Permit 93,95 lewis St (vault folder) r
APPLICATION FOR WATER METER
DATE:
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CONTRACTOR:--- —'-------- ----� ---------
BILLING ADDRESS:-A.-- -------------------------
----------------------
SERVICE ADDRESSAe�—cf6 (.( t_(/-�__ (---- -------------------
LOT:__1 O__BLOCK:__ __UNIT: SUBDIVISION: 9nvv ,o 2
--------- ---------------
ACCOUNT NUMBER:
METER SIZE: 3M—p
9s
I HEREBY REQUEST THAT A WATER METER BE SET AT THE ABOVE SERVICE
ADDRESS. I UNDERSTAND THAT I WILL BE BILLED FOR TEMPORARY
CONSTRUCTION WATER UPON SETTING OF THE METER. I FURTHER
UNDERSTAND THAT I AM RESPONSIBLE FOR ANY AND ALL DAMAGES TO THE
METER, BOXES, VALVES, LINES, AND ANY PARTS THEREOF, UNTIL
PERMANENT WATER SERVICE HAS BEEN ESTABLISHED BY THE CUSTOMER.
-- —
— ----
--- ---- ---- -----
CON ACTOR
CI7Y`DF ATLANTIC BEACH
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DEPARTMENT OF BUILDING 9926
� .....- +r PERMIT NO.
,.--GTYOF}aILANTIC BEACH.FLORIDA
PERMI TO'BUILD 50*1 0 ITTHIS PERMIT MUST BE POSTED ON JOB7.1S. 19 BS 94 1 A 7/1 UDate �0004
Valuation$ 15,500.00 Fee$ 50.00 94 1 C 7/1 UP
001'
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
R_0. Box 76ss Jacksonvi 11 a% r1T_
�f
has permission to'4= to lava on d4ex [from Lnt
29+378 4th Street
378 A
Classification Raeidi�i,gI Zone
Owned by Nb k KreAel t
Lot , 18 Block 1 S/D iintm[rrc rjp _
House No. 93 95 Lewis Street –
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
-----� 4---i o Building material,rubbish and debris
Z from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
Building Official.
FOR OFFICE PERMIT DATE CONTR R
USE ONLY NUMBER
PLUMBING
EELECTRICAL
SEWER
WATER
CITY OF A LARXIC BEAM
APPLIC,A7'ION TO MIT ADDITIONS OR ALTERZAPSON5
3
Owner a4
A I-e e Address �7 3� Sd••► kaAo ea -K'aC Phone �/a"7
Architect Address Pjjhone
Contractor }r�tdY�,�ddzess��_ �,P Ptiac�e���
C:vutructora Li4cen,se/Certification Nuibers
Expiration Dake
Property Address 7kning
Lot # cq' Block or Unit Subdivision
Valuation of Construction Type of Construction
Describe Work to be Performed OdA.
Materials to be Used
Present Use of Building ,
Proposed Use of Buildhig
r
Flood Zane
Diumisions of New Area:
I IC111ED
G11Rt11GU OR STORAGE
CAIUYJIU OR k' IM
DUCK
PATIO YES NO NUTRBER
Will there be an ,increase in number ,of units?
Will there be a decrease in nuuber of units? A- -
Any additional pl.uubing fixtures? , �-
1
Any new fireplaces? i ti
SURILT IM C -1PLC.[E SETS OF PLANS INCLUDING SIM, PLAN .
,
Signature (7WR`M � Date
Signature COUMACIUR Date �" �Z
U0 .
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
trl~RI'IIT Z)�!1»tli�I�A'iCIOH � --- LOCATION IHF`I�RMA'I IO�I � .
I Nur la r s. 42
Aeld t° a
93 ,LEWIS STREET (WI
TH 9 >
Ir x a lb `1`ypca 's I'L.0 I tIItO ATLANTIC BEACH„ FL,0fiTDA 3223
. , . LEGAL DESCRIPTTON ...�
CONCRETE
F x ae U 3 DtjPJ«EE Plod B ► s: Pogo O
►ibdiVi,,46i a SECTION H.
got'i t + Y u�a 7i, L3O Owg R `.INFCISMATTON ,-
I pow* Cost s so4 OO # t IiARi 'KREbEL.L
r
To - _`. �t >� > .. �I,;ZO. ? A+t#+ r ► z 3, LES� ��"I" EE`t �.��Tl� 95),
*yy0. t O ATLANTIC BEACH, FLORIDA, 32233
I k of BB �t t t (904 3 249-1,212
work H. IKOTA0I,.L 4"LINE TO CITY L IN9 SERVICE TO NITER
PLICATION FEES �
WATER IMPACT POE
w 4 ISIRW II'I tvr PEE jr L
9 , J�py,p �E n '`� '" I'd aau � � /t t
j Z.
RADON GAS $0-.1`1 t I fi fi16
M. WATER TA it
tO 1 t ,1
4 y ° <_ M HYDRAULIC
wyt�y�YD ALUL5I1ARCT ru 00
to 7OTHER
MOTES:`
f
NOTICE ALL CONCRETE,FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND D€ORIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE ' CfJMPLY WITH THEM ECHANICS' LIEN LAW CAN RESULT IN
r THE PRQPERTY 0,WNER PAYING TWICE FOR BU1LIOING 1MPR0VEMf NTS."
ISSUIE I ACCORDING TO APPROVED.PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION GF APPLICABLE PROVISI.ON3 OF LAW.
ATL BEACH BUILDING,DEPARTMENT -
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
Q3 - 9S
JOB LOCATION
PLUMBING CONTRACTOR
LICENSE NUMBERS�fZCep 44k ��
OWNER MARK. k?,a 1)2 11
BUILDING CONTRACTOR
TYPE OF BUILDING ":O�FX
SINKS SHOWERS
LAVATORY t WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION ' OF THE SOUTHERN STANDARD PLUMBING CODE .
i
-31
i
Zg
ev
f
i
r t
2641
A �`
$630
MaTk
93 Lewis,,Street 6 95 Lewis Street f ; 4.117&TP,
A 1 A 10/05166
Atia�ttic Bei,6h, Piarida *32233 �rnf
'71!Gt IA 10/0518P
77777� .,. t
��w p n '7449 3147 ti
k 1i8t r ', #43. 343-378th TMP E . Bl9.it y 1
I
1
F,. a
' 1kter Sewer Taps ;� 93, "Levis Street Q
95 Leri s.Street
2 ffwx
ei "Dui4,124,d
1utAKi .t if CS PA`"Ai3LfE TO' '
" � ' t ''' ut
µWATER TAP
9MARK 5K It1 STREET
USE THIS FORA—FOR ESTIMATES ONLY �ll�L
DESCRIPTION CITY. MATERIALS LA80R TOTAL
2" X 1" PVC SADDLE 1 .00
1" CORP STOP ,
I" MATY AT)APTFR PVC
1'_' TEE PVC . ..
" C
1" X 314" REDUCER PVC 1 i
CONCRETE METER BOXES& RIDS 2 $24.00
1" PVC PIPE 15' $10J.05
1" PVC 0PI _
3/4" X 5/8 METER Z 170.00 CcQS4LtaG� �oµ
SUB TOTAL $2651.66
10% O.H. $26L57.
TOTAL .2
2 MEN HAND DIG ($27.4,q) FOR 4 HRS. $109 80
• TOTAL $142 74
' NA1MIAts —��1ASO; tot Al
TOTAL 2 2
MISC. JOB EXPENSES AMOUNT OtootA Joe tX►f.Nstt $4C .00
1 TRUCK 10.00/HR F R 4 ERS. TOTAL COST $474.97
$40 ,00 TOTAL stttt"O PAICE
tft$ TOTAL COST ,
ORO ss PROFIT
' uss ovcNc�o cast
•. O► StttIN6 ►mOt
• TOTAL $40 00 NET PROFIT $474 .97
SEWER TAP 93-95 LEWIS STREET
MARK KREDELL
USE THIS FORM FOR ESTIMATES ONLY
DESCRIPTION OTY. MATERIALS LABOR TOTAL
6" PVC PIPE ST)R 35 601---
8"-X
QQ
n �
r
6" 90-L PVC 1 21.666. _
II X „ „
1
SUB TOTAL 221.47
22.1
TTL $2431.62
3 MEN HAND DIG ($27.4 FOR HRS " , 219. 60
30% O.H. $65 88
TOTAL $285 48
' MATERIALS -IASOn TOTAL
TOTAL $24A.62 ,48 285 529 10
MISC, JOB EXPENSES AMOUNT OTIIER JOe E%PT.NSCS $290100
I TRUCK (810.00/HR) FO 8 TOTAL COST
$80.0c TOTAL SELLING PRICE
1 T CTOR HR OR 6 H S. LESS TOTAL COST
GROSS I•ROff?
. %TSS OvENIIEAO COST
.-.. or SELLING PRICE
TOTAL $290,()d NET PROFIT g 1
1
CUrtif tratr of Orr unary
CITY OF
Orpar#mpni of Vailbing _7WVrrfion
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following.
Use Classification $idg,Permit No.
Group Type Construction Fire District,.-
Owner of Building i-` Address
Building Address Locality
By:
BnUding06ciat Date:
Poor IN A CONo►ICUOUo PLACC
vF �- -^ "
Am
1010
G►TY OF •
he southern Standard
Section 149 the fiance with the
is of in co?n�
to the requtrenen structure ,as
ursuant f issuance this
to issued � Nor the foilowin,.
This Certifies the tine o
that at ruction ar use•
Code certifying const tNo
building
Building ulating Blag Y°
ina+Ices reg
aa+�otu ord• `
District..
ifuat c"Stm¢'°°IAdams ,C't _ _
Use class -type et ��-
tpcality
Owot
gu[tding Address pate:
ptcucua n eca
gal
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested:
Building Contractor:
Building Permit Number:
Address: qt 3 + q - j4o-)L1%
Legal Description:
Improvements to the above described property have been completed
in accordance with the ter of the permit and is certified to be
ready for occupancy as
Lowest Floor Elevation:
required as built n/a
1/
Sales Tax Certificate: --------
date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY:
Fire Chief
r
Public Works
Planning Director
Building Inspector _______________
CITY OF ATLANTIC BEACH, FLORIDA
Approv"by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORKIN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF,AND IN ACCORDANCE WITH THE ELECTRICAL REGULATI NS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
tA 'p-L-udy-I
ELECTRICAL FIRM: MASTER ELE&RICIANSIGNATURE JOURNEYMAN
NAME � ' CN � ,/1 ADDRESS: o—e, 1 J � RFD._"X—
BLDG.
.
BLDG.SIZE BETWEEN:
RESA 1 APT. COMM.1 ► PUBLIC( 1 INDUS.1 ► NEW 1 1 OLD( ► REW.( 1
ADDITION( ► TRAILER ( ► TEMP.( ► SIGNS ( ) SO.FT.
SERVICE: NEW( ► INCREASE V REPAIR ( ► FEE
CONDUCTOR SIZE AMPS VV COPPER ALUM.
SWITCH OR$REAKER AMPS / PH W g OLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS. 91.100 AMPS.,
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. I OVER
APPLIANCES BELL TRANSF.
AIR H.P.HATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
0.1 OVER
MOTORS M.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
CITY OF ATLANTIC BEACH, FLORIDA
Approvwdby 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.
l
ELECTRICAL FIRM: ( -1M ELECTRICIAN SIGNATURE1JOURNEYMAN
NAME .0 UX`J� '' r P d eel 1 ADDRESS• 5de,(Aj I SS S T RFD BOX
BLDG.SIZE ' BETWEEN:
RES.( ) APT.(,V COMMA i PUBLIC( ► INDUS.( 1 NEW( '1 OLD 1 ) REW.!
ADDITION( ) TRAILER 1 ) TEMP.'! ► SIGNS ( ) SO. FT.
SERVICE: NEW( ) INCREASE Ililr REPAIR( ► FEE ,-
CONDUCTOR SIZE ' AMPS COPPER I ALUM.
SWITCH OR 13REAKER AMPS PH W c? OVOLT RACEWAY
EXIST.SERV.SIZE -0 AMPS 1 PH W OLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTINGQUTLETS ;.CONCEALED 'OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. I N.R. VOLTAGE PHS
MISCELLANEOUS
MAP SHOWING
BOUNDARY SURVEY OF 'iBS-'W AND 18, BLOCK 2, DONNER'S REPLAT, AS RECORDED IN PLAT BOOK 19, PAGES
16 AND 16A OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
od 7-
CERTIFIED
CERTIFIED TO: CHRISTINE EVANS 4'o va.
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�b CITY OF ATLANTIC BEACH
`e vC1 APPLICATION FOR BUILDING PERMIT
Owner ,�2�_ ..,A�Address �x'30 fN4'td zip�aaG phone
--- ------------ -- -------
Architect Address ___zip______phone
----------------- --t-�----
Contractoi, .s4' t7 ® � ress,�D A55__ _zip _phonc y
Contractor's License number--------_________expiration
---- ----
Lot__L�_ ----,2 YS--Block or Section ___Subdivision � /'dI✓e _ '
�_____ onin
Street w_5 between _ �- ----and_ �_________
side-----------
Type Construction-��. _No. Units No. Fireplaces
Purpose of Building Est. Valuation S ; S QO
Utility Method - Water ____ Sewer
Dimensions Building_� /of� _ Lot7_�__�f �_36 _Size Footings
Sz. Piers-1 _l— t,_ 11 19z. Sills ? ___--Greatest Span Sills_ ---
Sz. Ceiling Joists__ Z'J.__Distance on Centers__t,a____Greatesi Span_______
Sz. Floor Joists ___$__&__Distance on Centers_,/Z __Greatest Span_______
Sz. Rafters ��C _Distance on Centers_ _.__Greatest Span_______
� / n-1W
Method of Heating�r�c�lz-_Solid or Filled Ground__�'=�d __Roof
Flood Zone-------If located within a FLOOD HAZARD ZONE complete page 3
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
Atlantic Beach. The contractor agrees at its expense to provide
the necessary access to the properties being developed over
dedicated City rights-of-way and to clear, clean, grade, and
drain said right-of-way to City
specifications.
Signature Owner__�1 �yA�/!�¢.1�4'_�_.____Date___(_____________
Signature Contractor Date
page 2
FLOODPLAIN DEVELOPMENT INFORMATION
Type of Development:--------------------------------------------
Flood Zone:
Required Lowest Floor Elevations_______________
If building is located within a flood hazard zone (Zone A), a
survey must be made AFTER THE SLAB HAS BEEN POURED, certifying
that the LOWEST FLOOR ELEVATION is equal to or above the base
flood elevation established for that zone.
No final inspection will be made and no certificate of occupancy
will be issued until the survey is on file with the Building
Department.
COMMENTS:
Applicant Acknowledgement: I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all other laws or
ordinances effecting the proposed development.
_Applicant's Signature___
_ _Z4- -----
----------------------------------------------------
Department Use
Required Lowest Floor Elevation
As Built Lowest Floor Elevation
-----------------
Survey Filed with Building Department ___________
-----------------------------------
Building Departr,gnt Representative
page 3