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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 .............................. . . .......... .......... ... ................. .......................... 33 floR7 Qj 0.45 A ch 10Q.1 rrl A�L Av CW P p 610 4-oj..Vl--!q , J41V x 4' 720 1,,AXo9f ------ ...... 1 41 'lie If I J O 'v ell Al /07 7A X Yon C o'"'I 0-F, 00 1 A zz 0 ZVI, i-D 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