Permit 371 Skate Rd (vault folder) 4477
DFPARTMENT Of 9
CITY OF.ATLA eAtH
_!qTIc
6,7 7
LOCATUM, 11(f,00it
!istmfl, 'finpois viog_
N,
Ml'k�,� RD.,
Addroset' 371 I*ATli-,�
it, ' 2213
IDA . 3
441 7
c
IR P''
ON
tiP40ti
Ott ont
000: t
ve
ix k
tj I ;I!"L , - :�� -JR]
ple i 1 0
V� ris i
VAX Ly
eft
COd*i Ail
Subdi
00''00
224' 's
22 50
A*buht
;C
--------- AP 13
AT,
FEES,
T
02Z,
50
T.
floo 'T� Y,�olll
VATS#� IAP Clv�"Pltg
�Ad
04
d- 10�6
om ol
2 r- -W E#
: 1A)Pr CT �'Pjg
�LORIDA
o
F 4k,
0''67,
f
0
ii,'w
XV
00
0 ------- JkA
P liMAT
VATER- A]
:T PC *0' 00
p
L SM T
, I =,� 01RAUV SH ME
'46 ,w
"C
x0il (1,1,P,'',it"
dcco
-so'* A
A
NOT S,
�j
% 7 7
,�,j
toorcs!"--, tl��"fo, �OSANOPOOTI*ds MIUST��selli�,Pl'g 40#601'rooRt"'a
'Wrt,OP,18 (YE
F. TV04D SIX MONTHS AFTER
-t !t t
p E�
FU
��,ABWLDING MATERIAL,PUli _"4_4 oEspis FROM THIS WORK MUST'NOT SE-PLA E,�AND MUST-18
�El 'M
'IT
D UP AND,HAVLEd. A $,Y�t HER"tONTRACTOR OR OWNER.
Wi
W, '14 THE
Rt T M!ECHAUICS!,�
�TWICE,:FOA''g
N "G Ts
wk
09 J,
tWeb AOCOPb,114G.�, OILANS WHICH ARE:PART OF THIS PV3MIT,ANv SOW VADCATION,
T
01"066ABLE OF,LAW,
3,_
*jam.
x,
lap P, M, N,
"'I't-A tr iAck 161'
77777�
&
CITY OF ATLANTIC BEACH
'APPLICATION FOR ROOFING PERMIT
BUILbING OWNER jyAJZT-4�6 1�lls c k- PHONE
JOB ADDRESS S 7/
LOT# LOCK OR UNIT 0 SUBDIVISION )eoV,4Z,
co RAcToR
NT _L4jLws X,4kLj-ex,, PHONE
ADDRESS gj,�D-1) - C4 A) V�A
LICENSE NUMBER if e_e--,2 1-7 'EXPIRATION
:JOB VALUATION $
MATERIALS:
ee,
Rle go vc
SIGNATURE OWNER _DATE
-SIGNATURE CONTRACTOR DAT
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:_3 7/ ,oe o
OWNER OF PROPERTY:
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS: �70 L)
STATE LICENSE NUMBER: TELEPHONE:
HOW MOY OF THE FOLLOWING FIXTURES INSTALLED
—SINKS SHOWERS
—LAVATORIES WATER HEATERS
—BATH TUBS DISHWASHERS
—URINALS DISPOSALS
—CLOSETS WASHING MACHINES
—FLOOR DRAINS SHOWER PANS
OTHER ef -Z
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE = $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP — (904) 247-5834.
17148
DEPARTMENT,OF BUILDING
CITY 0F.AfLANTIC BKACH
N LOCATION I
igR"IT IMPOIAMT1110 NFORMATION,"
ler*ilt, *umber: –117:10 Address: , 311 ,'SXATt AO D,
e S If FLORIDA 32233
oeimit T*p p0ma IM0 ATLANTIC sic
LEGAL, DESCRIPTION,11-1 —
C , t I rp#il 'WOOD B I ock: , L�6t Twv 0
1p*ns r Zset S,:1,N,OLE FiRl Ly Sect i on: �o iubd. Rng: , o
Ke, ingfist 0
Subdivisiow
0.00
Est'. Ar lu
Colst: 0.00
TO I' rees�: 5�,O:o
"0141�1 t
Paid,-, 25ilo 00
99a
ATI'
----------
APPLIC, ON VZES�l
25.00
`*J")
Adr I
' FLORIDA 32233 ,
TION
Oar::
'A
ftpt
ic:#� C C0191
Ile
NOTES:
A TO�WSPECTION
NOTICE IN VUST SE'AEOUESTED AT LEAST., I�S,KNO,
BUILDING M)I NTERJAL, RUBBISWAND"DEWISFROM THIS WORK MU I ST NOT 915 PLACED IN,PUBUC SPACE,AND MUST BE
CLEAAED�UP'AND m1AULE-o,AWAY ay,E&H RCONTA4oTbA OR OWNER
IT Sp 'LIEN LAW A J IN
Y-,W 14
�IAILUAE T,0,,C0MiPL E' C �lq#
R, THEM CHANIC ,SUL
T�PROPEW�0#000�OAYING TWICE.FOROUILDIN4 I'
-ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERmit AND SUBJECT:TO�REVIXATM,FOA',,,.."�'.1'
A16L 64 14
�,VQLATION OF APPLIC E OF:LAW.
IZ
MCKS
'ATLANTIQ, DEP NT
BEACH Bwwl AATME
By.
C,�
CITY OF ATLANTIC BEACH
SPECIAL INVESTIGATION
TO BE FILLED OUT BY COMPLAINTANT
DATE �L P- � C)
ADDRESS 7 t �F— k,-),
LOCATION S Am E-
COMPLAINT F-,*f-Z- F- (A)6, 1-r (0 6 J2 L
-s
OWNER OF PROPERTY
SIGNATURE OF COMPLAINTANT at)A)F-- Q PHONE #
---------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
DATE OF INVESTIGATION ';2- 0 INVESTIGATOR :40 l<
CONDITIONS FOUND /Z V&/Z-Z)
-0-4 1 7-14 L S 0 U r.IL4,5-g+S 7-
ACTION TAKEN r) T,4
3 '7 0 s 7-Zf E ff w P 3 7 7-F--
COMPLIANCE C
NOTES:
u
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Ent I
Application Number . . . . . 09-00000787 Date 6/04/09
Property Address . . . . . . 371 SKATE RD
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
100 amp 240 volt
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
DUTCHER ELECTRIC INC
Q/A:DUTCHER, AUSTIN
1122 NORTH 3RD AVE.
JAX BEACH FL 32250
(904) 241-5800
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/01/09
----------------------------------------------------------------------------
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 ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08-
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
WROW- 7, M*77"M,777, -77 7
7
ERMIT M
ME' 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
77M;E�F MPANY: 8.ADDRESS.:
4f 6 1',12 2 -7�e 0-
"I.STATE OF FLORIDA LICENSE NO: 10.CELL PHONE: 11.FAX NO.:
IV59-6W5�
12.EMAIL ADDRESS: 13.OFFICE PHONE: 14.
15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet
the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months-at any time after work is co an d.
CONTRACTORS SIGNATURE:
0 MULTI FAMILY-#OF UNITS: CHflESIDENTIAL
G-91'NGLE FAMILY 0 TEMP SERVICE 0 COMMERCIAL
3
0
E3 ADDITION 0 TRAILOR
•ALTERATION 0 SIGN 0--eFLD 0 NEW [3'05 NATIONAL ELECTRICAL CODE
•REPAIR 0 POOL SPA 13 REWIRE THER:.
�-n n��41-
20.TYPE OF SERVICE: DOVERHEAD 0 UNDERGROUND 0 UNDERGROUND UP POLE
21.NEW SERVICE: CONDUCTORS PER PHASE:- 0 POWER IS ON 0 POWER IS OFF
22.SIZE OF CONDUCTOR: AMPACITY: OCOPPER 0 ALUMINUM
23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: — RACEWAY SIZE:
24.EXISTING SERVICE SIZE: AMPS: I J 0 C9 PH: W: VOLT:_.ZW RACEWAY SIZE:
25.FEEDERS: #OF— AMPS: #OF AMPS: #OF AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:
27.FIXED APPLIANCES: 10-30 AMPS:_A-1%jr, 31-100AMPS:- OVER100AMPS:
28.FIRE ALARM: I DYES 13 NO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30.RECEPTACLES: 0-30 AMPS: �Z- 31-100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
12=12341
7,
#OF UNITS: COMP. MOTOR HP RATING:_Z2Z!,*'t AMPS: HEAT KW:
#OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW:
71,1'1� 511211F
-1- 51g,vig
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
7&,� 77 -=7 7777,7--
777777247777, T-777=7
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
DESCRIBE IN DETAIL:
COAB FORM BLDG02:REVISED:1/10/2008
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000847 Date 6/11/09
Property Address . . . . . . 371 SKATE RD
Application type description MECHANICAL HVAC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 CU 1 AHU
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
AIR TO AIR
11578 DAVIS CREEK CT
JACKSONVILLE FL 32256
(904) 262-4279
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL HVAC PERMIT
Additional desc . .
Permit Fee . . . . 71 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 12/08/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 71 . 00 71 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 71 . 00 71 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
A,j
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date:June- H, ,-�ncq
Property Address: 3 2 t 8 kc-4-e- J��
0wner: ,P,C_K Telephone#:
Contractor:kc L Aic Telephone#:qc�H/,,q gr7
Contractor Address: 1162�' 0-
Fax#:qo
Contractor Signature:
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
3"Electric or site,list the building permit number:
LJ Gas: _LP —Natural —Central Utility
Ll Oil
Ll Other—Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
Ef Heat —Space _Recessed v Central —Floor Er Residential
�d Air Conditioning: —Room Central
• Duct System: Material Thickness L3 Commercial
• Refrigeration Maximum capacity_____________cfin 0 New Building
L3 Cooling Tower:Capacity m Er Existing Building
Ll Fire Sprinklers:Number of Heads
Ll Elevator: —- Manlift_Escalator�_(Number) 63" Replacement of Existing System
0 Gasoline Pumps -(Number)
Li Tanks (Number) El New Installation
Ll LPG Containers —(Number) (No system previously installed)
Ej Unfired Pressure Vessel 0 Extension or Add-on to Existing System
0 Boilers
L3 Gas Piping LI Other-Speci
Ll Other-Speci
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSORIS Approving
Number Units Description Model# Manufiacturer Ton's Agency
o Y,,e- �\eCkA VUV"� S �(11_3'B 3,�L� U L_
HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model# Manufacturer BTU's Agency
TANKS Nominal Capacity Type Liquid Serial Approving
How Many &Dimensions Contained Manufacturer No. Agency
800 Seminole Road*Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800 e Fax: (904)247-5845* http://www.ci.atiantic-beach.fl.us Revised 1/04
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
All
Application Number . . . . . 09-00001058 Date 7/22/09
Property Address . . . . . . 371 SKATE RD
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 2400
----------------------------------------------------------------------------
Application desc
nail over FL 9631 . 7
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
Rick Nacca ROMANO ROOFING SERVICES
371 SKATE ROAD P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . NAIL OVER FL 9631 . 7
Permit Fee . . . . 45 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 2400
Expiration Date . . 1/18/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 45 . 00 45 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 4S . 00 45 . 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
09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5M
BUIUDING-DEPTGCOAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
0 "5 '1UNPEF
SCL FT�
5�
A
0. B�DPRESS!,'5<, RK�
-3-7( �I(A.�-e 00-ou
sc ��C SS', 6.USE,jOF STRUCTURE.-,',!,'J��'
44��DE RIPTIO 5
-V
0 VNEWBUILDICNG 13 DEMOLITION 0 RESIDENTIAL
LOT-BLOCK-SUB DIVISPIN 0 ADDITION 0 CONVERTING USE E3 COMMERCIAL
ON 13 ACCESSORY BLDG.
E3 ALTERATI
-7 13 REPAIR POOL/SPA [3 YES 0 NIA
0 0 MOVE Q OTHER
CONT
HE UNO-0 I N E 9 R
Nr
77 7,77 PROPERTY,,
HITE T
9.NAME: 15.COWM��
23.COMPANY NAME:
16.NAME: 24.LICENSEE NAME:
17.STATE OF FLQR ICENSE NO 25.STATE OF FLORIDA LICENSE NO.:
10.ADDRESS) e,(?A Ltl
7(
Liz 18.ADDRESS: 26,ADDRESS:
nv �c ( Zn
-)t,A k s�- -,
OFFICE PI)ONE: TFAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13.bELL OHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
"j,i
N
MORTGAGE LE DE
FEE,SIMPLEJITLE BON ING C
6�4
"D
EK
�0 (if PTHER
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS. 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or
abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OVMER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and
pnor to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE,,R,E,C. ORDING,,YOU.R NOTICOF COMMEN:CEMENT.
NEWde"AIGE
nly)�;
gent,Power of Attorney or,gency .9tter Requ re I
I d)
Sigr Date: Signed: Date: 1 Z- 0/7
//5ULL4 the county of
Befo me is day of .2� in the county of Before me this 2009 in
-d
as .r
has pers.riall,.0�el Duva
Duvall,State of lorida, 1,State of Flo a, a Pm7nalj4ppearL
I fZ6
E'P lq� Rn Am tj 0
1W.
herin by himself/he4t#'q-xd-q" 8'.'narations herin by himself/heffelf and affirms that all statements and declarations are
true and accurate. QoMmIssirr 00632935 true and accurate.
112 1
oun of Notary Public at Large,State of
Notary Public at La S o. -R�ocountyof Q>U-1/4L
11 Personally Known UP4ersonally Known
11 Produoed Identification- 11 Produced Identification-
Notary Signature: Notary Signature: LLA.4- 4�-FQ I
SUSAN SPEAKS GORMAN
MY COMMISSION#DD643668
C. WIRES:February 23,2011
BLDG01 Permit Application Bldg:REVISED:1211812003 4;6p��=
1.40-3�NOTOy Fl.Notsfy Discount ksoo.C'.