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Permit 400 Levy Rd (vault Folder) e PERMIT WORKSHEET Certificate of Occupancy Job Address: Type Work: �t.kp Li OU L� 60(u>ou Property Owner: Phone # a49 - L449 9 Contractor: co H �� Phone # t-t . 2 P. Z(-(11?- 44o1 Permit#: Date Issued: V" O c�� - 2� 5(0 Building Inspections: Footing Slab. Tie Beam Lintel Nailing / Sheathing Framing / Cover Up -y c,,4 Insulation d-- L: Final Building ;2. Tree Permit# YES NO Electrical Permit# O, (- �� Date/ Copy to `t JEA Temp, Pole Permit# Date / Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Cq z-q• c)14 Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# G 3 -Z-(_E S G Inspections: Rough 1- ,L. Final Plumbing Permit# _ Inspections: Rough / Underslab Topout Water/ Sewer Final Drainage Inspection: [— Pool Permit# Inspections: Steel Final Grounding Final Roofing Permit# Inspections: Nailing /Sheathing Final Fire Inspection: Failed Inspections: Date Paid: Date Paid: CITY OF ATLANTIC BEACH '-` 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028376 Date 5/26/04 Property Address . . . . . . 400 LEVY RD Tenant nbr, name . . . . . . INST 6 EMERGENCY LIGHTS Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SKAGGS, K. & KIRK RATES TIETJEN TECHNOLOGIES 51 WEST 7TH STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-4499 (904) 270-0070 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALI.CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Ce IMK, B DING OFFICIAL CITY OF ATLANTIC BEACH s ELECTRICAL PERMIT APPLICATION J Date: -';�1117'V �� 40 Property Address: Owner: z�k qL Telephone #: 2y1- Contractor: _ ]�L�Z�r� /r�/��o/d �1 /vt Telephone #: Contractor Address: �� Gt// nth S�� f/ %��/j 3,1, 33 Fax#: Q:?& / YO 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 ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ❑ Residence ❑ Temp. ❑ New being done on this building Or site,list the building Old �ff_ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. �( Repair Conductor Size: AMPS: COPPER ALLWNUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATfNG H.P. RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600 V QVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road.Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Cityy of Atlantic Beach *** CtfSTONER RECEIPT *** Dper: D514ITH Type: OC Drawer: i Date: 5/26/04 01 Receipt no: 59216 Descri tion Quantity Amount 14 28376 BP BUILDING PERMITS 1.W $70.00 Tender detail CK CHECKS 9783 f70.H Total tendered $70.00 Total payment $70.00 Trans date: 5/26104 Time: 14:34:09 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD w =: ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 F Z 1 J,it Application Number . . . . . 08-00000564 Date 4/28/08 Property Address . . . . . . 400 LEVY RD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc WATER SERVICE REPLACE BACKFLOW PREVENTER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ ATLANTIC CLAY ASSOCIATES DAN BRYANT PLUMBING P.O. BOX 331275 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 242-9256 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 49 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/25/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 49 . 00 49 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 49 . 00 49 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 07- n, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 n OFFICE:(904)247-5826•FAX NO.:(904)247-5845 J BUILDING-DEPT@COAB.US Hill PLUMBING PERMIT APPLICATION DUVAL COUNTY �) �O P�Ck NO Atlantic �^ i Beach FL 32233 ❑YES PERMIT 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: �- LC, �LM NAME OFC PAANY: { 8.ADDRESS.' Y D4.) l` la v MS?C 1,�'• veb�cS� 9�STA O FLO ICEN E NQ;_ 1 . ©P ONE--� f 7 11.FAX NQ.' r 9a `-.EMAIL AD RES P M i �c P 13.OFFICE PHON3 3 ✓' 14. Application is hereby made to obtain a permit to/do the work aan�d installations as indic d. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit become n I and void if work is not cTe . 'thin six(6) months,or if construction or work is suspended or abandoned for a period of six(6)mo the t anylt me after nk is c f CONTRACTORS SIGNATURE: 62-1 ❑ NEW ❑ RE-PIPE BATH TUB SEWER CONNECTION BIDET SHOWERS DISH WASHER SHOWERS PANS DISPOSAL SINK DRINKING FOUNTAIN WATER CLOSET TANK FLOOR DRAIN WATER CLOSET VALVE HOSE BIB WASHING MACHINES ICE MAKER WATER CONNECTION INTERCEPTOR WATER HEATER LAVATORY URINALS LAUNDRY TRAY 71 OTHER(SPECIFY): � SEE BACKFLOW AND IRI�ATION PROCEDURE SH ET li' ROOF DRAIN W R-,re_rr Se5 �(i( 2"i 'l<ep(,-rLe- ,tee" � L,,� AIsT is l( [n�"�r� �(�E?r v i C e- PERMIT ISSUING FEE: $35.00 TOTAL FIXTURES: x $7.00 (PER FIXTURE) + $35.00 = COAB FORM BLDG03:REVISED:8/13/2007 CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 V INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027569 Date 2/04/04 Property Address . . . . . . 400 LEVY RD Tenant nbr, name . . . . . . ENLARGE SHOWROOM Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 35000 Owner Contractor ------------------------ ---------- --- -------- - -- KATHY SKAGGS & ROBERT KIRK COMMERCIAL CONSTRUCTION GROUP 400 LEVY ROAD 525 ATLANTICT BLVD. ATLANTIC BEACH FL 32233 SUITE 3 (904) 249-4499 ATLANTIC BEACH FL 32233 (904) 249-4401 -------------------------------------------- ------------ --- ----------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Sub Contractor . . ESTES HEAT & AIR, INC. Permit Fee . . . . 79. 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79. 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 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. r T . BUILDING OFFICIAL rs CITY OF ATLANTIC BEACH ��ff MECHANICAL PERMIT APPLICATION eroS f; Date: Property Address: �f®� 6f1/,V X-L� Owner: 4T/q/d1r1d 8�C/l 67"S Telephone#: Contractor: 65755 /+ '774/ f1,4112 ..DJD' Telephone#: c) la�v2 Contractor Address: // 1W4,a.s%j P,01A)1- 12b Fax#: ,,2q1_3 q 82 r eGN, c 3 zzio 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. Type of Heating Fuel: If other construction is being done on this building -0r site;list the building-permit-number: Electric ❑ Gas: LP Natural Central Utility �^ ❑ Oil Q ��rsZ�e� �o ❑ Other Specily MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK )IL Heat _Space _Recessed X Central _Floor ❑ Residential Jilt Air Conditioning: Room X Central JX Duct System: Material FLE Thickness )it Commercial Maximum capacity ❑ New Building ` ❑ Cooling Tower:Capacity _ >zpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— ManliftEscalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel (3 Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manuficbuer Ton's Agency CoAl7,)6uSE2. ��!�,I' 0 6 8/2 fur i 2AUUy- /L 1419 091,(I7"- J HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving L�How Man &Dixons Contained Manufacturer No. 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800- Fax: (904)247-5845- http://www.ciatiantic-beach.fLus sans City _o_�f Atlantic Beach *** CUSTOMER RECEIPT *** Oper: DSMITH Type: OC Drawer: 1 Date: x/04/04 01 Receipt no: 31086 Description 2�OQuuantity Amount BP BUILDING PERMITS 1.00 179.00 Tender detail CK CHECKS 1577 179.8 Total tendered 179.00 Total payment 179.00 Trans date: 2/64/04 Time: 12:32:29 Pull- N v'�j, CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD t, ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026554 Date 7/23/03 Property Address . . . . . . 400 LEVY RD Tenant nbr, name . . . . . . REPLACE EXIST.COMM.HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SKAGGS, KATHY & KIRK, ROBERT MADDENAIRE INC. P.O. BOX 60335 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32236 (904) 781-8060 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 119 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119.00 119.00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 119 . 00 119 . 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. BUILDING OFFICIAL � Jr� r, CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: 7 2 v � Owner of Property: I\A-T4-4� Sk a6,C,� Job Address: y C) O L E V Y R D , Contractor: M'6'D 6 C—:0-p"I QE' ZtiJ C, 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. III. GENERAL INFORMATION A. Type of heating fuel: B. N Electric IS OTHER CONSTRUCTION BEING DONE ON THIS ❑ Gas: _LP Natural _Central Utility BUILDING OR SITE? �j n ❑ Oil ❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK INSTALLED LJ Residential or X, commercial ❑ New Building (Provide complete list of components on back of this form) & Existing Building Heat _Space _Recessed X Central _Floor 10 Replacement of existing system Air Conditioning: Room Central ❑ New Installation(No system previously installed) ❑ Duct System: Material Thickness ❑ Extension or add-on to existing system Maximum capacity cfin L3Other-Specify El Refrigeration ❑ Cooling tower: Capacity nom ❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY LlElevator: _ Manlift_Escalator (Number) ❑ Gasoline pumps (Number) (Received) ❑ Tanks (Number) ❑ LPG containers (Number) Remarks ❑ Unfired pressure vessel ❑ Boilers Permit Approved by Date ❑ Other—Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units escription Model Number Manufactuzer Capacity Approving ;x p2!Aq!19@Er4 <!pp*W (Tons) Agency RIP C.,j utv,t N4Po -PA4K Cots 4Ar ak &- ['l U L 4 Coop ,`I' aA6E(104?Alo6A Ame 9to. W W- HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving BT Agency 'TW o 11IoR A4V6& j0Kk) VL Ste. TANKS How Many Nominal Capacity Type Liquid Name of Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800•Fax:(904)247-5845• httn://www.ci.atlantic-beachft.us 1/14/03 m m Ln co AC# 0 4 6 0 2 41 STATE OF FLORIDA DEPARTMCTIAND PROFESSIONAL IT CNSTRUONINDRYENSBARSEQ#L02061800361 0 T.Tcr.XSE 1zm JI/200210312-12204 1r-Ar!Q43c4A6- The CLASS B AIR CONDITIONING CONTRACTOR Named below IS CERTIFIED Under the provisions of Chapter 489 FS. Expiration date: AUG 31, 2004 U z MADDEN WILLIAM JAMBS MADDERIRE INC W W 6642 SAN JUAN AVE P O BOX 60335 JACKSONVILLE FL 32210.2860 Z: W JEB BUSH KIM BINXLEY-SEYER a GOVERNOR DISPLAY AS REQUIRED BY LAW SECRETARY ct s L STATE OF FLORIDA 1DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD (850) 87-1395 1940 NORTH MONROE STREET TALLAHASSEE FL 32399-0783 MADDENAIRE INC P O BOX 60335 JACKSONVILLE FL 32236-0335 STATE OF FLORIDA AC# 09313600 I DEPARTMENT OF BUSINESS AND s a� PROFESSIONAL R GULATION QB0003127 06/04) Q3 200457001 QUALIFIED BUSINESS CRGANIZATION MADDENAIRE INC (NOT A LICENSE TO P RFORM WORK. ALLOWS COMPANY TO D BUSINESS IF IT HAS A LICENSED Q ALIFIER.) I9 QUALIFIED under the prow eione of Ch.489 FS. azpir•cion data: AUG 31, 2005 L03060400734 DETACH HERE AC#0930600 STATE OF FLORIDA DEPARTMENT OF BUSINESS AND PROFESSIONAL REGULATION CONSTRUCTION INDUSTRY LICENSING BOARD SEINLO3060400734 I � - LICENSE NBR ! 706/024T/20031700457001 IQB0003127 The BUSINESS ORGANIZATION Named below IS QUALIFIED Under the provisions of Chapter 489 FS. I Expiration date: AUG 31, 2005 (THIS IS NOT A LICENSE TO PERFORM WORK. THIS ALLOWS ! COMPANY TO DO BUSINESS ONLY IF IT HAS A QUALIFIER. ) i MADDENAIRE INC 6642 SAN JUAN AVE JACKSONVILLE FL 32236 JEB BUSH DIANE CALRR GOVERNOR DISPLAY AS REQUIRED BY LAW SECRET Y Z 'd ESTb 18L *06 ONI 3diuw30QbW d8T :20 60 62 IAC Jul 23 03 02: 17p MRDDENAIRE INC 904 781 4153 P• 1 Florida Department of Agriculture and Consumer Services Bureau of Liquefied Petroleum Gas P.O. Box 6720 Tallahassee, Florida 32399-6720 License Number: 02876 Busines r.Mailing Address Licensed Location Address MADDEN RE INC MADDENAIRE INC P O BOX 335 6642 SAN JUAN AVE JACKSO ILLE,FL 32236-0335 JACKSONVILLE.FL 32236-0335 The liqu fled petroleum gas license at the bottom of this form is valid ONLY for the company located t the address on the license. Each business location of a company must be licensed. All LP Gs licenses must be renewed annually. Any license allowed to expire shall become inoperat ve because of failure to renew. The fee for restoration of a license is equal to the original cense fee and must be paid before the licensee may resume operations. Pursuar t to Chapter 527, Florida Statutes, LP Gas licensees must present proof of licensure to any con umer, owner,or end user upon request when engaged in the business of servicing, testing, epairing, maintaining or installing LP Gas systems and/or equipment. For Tutu e correspondence, please make any needed corrections or changes to your business mailing ddress and/or your licensed location address and return the UPPER PORTION with correct' ns to: Florida Department of Agriculture and Consumer Services Bureau of Liquefied Petroleum Gas P.O. Box 6720 Tallahassee, Florida 32399-6720 �G Cut Here Y State of Florida Department of Agriculture and Consumer Services ` Division of Standards License Number. 02876 x'30; Bureau of Liquefied Petroleum Gas Expiration Date: Auqust 31.2004 (850)921-8001 Date of Issue: September 1,2003 POST LICENSE License Fee: $200.00 CONSPICUOUSLY Tallahassee, Florida Type and Class: 0408 Liquefied Petroleum Gas. License SPECIALTY INSTALLER C -APPLIANCES, EQUIPMENT AND PIPING GOOD FOR ONE LOCATION This license is issued under authority of Section 527.02,Florida Statutes,to: MADDENAIRE INC 6642 SAN JUAN AVE JACKSONVILLE, FL 32236-0335 CHARLES H.BRONSON COMMISSIONER OF AGRICULTURE Jul 23 03 02: 13p MRDDENRIRE INC 904 781 4153 P. 3 2002-2003 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 32202 PHONE: (9041630-2080 FAX: (904)630-1432 Note - A pertalty is imposed for failure to keep this license exhibited conspicuously at your establishment or place of business. This license is furnished in pursuance of chapter 770-772 City ordinance codes. MADDEN, WILLIAM %JAMES 07 MADDENA RE, INC PO BOX 410335 JACKSO ILLE, FL 32235-0335 COUNT NUMBER: 050471-0000-7 LOCATION ADDRESS: 6642 SAN JUAN AV 32210-2860 DESCRIPTION: QUALIFYING AGENT, CONTRACTORS Countj License Code: 770.000-005 County Tax: NIA Municipa License Code: 772.325 Municipal Tax: $100.00 Total Tax Paid: $100.00 VALID FROM OCTOBER 1 , 2002 TO SEPTEMBER 30, 2003 RCPT# : 001/6 /9075/0134/08052002 DATE: 8/02/2002 AMT: $100.00 ATTENTION 'The Following Construction Contractors Require Additional Licensure*** ALARM POOL ALUMINUM/VINYL RESIDEN IAL BUILDING ROOFING ELECTRI AL SHEET METAL SOLAR MECHA iCAL PLUMBING IRRIGATION GENERA CARPENTRY WATER TREATMENT UNDER OUND UTILITY HEATING AIR CONDITIONING REFRIGE ATION This is an occu tional license tax only. It does not permit the licensee to violate any existing regulatory or zoning laws of the County or City. Nor does it exer pt the licensee from any other license or permit required by law. This is not a certification of the licensee's qualification. d-Y�X—lr TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION �� d .�5"n.�, .:, �� '' � �� it ,�, h� ��; 3 -- r ;� � w ��'�r . -�. �* � . �:. Y � �' 1i� k ''b'..;i' Jul 23 03 02: 13p MADDENAIRE INC 904 781 4153 p. 2 2002-2003 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE and/or COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 32202 PHONE: (904)63D-2080 FAX (9041630-1432 Note - A pe alty is imposed for failure to keep this license exhibited conspicuously at your establishment or place of business. This license is furnished in pursuance of chapter 770-772 City ordinance codes. MADDENAI tE, INC 07 GEORGE d MADDEN, PRES PD BOX 6)335 JACKSONV LLE, FL 32238-0335 A COUNT NUMBER: 022902-0000-8 LOC TION ADDRESS: 6642 SAN JUAN AV 32210-2860 DESCRIPTION: CONTRACTOR, ALL TYPES County License Code: 770.307-001 County Tax: $11.25 Municipal License Code: 772.309 Municipal Tax: $66.25 Total Tax Paid: $77.50 VALID FROM OCTOBER 1 , 2002 TO SEPTEMBER 30, 2003 RCPT# : 001/6219075/0131/08052002 DATE: 8/02/2002 AMT: $77.50 ATTENTION 'The Following Construction Contractors Require Additional Licensure*** ALARM POOL ALUMINUM/VINYL RESIDEN IAL BUILDING ROOFING ELECTRIC L SHEET METAL SOLAR MECHANI AL PLUMBING IRRIGATION GENERAL CARPENTRY WATER TREATMENT UNDERG OUND UTILITY HEATING AIR CONDITIONING REFRIGE TION This is an occupat nal license tax only. It does not permit the licensee to violate any existing regulatory or zoning laws of the County or City. Nor does it exemp the licensee from any other license or permit required by law. This is not a certification of the licensee's qualification_ TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION Jul 23 03 02: 13p MADDENRIRE INC 904 781 4153 p. l 2002-2003 OCCUPATIONAL LICENSE TAX LYNWOOD ROBERTS OFFICE OF THE TAX COLLECTOR CITY OF JACKSONVILLE: and/or COUNTY OF DUVAL, FLORIDA 231 EAST FORSYTH STREET ROOM 130, JACKSONVILLE, FL 32202 PHONE: (904)630-2080 FAX: (904)630-1432 Note - A p nasty is imposed for failure to keep this license exhibited conspicuously at your establishment or place of business. This license is furnished in pursuance of chapter 770-772 City ordinance codes. MADDENA RE, INC 07 GEO J M MOEN. PRES PO BOX 10335 JACKSON ILLE, FL 32236-0335 COUNT NUMBER: 022903-0000-4 LOCATION ADDRESS: 6642 SAN JUAN AV 32210-2860 DESCRIPTION: PUBLIC SERVICE OR REPAIR, NOT SPEC County License Code: 770.323-079 County Tax: $33.75 Municipal License Code: 772.326 Municipal Tax: $66.25 Total Tax Paid: $100.00 VALID FROM OCTOBER 1 , 2002 TO SEPTEMBER 30, 2003 RCPT# : 001/62/9075/0132/08052002 DATE: 8/02/2002 AMT: $100.00 ATTENTION ***The Following Construction Contractors Require Additional Licensure*** ALARM POOL ALUMINUM/VINYL RESIDEN IAL BUILDING ROOFING ELECTRICAL SHEET METAL SOLAR MECHANICAL PLUMBING IRRIGATION GENERAL CARPENTRY WATER TREATMENT UNDERG OUND UTILITY HEATING AIR CONDITIONING REFRIGE TION This is an occupatnet license tax only. It does not permit the licensee to violate any existing regulatory or zoning laws of the County or City. Nor does it exemp the licensee from any other license or permit required by law. This is not a certification of the licensee's qualification. TAX COLLECTOR THIS BECOMES A RECEIPT AFTER VALIDATION HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Jul 23 2003 1:11pm Last Transaction Date Time Twe Identification Duration Pages Result Jul 23 1:09pm Received 904 781 4153 1:16 3 OK HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Jul 23 2003 1:16pm Last Transaction Date Time Twe Identification Duration Pages Resul Jul 23 1:14pm Received 904 781 4153 1:19 3 OK Jul 23 03 02: 57p MRDDENRIRE INC 904 791 4153 p. l ACORD-. CERTIFICATE OF LIABILITY INSURANCE 0DATE(MMMD/M 6/06/2003 PMaODuc R (407)78,1-3000 FAX (407)788-7933 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Insurance Office of America, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 150 N. Westnx te Drive ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 1622 ltamonte Spri gs, FL 32716-2207 INSURERS AFFORDING COVERAGE ILIRED Haddenai , Inc. INSURER A: St. Paul/USF"& G - - P.O. Box 0335 INSURER W. Hartford Insurance Company- 7acksonvi le, FL 32236-0335 INSURER C: FINSURER 0: INSURER E COVERAGES THE POUCIES OF INS JRANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, ERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE IN 3URANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGA E LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 1N3R TYPE OF INS JRANCE POLICY NUMBER POLICY EFFECTWE POLICY EXPIRATION RATE MMAD DATE MM/OD LIMITS GENERALLIABLITY BKOlZ956S9 01/20/2003 01/20/2004 EACH OCCURRENCE S 1.000,000 X COMMERCIAL GE NERAL LIABILITY FIRE DAMAGE(Any one Ira) S 300,0 CLAIMS MADE D OCCUR MED EXP(Any one person) S 10,0001 A PERSONAL&ADV INJURY S 1,000 GENERAL AGGREGATE S Z.000, GENL AGGREGATE LI 1IT APPLIES PER: PRODUCTS-COMPIOP AGG S 2,000, POLICY D jE LOC AUTOMOBILE LiAB)LI COMBINED SINGLE LIMIT S ANY AUTO (Ea accident) ALL OWNED ALIT S BODILY INJURY S SCHEDULED AUI S (Perperson) HIRED AUTOS BODILY INJURY S NON-OWNED AU1 DS (Per accident) PROPERTY DAMAGE $ (Per accideral GARAGE LIABILITY AUTO ONLY-EA ACCIDENT S ANYAUTO EA ACC $ OTHER THAN AUTO ONLY: AGG S EXCESS LIABN-ITY EACH OCCURRENCE $ 2L000,000 -i-1 OCCUR CLAIMS MADE AGGREGATE S 2,000,000 A BKO1295659 01/20/2003 01/20/2004 S DEDUCTIBLE y RETENTION S g WORKERS COMPENSA ION AND 21WBVDW159S 06/23/2003 06/23/2004 X TORY un STs ER EMPLOYERS'LIAB B E.L.EACHACCIDEHT S 10010 EI_DISEASE-EA EMPLOYE S 100,0 E.LDISEASE-POLICY LIMIT I S S00, OTHER DESCRwTION OF OPERATION ILOCATIONSIVEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTNSPECIAL PROVISIONS RTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL City of 3acksonville 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Mechanical Inspection BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABIurY 220 E Bay St 4100 OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Jacksonville. FL 32202 AUTHORMEDREPRESENTATIVE Richard Dalr le/MICIA ACORD 26S(7197) ®ACORD CORPORATION 1988 HP'OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 Jul 23 2003 1:55pm Last Transaction Date Time Type Identification Duration Pages Result Jul 23 1:54pm Received 904 781 4153 0:49 1 OK wr.eww . A Cit yy of Atlantic Beach eae UTXR RECEIPT **t Oper: DSMITN Type: OC Drawer: 1 Date: 7/23/03 01 Receipt no: 76618 Description Quantity Amount 2803 26554 BP BUILDING PERMITS 1.00 $119.08 Tender detail CK CHECKS 24715 $119.00 Total tendered $119.N Total payment $119.00 Trans date: 7/23/03 Time: 14:57:47 City of Atlantic Beach *" QETOH MEMIPT oet ppa�rra DMIIT14 Types OC Drawers 1 we: 1/26/!4 #I Receipt Bea 2m Descry*!" 27Q tity Amount BP BUILDING PEIMI76 1.N IM.2 CK detemail Im M31 Total tendered SMS Total payoent SM.':G Trans dates 1/26/+14 Tinea 120506 CITY OF ATLANTIC BEACH c 800 SENIINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00027569 Date 1/26/04 Property Address . . . . . . 400 LEVY RD Tenant nbr, name . . . . . . ENLARGE SHOWROOM Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 35000 Owner Contractor -- ----- ----------------- ------------- - ------- --- KATHY SKAGGS & ROBERT KIRK COMMERCIAL CONSTRUCTION GROUP 400 LEVY ROAD 525 ATLANTICT BLVD. ATLANTIC BEACH FL 32233 SUITE 3 (904) 249-4499 ATLANTIC BEACH FL 32233 (904) 249-4401 ------------------------ --------------------- ----------- --------- - ---------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 205 . 00 Plan Check Fee 102 . 50 Issue Date . . . . Valuation . . . . 35000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 205 . 00 205 . 00 . 00 . 00 Plan Check Total 102 . 50 102 . 50 . 00 . 00 Grand Total 307 . 50 307 . 50 . 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. k � BUILDING OFFICIAL CITY OF ATLANTIC BEACH D Ford ins ' BUILDING / ZONING DEPARTMENT S S. DDoeerr9rr • � 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 rti (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 4- 2 7 s�a I • Property Address: `'t oc, LcEu c4 '�P Applicant: Project: This permit application has been: C .Approved Reviewed and the following items need attention: Please re-submit7r application when these items have been completed. Reviewed By: Date: 7 T l ?t1'L'1w� CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET 'art Date: Address "Lt�i� Heated Square Footage @ $ per sq ft= $ Garage/ Shed �-'� @ $ per sq ft= $ Carport/Porch $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: Total Valuation ist $ Remaining Value $ . per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ ZONING: C C + % Filing Fee $ FLOOD ZONE: X ( ) Fireplaces @ $35.00 $ 0 IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ WATER IMPACT FEE $ , SEWER IMPACT FEE $ WATER NIETER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON HRS .0050 $ SECTION H PAVING ( ) $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ 1/13/03 u x CITY OF ATLANTIC BEACH rl BUILDING PERMIT APPLICATION (FOR INTERIOR REMODEL) Date: t -- 0 Job Address: It V Y F'N o A D, / 7-4A At T 1 A c.t-1- r Owner of Property: KA T r+Y S KA C,th 5 k; t,o R ;e-- Address: LAddress: 4-0o I-E V Y K o A v Telephone: ++ Legal Description: Block Number: 2-4-2- Lot Number: tf" Zoning District: Contractor: CoM M Ek c.r^L Co,✓ Ti2crr,,«,,GR.ca TA/C. State License Number: G$C- 0:2-2-2-O 8 Contractor's Address: Jr.Z G A-ri- writ- i3t-vb. ArLA NT,c- 8e-14 F.Lr 3 2233 Telephone: + ¢ © Fax: + '�- Describe proposed use and work to be done: fZ NA./' 9-&z E S 1+o w X vh r-A Present use of land or building(s): C&m wj c 4c-(A L_.. Valuation of proposed construction: 3 E K New electrical or increase in service? N o Add plumbing fixtures? 111 0 Add fireplace? Al o Add heating/air conditioning? Z T-bW "//:3 TIZV a m17-- Is approval of Homeowner's Association or other private entity required? MO If yes, please submit with this application. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. Please submit Building Permit Application,Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor, and two(2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone:(904)247-5826 In addition to construction and engineering detail,plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I hereby certify that all information provided with this application is correct. 01 Signature of Property Owner: Date: l'r,2a d 7 I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ei.atlantic-beach.fl.us Page 1 Revised 1/15/03 governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and co d that the pl ds g data have been or shall be provided as required. 7 Signature of Contractor: �/L` Date: Address and contact information of person to receive all correspondence regarding this application (please print). Name: Bol`i 6r/Lo"t- AolC_ Mailing Address: SZ 5 LAy rt e- 131-yP. Sot T-E .3_ Ar4,4-At7-,,f- t3e_o¢ f-L 3 -Z3 3 Telephone: 2.4'4'"'4-`x-01 -Fax:-2-+ + 1©4"" E-Mail:4V/4C0/Ver-0"1'6 $ECG,SO"rt "ET AS TO OWNER: Sworn to and subscribed before me this day of 20 State of Florida,Co\ " �I�ar��'i�� ;,o°41,arY 1-2 Notary's Signature: •.� ab�;• #DD081429 yeti Personally known .9 Bon�dN : �� ❑ Produced identification 'ii9`'•T'3�arninsx;:•'F�q-' Type of identification produced *1 i�U/BUC,•ST Aja AS TO CONTRACTOi&II►IIIII111�\\ Sworn to and subscribed before me this . day of 3l vl v&r _,20 V `1 State of Florida,County of Duval Notary's Signature: jW , JESSICA GRAVENOR ❑ Personally known Notary Public,State of Florida My comm.expires Aug.24,2007 Produced identification �y No.DD 244294 Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us Page 2 Revised 1/15/03 PREPARED 8/06/03, 8:36:35 INSPECTION TICKET PAGE 7 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 8/06/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 400 LEVY RD SUBDIV: TENANT, NBR: REPLACE EXIST.COMM.HVAC CONTRACTOR MADDENAIRE INC. PHONE (904) 781-8060 OWNER SKAGGS, KATHY KIRK, ROBERT PHONE PARCEL 171073-0000- - APPL NUMBER: 03-00026554 MECHANICAL ONLY ------------------------------------------------------------------------------------------------ PERMIT: MECH 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ 34 01 8/06/03 LJ M FINAL TIME: 08:00 1''0 _ 7 1-8060 -------------------------------------- COMMENTS AND NOTES -------------------------------------- City �o�f�� Atlantic Beach a" CUSTiJlER RECEIPT *" Oper: "ITN Type- Dates /29/04 01 ReeceeiC Receipt 30045 Description Quantity Anount O4k 27569 BP BUILDING PERMITS 1.00 153.80 Tender detail CK DECKS 8432 153.80 Total tendered 153.80 Total payeent 153.80 Trans date: 1/29/04 Tise: 14:10:22 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 ` N INSPECTION PHONE LINE 247-5826 s f?li >r Application Number . . . . . 04-00027569 Date 1/29/04 Property Address . . . . . . 400 LEVY RD Tenant nbr, name . . . . . . ENLARGE SHOWROOM Application description . . . COMMERCIAL INTERIOR BUILD OUT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 35000 Owner Contractor ------------------------ -- ------------------ - --- KATHY SKAGGS & ROBERT KIRK COMMERCIAL CONSTRUCTION GROUP 400 LEVY ROAD 525 ATLANTICT BLVD. ATLANTIC BEACH FL 32233 SUITE 3 (904) 249-4499 ATLANTIC BEACH FL 32233 (904) 249-4401 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc WIRE FOR CINT Sub Contractor TIETJEN TECHNOLOGIES Permit Fee . . . . 53 . 80 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- --- ------- ---------- Permit Fee Total 53 . 80 53 . 80 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 53 . 80 53 . 80 . 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. BUILDING OFFICIAL A CITY OF ATLANTIC BEACH s ELECTRICAL PERMIT APPLICATION Date: Property Address: Owner: -,A.-/hkG�-�i��, S�S��, r/�'1" �5 Telephone #: Contractor: f e ��i� jl�y�>o/® ��1 �,yc Telephone #: JO D�iO Contractor Address: �' S' �� Fax #: 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 accordarn.e with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New ❑ Residence ❑ Temp. ❑ New being done on this building Old Commercial ❑ 5i ns ❑ Increase Or site,list the building g Permit number: ❑ Re-wire ❑ Addition Sq. Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. G i h Gc�/�9 Fixed 6.100 AMP9 OVER BELL Appliances TRANSFER. Air H.P.RATING d21L H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR✓ // OTHER MOTORS AMPS .�t� HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UND R600V VER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous /& 800 Seminole Road . A lantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us City of Atlantic Beach e+* CUSTOMER RECEIPT +*e Oper: CKOMOREK Type: OC Draper: 1 Date: 7/30/63 61 Receipt no: 77980 Description Quuaantity Aaount 265 BP BUILDING PERMITS 1.00 $42.66 Tender detail CK DECKS 8763 $42.66 Total tendered $42.00 Total paysent $42.06 Trans date: 7/30/63 Tive: 12:02:36 CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD -� ATLANTIC BEACH FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026590 Date 7/30/03 Property Address . . . . . . 400 LEVY RD Tenant nbr, name . . . . . . 200AMP, 1PH, 3W, 120/240 Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ ATLANTIC BEACH POTTERS R & R ELECTRIC COMPANY P.O. BOX 62238 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32219 (904) 768-6166 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date 1/30/04 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 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. y ` q. ' BUILDING OFFICIAL �S r171:P1 CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 7-28-200320_ 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 CONTRACTOR: R & R Elec ric of NojEh Fl. , Inc. MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY: Atlantic Beach Potters JOB ADDRESS: 400 Levy Rd. RES.( ) APT.( ) COMM.(X) PUBLIC( ) INDUS.( ) NEW( OLD(vf REW.( ) ADDITION( ) . TRAILER( ) TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW INCREASE( ) REPAIR ) CONDUCTOR SIZE AMPS: COPPER( ) ALUM.( ) FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE D AMPS PH W OLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL 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 CEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOU Heat UNDER 600V OVER 600V TRANSFORMERS: NO. 1KVA NO. IKVA NO.NEON TRANSF. [RO VA MA I MOTOR SIZE SWITCH FLASHERS EACH SIGN 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atiantic-beach.fl.us ReviceA 01/17/03 01/:i6/2e04 96:03 9043396014 ATLAWIC POTTERY SUP PAGE 05 t Preperad by: Q 4-- _ t7 o Z 7 567 R.Gene Aldridge,Esquire Akerman Sentwwfitt 50 North Laura Street,Suite 2500 Udcsonville,Florida 32202 ' Book 11607 Rage 983 27691.142729 Return to: oc 00 4957 ContarBenk of Jacksorlvilla,N.A. 1607 1325 Hendricks Avenue Pages: 983 — 987 lacksmVilte,Florida 32207 "R3 0 "'`` Filed & Recorded 01/n/2004 03:08:17 PM JIM FULLER CLERK CIRCUIT COURT . 5 MW. RETURN DW COMMRECORDIN s 21.00 FW S 3.00 PERMIT NO. PHONE#�CC Tax Folio No. COPYTFEE s 5.00 CERTIFY S 1.00 WjlCE OF CQMME , EMENT STATE OF FLORIDA COUNTY OF DUVAL The undersigned hereby gives notice that Improvement will be made to certain reel property, and in accordance with Chapter 713 Florida Statues, the following information its provided in this NOTICE OF COMMENCEMENT, 1. Description of property to be improved: Lots 1 through 5. Block 242, SECTION "H", ATLANTIC BEACH, according to plat thereof as recorded in Plat Book 18, Me 34, of the current public records of Duval County, Florida. 2. General description of improvement: Renovations to an existing building. 3. Owner: Atlantic Clay Associates, LLC Address: 400 Levy Road, Atlantic Beach, Florida 32233 Owner's Interest In property to be improved: Fee Simple Fee Simple Title Holder (if other than owner): Name: N/A Address: N/A 4. Contractor's Name, Address and Telephone Number: Commercial Construction Group, Inc., 525 Atlantic Boulevard, Atlantic Beach, Florida 32233 (904) 249- 4401. S. Surety(if any): Address: Amount of Bond: $ Telephone No.: 8. Name of person making a loan for the construction of the above irt)rovements: Name: CenterBank of Jacksonvilie, N.A. Address: 1325 Hendricks Avenue, Jacksonville, Florida 32207 (JAI 53M;I l Book 11607 Page 984 Telephone No.: (904) 421-3720 7. The name, address and telephone number of persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name: Ms. Katherine A. Skaggs Address: 400 Levy Road, Atlantic Beach, Florida 32233 Telephone No.: (904) 249-4499 8. In addition to himself, Owner designates Gregory A. Bossow, Vic -President of CenterBank of Jacksonville, N.A., whose address is 1325 Hendricks Avenue, Jacksonville, FL 32207 to receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date is specified) a~ Dated this day of January, 2004. ATLANTIC CLAY ASSOCIATES, LLC By: Obert C. Kirk, Member and Operating Manager By: Christine E. Kirk, Member and Operating Manager By: Zz�� Katherine A. Skaggs, M er and Operating Manager 400 Levy Road Atlantic Beach, Florida 32233 (JA153694;1) i S 01126/2004 05:03 9043390014 VLANTIC POTTERY 5UF F4GE pG Book 11647 Rage 995 3;k Telephone No.: (804) 421-3720 7. The name, address and telephone number of persons within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)(7), Florida Statutes: Name: Ms. Katherine A. Skaggs Address: 400 Levy Road, Atlantic Beach, Florida 32233 Telephone No.: (904) 249-4499 S. In addition to himself, Owner designates Gregory A. Bossow, Vice-President of CenterBank of Jacksonville, N.A., whose address is 1326 Hendricks Avenue, Jacksonville, FL 32207 to receive a copy of the Lienor's Notice as provided In Section 713.13(1)(b), Florida Statutes. 9. Expiration date of notice of commencement (the expiration date is one year from the date of recording unless a different date is specified) Dated this -�e day of January, 2404. ATLANTIC CLAY ASSOCIATES,iLLC By: Robert C. Kirk, Member and Operating Manager By: Christine E. Kirk, Me r and Operating Manager By: Katherine A. Skaggs, Member and Operating Manager 400 Levy Road Atlantic Beach, Florida 32.233 {]A233694;2} i Y r Book 31607 Page 986 + t STATE OF FLORIDA COUNTY OF DUVAL The foregoing instrument was executed and acknowledged before me this oll. day of January, 2004, by Robert C. Kirk,-61 iee--E-4rk and Katherine A. Skaggs, as the sole Members and Operating Managers of Atlantic Clay Associates, LLC, a Florida limited liability company, on behalf of the company. They are personally known to me or did produce cS1 ;yRo �� as identification. NOTARY PUBLIC sign print_ { a ' fvrL — State of Florida at Large My Commission expires: THERESA FARNELL * * MY COMMISSION i DD 210374 EXPIRES:July 13,2007 �r�fEOF Fl y' Bid Thru Budget Notary SeNtcas {JA153694;1) 01/2;/2004 06:03 9043390014 ATLANTIC POTTERY SIP PAGE 03 m . y _ Book 11647 Page 987 1A STATE OF ft9t COUNTY OFtNs+r/ 4e foregoing instrument was executed,, ad acknovAedged before me this day of January, 2004, by Re' —=Ahristine E. Kirk and Kafhffp"-*� 9kagge, as the sole Members and Operating Managers of Atlantic Clay, Associates, LLC, a Florida limited liability company on behalf of the company. They ade personally known to me or did produce f", -..'� 1>r.�/• , as identification. NOT sign_ __r print s►..+sac State of �,�, My Commission expires: 0.1boNsa Ceppe�r e 12DXMM {JA133694;1) e P,%LAAr zi F�0RI OF ADDITIONS or CORRECTIONS � • • REMOVE JOB ADORE DATE THIS OB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 3� e d LV $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time of approve the installation. After additions or corrections have been PLUMBINGmade, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. B A CITY OF ATLANTIC BEACH APPLICATION FOR SIGN PERMIT NAME: &6CJ7 ADDRESS: TdU L_, VV RLxan! PHONE: J41q - 9� TYPE OF SIGN: y(��,�� SIZE: 2 . PROPOSED LOCATION: L.6 V t/ L� WILL THE SIGN REQUIRE AN ELECTRICAL PERMIT? N,4 ELECTRICAL CONTRACTOR: Signs over fifty (50) feet in area, and/or any sign which is more than seventeen (17) feet above the ground, or any sign weighing more than one thousand (1,000) pounds, must be submitted with drawings from a registered engineer. Signs with a solid area greater than thirty (30) square feet must be erected to withstand a wind pressure of at least thirty-five (35) pounds per square foot. Drawings must also show that weight of sign will be supported by the roof or ground support on which it will be erected. This application must be submitted along with the following: 1. A plot plan of the land, showing the position of the sign in relation to buildings or structures. 2. A blueprint or ink drawing showing the plans and specif- ications, and the construction and/or attachment to the building or in the ground. 3. Other information as may be required under Sec. 17-2(b) , Code of Ordinances, City of Atlantic Beach. APPLICANT SIGNATURE: OWNER SIGNATURE: Date: e� _�D Rev 6tC� PP p j�PNt\N� oo\cl a\ 1 i t r n�f 'A `uhf .K.......... £� hr yV: r CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING Boo SEMINOLE ROAD ATLANTIC BEACH,FL 32233-TEL. 247-5826-FAX: 247-5B77 PERMIT INFORMATION _ _ LOCATION INFORMATION Permit Number: 20599 `T Address: 400 LEVY ROAD Permit Type: SIGN ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW 1 Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est.Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 9/07/2000 Name: FOWLER MANUFACTURING Total Fees: 35.00 Address: 95 LEVY ROAD Amount Paid: 35.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 9/07/2000 Phone: (904)246-4886 Work Desc: ERECT S SIGN FOR ATLANTIC BEACH POTTERS _ --_— -- _- —_�—_APPLICATION FEE CONTRACTORS,- _ SIGN-A-RAMA PERMIT 35.00 Inspections Requjmd ------ NOTICE _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" FSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. f35.8A 14 �6-6toT Date: 9J11189 Al keceipt: 998b8bs ATLANTIC BEACH BLI D 88188883221000 4867 DEPARTMENT' OF 601LDiNG CITY OF ATLANTIC,,"H. T PC T t N .L Po TTON 1vittJTILITTES EACH '13tDA fl ast, of 140ek.NEW, LtdA D +C1 I PT ION TY MASONRY SR 1CK1 B I c �k Lo r Twp; + . Pro0sod Uze:CONNERCIALSept ioh R SUM: .` �+�c D ezllin4 t D Subdiv sidii: TAP,I~ave Cost., Q A0 Amount Pa" 01.00 , tea. P . D! ' 5IEVY ROAD "SIR JA RIMIT APPLICATION `ERS 0.0011y Cdr: WATER IMPAcT PRE A t RIDA 3 ERk 21�iE�Ale ,78t :00 home. cap' c . a o f. NORTH L� P �IItINC d ST. AUT FLORIDA 32095 Lio C EP't NDTE - NOTIM-!NSPECTHMS MUST BE REQUESTED A=LEI T`2A 46ii PA.10II 70"t SUE ?hN MATERIAL, RUBBISH AND,[?EBRlS FROM THIS WORK MUST NOTBE PLi4UE0 lid PUBLIO SPACE,ANR MUST PE6L At ED UI'AND HA XEP' AVVIAY BY EITHrERbONTRACTOR t FI,,.O R ` LUi E +C M 'I.Y WITH THE MEmcs-' ;�� 1. ►W �.' T P PE T1 ' Efl PAYING TWIGBt l,�� o �MPRt��t �� I$SI;,IED'ACCORDING", APPROVED:PLANS WHICH ARE PART OF THIS PERM#`C ANb SUSJ T TO �GKTtCI Y �OF 'PLICABLE"PROViSIC $"OF LAW. ATLANTI CH BU! ING' EF!AFfi'�'MENT '�'� Bl+�. CITY OF 1 t 44461 Ve4d - &Ya4 800 SEMINOLE ROAD - -- --- ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904) 147-5800 FAX(904)247-5805 Date : November 25, 1998 Bob Fowler P. 0. Box 508 Atlantic Beach, FL 32233 Re: Fowler Manufacturing Dear Property Owner : , 00 Levy Road The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main S Water Tap - Labor and Materials to tap into water main S Water Meter -- Cost of Meter $ Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention S * Sewer Impact Fees - Funds future expansion of the sewer plant $ 2,780.00 Water Impact Fee - Funds future expansion of the water plant S Capital Improvement - Funds for improvements , expansion or replacement to water system S TOTAL COSTS $ 2,780.00 If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely, ,Q Don C. Ford 140 Building Official DCF/pah * Based on 2 warehouse bathrooms and 700 sq. ft. office. CITY OF �G"ew �eac! - �� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5145 TELEPHONE(904)247-5800 FAX(904)247-5805 Date : Dear Property Owner: The costs to connect your building to the City sewer and/or water system are as follows : Sewer Tap - Labor and Materials to tap into sewer main S Water Tap - Labor and Materials to tap into water main $ Water Meter .- Cost of Meter $ Cross Connection Inspection - Inspection by Public Works to ensure backflow prevention S Sewer Impact Fees - Funds future expansiond c) of the sewer plant S J Water Impact Fee - Funds future expansion of the water plant Capital Improvement - Funds for improvements , expansion or replacement to water system $ TOTAL COSTS $ .Cry If you have any questions concerning these charges please call the building department at 247-5826 . Sincerely, Don C. Ford Building Official DCF/pah PSR17537 DEPARTMENT OF SUILD1140 CITY OF ATL ANTIO 6EACH err6it Numbert , 17531A WesIVROAD Permit T pp".1 PLUXBTVO� ;.. �"�.D � ISA 32133' as a> a wt rk t LTERAT I ON' ------� � �� 1� 8C 1,PT I O ---- --- C, 0 _..-_- 00 ra -'T `P`e-:N&9O jtY/SR'ICK Block- Tvp 6 Proposed 0*.e'tCCS'NNXRCIAi+ 5eQ3t3,t�T1. 0 u�d� Ftns�. (} wel I in4s- Q Subdi srf;s a 's t Nall4ell ; C t?tl' Total r4es:: Amount Pai, 'Date Phi 918 77 r�rk 'D4sc't SER UPON PAYMENTOIC" I PA 1_T r, ES 77 w OII � - - - = APPLICATION PE3 .��». E 25-010 A T ORIIDA1,2233 7 44. lee(, CON T aam :� CE'�HINC 'T, ,m x3209.5 y e NOTE: N t71C1* IN MST JST$E REQUESTED AT 4"Do PRIOR To Tl�3tV M BUILDING MATERIAL, Rt18�tSM ANt3 [?EBRlS FROM THIS WORK Mt18T NOT BE p :E0 iN pl'm SPACE, ANC?MLIS"F'BE CLfARE© UP ANCA"14AAULED AWAYBY i ISR,Gf?NTRACTOR aR OWNtA71 " 64 w' 'It"li THEM 9E UL ROP 'O" 'P G TWIM. FOR", tS �f~}ACCORDING TO APPR01/ Q Pti4NS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO.RF ''QCr9TION 1=OI �tIt3N OF AQP# LICABi E PRC7VIWNS OF LAW. ATLANTIC CH BUlLDIIVG P ;TAAENT 99i k CITY OF ATLANTIC BEACH APPLICATION FOR PLi1MBING PERMIT JOB LOCATION: ` C)b Z}yi- Fog, OWNER OF PROPERTY: - �(4 (e a=- TELEPHONE NO.--q 7 q PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS : l j �, �L� S .�r�CG, a �'&Pl sr STATE LICENSE NUMBER: C Eco t9 S TELEPHONE: gt4y-)744- HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS j SEWER u WATER REPIPE OTHER TOTAL FIXTURES: x $3 .50 + $15. 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: " �„!4. ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 > k . . . � 26© �P. \ . . a � q*o U) o &\ƒ k . $ f \a> 4 gG 7� co $A- -0 A-0 . �� I�u �\ CP \ $ \ ® . « lcr o® � � & FOR O Da Permit #• - . ..Fee$ A... ........ CITY OF ATLANTIC BEACH Valuation $------- --.--y.. FLORIDA House #--- --.-. st.41-j... .. .. APPLICATION FOR BUILDING PERMITf " ----------------- --- - ---- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. DILte............ t... . ---------•// --------•------._._, 19L Owner. _O' ="� .................Address_ �� .. � �r --------------- Architect •- .--- Telephone No. Architect---•--------•-------------------------••-------•----•---.-------_---------------------•---------Address............_...-------•••--.....--_.._......._.............Telephone No------------------ ------ t ,t�s.y,.. .--------•--•-----.Address..........................•----•----------------............Tele Contractor Builder-------------------•--- phone No. - -------- ------------- .._ Lot No.]T- _�. ` .f.. - - -------Block No....... � r.-------Sub Division--•-- '�- --- .. ..Zone............. ----- .- .0 ..r-----�:_..----- - -- -----Street-•---------------------Side Between......................---------- ..........and------------------------------------------------------Sts. $ " '� -_-__-:For what purpose will building be used..-. .: ..s".._ .Type of construction - Valuation _, ___..1�!.. .. Dimensions of Building--.... f _._. -_ % _._-_-Dimensions of Lot..-.._�..'i�--- �`__.�?...�.�....Size of Footings......, � e Size of Piers.----- -t3-- I------------Size of Sills-------------- ----Greatest Sill Span in ft---------------------------Type Roof... ---+-�--.. How will Building be Heated?_---..........................._._-._-._._.-_..._--_-._-_Will Building be on Solid or Filled Ground?.-.._ .4,?_''".................... Size of Ceiling Joists------------------------------------------- Distance on Centers............................................. Greatest Span....................---..................... » Size of Floor Joists------_------------------------ ---- Distance on Centers----....-- -----------------_-•- Greatest Span-------------•--------_--------------------- » Size of Rafters----------------- ----- -------- , Distance on Centers....... -----............................. Greatest Span---....-- •-••-------•---•---•---•--- » 4,olt , ►1r &h• `^�'A This rectangle is to represent the lot. 0 Locate the building or buildings in the ., c * ► right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. ' 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. le'Tw ' 4. When framing is completed. a p 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. W o 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF'LOT 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 building regulations of the City of Atlantic Beach. Signature of Builder Address ......... Signature of Owner.-- v.-•-•--_•_.: \ ____��:�.`.... *-: �` 1.` ..__ -------------- Address � . A, e .*ARTW NT:'012,It 011 1tNt,� 1TY dE ATLANTICOEACH; a r FORM Off,TTQN TfOr RNA XON Address ,r LACAC .;piwrjnl ,T R164 3X33 JU Q ,, Wo P' Cbaatt. Type' ;,. VOOD ;FRANZ Lot: t P apcowd "U "s RETAIL'',, TORE SUbdi,,.r s 1p WP ? Q Jda ..• N NT �_ T�'« RR1"tXT * 2".40 ROAD av Addrem W4 f so.Old "1r r 1 W;R. a R �1N IA N. s S. R .. os AA W�� wA`T R ' , fl Adel : TMISEWEf D'. +C 'Svc*,18 , 322, W; 'PACT R . NOTES: s . No-r10EA{:1C8Mo1 EntoNttS�► @'FOOT1NOS MUST6EI�tSPSC�t�S�Ic?CRS.PE1UkiNG -. PERNi{IT VC31D SIS MONTHS AFTER DATE C1F 140 ' SUIi.[31NG At1ATER1"AL,"R'UE3SkSH,1 SID D SHFS RC9M THIS WORK MIDST NOT St=PLACED'IN PUBt.tC SPACE,-AND I+AUST BE PLEA RED UP'AND.HAULED AWAY t "1 ti;ER DlsITRACT4R OR 01NNER ANIC ISSUED ACC'ARDI14 TD APPROVED p!A 8'1 tilCH-ARE PART CF THIS PEA Atm 1�J�CT It?td FOR VIOLATION OF l#PPI.tGAtE E Pt3twtttSF.t A11V t . ATLANTtC BEACH SUM DING DEPAR TMI:RIT: By: at ,' CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s): FOWLER INVESTMENTS, INC. Address: 400 LEVY ROAD Phone: 246-4886 ATLANTIC BEACH, FLA. 32233 Lot #__L-5_ Block ;or Unit # 242 Subdivision Sec. H Contractor: CONSTRUCTION INDUSTRY LICENSING JACKSONVILLE, FLORIDA 32201 Address: P.O. BOX 2 Phone: State License No. RC 40098 Describe work to be done: Re-Roof Gravel Roof with Smooth Surface Materials to be used: 30#*Felt - 15# Fiberglass Felt - Wide Face Eave Drip and Top Coat with Aluminum Fibered Roof Coating Signature OWNER: - Date: 7/231 Signature CONTRACTOR: QUIP APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME le, - MAILING ADDRESS--Z G-j,--------- — y —le —__ ----------------- PHONE NUMBERDATE SERVICE SERV ICE REQUESTED Z r -- L_ � 7 i., _ ej�' ,_/'�1. --==�� ------ ------------i-- _�_✓_ 2�_: -i-- �- c----------------------------- SERVICE LOCATIONi _ �_________ ------------------------------------------------ DATE SENT TO �� DATE RETURNED PUBLIC WORKS - .� --9 Z _f 1 1 DATE OWNER NOTIFIED_______________ 4,a�xk A 6 14 n) f l-vlL(rLC- S- I've. v 2 / �/C� r a s ,� JAN 2 4 /1-s I` �!�'d l 2 Building and Zoning y r APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME___ / - � MAILING ADDRESS__ PHONE NUMBER �' "- G � DATE SERVICE REQUESTED--------------- - '--�1- ------------------------------------ �� SERVICE LOCATION----1le�?)------------ --==-',� ----------------------- ------------------------------------------------ DATE SENT TO / DATE RETURNED PUBLIC WORKS j 7 `9 2- TO BUILD. DPT. _ - DATE OWNER NOTIFIED_____________________ p- owl f c Zia4 JAN 2 41992 to building and Zonin �__ v . y R. W. Fowler and Associates, Inc. Corrosion-Resistant Reinforced Plastics 400 LEVY ROAD P.O. BOX 508 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)246-4886 FACSIMILE(904)241-8056 WAREHOUSES:ATLANTIC BEACH&LAKELAND,FLA., MOBILE,ALA.•NASHVILLE,TN March 31, 1992 City of Atlantic Beach 800 Seminole Road Atlantic Beach, FL 32233 Attention: Mr. Don Ford Reference: Sewer Hook-Up 400 Levy Road Dear Don: Enclosed is floor plan as requested showing all bath facilities. Please advise our cost for hook up and regular service. Kindest regards. Sinkly, R. R. W. FOWLER AND ASSOCIATES, INC. RWF:pvb Enclosure 710 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATTOR hermit Number. 7103 Address : 400 LEVY ROAD Permit Type: MECHANICAL ATLPaI�I7'I BEACH, FLORIDA 32233 C.I*ss cif work: N ----------- ----------i�BDESCRIPTION -��-_-y--�---- z Constr. Type: MASONRY/BRICK Lot : Hloc : ection: Pioposed ?Use: OFFICEBUILDING Township RNG; l�ael Ings ; 1 cadet D subdivisiow, RE ima t ed Value: $0C 01 Improv. Cost : $CI tit? Amou $49,,00 Etat /26/93 Work De � RAL HEAT AND AIR IN EXISTING' BUILDING --- TI4i - - ,��.�� API' .ICATI ?R PEB . , __ $4 9 0 0 OAD, AT. R IAC FES 040 a�?D wn i H FLORIDA , SSR IN A YFFEEtitin �` 1"Z4, t ^'" 4 s< ly RADON" ADCN" GAS-H. R.5 6 {3,.OBJ 77 w , . FOkMATI N` .... t'AD { C'.. M m+e E R OMM RE , G A/C NATER -TAP, $0 ,00 ..row EL.T,I. U }l M.mm S t R.. ' I? � 4,.Dt . I ACKF. LE 1+L '32205 HYDRAULIC SHARE $0 .00 i.den� 0 Type. 0 CAPITAL ; IMPROVE 100 EC.H IMPACT FEE so . NOTES: i a NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED"BEFORE'POURING PERMIT VOID SIX MONTHS AFTER.DATE OF ISSUE ` BUI,1 EIING MATERIAL,RUBBISH AN6DEBRIS FROM THIS WORK MUST NOT BE-PLACED IN PUBLIC SPACE,AND MUST BE CLEAtD UP AND HAULED AWAY BYITktER CONTRACTOR OR OWNER "I A ;t.URE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN I PROPERTY OWN:EIR PAYING TWICE, FORBU1LDlNL3 IMPRCJ1!!EMENTS " TINE.: 12:01 PN ISSIaI "ACC4RQING 70 APPROVED PLANS WHICH ARE PART OF THIS,PERMIT AND SU=VT TO REVOCA vx FOR V#O{:ATION OF APPLICABLE PROVISIONS OF LAW. TEirl l 09.00 T91E111T NIR: Mvll l T , EACH BUILDING DEPARTMENT w.. Z"U.t>tN:`�" ..'h,3`�'%'d6an "_� �S`a..... ... r- .n+. i_ .. y1+C.',„. .l ,Y v_.m•.w e n.. 3u A ,. a�23. '� BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC PEACH. FLORIDA 32233 APPLICATION FOR MECHANICAL- PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, 11.,III, and IV. I. fjD Lc� LOCATION Street Address: v OF Intersecting Shoals: letween !�� (t S- r� + And WILDING Svb•dirition 11. IDENTIFICATION — To be completed by all applicants In cornsiderNion of permit given for doing the wort as described in the obeve statement we hereby agree to re•lc•m Laid .o•t WA the sttactod plant and spocifications which are a pert hereof and in accordance with the City of Jacksonv Pe ordimaeces a^a of good practice listed therein. Name of Mechanical Contractors f� ® Q PI �"' Coatraater (►fiat) �u.c j ( Master ••7 Nare of Property Owner Sigaahrre of Owner Signature of w Arrtirermod Agent Architect or Engineer t%" lt1. GENERAL INFORMATION A• ;rzc ating W. B. IS OTHLR CONSTRUCTION [[INO OON[ON / THIS WILDING OR $119 1 �f ❑ Ges—❑ v ❑ Natural ❑ Central Utility IF VES. GIVE NUtAGER OF CONSTRUCTION ❑ Oa r P[RMIT ❑ Otkor — SpWfy IV. MICHI111tCAL MUIPMONT TO RE INSTALUD NATURE OF WORK Ifcomplete list of eompoaeats on back o21clontrel form) U1 Residential or WCommercial Heat ❑ Space [3 loco" D Roar C7 New Building Air CoMrtroaing: (3 Room Contra, m Existing Building 'Oecf System: Moterfe D i fTaIedl®— VNew Replacemelit of existing system Maximum capacity installation(No system previously installed) ❑ Refrigoratiort ❑ Extension or add-on to existing system ❑ Coofiag tower: Capacity ❑ Other — Specify ❑ Fin soriaklem: Number of beasts Q Hewter Q Misalift ❑ Escalate r Inumber) THIS SPACE POR OFFICE USS ONLY ❑ reon"o pumps`. (number) (Re.e VWI ❑ TOAR (osin°bor) Romarks ❑ LPG ceateiaen Inumber) Q Ue&ed pro"We ver" ❑ l.af�a Permit Approved by Dos• Q hirer— Specify hrmit Fay Uffr ALL EQUIPMENT AIR t OM"ONING AND REFRIGERATION EQUIPMENT ,,) Num>ser Valu. DwerlpUost Rode!Number Stant bMr jy A mC7 i4 ae 4 T,9,71t,, CXjvf CITY OF l*&w,z 6e Ve4 - 9&rides 1200 SANDPIPER LANE - -- ---- ATLANTIC BEACH,FLORIDA 32233-4381 TELEPHONE(904)247-5834 FAX(904)247-5843 November 6, 1998 VIA CERTIFIED MAIL P 198 269 100 Mr. Robert Fowler P.O. Box 330508 Atlantic Beach, FL 32233-0508 RE: 400 Levy Road Dear Mr. Fowler: On November 4, 1998 while working on the Levy Road Improvement Project, the contractor broke through the top of your septic tank which was located in the City Right-of-Way. This septic tank is in the City Right-of-Way and will need to be pumped out and properly abandoned by breaking the bottom of the tank after it is pumped out. Mr. Don Ford, Building Inspector for the City of Atlantic Beach, and I are requiring this work be completed within one week of receipt of this letter or the City will perform the work and bill your utility account for the property. It is essential that this work be performed within this time frame since the present condition presents a safety and health hazard. Please note that since the existing septic system is in the City Right-of-Way it must be abandoned. We require that the property be connected to the City Sanitary Sewer Service and arrangements can be made at the Building Dept. If you have any questions please contact me at (904) 247-5834. Sincerely, Robert S. Kosoy Director of Public Works cc: Jim Jarboe, City Manager Donna Kaluzniak, Asst. to P.W. Dir. Harry E. McNally, Plant Div. Dir. Ernie Beadle, P.W. Inspector Don Ford, Building Inspector DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 9723 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date k1x"],; Valuation$ Fee$ SO-00 5 11,00 t This permit not valid until above fee has been paid to City Treasurer,and is 1 1n,nOCKT subject to revocation for violation of applicable provisions of law. I/I I/9 This is to certify that FOWLER MANUFACTURING 4 400 LEVY ROAD i�?f101 has permission to bjjid TEMPORARY OFFICEJMOBILE.TOR SIX MONTH PERIOR AS APPRnyF.n BY TM CITY COMMISSION Classification INDUSTAZAL Zone Owned by FOWLIER MANUFACTURING Lot Block S/D House No. 400 LEVY ROAD 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 G C 4—--1110 O Building material,rubbish and debris 1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- ! tract9; or owner. /uild tg official. I FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER MultILOffice . IT { STANDARD EQUIPMENT Models MAC-1250 & MAC-6012-4 • Seven 8'Two-Bulb Fluorescent Lights. • Tile or Carpet • Storm Straps. • 8'Sheetrock Ceiling • 17 Gallon Water Heater. • Double Insulation&Wrapped in Foam Core. • 200 amp.Service. • Medium Cabinet in Bath. • Central Heat&Air Conditioning. MODEL MAC-1250 N v V 14 v 47,-o„ MODEL MAC-6012-4 v v �'rc ioi•v6 6'nviiv' Czoxr Aac►Q cc r ibet sr-a' 6 SEVERAL VARIATIONS OF THIS MODEL AVAILABLE CITY OF r�r�ic �eac� - �eaiida 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249.2396 May 10, 1988 Mr. R.W. Fowler R.W. Fowler and Associates, Inc. Post Office Box 508 Atlantic Beach, Florida 32233 Dear Mr. Fowler: The City Commission at its regular meeting of Monday, May 9, 1988, approved your letter request for temporary office space at 400 Levy Road at the rear of your present offices. It is our understanding the unit to be installed meets all Florida State codes and will be tied down in the conventional manner. The sanitary facilities will not be hooked up since these facilities are already available in your permanent building. Please contact Rene' Angers in Atlantic Beach City Hall if you require any additional information. Sincerely, Richard C. Fellows City Manager cc: City Clerk ene' Angers FOR OFFICE USE ONLY • Date----- ate------ ----195 Permit #---- P ---- Pf Fee $---e - y- ---I-A29 TOWN OF ATLANTIC BERc# Valuation $.#- FLORIDA House #---------------------------------------------_--------- .......... APPLICATION FOR BUILDING PERMIT --------------------------------------------------------------------------- ---------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Z— Date. ---------------- 194_7 / Owner-------Ier C7 -Ar-2.1---/------- ------------------Address--------------__---------------------------------------Telephone No.------------------------- Architect---------- ------------- ;;;;�------------ ------r------------------Address----------------------------------_----------------------Telephone No-------------------------- Contractor Builder--- --------------Address--------------------------------_---------------- --------Telephone No.------------------ Lot o------__---------- Lot ------------Block No. ------Sub Division---- ------14--a-n--d-----------------------------------Zone------- /,-,(/-------Street-------------------------Side Between_------------------------------------------- C4 Valuat _0_40__!�4or what purpose will building be used- constructioi - ---X-1v A__;i1Y-Y ,AW Dimensions of Building.--- --Q'_--_-----Dimensions of Lot-_. --------—--------------------------------Size of Footings--- —-------- Size of Piers------ -------------------Size of Sills.-----------------------------Greatest Sill Span in ft---------------------------Type Roof--.--,o,--,-/41t./`Ci_-/` ----------- How will Building be Heated?-------__----tel/a ............._-_-.-.--_.--Will Building be on Solid or Filled Ground?---.---_. -------- Size of Ceiling Joists--------------------------------------I Distance on Centers----------- __--------------------------., Greatest Span------------------------------------------- Size pan--------------------------------------------Size of Floor Joists-----------------------_------------------., Distance on Centers-------- _------------------------------- Greatest Span---------------------------------------- ------ 92 Size of Rafters--------------- --------------------------------- Distance on Centers- --- ---------------------------------, Greatest Span----------------------------------------- IV This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with 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 and/or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. E-4 E-4 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. U2 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. 4"K FRONT OF LOT 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 building ' I I regulations of the Town of Atlaaiq -each. Signature of Builder.-'---- ------ ........ ............... Address------------------------------------- Signature of Owner-------------- ----------------------------•-----------------•--------------- Address._-----------------------------___------------- �. � h «. ��`� ��4 z� r �� 1 .._ . . � � �� 2 . . � � \ <�}� ; � � . � ��\ . � / .�\ � . « f:� \ . f : �2 � � \� �� < . - � � %��« � . . \ � ^ \ �\ ��\. � . \ �ƒf : � �/� � . . . : � � � ©�� . � \ � �/ . . \ . \ ��\ \� � w§ /: � : � � /�� < . \ w <\ ` `\ . � FOR OFFICE USE ONLY Date-...... 7k 19 ------ Permit ..Tee CITY OF ATLANTIC BEACH Valuation WJ0 ... ....... FLORIDA, House *24....�47.. .......... ............................................................................ APPLICATION FOR BUILDING PERMIT ............*............. ....... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Ji Date.__..__._ Y`.-••---•-••-.......__........................ 19............ Owner...,� . . . ._.Telephone No............................. Architect--_----_ .. .... ---------------..............................................Address,.........................................................Telephone No...................--------- Contractor Builder------1- K' Address............................................................Telephone No-_-----........r--)-------- Lot No...................................................Block No..J-.YJ�...------Sub Division...... 7e ---------------------........-_.......Zone.,., .. t ...... .... ............................................................Street-_------_--- -------'Side Between----------------- -- --------•• �-------V--,• .....................................................Sts. Valuation $....... ....... -----For what purpose will building be used.... ........Type of construction... Dimensions of nIu ----,ding --------- X._K6-----------Dimensions of Lot.........-...... .....................................Size of Footings./;� Size of Piers------__41--7-------_----------Size of Sills........Y00 ----I.,--------Greatest Sill Span in ft...... 0.............Type Roof_.... ............ How will Building be Heated?...............................• ...--.----Will Building be on Solid or Filled Ground?............._.........._........_....._ ...................... Greatest Span------Z�........................... Size of Ceiling Joists-..-----4 ........... Distance on Centers.-......... Size of Floor Joists------_--_---/..............................Distance on Centers......... .............. Greatest Span....__:!�....................... Size of Rafters---------------------!'..... ................Distance on Centers. .......... ............... Greatest Span---._.._. ................. This rectangle is to represent the lot Locate the building Or buildings in the right position. Give distance In feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in plate and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of perml r doing the work as described in the above statement, we hereby agree to perform said an specifications, t'ons' work In accordance of shed lana and specifications, which are a part hereof, and in accordance with the building y regulations of the City eB . ........ Signature of Builder. . . ....... ... .... ....................... Address..__......---.-_.._..--• ......................... .........------................ .. ... . ... ............. Signature of Owner.... .... .. ... ............................._ .................................................................. ` 1 s 6ITY OF ATLANTIC BEACF APPLICATION FOR PLUMBING PERMIT PERMIT NO.� _ Date : LOCATION Street �., �, _ D S LOT N0. ,�' BLOCK N0. I OWNER -�- - ✓� . ��; '~ f" MASTER PLUMBER r Bldg. BUILDER OR CONTRACTOR =` {.F BMs' Permit_NTO,. TYPE OF BUILDING SIEKS_Z LAVATORY BATH TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS OTHER TOTAL FIXTURES - <.1 .00 '� NO WORK MUST BE DONE UNTIL A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and. description of the size -.and location of all the soil and vent pipes, and the number and location of all fixtures, (in accordanne with Ord1nance no. 188 of the City of Atlantic Beach, Flc)rida) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY ) ROUGGH-IN INSPECTED MaARYS FINAL INSPECTION: � �.tr �� TIFICATE ISSUED: 2-� 400 LEVY RQ� OF ATLANTIC Bu EEEnACH 1561 1 ATLANTIC BEACH, LU&Tr=T SECTION H JOB LOCATION FOWLER INVESTMENTS PERMIT# SUBDIVISION PLUMBING OWNER NAME PHONE ADDITION SKINNER PLUMBING INC. OFFICE BUILDIN, LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE v CLASS OF WORK ¢' CONTRACTOR INSTALL ADDITIONAL FIXTURES PROPOSED USE w 2 ROUGH PLUMBING AM WORK DESCRIPTION INSPECTION REQUIRED INSPECTOR O F cr f z DATE INSPECTED/, l a BY APPROVED REJECTED ❑ 7 COMMENTS CC OF ATLANTIC BEACH � 4oU LEVY t�tT� U DIN DEPARTMENT i6so i� ATLANTIC BEACH, lb SECTION H JOB LOCATION FOWLER INVESTMENTS" PERMIT# � 3 SUBDIVISION MECHANICAL OWNER NAME PHONE ADDITION JOE WATERS COMM. REF AND A/C RETAIL STORE LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE co 0w CLASS OF WORK w CONTRACTOR INSTALL S TON HVAC TO ADDITrdWOPosED USE u 7 ROUGH MECHANICAL AM WORK DESCRIPTION INSPECTION REQUIRED INSPECTOR r zDATE INSPECTED o2` M BY APPROVED REJECTED ❑ COMMENTS >_ CITY OF ATLANTIC BEACH 400 LEVY ROASUILDING DEPARTMENT 1593 ATLANTIC BEACH, RSL ION3MW=T SECTION H JOB LOCATION FOWLER INVESTMENTS PERMIT# (904)388-9920 SUBDIVISION cv OWNER NAME PHONE ELECTRICAL ADDITION LONG ELECTRIC COMPANY OFFICE BUILIANI LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE r w CLASS OF WORK a CONTRACTOR EXIST SERV 400 AMPS 1PH 3W 240VPENTu RCWY z a 4 WORK DESCRIPTION 6 ROUGH ELECTRICAL AM # M INSPECTION REQUIRED INSPECTOR DATEINSPECTED—/,X—/L(jf By� APPROVED REJECTED ❑ COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT 400 LEVY ROAD INSPECTION REPORT ATLANTIC BEACH, FLORIDA 32233 - JOB LOCATION PERMIT# 2499 R• K• FOWLER SUBDIVISION SECTION H OWNER NAME 242 PHONE (9()4)i4&-4g,S& XX H LEGALDESC: LOTAT-LIbLoCONSTRUCff6jN PERMIT TYPE BUILDING CLASS OF WORK ADDITION a CONTRACTOR PROPOSED USE OFFICE BUILDING iZ CONSTRUCT NEW ADDITION FER WORK DESCRIPTION 5 FRAMING PL'ANS1VgRIANCE 9,x29/89 z INSPECTION REQUIRED INSPECTOR AM DATE INSPECTED BY APPROVED REJECTED ❑ # COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# 400 LEVY ROAD SUBDIVISION 1561 ATLANTIC BEACH, FLORIDA 32233 SECTION H OWNER NAME PHONE FOWLER INVESTMENTS ( ) - LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE cwi CLASS OF WORK PLUMBING CONTRACTOR PROPOSED USE ADDITION SKINNER PLUMBING INC. OFFICE BUILDING v WORK DESCRIPTION INSTALL ADDITIONAL FIXTURES INSPECTION REQUIRED INSPECTOR 2 ROUGH PLUMBING AN DATE INSPECTED — BY APPROVED REJECTED ❑ COMMENTS ��✓ CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 400 LEVY ROAD PERMIT# 1593 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SECTION H OWNER NAME FOWLER INVESTMENTS PHONE (904)38a-9920 U) II F LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE ELECTRICAL z W f CLASS OF WORK ADDITION zz CONTRACTOR LONG ELECTRIC COMPANY PROPOSED USE OFFICE BUILDIVI z 0 WORK DESCRIPTION EXIST SERV 400 AMPS 1PH 3W 240V EMT RCWY rc ' e INSPECTION REQUIRED 6 ROUGH ELECTRICALINSPECTOR AM DATE INSPECTED d0" `rr: YAPPROVED REJECTED ❑ I� COMMENTS u fCITY OF ATLANTIC BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION 400 LEVY ROAD PERMIT# 1499 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SECTION H OWNER NAME R. W. FOWLER PHONE (904)246-4686 LEGALDESC: LOT BLOCK 24gION H PERMITTYPE BUILDING CLASS OF WORK ADDITION CONTRACTOR PROPOSED USE OFFICE BUILDIt' KAT-LIN CONSTRUCTION j 4 Z WORK DESCRIPTION CONSTRUCT NEW ADDITION PER PLANS/VARIANCE 9/19/89 INSPECTION REQUIRED 1 FOOTING INSPECTOR AN DATE INSPECTED BYAPPROVED ❑` REJECTED ❑ �� I" COMMENTS CITY OF ATLANTIC BEACH BUILDING DEPARTMENT I } INSPECTION REPORT JB LOCATION PERMIT# 400 LEVY ROAD 1499 ATLANTIC BEACH, FLORIDA 3233 SUBDIVISION SECTION H. OWNERNAME PHONE R. W. FOWLER (904)246-4886 LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE w `4`2 CLASS OF WORK BUILDING CONTRACTOR PROPOSED USE ADDITION z` KAT-LIN CONSTRUCTION OFFICE BUILDING a z WORK DESCRIPTION CONSTRUCT NEW ADDITION PER FLANS/VARIANCE 9/19/89 ? INSPECTION REQUIRED INSPECTOR r 77 21 INSULATION AN DATE INSPECTED BY APPROVED REJECTED ❑ y w COMMENTS e. CITY OF ATLANTIC BEACH, FLORIDA AVD►owd 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: MASTER EL T ICIAN NAME ��( ZI2165V IYIi�iUll i�GTi/ ADDRESS: GSD 1 CU`r + � -RFD-BOX- BLDG. FDBOXBLDG.SIZE $/X BETWEEN: RES.( 1 APT.( ► COMM.QO PUBLIC( 1 INDUS.( ► NEW( ! OLD( ► REW.( ! ADDITION ( ► TRAILER ( 1 TEMP.( I SIGNS ( ) SO.FT. SERVICE: NEW( ► INCREASE ( ) REPAIR l 1 FEE CONDUCTOR SIZE AMPS COPPERf ALUM. SWITCH OR BREAKER AMPS PH W f - VOLT RACEWAY EXIST.SERV.SIZE tI�C AMPS / PH W VOLT A-__M-/' RACEWAY FEEDERS NO. SIZE /`�-~b NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES z CONCEALED OPEN TOTAL 0.80 AMPS. 81.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. x5� FIXED 0.f00 AMPS. OVER APPUANCEs BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT �D 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I R.P. VOLTAGE PHS MISCELLANEOUS C DERARTMENT OF BUILDING u CITY Of ATLANTIC SACH OOATTON INFOR1' AT11ON Addre sfz I 400 LEVY ROAD '+ arnr3t 'I'Y"p ltd �b It AIL A"7"LANTTC SEA+f1III!. FLoRrDA X2230 C14 rel Work s A": I►T' I DI�1 . ; + r» ""'*: x'Pr !A LEGAL I?ESCRT TION OP6 d O R 'B'A" L °B`I"I RIM .+ EtT�k a 3+ ct a! a Plot Book a page. �3 E: t mated V41 .. "� . OWNERTNfiCllrt?IA t'TON m Cdtsiltfl O�#'� Nim I*'[IW ;R INVB 'II"I�BIII'I"S *So.Oo Add)rwfisa 3 400 LBYY ROAD..; BO. 1 c? ATL'AT.IO BEACH,, rFLORIlAA 3:2233,: PER NTT �4,00 >. WATER TN T I"'II*B » 5, " �ar�, ®ems.. ^� 01 a A., w` tA9�ON OAS-SFE R» » ` » 0 , RA-001t OAS O. [ , ..... . .M .. . � WAT JE SEWER TA " ►. HYDR'AMIC BLARE , RE-1 NFR '" E: *O» , S" nr 1*�MYOwTyi1IBB #IC10 NOTES: r a€## 4647 NOTICE--ALL CONCRf:Ti 1 OFtMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING I to I s PERMIT VOIQ'SIX MONTHS AFTER DATE OF ISSUE E3lJILDiNG MATERIAL;,LRU6 8_., AND,DEBRIS.FRflM THIS WORT(MUST NOT BE PLACED IN PUBLIC$DACE,"A"ND,MUST BE CLEARED UP AND HAIJLMAWAY BY EITHER CONTRACTOR OR OWNER. ; i i`FAf'i*URE T CC?I1APLY WITH THE MECHANICS' LIEN LAW CAN RESULT INT HEPRC?PERTY Q `N.ERrPAY11VG TWICE FOR BUIL©IG "IMPRC)VEMENTS." ISSUEp;ACCORDING TO APPROVED RLANS WHICH ARE PANT OF THIS PERMIT AND SUBJECT TO RI~YOCATI©N"�` (1F�PPLICAtI=PRI}` ONS01="LA1IV. ALAN T H¢U t ib3 ,EPART�N ; s ' BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH �� ATLANTIC BEACH, FLORIDA 32238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT - Applicant to complete all items in sections 1, ll, III, and IV. L :LOCATION S+rss+ Address: O Levy Rd OF Intersecting Streets: Between Le- And BUILDING Sub-divi:ion p,q.1 11. 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 part hereof and in accordance with the City of Jacksonville ordinances and standards of,good-practice listed therein. Name of Mechanical al ' ` Contractors f Contractor (Print) O Lo W A4�1,57 ��h,.l Ma — A`4 l`4ter B d 7" S Name of Property Owner of Owner Signature of Signahlre ! As►#Aorized Agent Architect or Engineer III. MRAL IN TION /►, ;Tzc sting W: B. IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? +♦y� ❑ "-Q LP ❑ Natural ❑ Contra[Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q Od PERMIT ❑ Other — Specify Y IV, UMN NdICAL Ets�1,VMINT TO RE INSTALLED NATURE OF WORK (Provrdr complete list of eompt, fs on back of is form) ❑ Residential or commercial most ❑ Spew ❑ Roc Gnfnel O Hoar ❑-,-hlW*-Bulld ng Air Corsi coming: ❑ Room W Can 1 Existing Building ❑ Duct System: Meterla u Cf boa f ick•••0 ' O Replacement of existing system _Maximum capacity- o 00 c.f.m. .j1-4tiv6 installation(No system previously Installed) CI R rafion ❑ Extension or add-on to existing system C] Cooling tower: Capacity gap El Other — Specify .m. ❑" Fire sprinklers: Number of'Madam Q Elevator ❑ ,Monfift ❑ bealotor (number) THIS SPACE POR OFFICE USE ONLY ❑ :GosoliM pumps (number) (ReOdYedl 0 To. (number) Rensarks ❑ LPG confol (number) ❑ Uefirw pressure vessel bum❑ : Permit Approved by Dee. Q Other Specify Permit P.. LIST ALL EQUIPMENT Ant CONDITIONING AND REFRIGERATION EQUIPMENT Number Valu Dercrllou" Model Number M[anutacbmr (TO")y AFP asv n.i 79V L q.0 Irs+,r CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT t JOB LOCATION 400 LEVY ROAD PERMIT* 1499 ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION SECTION H OWNER NAME PHONE R. W. FOWLER (904)246-4886 cc LEGALDESC: LOT BLOCK 2 jTIONH PERMIT TYPE BUILDING CLASS OF WORK ADDITION zz CONTRACTOR KAT—LIN CONSTRUCTION PROPOSED USE OFFICE BUILDIN z gWORK DESCRIPTION CONSTRUCT NEW ADDITION PER PLANS/VARIANCE 9/19/89 " INSPECTION REQUIRED 22 STEEL INSPECTOR AM , 4 DATE INSPECTED ��' BY APPROVED REJECTED ❑ COMMENTS CITY OF ATLANTIC BEACH , BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# 400 LEVY ROAD SUBDIVISION 1499 ATLANTIC BEACH, FLORIDA 32233 SECTION H OWNER NAME R. W. FOWLER PHONE (904)246-4886 LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE w 242 H CLASS OF WORK BUILDING U CONTRACTOR PROPOSED USE ADDITION cul o KAT—LIN CONSTRUCTION OFFICE BUILDINI z4 4 c9- WORK DESCRIPTION x' I ' CONSTRUCT NEW ADDITION PER PLANS/VARIANCE 9/19/89 INSPECTION REQUIRED INSPECTOR o 14 CERTIF/OCCUPANCY AH Z DATE INSPECTED/ BY «— �/ APPROVED � REJECTED ❑ COMMENTS 1499 DEPARTMENT OF SUI LuINO CITY OF ATLANTIC BEACH PERMIT IMF f3l�IEt,AT°Iifw3 t-' LOCATION I>StFC3RItA'II'I[H1 ' .�r�tArlcix��s�s: 40p LIa VY A;R� i! k P �I t. "y p+ IUI »OaINt AT L.AMTIC BEACH; . FLORIDA, 32233 CAarr > S 'EEL �� Balr 1 242 Secticn� � -. I >r a*(s, dies '00T-IC 9 BOTLOINQ Plot stmoks Pt+ I? 0 Oar IIirxr gra 1:3 C Subdivi- io"I SECTION H Eati +r r�t�rsat V t r s - OWNER INFORKATION > sar amu, Coact, 4►4 'B3�. N4 '. W« FOWLER Total t . 030% Addr+aaama s 400 LEVY" ROAD,#OiiA "LAIr�ITIC I�EACIIless , FLORIDA 32233 to) t Phon*s (900246-4886 Writ g°°"I~i ► fiPorTION PER PLAM,5/4ARIANCE 9/19/Bg APPLICATION FEES wy+y �� t i �}'Y3�� Yt..(S'�� .. f q k� ��rurl i�in�w/• WATER �INPAC"!' �FEEt . O )aIAI Itwo V 1111,4 S� R.• yy{}pi '', R TAP 6�1GAS y0AT I *0.00' Its . +I` A .: ... ' °- SVWER TAPw NYORAULIC SNARE ,. , � � RE-INSPECT FEE $0.00 I )�NCC�I�IE>�RIHC3 . gym.. 0T"SR 4r0 NOTES. NOTICE-ALL CONCRETE FORMS'AND FOOTINGS MUST;BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER HATE OF ISSUE BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND'MUST BE CLEARED UP AND,HAULED AWAY BYfITHER CONTRACTOR OR OWNER. '6FAILURE TO CO-7 Y WITH THE MECHANICS' LIEN LAW CAN RESULT IN TH,51 PROP ERTY �VI/NEI3 PAYING TWICE FOR OUhLD1NG IMPROVEMENTS." fSS�JEQ ACCO,RpINfa.TO APPRt7VEt] PLANS WHICH ARE PARI' OF THIS PERMIT AND SUBJECT.TO REVOCATION FOR 1f E1LATIO.N OF APPLICABLE PROVISIONS OF LAW, ATLANTIC', H "UILDING DEPARTMENT'..; �, � . 'rt 00-1 DEPARTMENT OF BUILDING CITY oir ATLANTIC BEACH PIR IT IIIF'f314l4AT # . ' LOCATION INF'OFtMAT OH Per mit Humber 15,61: . Addreaa: . 00 LEVY ROAD P *fit Type 1, P'Ltiffi l"( ATLANTIC SEACfd, FLORIDA 1-1 „,>: C14 of War ki` ADDITION LiwI3At DESCRIPTION Cob tr. T Pex H A Lot% Blocks € ro0o ed U . E3F'II:' CE 'SU.TLt3,I#ilw PI t Bea xlx Page-1 0 Dw0IAIrl$'s t, O coit*1 : 0' Sub4divivionz SECTION *I E tIm ted Value OWNER I'#fF€?RI"dATI.l3N X*Prov.. Celt% . 00 N40e x FOWLER INVESTMENT Tci* )' a ► . 00 Addresi*'i LEVY ROAD A c u s t G: ►O' ATLANTIC BEACH, FLORIDA 3�23 Dart � t3dt8 d' ,oc �tas d Work 'IC IT C)NAL FIXTURES ” pu ",f ICATrON FEES —— SKIN PISRI"dl. *38.,00 v WATER lffPACT FEE *0 m r � AFRADON OA HU & « 3. oo RADON GAS SX 0o WATER 'IAP t3:00 ' HYDRAULIC SMA99 00. 00 RE-T N PECT FEE �O. t3C► ENGINEERING $0. olav `. ,. e r F . �. NO �a O'II FI rl (�?� t ^ _ NOTES; rI"t . 10 i 9 NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POORING PERMIT VOID SIX MONTHSAFTER DATE OF ISSUE r, BUILDING MATERIAL;RUBBISH AND D-E'BRIS,FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULEC?AWAY 8Y EITHER CONTRACTOR OR OWNER. `"FAILURETO COMPLY, WITH THE MECHANICS' LIEN LAW CAN RESULT IN THEPROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENT& #SStJI;D,ACCORI3ING.TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT,AND,SUBJECT 70 REVOCATION- IwOR 'e VIOLATION f31*APPLICABLE PI46VISION8 4F LAW. ATLANTIC B ACH,BQIL NG DEPARTMENT By. �. .'tt;_ _. ... .s.a_..yrs• ., ,..s€iik •a"m"I. .. _ ' L. -, �s. .u.Y_. =4,.r.� :,.'M'si'r. . ._ .,r w CITY Oil," ATLANTIC 131;.ACII APPLICATION FOR PLUMBING .PERMIT JOB LOCATION �00 WY RD' P'QlN i W ft1, 322 33 --- PLUMBING CONTRACTOR 5KVINE(L Rum ac 116 -WI , LICENSE NUMBERS CP60 8300 OWNER PfW, ffiAJL,E_L_— BUILDING CONTRACTOR 60-1 _ L LrY EflWiVZ664 TYPE OF BUILDING CQm mueczilL SINKS SHOWERS - -�i_LAVATORY WATER IIEA EIIE S BATH TUBS DISHWASHERS URINALS DISPOSALS 14 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 . '%!`�Vljffll Henry Dean, Executive Director WATER Mildred G.Horton,Assistant Executive Director John R.Wehle,Assistant Executive Director MANAGEMENT DISTRICT POST OFFICE BOX 1429 0 PALATKA, FLORIDA 32078-1429 904/328-8321 ❑2133 N.Wickham Rd. ❑7775 Baymeadows Way ❑618 E.South St. Melbourne,FL 32935-8109 Suite 102 Orlando,FL 32801 January 4 , 1990 (407)254-1761 Jacksonville,FL 32256 (407)894-5423 (904)730-6270 Mr. L. A. Blockinger P. 0. Box 37755 Jacksonville, FL 32236-7755 RE: Fowler Investment, 400 Levy Road, Atlantic Beach Dear Mr. Blockinger: Thank you for allowing the District to evaluate the Project for a swale exemption. Staff review is based on calculations and drawings received by the District on December 21, 1989 . Based on evaluation of the submitted documentation, the Project meets the requirements of Chapter 40C-42 . 031 ( 1 ) (c ) , F .A.C . and is exempt from the notice and permit requirements of Chapter 40C-42 , F.A.C . Although the Staff has reviewed the project design, the constructed project must function in accordance with the requirements of Chapter 40C-42 . 031 ( l ) (c ) to maintain the swale exemption status of the system. Any modification to the submitted development plans or failure of the swale system to function as designed may disqualify the system from the swale exemption. Re- qualification of the system will require that the owner meet either the swale exemption requirements of 40C-42 . 031 ( l ) (c ) or the stormwater treatment requirements of Chapter 40C-42 , F.A.C . Sincerely, e- -L-��A'L--- Ralph Brown, Engineer Department of Resource Management RB:ot cc : Records Larry Gerry Carolyn Wirz JOHN L.MINTON SAUNDRA H.GRAY RALPH E.SIMMONS MERRITT C.FORE Vero Beach DeBary Fernandina Beach Ocala VAL M.STEELE THOMAS L.DURRANCE JOE E.HILL JOSEPH D.COLLINS ALICE J.WEINBERG Melbourne Beach Holly Hill Leesburg Jacksonville Longwood AT C f-A I'T U 14 1 NVORM' Ti ON A J 13 c t-- -10C) LEVY kCi�, E f i t T B U I L D I MG ATIAIMC T LACII, FLOttl 1,A 1:. A D C I T 1 f-M, L E(11 A L T V EAU I I T 1�,�14 S , 2 4 OFF'ICE PUILD1140 w fs ah--' P RUC:;; U d i i. L,C',r ID 14 f I L t�2 .1,i 11 t j L.-Ade 0 t, d V A. OWNFE 114 FU I%'M AT'I("M C N a R. W. FOWLEF r. -'Ll A U, 3 0 14 6 Addi -6z-- 9:;>{.t LEVY A TL A 14'9'1 C 1-1 F',A 1 UIR 11),A. D a t z-- P id : 9;'--E 11313 h o '"-'004 '1 24C,-- 4C'-e6 COHE,'-TRUCT NEW ALD71'1014 FER !,LAH'D1,,'VAP!Af4',�E 9/ CITY OF 9&444 P.eyaztmrnf of 3utilbtiltg �Itsytc#to This Certificate issued pursuant to the requirements of Section A103 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. /4, By;/ POST IN A CONSPICUOUS PLACE ...... ..... ......... BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA ', CERTIFICATE OF OCCUPANCY '.� . WORK SIIEE'T Date Requested s Building Contractors Building Permit Numbers i ' , 9Z i•'' r t„� Address: Legal Descri p tions r ;• ' 1 i rI Improvements to the above described property have been completed , in accordarice with the terms of the permit -,en in certified to,, be ready for occupancy as Lowest Floor Elevations4i ---------- ---------- .; ---------- required as built ,{,. n/s Sales Tax Certificates ___ ___------------ __ ___I date submitted-r : , BEFORE ISSUING CERTIFICATE OF OCCUPAHCY,•THE• FOLLOWING MUST BE COMPLETE DEPARTMENT DAT15 NO IFIEDIIDATE APPROVE.Ds BYE Fire Chief / d -z - Public works -Z" _____ • - �_izk Planning Director ��! Building Inspector CITY OF tftft-& &a& - Rai& Office of Building Official / REQUEST FOR INSPECTION g Permit No. Time A.M. Received P District No. Job dress Locality Nwne ro ntor BUILDING PLASTERING TRICAPLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring. Rough...............❑ Rough...... !...0 Chimney...........❑ Lath..................❑ Finish Wiring..0 Final.................❑ Final...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Final................. ❑ Brown...............❑ motors............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FgBAWECTION A.M Mon. Tues. ed. -,Thurs. Fri, P.M. Inspection Made < Inspector B-12 CITY OF Office of Building Official �} �+ REQUEST FOR INSPECTION p C Date % eS' J d Permit No.Cl?O a Time A.M. Received P.M. District No. Owner'sre Job A Locality Name tractor - BUILDING PLASTERING LECTRICAL PLUMBING HEATING Foundation.......❑ Wire.................❑ �F,ugh ging._ /Plough...............❑ Rough....�......❑ Chimney...........❑ Lath..................❑ insl£Wiring.. Final.................❑ Final...............❑ Framing............❑ Scratch..............O Fixtures..........❑ Sewers...............0 Water Heater..❑ Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION A:M: Mon. Tues. Wed. Thurs. pM Fn_ inspection Made P:11 A: Inspector 8-1.2 INSPECTION RECORD BUILDING PERMIT # ELECTRICAL PERMIT # �� — PLUMBING PERMIT# JOB ADDRESS '�G"C1 IZ2.�L..;'' CONTRACTOR -�"fid OWNER 41 � TYPE DATE REMARKS INSPECTOR FOUNDATION FOOTING �D v SLAB PLUMBING (R) SEWER TEMPORARY POLE ow LINTEL/BEAM COLUMN ELECTRICAL(R) Al -/cS'006 PLUMBING (F) FRAMING ELECTRICAL (F) /b -/s--ab �j Gi44rgo O= FINAL CITY OF S ra �4t' 4- 8lil Office of Building Official y REQUEST FOR INSPECTION Date "2;'�,E) Permit No. Time A.M. Received pv. District No. i Job d(as5 eLocality Nam. Contractor Name .— BUILDING PLASTERING ELECTRICAL MBI HEATING Foundation.......D Wire..................D Rough Wiring.D Rough...............D Rough............C1 Chimney...........© Loth..................D Finish Wiring..D Final.................D Final...............0 Framing............0 Scratch..............D Fixtures..........❑ Sewers...............❑ Water Heater..❑ Final.................D Brown...............❑ Motors.............❑ Gas...................D Finish................D Cesspool..........D Wallboard ........D READY FQRJWIECTION A M' Mon. Tues. Wed. Thurs. Fri. inspection Made w. �, , Ing3ector ` CITY OF Office of Building Official r,,REQUEST FOR INSPECTION Date ' d Permit No. Time A.M. Received PJA. District No. ,, 17 Job A g�ess Locality Name�Own ,ale � e�7 .� Contractor DING PLASTERING ELECTRICAL 41 M8 I ING HEATING ` Foundation.......❑ Wire..................D Rough Wiring.D Bough............... Rough.... ...... Chimney...........❑ Lath..................0 Finish Wiring..❑ Final................. D Final...............❑ Framing............D Scratch..............❑ Fixtures..........❑ Sewers...............D Water Heater..D Final.................D Brown...............D Motors............D Gas...................D Finish................D Cesapoof...........D Walfboard ........❑ READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Fri. 4. Inspection Made r, Inspector &1.2 l DEPARTMENT OF BUILDING 4419 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date July 24 1980 Valuation$ Plumbiagr Fee $ 9-00 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 F W Fajr Plyg jnor Cn. has permission tolgM—#sstal 1 Lavatory and_1 eleset Classification Rnssiness Zone Owned by Fnw1 er Ca- LO a_Lot Bloctir S jD House No 400 Levy Road According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE f-----� ► O Building material, rubbish and debris from this work not be placed in public space, andd must be cleared up and hauled away by either contractor or owner. T. Bill M. Davis iil �,j I,j Buildi 4QfRc d fil n FOR OFFICE PERMIT k DATE CONTRAR'poR + 4/' 8 �„ USE ONLY NUMBER .. t PLUMBING i ELECTRICAL SEWER WATER -SIO VIM. C'140F�'tIFXATV' A A LM RUIIT M_ TiK CIF a vo, rom 'Aft, 'r 114. �vm ,am a It 1 1*67,llulXVi m kv AM 'R 0 S. N, A RV,"Ir"T MTMI W, VM' STA,WTW OU"At3f.3 CITY OF ATLANTIC BEACH o WATER CONNECTION CHARGE d ' DATES -8b LOCATION OWNER PLUMBING FIRM !MASTER PLUMBER BUILDER OR CONTRACTOR TYPE OF BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC (2 units) --`'WATER CLOSET LAVATORY & BATHTUB BATHTUB (WITH OR WITHOUT OVER SHOWERS GROUP PER HEAD (3 units) �� HEAR SHOWER) (2units) SURGEONS BINK (3 units) BIDET (3 units) FLUSHING RIM SINK (8units) COMBINATION SINK AND TRAY (3 units) _ SERVICE SINK TRAP STAN@ (3 units) COMBINATION SINB AND TRAY W/FOOD DIS. 'POT, SCALLERa' SINK (4 units) (4 units) URINAL, PEDESTAL, SYPHON JET DENTAL UNIT OR CUSPIDOR (1 unit) BLOWOUT (8 units) DENTAL LAVATORY (1 unit) _ URINAL, WALL LIP (4 units) DRINKING FOUNTAIN N unit) ;URINAL STALL, WASHOUT' (4 units) DISHWASHER (2 units) URINAL TROUGH EACH 2-FT. SECTION 2 units FLOOR DRAINS (1 unit) WASHING MACHINE RES. (3 units) FITCHEN SINK (2 units) WASH SINK EACH SET OF FAUCET KITCHEN SINK W/FOOD WASTE GRINDER 2 units (3 units) WATER CLOSETS, TANK OP (4 units) / LAVATORY (1 unit) WATER CLOSETS, VALVE OP (8 traits) LAVATORY, BARBER, BEAUTY PARLOR .�___ -�(2 units) LAUNDRY TRAY (2 units) LAVATORY, SURGEONDS (2 units) DEPARTMENT OF BUILDING 4415 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Da+e 7/17 19[30 Valuation$ 9Sr296.00 Fee $ 74-74 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 Fllaurir•e Burns has permission to build a small off ice gdcli.tinn according to 111 nr± submitted. Approved bytthe City Commission 7/14/80. Classification Business 7o Owned by R.W.Fowler and Assoc. ,Inc. Lot Block 242 S/D Section H House No_ 400 Levy Road 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 zfrom this work must not pled (, public space, and et and hauled away byy eitheft c ; or owner. a s�+ 1 " 7/02 Bill ft� Davis Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER Date........ �.:.�7_.........1! �� .�t*__��.. ...F.e�? r.. CITY OF ATLANTIC B ,,�,�� ,�- � , ,...... _ _- s.._......�............. FLORIDA j u 1. 101980 Howe,tt... ! :._. CITY OF h.,�,.... APPLICATION FOR BUILDING ANEWTIC BEACH Application Is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application Is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida,all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automidlcally responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be,pubmitted to this office so that licsases can be verified. Date. f.7�._ .»,: .. t ....... .......... 1R ? :: r - - ...............Address .t .sf.�!... '.✓_#. . ...........Telephone No........... .............. Architect............ . Address_ - TN, - ••. Contractor Builder,. .Y h::��.L..-...s. .e'k z.: . ..................Address. c: 1...�s.1 .: , ..;_...... .. Ii...`.........1................. LotNo...................................................Block No... `_ _,: .:..__......Sub ...............................zone ......................,-,t ........................Street..........................Side Between........ ..................and................ ... Sb. . L...For hat purpose will building s us .Valuation $.✓. ...........Type uonstzr�uc..� ........`_:.......... of ' Dimensions of Building.-.:`2 ..........Dimensions of Lot.........:........:....................................Sire of Footings........_K ...... .......T. sire of Piers....................................Size of Silk...................--...........Greatest Bill Span in ft...........................Type How will Building be Heated?............................................................ ....Will Building be on Solid or Filled Ground?................. Sire of Ceiling Joists......_' ._,'4...'. ............I Distance on Centers............................ ......., Greatest Spon--------------..--------------._--- " Size of Floor Joists...............................................Distance on Centers.......... ................................ Greatest Span_........................................... " ......... Distance on Centers ...... Greatest S " Sire o!Rafters...-----••--•-----------•--•................ .....-........................._. , pan•-................_................--••---.. This rectanjis is to represent the lot. Locate the building or buildings in the G lht tion. Give distance in feet from ill lot-lines and existing buildings. i, •�, .rrr,� REAR LOT LINE Two copies of plans and specifies shall be submitted with application. ` �} Inspections required. 1. When steel is in place and ready to pour f L When steel is in place and ready to pour col 8. When steel is in place and ready to pour beam. 4. When framing is completed. 5. When rough plumbing is completed,and ready to corer up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 6d L Final inspection. Note: In case of any resection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 and specifications, which are a part hereof, and in accordance,with the building regulations of the City-4 tic Beach. # Signature of Builder r.`'. ..�� . .:. '� .... x..........:.... Address.................................................................................................... Signature of Owner. s.!..... ._ . � t. ......... Address.................................................................................................... CITY OF ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM TO B ING PLAN ' 1. Building 2. The attached plan for the abovelding is approved subject to meeting the following applicable construciton requirements: a. Footings shall be continuous monolithic concrete under exterior waJ1s, reinforced with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8" deformed reinforcing rods for twa-story buildings. Reinforcing rods shall be placed in the lower cne-third of the footings, properly placed and fastened on metal cables with wire. Footings shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undisturbed soil. b. In hollow masonry unit construction, each unit cell shall be reinforced with at least on No. 4 bar at all corners, poured and tamped with concrete; such rein- forcing shall be properly tied into the footing and spandral beazn. C. All wood truss rafters (roof construciton) , shall be securely fastened to the exterior walls with approved hurricane anchors or clips. d. Construction of nearby one-family dwellings, which are duplicates or intensely similar, shall be avoided. Such similarity considers the external configuration and appearance (i.e., roof, outer wall materials, window size and design, and other Like characteristics) of structures. In- accord with the foregoing, similar or duplicate hones shall not be constructed within close prcodTnity of each other, and shall be at least 500 feet apart'if any one similar dwelling is visible from any other similar dwelling. e. The final connection between the house plumbing drand the sewer service connection (at the property line) must be by the fore covered. erect. 1. The undersigned hereby certifies that he has read the above and understands that this addendum takes precedence over any contrary details to the plans and specifications and agrees to comply with the intent of this addendum. x tract qr/Owner' to l ,�