Permit 1022 Main St (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 04-00029036 Date 9/20/04
Property Address . . . . . . 1022 MAIN ST
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
MASTERS, RALPH OCEAN STATE HEAT & AIR
1022 MAIN STREET 1476 ATLANTIC BLVD.
ATLANTIC BEACH NEPTUNE BEACH FL 32266
(904) 249-8251
-- ---- --------------- -------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
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
PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
Ir 4
BU1t%f-f47MF1CfAL
-. 0 0� CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date: zo
Property Address: to?- z-
Owner: M-00fI&S Telephone
QIC
Contractor: oce= ro-Tcne- 1-tim 9 Telephone
Contractor Address: 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 accordance with the City of Atlantic Beach ordinances and standards of
Pood practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
or site,list the building permit number:
4 Electric .A-
• Gas: —LP —Natural —Central Utility (c,
• oil
• Other-Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
Heat _Space _Recessed -Central —Floor Residential
>4 Air Conditioning: —Room Central
U Duct System: Material Thickness D Commercial
ZI Refrigeration Maximum capacity cfm E3 New Building
:1 Cooling Tower: Capacity gpM \10 Existing Building
ZI Fire Sprinklers:Number of Heads
o Elevator: —- Manlift Escalator (Number) 1P Replacement of Existing System
�D Gasoline Pumps —(Number)
Q Tanks (Number) D New installation
ZI LPG Containers (Number) (No system previously installed)
Z) Unfired Pressure Vessel :3 Extension or Add-on to Existing System
0 Boilers
Z) Gas Piping 0 Other-Specify
El Other-Specify_
LIST ALL EQUIPMENT
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving
Number Units Description Model# Manufacturer Ton's Agency
0 (![(A ZTLMT��4030 !ala4 a - E'S
HEATING-FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model 4 Manufacturer BTU's Agency
G) QhLk- T6AZanc. T- s- L4/L-
TANKS Nominal Capacity Type Liquid Serial Approving
How Manv &Dimensions Contained Manufacturer No. Aeency
800 Seminole Road -Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800 - Fax: (904)247-5845 - bttp:/Iwww.ci.atlantic-beach.fl.us
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
B 11L]&
j6f=dg-pj(A7)Qoab.us
Application Number . . . . . 07-00000655 Date 5/15/07
Property Address . . . . . . 1022 MAIN ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
reground/electrical - repair
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
MASTERS, RALPH AMERICAN ELECTRICAL CONTRACTOR
1022 MAIN STREET Q/A:GRASS, ROBERT
ATLANTIC BEACH 5065 ST. AUGUSTINE RD. #3
JACKSONVILLE FL 32207
(904) 737-7770
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . -
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/11/07
----------------------------------------------------------------------------
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
ELECTRICAL PERMIT APPLICATION
Dat(
7
Property Address:
, I
Owner: . Telephone
Contractor:
Telephone #: -727L-)
Contractor Address: ,i-VI Fax #:
Contractor Signature:
In consideration of permit given for M—ing the work as described in the above statemen—t—voe-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�oodpractice listed therein.
Building: Building Type: j Trailer Service: If other construction is
U New 0 Residence Q Temp. Ll New being done on this building
Or site,list the building
0 Old 3 Commercial 13 Signs D Increase Permit number:
U Re-wire D Addition Sq.Ft. 0 Repair
Conductor Size: AMPS: C PPER ALUMINUM
Switch or RACE
Breaker AMPS PH W VOLT WAY
Existing Service RAC��
Size AMPS kD PH W V0 WA
Meter
Number
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
Receptacles CONCEALED OPEN
Switches A IQ A hAPS t 11 10n AMP�
Incandescent
Fluorescent &
M.V.
Fixed 0.100 AMPS OVER BELL
Appliances TRANSFER.
Air H.P.RATING H.P. RATING CEILING KW-HEAT
Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT
Motors 0-1 H P. VOLTAGE PH NO. OVER I H.P. PHS
UNDER600V OVER600V
Transformers NO. KVA NO. KVA
No.Neon—Transf.
Ea.—Sign
Miscellaneous V'Intr-A,
800 Seminole Road *Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800* Fax: (904)247-5845- h ttf)://www.ei.a t1a n tic-beach.fl.us
Revised 1/04
ofA&w&Beach Pow&AIfommdon
To: JEA Electric Order Fulfillment, (Fax No.: 665-7372)
Attentio=Carol Schweizer/Lorie Craven�21 West Church St T-4 (665-6521)
Subject: City of Atlantic Beach Permit
Date:
Service Address:
Owner:
Owner Phone:
Electrician: OMJ�aab----
Electrician Phone:
Type of Work--
New Service r I M-116me Subfeed
Tnerease Service Heat & AC
Repair Service Other
Rewire Other Description:
Temp Pole, L-1 6-U- ---
Service Type: L_10verhead (Repair/Replace) L_lUnderground Q�ew Services)
Building Use sidential L_JChurch "Environmental
M-Home r Icoinmercial "Other
Other Use Description:
Service Size:
New Service:' Amps: Volts: Phase:
Existing Service:Amps: 10 Volts:_42yo Phase:
E-mail. cravli@,fea.com or sshwgii aajeaxom or reso-m(H418axoIll
HP OfficeJet K Series K80 Log for
Personal Printer/Fax/Copier/Scanner Donna Bussey
9042475846
May 15 2007 10:08am
Last Transaction
D-= Time 1,yK Identification Durati P= Resul
May 15 10:06am Fax Sent 96657372 1:19 3 OK
6410
i�o
pepAkirmeNTOF
; OF ATLANTIC BEACH
;Ty
T INFO MAI ,
PERNi L,0CAT 110N INFORMATION ---
I ' :__ _: , ,
�'P�' rmlit, usbor 1
-54 Addroals: 1022 )fATN' STRZET,,,l: ,
_M
d", UTILITIR ATLANTIC BEACH, FLORIDA :�21 13
� jy L'ZdAL DESCRIPTION
cl 0,00 of Work t
Section S '
Lot 1 4' ' �',Alidek;
onstr' , Ty0j,
roposed SINGLE ,PUILY, RNS t 0
j,l 1Yvollings., I Codwr 0 Subdivisipht SECTION ,H
1*tll*ated Viklii i
00
op,r 60iit i 40w
T
1"I'll A*O OX620.06
va
5122,11;
-7
VATM AND STWElk�SEOVX
1141"
APPLICATION FEES
ATION
R*,w 7;,�-
PE, �NIT *0.00
�%AST
STRMT VAT INPACT-FRE ' *500. 00
OR
S Fs
gl* , - t 0;4"il
'�g�71�
CV A
P,
4
RADON GAS-fl. R,S. '40.00
#10RMA't 5% *0.00
0 RADON;
GAS
"i"' 'Name, DEPAR -W` TER, T# *Q*00
SEW- Ap loo
160.00
11HYDRAI 9
M
_T
ypel 0 Z�-iNSPkCTT",'_ EE ""0011,00
F A
$0,
4'�#ACT , EE
Ski �il
k
;f
�,ALL,CqNCft E IN4�"D:11,]�FORE,POUAING
NoTllc ETE:FQRMS AND FOOTINOS MUST 0
�PE MIT VOID SIX MONTHS AFTER,DATE OP last
R
ILDING MATERIAL,RUSBIS14 AND'DEl$RIS FROM THIS,WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
a,`, EARE'D'UPAND HAULED AWA�Y�Oyl EITH�A CONTRACTOR 019 OWNER.
THe,MECHANICV�"LIEN LAW""CAN-IRESULT IN. ,-
77'! IL
b-
PA ' '01WOU MG, 10VIO WMENTS'.91
HE V R YING TWIC'EF ,
E
iP%
'App N
bt-DACCOROINO-TO -ft0VED PLANS-WHICH ARE PART OF THIS PERM,,Ir"A I) S FOR
S LAW.
Of�
lK
FIFFMR M004, 094%
'A NTIC I( UILDiN<i
VEACH T
�DEPARTMEN
/w/'y
7'j
CITY OF ATLANTIC BEACH
Fix,ture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR
EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER
SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS
PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND
WATER CLOSET, LAVATORY & BATH (8)
TUB OR SHOWER STALL (6)
WATER CLOSET
WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8)
BATHTUB/SHOWER (2) URINAL WALL LIP'* (4)
SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1)
SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2)
LAVATORY (1) COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3) POT, SCULLERY SINK (4)
2)
DISHWASHER WASH SINK EACH SET OF
FAUCETS (2)
KITCHEN SINK (2) DENTAL LAVATORY (1)
____L..,KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1)
1GRINDER (3)
URINAL STALL, WASHOUT (4)
�BIDET (3)
,FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH
FOOD DISPOS. (4)
URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (112)
BLOWOUT (2)
LAVATORY, BARBER/BEAUTY ICE MAKER (1/2)
SHOP (2)
SURGEONS SINK (3) LAVATORY, SURGEONS (2)
JACUZZI (2) URINAL STALL, WASHOUT (4)
<
TOTAL- FIXTURE UNITS @ $20.00 EACH
JOB INFORMATION
Z-
Quo
APPLICATION FOR WATER AND/OR SEWER TAP
APP4LICANT NAME �Al k
MAI`�ING ADDRESS- /0 2-z;
- - ---------------------------
PHONE NUMBER_,;P,'J2�L-a�, 2 ----------- DATE__Z-
?-/ ..........
SERVICE REQUESTED
---------------------------
SERVICE LOCATION-.Z,-j&tX. .....................................
------------------------------------------------
DATE SENT TO DATE RETURNED
PUBLIC WORKS --'-I_Z------- TO BUILD. DPT
DATE OWNER
NOTIFIED
(7 1 v 7 ED,
JUL
Rij-6111C WORKS
!Jl�
1991
and
DEPARTMENT OF BUILDING 4451
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.—
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D 8.115 19—m—
Valuation S Plumbing Fee S 13.00
This pertnit 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 B & G Pbumbinp, Co.
has permission toAW Inst,21-1 1 sink,'A 1n3WtnjrPs;_l bat-b rtib.3 r-lang-ta,,
-1 shower,l water haater,l dishwasher,l disposal,l wsh. mch.
Classification Residential
Owned by Marcus Prom Corp.
Block S/
House No 1022 maiu 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
0. 4—bo- 0 Buildinx material, rubbish and debris
from this work must not be placed in
public space, and must be cleared up
and hatiled away by either contractor
or owner. P*J� TL
Bill 11. Davis
"u'vIff ofi".1 5/�U'
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CObor.*A
_tTOR 1
PLUMBING
ELECTRICAL I
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PEMIT
Date
Location
Plumbing Fim -'a
-Master Plumber Qnk,,k -± &(Ita'
City/County Occupational License No. 1:7
State Certificate No.
Builder or Contractor Apexcus ?'po/w-
Type of Building
SINKS,
_ajAVATORY M= HEATERS
BATH TUBS DISHINZASHERS
URINALS DISPOSALS
CUMTS MSHING MACHINE
FLOOR DRAINS
OTHER
TUML,FMURE COUNT
INSTALLATION OF PLUABING AND FIXTURES MUST BE IN ACCORDANCE VUTH THE NOST
R1MU EDITION OF TBE SOMUMN SMNDARD PLU1BING CODE.
INSPECTION RECORD
r3
BUILDING P=T # -�/Y,22) ELECTRICAL P=T
PLUvIBING P=T#
JOB ADDRESS__,�/,����
CONTRACII'OR
OWNER
TYPE DATE REMARKS INSPECTOR
FOUNDATION
FOO=G &Z
SLAB
PLUMBING (R) '517z�Av
SEWER
TEMPORARY POLE
LINTEL//BF-q4
COLUMN
ELECTRICAL(R) i�--,Sd
PLUMBING (F)
FRAMING
ELECTRICAL (F)
0=
FINAL
DIVOONAOF PUBLIC HEALTH CONSTRUCTION PERMIT
CITY OF JACKSONVILLE
JACKSQNV1LL-Ej FLORIDA 15 62,6
FEE: $10.00 TEMPORARY SEWAGE DISPOSAL FACILITY
Name of Applicant Marcus Prom ertrp.
T
Installation At: Ajot 4 ;o� lk t,.4 klaqiq Strer-t- (Atlantic Beach)
Installation By:
Septic Tank Capacity 900 Dosing Tank Capacit
D rafte rd., 360 ft. 110-fl) "PUTLDIN y
iG -SF'W!,,R STUB 0171' 1NVERT Y,7
TIMN FINISHFD IGRAD�E LEW-;�L. TIV1 C11 'IA!,11k, TO S-1111B OUT.
SEE REVERSE
SIDE FOR By: Supervisor
CONDITIONS For AdminIstrator-Senitary Engineering
OF PERMIT �,Iarch 3, 80
Date: 19
VOID ONE YEAR AFTER ABOVE DATE IF NOT STARTED
NOTE: This certificate,do not guarantee the successful functioning of this unit
and the occupant Will rreesponsible for its satisfactory sanitary operation at all
times.
DEPARTMENT OF BUILDING 4420
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date_--shily 25
—isso
Valuation$ 46,763.84 Fee$--128.41
This permit not valid until above fee It" been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that; Mnrriis Prnm rnrp-
has permission tobuild ma single-family dwelling according to.plans
afibmitted. (—Septic Tank & Well)
Classification RP_j%i den r i a I zo
Owned Narcus Prom Corp.
Lot 4 Block 184 S/D Sect. h
House N 1022 Ma:Ln StreCt
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
x
0 Building material, rubbish and debris
from this work must not pl
public space, and must NryM*Vuk
and hadled away by eitho*'449o$*W�
or owner. 7,
7/,3 .3k"
44 z' �
BilJ7 J_ ,�
Dav�s�,4
Building offidd.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
Date...
Permit .-Fes$A-2—e-12L
CITY OF ATLANTIC BEACH Valuation
FLORIDA nouse
_61g......zr�-
APPLICATION FOR BUILDING PERMIT E �0
....................
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 compiled with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to swAntain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or ombarrasment 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 verlhod.
Data....................................................................0 19...........
.AAtA,
y ire A
...Telephone Kp.ia�2Ar
Owner...In q�..A ..... ....................................Address. ....k:TYI& ... .......
Architect......M2.&d..........................................................................Address..................................................... __Telephone No............................
Contractor Builder..t ...P.Af��. .....�:.0a.-P................Address..AtLA_(I��!u............................Telephone No............................
Lot No......1-1.........................................Block No.....bt/-----------------Sub Diviaion...AZ�AN�a(�..... AJ.14.......Zone.................
...............��2�z.'V ..Street-------_----�q......Side Between......2...f......................................andL......!�k.A7,4 .............ft-
Valuation $...Y.-O-i keAL.....For what purpose will building be 02-�:?."'Ave of construction.... ...............
Dimensions of Buildiu9T.Q_X..�ff....................Dimensions of �L ff
..................................Sin of Footings....Ae.....A- 16,
.........................
Size of Piers..............=............Size of Bills..........................Greatest Bill Span in ft..........................Type R.Oor..................................
Y1,0—, P14 M P
How will Building be Heated?..2��k.4 7.-'2(C - /?. /n 7e.A.i/L.............
................................ Will Building be on Solid or Filled Ground?.......
Siso of Coiling Joists... ............ Distance on Centers...........2...I.........................., Greatest .......................
Size of Floor Joists...2.x.,F......... 2
.....................9 Distance on Centers.......... ................................, Greatest Span...........................................
Sin of Rafters.........—r-it _S .............................Distance on Centers........ .7-.(............................ Greatest Span,.... .................................
This rectangle Is to represent the lot.
Imate the building or bidldings In the
A ht position. Give distance in feet frow
10t-linal And cdating buildings.
REAR LOT LDM
Two copies of plans and specifications shall
be submitted with application.
Inspections required. JUL 18 1980
1. When stool Is in place axid ready to pour footing.
2. When steel is in place and ready to pour columnso"11PATIARTIC BWH
3. When steel is In place and ready to pour be&m,
F,
4. When framing Is complete&
r
5. When rough plumbing In completed,and ready to cover up. j,
04 04
S. When septic tank drain field or newer is laid but before it ered. ^0
I � 19
7. Electrical Inspection by City of Jacksonville. I
$- Final inspection.
Note: In came of any rejection,re-inspection MUST be or
corrections an made.
MONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform odd
work In accordance with the attached plans and specifications, which an a part hereof, and in accords -with the building
regulations of the City of Atti;,B P",ef_m S P Pt,-,-" "0 ez#0
Signature of Builder........../.. . ........... 1 16/1 -T
Addrsss2... ......*................C.....................................I...............
S /4'- &
Signatureof Owner................................................................................ Address....................................................................................................
AJOEMPUM TO I�IUILDINCY PLAN
X1
io,: the, L*Obove bailding Is approved subject to mating the
j:equirements-
be Continuoua monolithic concrete under exterior walls,
n V81' doforved re-Linforcinq rods for one-story buildings and thwee 5/8"
rods for two-story bull-dings. ReintorcIng rods *hall be plac#�d
tGw,,,-j� oao,--*J%Xrd of thc toot.Lngs, properly placed and fastened on wet.al
vi Ii,�- *41",P � FooUngs Ouill b" six incheR wider on each side than the wall.
F�hal , at Ickast eight Inclaes thick and shall rest on firm soil at least tw, i,_*4,
bolw ao6istuzbed soil.
4 Asqni�y unit conetruction, each unit, cel). sball bt reinfotood witb &�I
one bar at all corners, poured and tamped with concrete; such
shall be properly tied Into the footing and spandral beam.
AIT 400d truss ratters (roof construction) , shall be securely fastened to the
w&Ils with approved burricano anchors or clips.
Con4truction of nearby one-family dwellings, which are duplicates or intensely
�aimtlax, shall be avoldc-,d. Such sintilarity considers the external configuratio�,,
,tj�d ,jppsaranve roof, outwr wall materials, window size and design, and
like char.Acteriatics) of, structures. Xn accord with the foregoing, aimilaz
-onstructed wit n close proximity of each
1,�uplioal:e homes shall riot b�q c hi
And shallt be at leeat 500 ieet apart if any one similar dwelling is
Y�ftble ftum _nv other similar dwelling.
r7i,_ rinal connw..ction between the houee pi ing drain :Zd t r service
a ty
ation (at the pzopery line) most b spected -Y for* being
ger
Criwerd- 904.6 Liereby CeCtt�fips that be. b&a read the above and understands that this
zekes precedeoce over any cak,�otraK�,y details to the plans and specifications
t c 4111ow, ty wi th Ile int ent, of th is addendm.
4_2
ContW_Cqi or
-7 M"- ?
MARCUS PROM CORP
ff-rtt71V-rlC 9CI-)C # -'�t C-7-101\J �11,
ci-ly �Ji
19 0
rA
11-4 It 1980
Li
IW,9 w 9'-r /7-7-e- 9,tv '71 c 13 " //
STATE CERTIFIED BUILDING CONTRACTOR - BOX 16122 JAX, FLORIDA 32216--
31,110 TI
DEPARTMENT OF BUILDING
PER"
CITY OF ATLANTIC BEACH,FLORIDA T110— #V�4
PERMIT TO BUILD I r.,01 Do
THIS PERMIT MUST BE POSTED ON JOB
Date JgMgU_31, 1986
Valuation$ 5,616-00 Fee$ 33.W
This permit not valid until abovq�fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that MUH L. MgMERS
1022 main Street
has permission to build Wooden Accessory Building
as por plaw subAtted
residential R(;1a
Classificatio Zone
Ralph L. Masters
Owned by
Lot Block S/D
House No. 1022 KUN 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
-n AFTER DATE OF ISSUE
4 10 .4 01 0 Building material, rubbish and debris
Z-1 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con.
ac r or owner.
or o"
11 zc
ing Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
Address
Heated Square Footage @ $ per sq ft = $
Garage/Shed er sq ft = $
Carport/Pordi per sq ft = $
Deck per sq ft = $
Patio per sq ft = $
TOTAL VALUATION: $
Totkl Valuation
60 1,2
Remainder Valuation '�O.Poper thousand or
portion thereof 0
---------------------------------------------- Total Building Fee $
ADDITIONAL PERMITS and/or FEES REQUIRED. + k Filing Fee $ 00
Mechanical Fireplaces @ 15.00 $
BUILDING PERMIT FEE $ 0
Pambing
Electric/New
-------------------------------------------------
Electric/Temp
Septic Tank BUILDING PER41T $
Well WATER. METER CHARGE $
swinming Pool SEWER E,,TACT FEE $
Sign WATER IMPACT FEE $
Water Cormection NISCEI.1 ANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $
--------------------------------------------------------------------------------------------
CALCULATIONS and/or NOM
CITY OF AnANTIC BEACIi
APPLICATION TO MAKE ADDITIONS OR ALTERATIONS
Owner A;;�VQ
Address Phone.W $:?4
A
Xchitect Address Phone
Contractor
Address Phone
Contractors License/Certification Nuirbers
Expiration Date —
Property Addressz=Q IWiV 4;20'.' J%o�, -,�4 go�aZPT Zoning PY
Lot # Blcok or Unit # Subdivision
Valuation. of Construction $ Z
Type of Construction w,#&,4
Describe Work to be Performed
Materials to be Used Xef A.4A
Present Use of Buil
Proposed Use of Building
Flood Zone
Dimensions of New Area:
HEATED
VM=OR STORAGE
CARPORT OR PORCH
DECK
PATIO YES NO NU-,MM
Will there be an increase in number of units?
Will there be a decrease in number of units?
Any additional plumbing fixtures?
Any new fireplaces?
SUBMIT TWO COMKZTE SETS OF PLANS INCLUDING SITE PLAN
Signature MER Date
Signature OONTRACIOR Date
.............................. . . .......... .......... ... .................
..........................
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ANN
CITY OF r>
4&64-c AeacA-Ikuk
Office of Building Official
REQUEST FOR INSPECTION
a Z.. V'If
Permit No.
Date—
Time
Received -;MW District No,
J6-b Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 0 ," Ro.gh Wiring 0 Rough 0 Air.Cond.& 0
Be Roofing 0 Slab Temp Pole L- Top Out 0 Heating
Untel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wad.'� Thurs. Friday—P.M.
.11 —/ 1-�Zp
inspection Made t 71— P'K
:;2� inspection 0
inspector— /I -
Certificate of Occupancy
Date
CITY OF
4&a4C
Office of Building Off Icial
REOUEST FOR INSPECTION
Permit No,
Date ZA�_
Time -A.M. District No.
Received P.M.
W-)
JQtLAddress Locality
own:r' a�
Nam Contractor zz za_�
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing L21' RoughWiring 0 Rough 0 Air.C;ond.& 0
Re Roofing 0 Stab 0 Temp Pole 0. Top Out 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. -r Thurs. Friday-P.M.
.
Inspection KA-6- .2
Inspector Final Inspection 0
Certificate of Occupancy
Date