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WS fir.} ++'.%. ++ h� •' 1 "r '3" 1} fi P fi`it t f ,✓' 3 11 i x �'*8'roy } P - ia `fsa'M3if{f "J-rr .11 w r y a# �S r'„ 4La7m;,t va° .�X `RM s 4 hX sy 3 d S 1 v t res=�;- -illi ft, a s, 9 i`}i ,� a h iY �� 11 - "''.a �� �� s n k f t OA 1 t�' �' _ .. d as '�" S+,5,+' '"a`^?i� � s� i s= `- + ate`„z"�`� a+r r�k �,�'s c{. .� r 1�1 S art ��,', + .,' i �,may l S ��"r' s:,, 3�: s Ao # � � #i7��-fix A' x T ,"'� , '� 3 c ,,w y { ^�. �o s r, + -:, i s x k ,r I 11 'sr .s. 11 I., /�L7«...,�E©N TRANSF. �. rA. MA. NIO'['doctizE SWIT04 I HE I 1, I I'll, 11 ,,.,,,,,.,.,-I, I I rr I I I t I I r . I . 11 I - I , , ,� � 11 FORWARDED 1`QTAL FEES ' « .r i n'U of, 400 �uttdt�9 otttctot � � of 8 o -t f SpEC�`QN FSR iN EQV�S �mitNo. a oistf1ot"0 "`p•Mr_ t�AEONA� p Date G.c ontotNo O ss rueop (uoP9Ohlt Addce 'N.1 $ "' µFirBtiFt+9aab� O P p• dao�9 ref, lb ooNCaEp lemPpoke ptC 20 SOILIOG p 5110 p oY FoR OASP�C puaN !" " f�em {.n4 D "nte RSA F ns W � �, Finat t co ��Pa"eY 1110- co of Mp° pate oade vls Uon 1nsPeor CITY 4&aa& 16e=OF4-A;kUA Office of Building Official REQUEST FOR INSPECTI N Date mit No. Time A.M. Received PM Job ss cality Owner's Name Contractor BUILDIN CONCRETE ELECTRICAL PWMBIN MECHANICAL Framing 11 Footing 0 Rough Wiring El El Air Cond.& E Re Roofing D Slab 0 Temp Pole D Top Out E Heating Insulation C Lintel 0 Final 11 Sewer El, Fire Place 11 Pre Fab READY FOR INSPECTION A.M MOO" Tues. Wed Thurs. Friday fe_1 0 �f A.M, Inspection Made PM. Inspector Final Inspecty K Date Certificate of Occupancy D Bld.Permit #4014 Elect. Permit #2402 2403 Plumbing Permit INSPECTION RECORD JOB ADDRESS 237 Vagnol.ia Street CONTRACTOR Grenville and ;reuse Const. Co. OWNER Grenville and ?,'euse Const. co. TYPE DATE REMRRKS itMI PECITOR FOUNDATION �� � ✓.' SLAB Ay v' PLUMBING (R) SEWER ' TEMPORARY POLE /8 DI • LINTEL/BEAM COLUMN ELECTRICAL (R) E � PLUMBING (F) FRAMING + ELECTRICAL (F) OTHER FINAL CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: c;t 3 7 146�;outA OWNER OF PROPERTY: )/,fpr S�mn1e� S TELEPHONE NO.dV'I,'3C, PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS :& }rQy � STATE LICENSE NUMBER: 46-CUS64<Y7 TELEPHONE : HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: x $3 . 50 + $15. 00 .- or MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 3/4 Tap l 85.00 + 2.00 Const. Water 237 Magnolia Street 509 Salt Air Subd. Grenville and Meuse Const. Co. 229 Magnolia- Street r r;� I DEPARTMENT OF BUILDING /� 01 4 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. �T PERMIT TO BUILD ° THIS PERMIT MUST BE POSTED ON JOB l Datil 3/16 19 79 { Valuation 59,896. Fee$ 156.30 f This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that Grenville and Meuse const. CO. has permission to build s/f dwelling Classification residential 7r+ne Owned by Grenville and Meuse Lot 509 Block SJD Salt Air Sub House No 237 Magnolia 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 SIR MONTHS ,I AFTER DATE OF ISSUE x ♦ � ► 0 Building material, rubbish and debris Z from this work moat not be placed in � public space, and must be cleared nil and hauled away by either contractor or owner. TIS •; Ruildios FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER DEPARTMENT OF BUILDING 4021 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Data 3/2 11979 Valuation ling Fee $ 12.40 I€<• TL This permit not valid until above fee has been paid to City Treasurer, and is 77j y subject to revocation for violation of applicable provisions of law. This is to certify that F.W.Fair Plumbing � � eQa L�aCG I has2p ermission to build to install 2 sinkis,2 lavatories,l bathtub closilw l shower,l water heater,l dishwasher,l dkkp. was Classification �� Zone Owned by Grenville and Meuse Const. Co. Lot 549 Block S/D salt Air House No 237 Magnolia 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 SIR MONTHS AFTER DATE OF ISSUE �- 00 14-111, O Building material, rubbish and debris from this work const not be placedin public space, and must be cleared np and hauled away by either coll<tractor or owner. Bill r-1. Davis Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER a Ago** ��j 7 77 T-% rr, 11.01C FS FOR OFFICE USE ONLY Ft'tl 'l 7iT IF1 -T 6 WERTY Date.-I.V/41............... MUNG WICE, FOR BUILDING Permit ....Fee*2S541.20 .WWVEU=TY, OF ATLANTIC BEACH "I 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 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. Date.......................................................................0 19............ ..................Address—iWR ..........Telephone NoP7V_9:Ar.91_7....... Architect...'ez, ...............................................................Address,...........................................................Telephone No..............--------------- Contractor o.............................Contractor 'g"&' 4O..........- .............Telephone No-_---------------_----- LotNo...... ---------------------------------Block No---------------------_-_--...Sub .............................................:.........Zone............--... ...........................................................Street.........._--------------Side Between_..................................................and......................................................Sta. Valuation ............For what purpose will building be usedXEs1:P4'W.,-,0.............Type of construction.W.,a,04...................... Dimensions of Building__3.T,.633-----_-_---------Dimensions of Lot_­:rO.X../.O.Q.............................:Size of Footing-s-ze..."I..4.Q...---...--....... Size of Piers-------------------------------------Size of Sills------...............__-----Greatest Sill Span in ft...........................Type Roof How will Building be Heated?-.?F..II.-A-----------------------_------_----------Will Building be on Solid or Filled Ground? Size of Ceiling Joists.__—?.ey_4?...........................I Distance on Centers_-73./.................................. Greatest Span-/.Y.-/.................................. to -'&A-4r&A - Size of Floor Joists,-X./4---- ------------------------Distance on Greatest Span---IM.................................... ry Size of Rafters. -----------___........... Distance on Centers.. .............................. Greatest Span..---/4....A,.............................. of This rectangle is to represent the lot. Locate the building or buildings in the Ic right position. Give distance in feet from all lot-lines and existing buildings.a a V V REAR LOLINE Two copies of plans and specifications shall be submitted with application. Inspections required. MAR - 9 1979 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour col1GWaQFDA$WT1C BEACH Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. APPROVED 5. When rough plumbing is completed,and ready to cover up. CITY OFA -NTIC Br rAC11 6. When septic tank drain field or sewer is laid but before it i P 0FFJC-',-)e e p before i U' G /INTIC 0 FF"- C BD .3 7. Electrical inspection by City of Jacksonville. as 8. Final inspection. 5 Note: In case of any rejection,re-inspection MUST be called f corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statem 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 Cit 4 Atlan **each. _ J�_&e Signature of Builder. . ..N%. .. . ........ .......... 01 . .. ....................................... Signatureof Owner................................................................................ Address.................................................................................................... CITY OV 717TTV,`3 WATER CONNErIgDON 3/16/79 10i 237 Magnolia Street Grenville and Meuse Const. Co. PT,U-YWING FIDY 011, CGI\V+RTACTOR Grenville and Meuse Const. Co. 41-7?t1 OF BUILDING s/f dwellinq residential F 1-Ir"aw'ji GROT-Tp C0-kqS-1ST-r':""-' OF aT .—SHOWE'�', STALL, DONDESTIC 2XI n WiffEIR, CLOSET, U--WA1kORY lk^ 1:VXh,,TUrD OR SHM413P, STALL (6 SHOWIS GROUP PER, FMAD 3uni- '4"— BATHTUB (7,4=;l OR 'N7j.T-H0tj-j GV'ER SURG'9401AS SM— (3 units) 15EAD SHOWE.R) (2 units) FLUSEING RIM ST� unIA-1s) BIDET (3 "11i"CAS) SERVICE SINKTRAP Slv'A� 3unii YAM (,,C,TmWTLq-ATI0VT SINK AND T'RRY (3 un . .ts) POT, SCAL.,TERY SINE (4 nmits, TRAY Tq,/FO0D !"Js. UR- M!'Jj, PEDE.0,111AL, SYPHON JEI O -�m -lits) DENTAIL, UNIT R CUSPIDOR (S m (1 uni) U R—L9., L TIATIL YAP (4, units) F(DIFN.TADT unit) � iLL, "VIASLIOUT 4t nhil nT-SEmmSXEr. (2 ,units) URTTZIL TROUGH ME -COT 2-Ft SFVJ Units PLOOR D'p'� .Q,-.;S 'I Unit) WASUING MACHnIA' RES. (3imis.1 (2 unj-ts)' 117m-SH S u�, & -,myci m ei c i s TL r o r X"ITCHT.q.4 S-Y-111i, W/F00D ?MISTE G711,1111,1021. (2un7.ts) (3 i t S) —WATER CLOSIS.ES., T-MIK 0.?. ' 4-WPA --LAVATORY (I in i 0 WATER k'=SETS,, vif�'.u!�& C,, ).Sumj U-3017AfralUZ, BA,,I�DER, BWXTY P k0-Lbay'. —LAUDDR111, TRAY (2 iii: t moms p UP't", CITY OF LIZ Office of Building Official f J REQUEST FOR INSPECTION Date r�/a�/ Permit No. Time Received P.M District No. Job Addr } Locality Owner's6 �/A Nam Contractor �K� - -- - PLASTERING ELECTRICAL PLUMBING HEATING Wire..................[I Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..❑ Final................. ❑ Final...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Final.................❑ Brown...............❑ Motors............❑ Gas...................❑ Finish................❑ cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION Mon. Tues ed. Thurs. Fri. P.M. Inspection Made ��' _IlA: Inspector B-1.2 CITY OF 004/t& kwk= R Office of Building Official REQUEST FOR INSPECTION Date �' Permit No. Time Received - District No. Job Addr Locality Owner's Name Contractor PLASTERING ELECTRICAL LUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑,/Lath..................❑ Finish Wiring..EJ Final................. ❑ Final...............❑ Framing............hd Scratch..............❑ Fixtures..........❑ Sewers...............13 Water Heater..❑ Final.................❑ Brown...............❑ Motors.............❑ Gas...................❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION 41 Mon. Tues. Thurs. eq Fri. P.M. Inspection Made Inspector B-12 CITY OF lowftuo 8cac�- Aida `� Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time Received .M. District No. Job Address Locality N mOwner's454*& G'/}.tlS CD. Contractor w• BUILDING PLASTERING ELECTRICAL LUMB ��HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............l!S Rough............❑ Chimney...........❑ Lath..................C3 Finish Wiring..❑ Final.................❑ Final...............❑ Framing............D Scratch..............❑ Fixtures..........❑ Sewers...............ElWater Heater..Q Final................. ❑ Brown...............❑ Motors.............❑ Gas...................❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION .1200 Mon. Tues. Wed. Thurs Fri. P.M. Inspection Made '):0: Inspector 8-1.2 CITY OF Office of Building Official REQUEST FOR INSPECTION f Date >9 Permit No. Time Received lN, District No. JOS Address �— Locality Id Owner's (1lamo /� • /J 9 f� 4;= PLASTERING . ELECTRICALPL� HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..❑ Final................. ❑ Final...............❑ Framing............0 Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater..El Final.................❑ Brown...............❑ Motors............❑ Gas...................❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION A- Mon. Tues. Wed. Thurs. Fri. M Inspection Made °dA '�•`DO Inspector /FF 13.1.2 CITY OF / Office of Building Official REQUEST FOR INSPECTION tt'' Date — ;P— 7 Permit No. -PYA-5 Time A. Received , District No. Jo Address Locality Name tractor BUI NG PLASTERING LECTRICA PLUMBING HEATING Foundation.......❑ wire................. ❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................11 Finish Wiring..❑ Final.................❑ Final...............❑ Framing............❑ Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater..❑ Final.................❑ Brown...............❑ Motors......y�.❑ Gas...................C3Finish................13UiAle Cesspool...........❑ Wallboard ........❑ /— READY FQJE,LNSPECTION Mon. Tues. , ed. Thurs. Fri, P.M. Inspection 0A Inspector 0-1.2 CITY OF >�O1t�tt f�GQ1Ifs- ��OIf�4 Office of Building Official REQUEST FOR INSPECTION Date V—.d'7 9 Permit No. Time CM Received µ. District No. a a 7 Job Address Locality Owner's �Ca,* .8 Name 1��€yr� �- -JyEusE contractor BUILDING PLASTERING ELECTRICAL ii5M> HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................El Finish Wiring..❑ Final................. ❑ Final...............❑ Framing............Cl Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Final.................❑ Brown...............❑ Motors............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ Wallboard ........❑ TD/0 ou-r ,.!� READY FOR INSPECTION Mon. Wed. Thurs. Fri. P.M. Inspection Made Zi Inspector ' B-t.2 CITY OF owwift 4 Office of Building Official REQUEST FOR INSPECTION Date �_�� Permit No. � � Time P M Received P.N� District No. Job o4 dress Locality NNaamne I s e: � 9`/// d"i JL Contract BUI ING PLASTERING ELECTRICAL *.ugh #i:0 HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ ........... Rough............❑ Chimney...........D Lath..................❑ Finish Wiring..❑ Final................. D Final...............D Framing............D Scratch..............El Fixtures..........❑ Sewers...............QK Water Heater..D Final................. D Brown...............0 Motors.............❑ Gas................... D Finish................D Cesspool...........❑ Wallboard ........D READY FGEUINSPECTION Mon. Tues. ed. Thurs. Fri. P.M. Inspection Made 2� Inspector — B-t 2 CITY jjOF; �'�F f�IfiM1+►s'�T� Office of Building Official �- REQUEST FOR INSPECTION Date- Permit No____'z6J_ Time A M Received P4M. District No. zl�/ Job Address Locality BUILD G PLASTERING ELEC`i ICAL_� PLUMBING HEATING Foundation.......© Wire..................© Rou ❑rng. Rough...............© Rough............❑ Chimney...........0 Loth..................0 Finish Wiring..Q Final.................I] Final..........,....❑ Framing.......,....0 Scratch..............C1 Fixtures......._11 Sewers...............© Water Heater.. Final................. ❑ Brown...............❑ Motors,....,.......© Gas...................I1 Finish................❑ Cesspool..,........0 Wallboard ........❑ READY FOR INSPECTION Mon. Tues. ' Wed. Thurs. Frk P.M. InspectionMade C4 Inspector- 842 nspector84 2 CITY OF r/ Office of Building Official REQUEST FOR INSPECTION pace l -' S 7 I Permit No. ,74b3 Time Received District No. _W37 Job Address Locality Oww Name.s7,72 efilx� ,tor BUILD G PLASTERING CTRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring..❑ Final................. ❑ Final...............❑ Framing............❑ Scratch..............El Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Final................. ❑ Brown...............❑ Motors............❑ Gas................... ❑ Finish................❑ t �jn' J, Cesspool...........❑ Wallboard ........❑ -t s�-�■'*'" READY FOR INSPECTION Mon. Wed. Thurs. Fri. P.M. inspectionMade_ r,�� 0:0: Inspector �<A 8.1.2 Y CtTY OV ATLANTIC BEACH, FLORIDA A"m4dby APPINKATION r0lt <ELICTR1CAL fIRMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z.' 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 APART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIQ BEACH O IBES. FIRM: E L& NAIL !:>) �c)�,. tR ADDRESS: C4!:>) nom' 1►r►t3lCr BLDG.Slze 1 50 s; P�— BETWEEN: .. RESs I Vi" APT.I I COMM.t I PUBLIC( I INDUS.I I NEW( OLD I I REW.I ► ADDITION# I TRAILER I ? TEMP.I I SIGNS 1, I SM FT. SERVICE; NEW I I INCREASE I I REPAIR I ! FEE OR SIZE AMPS R ALUM `O�' T OR KE PH W LT X EXIST.SERV.SIZE AMPS PH Yli OLT RACEWAY FEEDERS NO. SIZE . IND., SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED, OPEN TOTAL 0.30 AMPS, 81.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. IdtXPD'°' 0.100 AMPS, ova" APPLIANCES BELL TRANSF. AIR. H.P.RATINGH.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AM061 EIL HFAT: KIN-HEAT 0.1 IfVIiE MOTORS H.P. VOLTAGE PHS NO. VOLTAGE PHS MISCELL'AN E S= 4 7 is, r+✓1` / TRANSFORMERS: UNDER 600 V. OVER 6110 V. NO. KVA NO. I�VA NO.,' NSF. NO. VA. MA. , MOTOR`SIZE SWITCH FLASHEIR Er41t .. t FORWARDED S .. wc*ryx ,_, f Oil T } '. v N. ` tvIT1MF ATi.Al BEACH PERR11 t FORili-T100 I.EtCAtiQC� ATIOi 'Poriit 'Trp+ tAttliAladS '; TLAR R A ' . .d We i� a E BCR P 1'014 . tj Ldt sii HCl. . 14 j Q 00 r A "4`.`� '� R a- s .• dFS� A T� 4[s a ATIE `�'.. . „. Adm .4iw AT 32233 . � �Y � . 3. •. ,roc =•1 1t. AND FOOTINGS foLt�� ��:� '� ►� 'f��.l� ��1��P�IU�t#�i�3 PE +FtT void SIX,MONTHS Af:T Rp aMr S LJ ► f � �yLit }t G MATtRtAL A,U8BISH AND� ORIS FROM T'H1G WE3RK M1+MUSt Nt3T BE,PLA ED 1.t+�C•PUBL IC SPACE,AND MUST B� �y�(.� ,�( Ji'} �+ l��/��/�y '4�* ��y�"p}+ y�y. /+��v} p/�y�j ��/y�� Wsi:F �V 1`A#,�F �lJ,yWi`a9� 1 i; PF7 p"y�t k� lY trV k�C7J I"1�YY pi HIEME; CHA Nit 90 T6 A,PPJJR0 p# ANIS WHICH ARE PART ©F TMM,S;PERMMt AM�M3 SUBJECT TD, FME1t, CATt t Et�M� VtF #PLM�CABi ' t$tto1 : 3f AW. AT tt"ttC EAC,""SUI 1_'p tooDEPA, TMEW r -w Agig .' Z ,:'/dk'f "r° $ .ate a'. '..o' g BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT —Applicant to complete all items in sections I, II, III, and IV. 1. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attaciLed 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 Contractors Contractor (Print) 0& Master (�,L Name of 9 Property Owner Z/ exca'5 s e'er Signature of Owner Signature of or Authorized Agent /7�1 Architect or Engineer Ill. NERAL INFORMATION A' Type 4heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON dr uric THIS BUILDING OR SITE? Q bas 0 LP ❑ Natural ❑ Cental Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q on PERMIT Q Other — Specify IV. MECHANICAL EQUIPMENT TO If INSTALLED NATU OF WORK �s (Prov' complete list of components on back of this form) Residential or El Commercial Heat ❑ Space ElRecessed 8/Central O floor ;I-rt Building "r Conditioning: C3Room Central ing Building Q Duet System: Material Thieknes� LK Replacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously installed) ❑ Extension or add-on to existing system Q Refrigeration ❑ Other — Specify Q Cooling tower: Capacity 9•P m• 0 Fire sprinklers: Number of had• Q Elevator 0 Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q .Gasoline pumper --(number) (Reo�iwd) Q. Teaks. (number) Remarks Q LPa contains, (number) Q Uefirod prossure vessel Permit Approved by Dat a- 13 Dollars Q WNW — Specify Permit Fe- LIST ALL EQUIPMENT ADL CONDITIONING AND REFRIGERATION EQUIPMENT tr AppivViluff N»mber Unita Description Yodel Number l�[aeufaoturps ( ) MATING - FURNACES, BOILERS, FIREPLACES Capaicity Number Unita I)eecrlptieoa Model Number Manuf"tury (NM) w� lU�t! a / . TANKS NOW many Nominal Capaelty Type Llquld Name of Serial APVm6 and Dtnnaodau Contained Namiftetm+er No. 7 tib' a -.19wo mm -.imllii AM mow, muem, S IU:M O�s OF f SMI W3, 4 41MMM MET S E M AWQ+ WL- Xel TM MAP SHOWING SURVEY OF LOT 509, SECTION N0, 3, SALTAIR AS RECORDED IN PLAT BOOK 10, PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY.,FLORIDA, I LOT 508 47 47 S 56��8 o0M OOf g9 c`obh� 10000• 07 Is'� �l4 J J? 2—STORY MASONRY J L07 520 RESIDENCE 111 237 No; • � 8� sr 8 0 �, ;. N 0ow ^ ��N LOT 521 w8 w 99e ,00.00• LOT 510 °§ o � 7,0 Gr?e 00'k 4� LOT 522 (FARM fRCYpqR���� A MNO,r NOTES THIS IS A BOUNDARY SURVEY. BEARINGS BASED ON THE NORTHERLY LINE OF LOT 509, AS BEING S.67'28'00'E. PER PLAT OF SEASPRAY, PLAT BOOK 35, PAGES 64 & 64A. NO BUILDING RESTRICTION LINES PER PLAT. THIS SURVEY WAS MADE FOR THE BENEFIT OF THE PROPERTY SHOWN HEREON APPEARS TO UE COLLIER S. AND KAREN P. SUMMERS; IN FLOOD ZONE 'X' (AREA OUTSIDE 500 YEAR FLORIDA TELCO CREDIT UNION; FLOOD PLAIN) AS WELL AS CAN BE DETERMINED STEWART TITLE & GUARANTY; FROM THE FLOOD INSURANCE RATE MAP COM- AND WATSON & OSBORN AND IS IN COMPLIANCE MUNITY PANEL No. 120078 0001 D. REVISED WITH THE MINIMUM TECHNICAL STANDARDS APRIL 17, 1989 FOR THE CITY OF ATLANTIC SET FORTH IN CHAPTER 61 G17-6 OF THE BEACH, DUWd COUNTY, FLORIDA. FLORIDA ADMIN151RA COD UNLESS IT BEARS THE SIGNATURE AND THE ORIGINAL RAISED SEAL OF A FLORIDA MINE C. CLARKE, P.S.M. LICENSED SURVEYOR. AND MAPPER, THIS MAP IS FOR INFORMATIONAL PURPOSES FLA. LIC. SURVEYOR AND MAPPER No. 3117 ONLY AND IS NOT VALID. FLA. LIC. SURVEYING AND MAPPING BUSINESS No. 3672 DRALE:WN y. Ai _. BOATWRIGHT. LAND SURVEYORS, INC. DATE: 20, 1999 DRAWN BY: A� FILE: 99-283 1711 SOUTH 5th STREET, JACKSONVILLE BEACH, FLORIDA 241-8550 SHEET 1 OF? RECEIVED M: a " JUit 2 6 ri 1 City of Atlantic Boach Building and Zoning City of Atlantic Beach 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX (904)247-5805 • http://www/ei.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY (DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE 45 JOB ADDRESS Z 1 r- APPLICANT/: /a ADDRESS / �J� ,r fr^/i c l -tel i PHONE: �7 CY�� C LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER,56ZONING DISTRICT CONTRACTOR STATE LICENSE NUMBER ADDRESS �%�l .y.� ,/ PHONE CITY�) fL7 STATE ZIP 'CSW FAX DESCRIBE PROPOSED USE AND WORK TO E DONE (/ iC� .- C r� PRESENT USE OF LAND OR BUILDING(S) VALUATION OF PROPOSED/CONSTRUCTION Is this an addition? ? C/, If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? / New electrical or increase in service? New plumbing fixtures? Irl > New fireplace? New heating/air conditioning? ­ Is approval or Homeowner's Association or other private entity required?77t!� ` If yes,please sub }mit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATERIAL? NO. Applicant certifies that no change in site grade or fill material will be used on this project. YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)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. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INNFFOORMATION PROVIDED WITH THIS APPLICATION IS CORRECT.., SIGNATURE OF OWNER ( ✓�t' ^^- DATE 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 GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSU E OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE ANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR + DATE Y ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME C o<< t eX o--,A- K Q rc,\ Sy w,- r,,- MAILING LMAILING ADDRESS o2 3 -1 t---.)`1, a q v,�l t'c� ✓C_ -- PHONE a -8' 3 0 R' FAX E-MAIL ry - Ge� SWORN AND SUBSCRIBED BEFORE ME THIS a DAY OF STATE OF FLORIDA,COUNTY OF DUVAL �, y NOTARY'S SIGNATLmR JENNIFER SCHLUETER AST MY COMMISSION#DD 121301 ❑ Personally known EXPIRES:May 27,2006Produced identification ;of'hQp`•. Bonded Thru Notary Public Underwriters Type of identification produced( 2�J AS TO CONTRACTOR: ❑ Personally known Produced identification ,g fes, JENNIFER SCHLUETER Type of identificationproduced'�J ��\/ :,; .: MY COMMISSION#DD 121301 EXPIRES:May 27,2006 Bonded Thru Notary Public UnderwrAere 6/18/02 NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verifying Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additionsz new driveways, decks or porches involves any increase in Impervious Surface area. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address—' �44- Date �•� • �Z Heated Square Footage per sq ft = $ Garage/Shed 's @ per sq ft = $ Carport/Porch S s ft = $ �@ Per q Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valuation 1st $ 10co- 00 (t4iOCb $ -40. Remaining Value $6. `J per thousand or portion thereof TOTAL BUILDING FEE $ 5• + 1/2 Filing Fee $ 00 ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ oTj GRAND TOTAL DUE $ 129, ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE:(904)247-5800 FAX:(904).247-5805 SUNCOM:852-5800 http://ciatiantic-beach.ft.us r�r �•__S_;C.P.Q-3---------- '�--L------------------ :=cS)Xrz,+ Mo---- --=------------------ n1.-4,....._m------------------------- C�®r A(I }o Mc_r rl e v t_r Ii(j- ci l eccese ca l I L-Gs lo c5 -f c/vi ee Lp .2q7 HP OfficeJet K Series K80 Log for Personal Printer/Fax/Copier/Scanner Information Systems 247-5845 May 06 2003 9:56am Last Transaction Date TimeTwe Identification Duration Pis Result May 6 9:55am Fax Sent 92495615 0:35 1 OK • i a • = ' 1 • i • 111 it • - i 1 Ii • • 1'1 s pill liniiiii OT, • • F 1/ 1,7a t WWI Y , k - Fy �, x rtia,=y;-•i#Of3"'. `" `�.3q`�i�,. . +Ky- q, �z ,c �L« Ill �4WV'I VVP Wr {e�Il�„4��� ..�16!'-ewe.::� ^�'ti...� '4�a. '•°'. il.3i� ��*.+.; '°5�LTL . �...y ��W'���s"+ 'R�*< '.� �� -+ .a+ �",`y'"'�.4� � „r•ff'�:.��*te Ts€ ,a��<..a.-x � - �� .�, a x... r � 20 �+rW i�� tx�4,*2y,A•he__-.,..� '-g` '.�t ;: eM 77— -b`°t•- sc,�+1`-AA°"a "e'E�.l.'g--• 5a �`xa'+n" c�+rx'-3 '�5 'Y�.C+ -'ii'&*�. Yom.*. "" ' .Ky- �z '�� �0 zAA _? A E "'1 z. '. `"' ti s 'rII�+�1..+►, py,,.".�-�.lt.r ' +lin- `.. : -r WRZII w rvz x 'I r ` r `x.0'4. .?.` ..rk,�'„,�="•' „'J {i{ 4 • ! �� —�$�a �+�r`mss'_s� '�s.�"�+q k`-.`e"f +'3s�"♦�,�.__-..� � z,c�s`�`�""ctx`�x^v' �� �a.:xt l� 3�l ��._,+ y �c".�a.._._ .++.3sss„ _�'moi.- .�� „ • � � I. Cy/! 5-MIN. RETURN HONE# So 0Book 10572 Fuge 1019 rLA.1977 LAWS RAMCO FORM 409 FS 713.13 N OUACel Of C 0VUTte41Ce*WA/Lt (Prepare in Duplicate), 7o w�iom if may concern: , The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT, � c �' Description of property . .��.�.�� . . . . . .:��.�D.`l,.G.��. . . . . . . ,✓(/ ^� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . .j . �1� • . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . General description of improvements . . /".,/F. . . . �t°,JJQ ���Y/ . . . . . . �. . . . . . :l� . . �Aa : a'Ue�C . I . . . ;heck. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . Owner !. . . . . . � ,. . . . . . . . . . . . . . . . . . Address . Zd;�—7 . . ... d � . . . . 5'r. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Owner's interest in site oft improvement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Fee Simple Title holder(if other than owner) Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . • • . . . . . . . . . . . . . . . . • . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . Contraclor� . . . . . . . . . . . . . . . . . . . . Address . . . . . •/. • . .t7215'� . . . . . . . . . . . . . . Surety(if any) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . • . . . . . • . . . . . . . . . . . . . . . , . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount of Bond$. . . . . . . . . . . . :. . . . . . Any person making a loan for the construction improvements: ' Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Address Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . • . . . . . . . • . . . . . Address In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (h), Florida Statues, (Fill in at Owner's option). Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . , . . . . . . . . . . . . . • . . . . . . . . . . . . . . • . . . Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . , . . . . . . . . . , . . . TWs space for recorder's use only Owner Sworn to and subscribed before me thisOtlday of . . . . . . . . . • . . . . . . . 20 otary Public Doelt 20 fs340lions Boo : i Pa e• 1019Y�i'• JENNIFER SCHLUETER g +� �"__ MY COMMISSION#DD 121301 Filed & Recorded � • 07/15/^2002 01:35:54 PM s; a,` EXPIRES:May 27 2008 JIM FULLER p.; Bonded Thni War/Public Underwdten CLERK CIRCUIT COURT 06 DUI AL COUNTY 1. 4 .00 TRUST FUND COpY FEE # 5.00 RECORDING f.- m " ° )F ATLANTIC BEACH 800 SENIINOLE ROAD ,�► � Q OTIC BEACH, FLORIDA 32233 s� CTION PHONE LINE 247-5826 A � So z . . . 03-00027060 Date 10/09/03 . . . 237 MAGNOLIA ST TeITanL . . . RENEWAL OF PERMIT #24396 Application desu,. .r - . . . SCREENED ENCLOSURE Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ SUMMERS, COLLIER JAMES & SON BUILDERS, INC. 237 MAGNOLIA STREET 430 9TH AVENUE NORTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-5615 ------------------------------------------------------------------ ---------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 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 as CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD r� ATLANTIC BEACH, FLORIDA 32233 INSP' "TION PHONE LINE 247-5826 Application TTti� �-00027061 Date 10/15/03 Property Ac' � ' � MAGNOLIA ST Tenant n1- � � `a,4;6 200AMP, 1PH, 3W, 240V, 2 "RACE Applic- r� ti 2IC ONLY %F w Prop, ,�+� ti TPDATED ractor SUM. , � + .,�° -HOICE ELECTRIC 237 1 ti' �gti .ALLEY FORGE RD . N. ATLANi >> ss° DUNE BEACH FL 32266 sus X04) 241-1331 -- - --- -- ----- - --- - -- - -- - - -- - -- - - -- - - - - - - -- - - - - -- Permit �s 1'� tier ' .v1IT Additional d�stis' Permit Fee � y�� Plan Check Fee . 00 Issue Date 1�� 03 Valuation . . . . 0 Expiration Date j7/04 Fee summary rged 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 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 !yS y�JJ'r'ry r J r CITY OF ATLANTIC BEACH, FLORIDA s� ELECTRICAL PERMIT APPLICATION Will, TO THE CHIEF ELECTRICAL INSPECTOR: DATE: _20 A 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: s �C— �t' '. �L.I Crrc MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY: ��� JOB ADDRESS: Z-S 7 a RES.(O� APT.( ) COMM.( PUBLIC( ) INDUS.( ) NEW( ) OLD 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. SIZEAMPS ( PH J� W O T RACEWAY z" FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES Z CONCEALED OPEN TOTAL 0.30AMPS 1 31100 AMPS SWITCHES J INCANDESCENT Z )::L u 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 MISCELLANEOUS s C air UNDER 600V OVER 600V TRANSFORMERS: NO. 1KVA NO. IKVA NO-NEON TRANSF. NO I VA MA I MOTOR SIZESWITCH FLASHERS EACH SIGN 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904).247-5845• http://www.ci.atiantic-beach.f.us Revue 01/17/03 CITY OF 4&64G !3 -A;& Office of Building Official REQUEST FOR INSPECTION (1157 Permit No. Time A.M. Received P.M. Job Addressj� Locality Owner's Name _ Contractor l BUILDING CONCRETE ECTRI L PLUMBING MECHANICAL Framing Footing ❑ —�nng ❑ Rough ❑ Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation r Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION * A.M. Mon. Tues. Wed. Thurs. day RK A. . Inspection Made PM, Inspector Final Inspection ❑ f �j Certificate of Occupancy 0 (Cli UC- - - I Date .507—0 g,t Z. 4&^4'c }} ��,��..c /h _ CITY OF } Office of Building Official REQUEST FOR INSPECTION .J Date 2, Permit No. f 3 Time A.M. Received P.M. .3 7 ,--dZ--Vxt Job Address V Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing D Rough Wiring D Rough D Air Cond.& D Re Roofing D Stab D Temp Pole D Top Out Il Heating Insulation D Lintel D Final D Sewer D Fire Place D Pre Fab READY FOR INSPECTION A. . Mon. Tues. Wed. Thur Friday RM. A, . tr A.M. Inspection Made ._.`` 4.".. --RK Inspector— Final Inspection D — — Certificate of Occupancy D Date _. 'Jol Of `eta\ 110,0004 g o�a�`aN � nw`O�` e°'9,9 Q NSP 1a \A! Oahe G°n`taoiol PP 9 i FP?je Fab L Q° Ssme e`.4eb Rec ,ob Pabtess �, }�1 �AE9rP�i�n9 � S6� F��aay GO pcineeso�n9 �m��Fl NeIDOG S4�e� PEP�V�ed. PM. speQ�o°°,1pancy F ooll caye Ftan"�fm9 Q �z/ Pe P iron L) �nsU�a 'Goes. 2 Oate speo`ron Mane Gn -+\ 1V, 7' .n 1 ti k a�LAM ' s NOTICE �tORl�a OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB AODRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 19Dfl S C -(- 2!S 1� 6,ct t—, 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 to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors EHEC are in the office from 8:00 a.m.to 5:00 81� p.m. Monday through Friday.. PERMIT WORKSHEET certificate of Occupancyr- Job Address: Type Work: O2 � Property Owner: Phone # Cc l l i t r^ �Ce x°171 Contractor: Phone # u t 1 _7n C` d Ll 9 SCP is Permit#: Date Issued: O -�7 d4 rp .q a3 Building Inspections: Footing Slab Tie Beam Lintel Nailing / Sheathing Framing / Cover Up Insulation Final Building d.4,o Tree Permit# �` YES NO Electrical Permit# Date/Copy to O �L O JEA Temp, Pole Permit# � Date/ Cop Eto A Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough 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: 1 r c SC% JOBADDR�SSo�� Gl- TYPE WORK PROPERTY OWNER 00111 CK Svc.rYTT-e.6 Tyr.SONE 2-4(,0- 69-71 IIpp —Dic-; CONTRACTOR TFL EPHONE a q� 5 U 15 PM1TT NUMBER DATE 02' INSPECTIONS: FOOT12VG SZAB TIE BF." LI1V3'EZ FRAAENCACOVER UP MUTATTON FINAL BUH DING CT1iCTIFIC4TE OF OCCUPANCY FT•FCTRICAL PERMI3# INSPECTIONS ROUGff FINAL MEC A VIC9L PFJUj # INSPECITONS AOUGVr FINAL PLV?lI VG PHRM3# i INSPECTIONS ROUG%V VDER SLAB TOPODT WA17JZISEWER FINAL NOTES. PSR-3844 1629 1 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --,-. PERMIT INFORMATION _ _ ... :. LOCATION INFORHATroN . Number: 16029 Address 2 7 MAGNOLIA STREET, � Pr m =I'YI PLUMBING I Np AxLAN"T C BEACH FLORIDA` 32233 , .lass of W9zk-ALTERATIO fi tzl (*L DESCRIPTION doris t r. TyP : OOD P'P.I4ME 81 wa,k Lot: T rR« Cl t I? rgnsed CIBC. Section � . S�ebd:O Ing. 0 Dwe l l in « I 5ubd ui fon Est'. value.. 0.00 Tbtai Fees : 25:00.. 'Amount t PE cI> '25 .00 Dat e Ps998 3 APO . �}F-( .f, �- APPLICATION ' FEES . ryy � �w J�♦y�K�y V'wI � IT " AT ' ���R 1 qRj, si LORIDA 3223 m � tl 14"T ST PLbkg, NG JAW ON ?I wt EACH FL 3 2 2 40 1,, CP"C056487 Exp: I / NOTE.&: NOTICE-INSPECTIONS MUST BE REOUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION `i I BUILDING,MATERMAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NCiT,BE PLACED'1N PUBLIC SPACE;AND MUST,BE CLEARED UP AND.HAULED AWAY BY EITHER CONTRACTOR OR OWNtA � i `'FAILURE TO COMPLY WITH THE ME CHAN#CS' LI,EhI LAWP�C�I► RESULT IN T.i4 PROPERTi� 3 AlNE t PAYING TWIG Pt R Bt LC N ;. IEM NTS.�s ISSUED ACCORDING TO-APPROVED PLANS WHI H ARE PART Of:THIS PERMIT AND SUBJECT TO.RE11# ATIOI�I FOAVIOLATION OF,APPLICABLE PR-OVISION'S OF LAW W ,. I 70 I ATLANTIC BEACH BUILDING DEPARTMENTii i