. ALR H.P.RATING N.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: MHEAT 0.1 OYR MOTORS H.P. VOLTAGE PHS NO. 1 " VOLTAGE PHS MISCELLANEOUS Z- 37—no r`7-T- t 777 TRANSFORMERS:7 UNDER 60 V. OVER 6CO V. T-1: CITY OF ATLANTIC BEACH --- DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233- Tel. (904) 247-5826 ROOFING PERMIT - -LOCATION INFE�2M4TIOM - _ � Permit Number: 23150 y Permit Type: RE-ROOF Address: 1505 JORDAN STREET '` --,' Class of Work: NEWATLANTIC BEACH, FL 32233 Proposed Use: SINGLE FAMILY Township: Range: Book: Square Feet: Lot(s): Block: Section: Est. Value: Subdivision: DONNER _Parcel Number: Improv. Cost: 4,000.00 Date Issued: 12/11/2001 I 01I1iEF�IIYFt3RMATfON Total Fees: 45.00Name: ALBERTS-ON, DOVER____­­-­: Address: 1505 JORDAN STREET Amount Paid: 45.00 wry' aa> ATLANTIC BEACH FL 32233 Date Paid 12/11/20_01 & ' Work DescREROOF -- , _ 000-0000 hi I CONTRACTOR JACK C. WILSON ROOFIN ON"EELS, OMP 45.00 = � £+x + 4 ¢ A. 471 t taz5 '°c ry 1XIA x`Y w a s NOTICE- INSPiTIflNS $E REQUESTED AT LE;4ST 24 HOW PRIOR T INSPECTION _ . BUILDING MATERIAL, RUBfIAND[3i M THIS WORK PLAC IN PUBLIC SPACE,AND MUST BE CLEARED UP AND H1UL 1OA BY E EI . "FAILURE TO COMPLY WITH5 T1t RESULT IN THE PROPERTY OWNER PAYING TWICE MENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CITY OF ATLANTIC BEACH $45.09 4 Bate: 12/11/81 81 Receipt: 0917 88109093221809 091003221888 CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: SQ 5 �ift1 e " OWNER OF PROPERTY:_ 1JG��V, �`1 `( `�'` TELEPHONE.: ILI ' 1-5V49 CONTRACTOR: Nav 6a n ifts C , Ezc& Tw �-r CONTRACTOR'S ADDRESS: LA 9— E ft� wd ��JJ11 \) - . - /l 113 ZIP: STATE LICENSE NUMBER: �� � Z TELEPHONE. O! -� DESCRIBE WORK TO BE PERFORMED:' K Q� VALUATION OF PROPOSED CONSTRUCTiON y� t MATERIALS TO BE USED: SIGNATURE OF OWNER: �04' SIGNATURE OF CONTRACTOR: SWORN TO AmnnSURGS0Q= THIS��DAY OF 4020— I DIELT►W.BRAY My�OP.uua� AS TO OWN No.DO 013M [1 Pwww0jF v..n` ka NQTArrR��Y PUBLIC SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY AS TO CONTRACTOR NOTARY PUBLIC Liability Insurance Supplied CDMIX.TAW..,!Ri v o.4w Workers Compensation Insurance Supplied NoDO 013M w�iioww�.a Contractor License Information Supplied " Occupational License Information Supplied T 'd S08S-Lbu�-b06 luaw4ueda tui Q PTTnQ dbZ :bO TO Sz nou If RETURN Book 10262 page 431 t4E Notice of Commencement To Whom it may concerns The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following inforuudon is stand in this NOTICE OF COMMENCEMENT. Description of (7"11A C---)MS D T+ L-N" I property_ �41 S' r General description of improvements RE-ROOF Owner Address ` �J�C C�J '�`� 'IQIC i. Q��41 �� 2 ��J Owner's interest in site of improvement Fee Simple Titk holder(it other than owner) Name Address �ntractor JACK C. WILSON ROO N , .OMPA_NY \qr6 Address 4522_,91. AUGUSTINE ROAD TACKSONIi.I.F`FI. 32207 Surety(Lf any).: Address Name and address of any person making a loan for the construction of the improvements. Name Address Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be serveds Nasse Address La addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 121 (b1, Florida Statutes.(Fill in at Owner's option). Name Address O oo4t:Z? 4121) Sworn to and sub d Eon me this Ga e: 431 day of 1) Filed & Recorded 12/11/2001 11:22:39 AA 3IM FULLER LER CIRCUIT COURT DMAL COUNTY 1.00 TRUST FUND 3 5.00 oEtT�w.eai►r RECORDING MY Corm fsp.MM No.DO 013992 C 1 Personaty 00�LR