Permit 1640 Main (vault) CITY OF
4h1a Beach-1414'4k
Office of Building Official
( REQUEST FOR INSPECTION
Date ��� ( C'
Time •2 ' •
l I�CJ�
Received <J Permit No.
/J
Job Address
��� ��'"'
C•L tf—m—'
,
Owner's Locality
Name
Contractor
BUILDING CONCRETE (,� j�j j ,d -
BUILDING
ELECTRICAL 41. 4 I ` Framing mooting 0 Footing 1J Rough
Insulation Slab R ough Wiring Ei
Re Lintel Temp Pole ❑ Rough El Air Cond. & ❑
❑ Heating
READY FOR INSPECTION El Fire Place
Mon Pre Fab
Tues.
10 11... Wed. Thurs.
Inspection Made 'r
CaP
� �
�i'!e!r�'' P.M.
Inspector
/?6 ). �-�— Final Inspection ❑
/ r �� Certificate of Occupancy ❑
C � i Date � ^/ l "'D
_
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD - ATLANTIC BEACH, FL 32233 - TEL: 247-5826 - FAX: 247-5877
PERMIT INFORMATION _ LOCATION INFORMATION
Permit Number: 22897 Address: A
Permit Type: MECHANICAL
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
S
Square Feet: Subdivision:
Est Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 10/22/2001 Name: FRITZ REINHARDT
Total Fees: 43.00 Address: B STR C E H ET , FL 32233
Amount Paid: 43.00 ATLANTIC MAIN
BEACH,
-
Date Paid: 10/22/2001 , ,,,,,,,,,-,,,,,,, Phone (000)000-0000
,,,„ ..,,
A Work Desc: REPLACE CONDENSER ,,,. . , APPLICATION FEES
,-,, „ , ...,. ,,,, .? :.-.: fi --_, ,.,, p ..,__
43.00
CONTRACTOR(S) ,,,,,,.. i: '_, --_ a
: ' ---rifiRICT ', .' O'w - ,,z7N-„,..-_.
HUXHAM HEATING & AIR ,, - ,_„....,...,
"''' ier' • . -- ..75',V,: , ?-! - Z‘t.,::-., _ -",., -k,
' . , ,: r me.- 7 1:0 -
. , ' - -7-'''t -7 :;: - -
I ' - :' "•‘41' . . ... ':.... ,' -4 t,
IF, _,„,-----4 .4i. '- ,4....z.*,.!:-...,, , _,,-; ...--• ,-,-,,,. ,-::,-_--: :: ,, I- - .44' :--
4 . .: - , - :::: , •-•.;-;..,,g- - -,--..,, - 1..--iTr , , . , 4 P
FINAL "..:.,::;., _ _,... ,.,,,, ''' ' .- --, i.:-• ' t *. -4 .7;
s it,' ' t t ,,,,,' ' ' .. - ..:"`-, - "--,'' •,-,
''" '.'e +'," ::. 1- .. , %; 4 e' '',.- -77Y'''77,".,..?'.,,^..r-^vc,r-
i',' '''' ' f . '",&.... -'- ' -' ' ' '''''''5= e r'1 ,7- V - ?.1 : '',i` i.I.Y•irt -- f.,, ,, ,,4°,,- , -. ,, ..A . v.,- - 1 %, - .,-,:-..,,,,5-,-.,,,,! z .,,,. , , ,, ,,,7 , , ..,-,,,,,,:„,,,,,,, ,s---2, ,,,,,,,„,,,, ,,,,. ,,,,
'' --- ATP ---.. - ,"--,: - =',1-1, , 7 . ',-"!, ;:i';-':., :',.',..' . .,',,••. ,..1. •:"-!
t . -, „,,,,,,,,,of , , c- , , '.-- - ,-.--:,„ - - , - . • , . -_ _ _ -, -': - .- ' 4.- - _ - • 4 1,-
' - - - '1/4 _ -- - • - - - - ' • 24 HoURs 1 R. I N SP ECTION ,
- ' O ''- : ' T 2 - .._
NOTICE -*SPECTI '-‘,-.,----- ST BE kEQUESTED
i4.0 AN - '' .- FROM THIS WORK MUS NOT B LA
-- A
BUILDING MATERIAL, ,,. BBISH , -4--.
'-'- MUST 0 ,- GED IN BLIC SPACE, AND
MUST BE CLEARED UP AND HAULED BY EITHER CONTRACTOR OR ,1, , E
. v.-''
- --, . .4i N THE
I
"FAILURE TO COMPLY*:TH T* ‘.. trilsIvaugigwi . , ., _,. .„,„____ 7 , r .. ,
PROPERTY OWNER PAYINGTWICEifORpytW w _vv 9P4P . ,„.
-
ISSUED ACCORDING TO APPROVED''PLAN,,5,_WHIOWA 4c- RIZIPAir
..' . 4 ifIF 114 : RMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIOaSr......
I /
_ „..
/
gr t' 7-16/6-) $43.1111 14
ATLANTIC BEACH BUILDING DEPT.
62511 1
ktitt 1i/23/$1 el RectiPti 8
C1ECKS
L____ 11111111111322111111
i
• BUILDING AND ZONING INSPECTION DIYISION
CITY OF ATLANTIC BEACH
ATI-ANTIC nttACM, i•t,aniow 1.111
APPLICATION FOR MECHANICAL PERMIT CALL.IN NUMOEA
IMPORTANT — L/ Applicant to complete ail items in factions 1, il, III, and Y.
—
. LOCATION Sr..t Adde•.•t /6 ( (!� / {/
. OF Ia .n.•tlwq SL•.Lt S•L.•••
BUILDING A.J
. s•b dt.+.l.w
11. IDENTIFICATION — To be completed by all applicants
In co•sid•n /(a• of p..n.il qv• (or doing the -wi J. c " 6.J ,, rh. .6a.. r.. r... •,... .. or •q . . • r. p••(ar.w ..i..3..3.11 •
c
w. In . crd. "<.
with th• •11•ch •
pei pl •..d .p•ci(Ic.lioa. which •.. ... ■•■•.I ..d •ac n.J•.c. �.rh rn. 1.ci Jtp son.. o.dIn. end t1•111:161.11.
of io•d•pr•cllc• li.•4 Ih..in. "<"
Naw •f Mhaala p /' C.wfr... cf.n
Caaira•tsw (hint{ 1 1C-"'"1 / " 1 ��1... •) t% .�L.. �' n_ ' C' - "%' • N.n...f
h.p+rty O...r • t 3�/a'
Slg w phn •( Oww.r 1 ;;,...ter. o1 j r
• Aufhr(ad Age \.... �7_:,_ 1 A.c6il•c1 ,r c"gin.•. 1
111. GENERAL { RAAATION
A. Type ei h•• (volt 8.
•
11 aTRuA CONS TNUC ION RUNG OQN( OM
.41' fl.clfle 11111 3UIt_OINC are SITE I
❑ tea -- ❑ , IF ❑ N•hnl Cantr•1 Utility
❑ Of
1 I f'IRS, CtVE MUMMER OF CONSTRUCTION
•
PfNMIT
❑ OMr w. Specify
IV. MKN/1N IGAL BQUI►4tt(T TO II INSTALLSO NAr4 OF WORK
(Tpe.iJ. Comp{•1. BO of re.wpowe•h ea both of this 6-. p' AnolJwnttnl u• 0 Camm.rctal
f'"' MIMI ❑ Spec. ❑ Lammed ( It( C.wtnl ❑ Fie•. ❑ New 3u11d1n4
Alp C.•ddt.wlwgt ❑ Re. Cason!. a' EA1•iny 3ulldina
• aK► System: Mated. = T ►l � r `..� �' R•Pl.c•mrnt of wttl•tlnp aynl•m
•
• M•.Gwww c•padty c.f... ❑ New installation (No ay.t..n pr•.lou•ly In•lalled)
❑ B.frrpreM.e ❑ Ezl•nslon at add-on In .11•IIna ny.t.m
•
❑ Other — Sp•Uty •
❑ Ca.efiwq *wore Capacity t-p•ae.
• ❑ As. spriwhl.nt N..wbw .4 heed.
❑ B■•tr Q M.wilft ❑ •- ._l•Per (mall. r)
nets SrAcs 'root 0HIC7 USA oNt7
❑ . 4e.ei1•• peasw. (w.ab•r{ { J)
•
• ❑, • T..hl ■(a•N•lwl t. w. a. •
❑ LPG ..nt i.«. _(a•w.hw.et
17 Unfired pressure ...es •
❑ Wen P..w l App.....d by Ooh.
❑ 0* — • Specify • ?wreed 6..
•
LIST ALL 3QUIPMENT
Ant OJNDITIONLIVG AND REFRIGERATION EQUIPMENT •
Number ( ap.d .eUaita D.earl0tl Y •
on od•i Numbe Hu.
r ulaaaar•r 'Dn.. i A
( C 'Ors 1c9 7 .rt l "1'f',k9 ,xt�.'riit ?.
1
•
' IIISATILIG - FURNACES, BOILERS, FIREPLACES
Appraetayr
b Omits De.artptl.a Yo4.l D a
.r ?tauta ar atur �(13ZV1
Number Ji�•T
TANKS
Bow Yaa7 Ifattyrl Capaelky 27'4+ Liquid :Yam. of Sa idl Ap .inB
and Dao•dena Coate/n.4 Haatac r 4u.
@s (T -Z)
L.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247 -5826 - Fax: 247 -5877
PLUMBING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 21794 Address: 1640 MAIN STREET
Permit Type: PLUMBING ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: 1,250.00 OWNER INFORMATION
Date Issued: 4/19/2001 Name: FRITZ REINHARDT
Total Fees: 1,250.00 Address: 1640 MAIN STREET
Amount Paid: 1,250.00 ATLANTIC BEACH, FL 32233
Date Paid: 4/19/2001 Phone:
Work Desc: IMPACT FEE TO TIE IN
CONTRACTOR S ICATION FEES
PROPERTY OWNER SE R IMPAC ^ FE 1,250.00
zr L I
's.. - � .::.. ,d.,. xi s a' ,;,�:'
SEWER/WATE
NOTICE - INSPECTIONS ST BE REQUESTED AT LEAST 24 HOURRIOR TO.;1NSPECTION
BUILDING MATERIAL, RUBBISH ANitrOEBRIS FROM THIS WORK IET NOT BE h .ACED IN PUBLIC
SPACE, AND MUST BE CLEARED P"Atbl ,U.LED AWAY '_; r' H °CONTRA'CTOR OR OWNER
"FAILURE TO COMPLY WITH TtiE LIEN'LAWVAN RESULT IN THE
PROPERTY OWNER PAYING TWICE Of E ILD1NGi INMPF 11 NTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
r j
s _
Date: 4/19/01 01 Rece;.ol:X12: °,000 .0 1.i u-`3 ?
ATLANTIC BEACH BUILDING DEPT. CHECKS 4f .
41000E0343:7,200
J‘ yo frHr fAJ Sr- - FMrt HE
: CITY OF
r rich .ctiC &acli - ectftedet
A 800 SEMINOLE ROAD
•
____ ATLANTIC BEACH, FLORIDA 32233 -5445
�.: TELEPHONE (904) 247-5800
FAX (904) 247 -5805
Date: 4 /- i -0 (
Fnf TZ Ws'NHfFn'
/3 n th Sr_ /V
Z ACaSo■U,cC.c 434-:-.4 -cam FC , 3 223'0
Dear Property Owner:
The costs to connect your building to the City sewer and /or
water system are as follows:
Sewer Tap - Labor and Materials to tap into
sewer main
Water Tap Labor and Materials to tap into
water main $ v
Water Meter.- Cost of Meter $ C�
Cross Connection Inspection - Inspection by
Public Works to ensure backflow
prevention $ Q
Sewer Impact Fees - Funds future expansion
of the sewer plant $ /2 570
Water Impact Fee - Funds future expansion
of the water plant $ 0
Capital Improvement - Funds for improvements,
expansion or replacement to
water system $
TOTAL COSTS $ / 2S-
If you have any questions concerning these charges please call
the building department at 247 -5826.
Sincerely,
Don C. Ford
Building Official
DCF /pah
-----
' - CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
\
800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877
PLUMBING PERMIT
----- ------------8—M-----1 STREET
-- - ----------- 110pERMI ORMATI* P
Permit Number 21903 G Address:1640MAIN STRE
M-j-VI--------------
Permit Type: PLUMBIN TLANTICRBaEAngCel..-1, FL 322
Class of Work: NEW Township
: Section:
Proposed Use: SINGLE FAMILY Lot(s): Block Subdivision:
Square Feet: Parcel Number:
Est. Value:
Improv. Cost:
Total Fees:
Amount Paid:
25.00
25.00 ----Name: °141---ER
C BEACH, FL 32233
Address: A 16 T 4 LA O MAIN STREET
I
Date Issued: 5/04/2001 FRITZ R -- 1
Date Paid: Paid: v:_/F04/2001 Phone: 000 000-0000
vvoci _ 1
, -- - F : R'mi, ,, i c A TioN FE S 25.00
-------- CO .„,,,,, . ,
JAX PLUMBING & SEPTIC TANK ,,,,„. ,, .,,,
F tr y t 11
-,„' --, - -A.-- -- -
FINAL
- 4 *4 . ‘:
V , ,,, 4 '
A
NOTICE - IN''''PECTION'S': 7,,,! LT BE_REQ_U_E_STED AT LEAST 24 HOUR_Sp#Lt4R1191:,,,_b1S_PECTION _ 1
BUILDING MATERIAL,ARUBBISHA* DEBRIS FROM THIS WORK MUS . •T BE P4CED IN PUBLIC
SPACE, AND MUST BE CLEARED ND HAULED AWAY BY EIT - CONTRAC OR OR OWNER
- wlI lNalIllIllIllIlP IPIP +. t ' 6 Cjiji '' ' U LT IN THE
' ' -
"FAILURE TO COMPLY ii4R atINST • 1 t4
, - ---- ' i , - „
PROPERTY OWNER PAYING' I F • i!BU ' 1 PI..
ISSUED ACCORDING TO APPROVED PLAN , . : ; • PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAVY
, i
,
,
, 7
B C H BUILDING DEPT. $25.80 14
Date: 5/04/01 51 Receipt: 555474
f..A
50105003221055
/
{
CITY OF ATLANTIC BEACH
APPLICATION FOR FOR PLUMBING PERMIT
JOB LOCATION: I C ! //* ! Q f :1_ 1 r" C t 7 1.-
OWNER OF PROPERTY: Fr -t z._ j c s h c{ r u( -f- TELEPHONE NO.
PLU�4BING CONTRACTOR J a x' / O / 4 /,,,,, • ' ,C i`� `7` ,4 „I 1-1 C._
�7' `i
�
CONTRACTOR'S ADDRESS: / 766 j3CG t � 0 i KSti 4 v -, I/C ,, 32.221
STATE LICENSE NUMBER: C F(Q Z /..5 TELEPHONE: / ' —/ 3 SAD
HOW MANY OF THE FOLLOWING FIXTURES
RE -PIPED OR NEW
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
1 SEWER WATER
RE -PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES: x $3.50 + $15.00
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF OWNER: /� /'j
SIGNATURE OF CONTRACTOR .
j4e4-4-vr1.
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";
CITY °F ATLANTICBEACH
OF BUILDING
DEPARTMENT -r 1 247-5826 - Fax: 247-5877
-
DEPAR . -- _ ---3 _ , e.:
--------
FL 32 za
Road PERMIT
G PE ---i----1
PLUMBING
RM °T1' ------
• C. ‘ • 41 ROAD
800 Seminole
---- 600 LEVY
. 60 BEACH, FL 32233
Address.
d - Atlantic Beach,
ATLANTIC BEAC
Book:
AN
--- FOROAA -
AT- Range: section:
PERMIT thi 4
- 2190
— it Num :
Lot(s): . .
,erm Permit Type: PLU
vision.
Perm'l ' 7 r NEW
MBING
TwiN
-- ...-
a Numka17.7-INFORMA CENTER
Class of We CHURCH
parce
Proposed Use: T hip:
--- a4AIN WORSHIP ....___ -
prop r . t:
. SU ,
Square F Block•.
Name. 60 LEVY ROAD FL 32233
60
Address: ATLANTIC BEA--
Est. Value
lmprov. Cost:
904 477
Phone: Date Issued:
Total Fees: 5104/20220551:00w
Amount Paid:
vv5E/OR4/2001___... MT 25.00
— bate s _ E -*
Work peso'. part oft S. t,, ' --'
-- - "‘"” C`°NRTFPTIC TANK ,,,, '''‘„
PLUM & SEPTIC
,,...,, N FEES
-j-AX PLUM
.. _
. . . .
- -
. ,
, -
. , ...
. ,,..
.-i:- . - ,.... '
. ,
46E
0-21z,z-v4-1:4 '" .--' *I ,ti.%,AN, d, .• t
4•-..A154,,,,W4' .' ., 1' .'',,' ''''''',...lt,''' ..„..---,---, -WS.,.A1 .- 25.00 ,
........—,
i
* A
--- '9', '"„.
---- ■--4■•■'''''' '.."4,t'
.....
FINAL
NspEO
v , , EA ST 24 HOURS__*-P R---T-° 1
ESTED A ' '
cTIONIS 4- ' - ,i,
T BE REQu-
m PuBuc
B E FIED I- - R
..,_ , . ____
eT B=. OR OWNE
IN PE
MUST
Hs WORK oNTRAcT O
FROM T
'
NOTICE -
.,
..,
AND DEBRIS FROM Ay By EITH
, ,.....puBBISH ..„,,, ,. NO HAULED AW
' R
.n,,, MATERIAL-Be EARE.- , . i , E ,....,
BUILDimk
SPACE, AND MUS
T TO REVOCATION
v wiTH,114E rt - BU 14- -- AND SUBJEC
Dr TO C OMPL Y "OMPL ' 1 ' F.,".. . 4 % ' ERMIT
AyiNG-TW td 00 pRAT •
"FAILU - ..R p...-- - - A.- -
CNS - 4, I ' p . •
re-ry OVVIrl
A' )'1 LT IN THE
pROPEE- ROVED PLA
\
G TO APPROVED 0
D ACCORDIN
APPLICABLE
ISSUE 0 LATioN OF
FOR VI
,
$25.80 IA
,' 4 ,
, t -7 ' ,
Date: 5/04/01 0„,
i. , t__14,-/:_r_
.
NG DEPT.
BUILDI
100803221000
,. c. H
--NTIC B.-f ' -
A et ■ i Receipt; 00547
88 , 1
CITY OF ATLANTIC .BEACH
APPLICATION FOR PLUMBING PERMIT
. JOB LOCATION : : L_ e V y
f�� P06 -7`a u
OWNER OF PROPERTY: _ , y n r' c A/0 r.S ' la filcr TELEPHONE NO. x / 77 —
f�
PLUL4BING CONTRACTOR ,� y ! (-0''?Lc , � �C f� � r) i c •
CONTRACTOR'S ADDRESS : /7C( a 44 r fid (1..5 n / � C ._ 3,22
STATE LICENSE NUMBER: C l=C 0.2 f `I y TELEPHONE:
HOW MANY OF THE FOLLOWING FIXTURES
RE-PIPED OR NEW
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
SEWER WATER
RE - PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES: ,n $3.50 + $15.00
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF OWNER: `�jf C
SIGNATURE OF CONTRACTOR, � 32/U � J�J�
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDA CE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5824
CITY OF
"itiagtieVead - 94 ida
~ ' 800 SEMINOLE ROAD
_ s? - - - -- ATLANTIC BEACH, FLORIDA 32233 -5445
` TELEPHONE (904) 247-5800
y FAX (904) 247 -5805
July 31, 1991
Chief David Thompson
Atlantic Beach Police Department
860 Seminole Road
Atlantic Beach, FL 32233
Re: Junk Automobiles
Dear Chief Thompson:
Please have the following towed from 1640 Main Street:
Black Pontiac - No Tag - No VINE
Sincerely,
1
Don C. Ford
Code Enforcement Officer
DCF /pah
cc: City Manager
/ / / /Koc 11
4
CITY OF
��: /4� V� - 1�w
�F 716 OCEAN BOULEVARD
P.O. BOX 26
\) ATLANTIC BEACH, FLORIDA 32233
TELEPHONE (904) 249 -2395
c J ` r
TO: Chief Thompson
FROM: Don C. Ford
RE: Junk Vehicles
Please have the following junk vehicles tagged with a
72 hour notice (on the city right of way). �Q
1640 Main St. Brown Monte Carlo 42_\11 � t✓Gy
r�
Fla. Tag # DXD-95B
' 7
East side of Park ST. Blue Ford 2 ton Stake
on the right of way Body truck
No VIN# NO TAG
Please have the following junk vehicles tagged with a
10 day notice (on private property). }�
459 Stuart St. Brown Ford
Fla. Tag # 434 ei n ���
VIN# F11154H118895F
Northwest conner Gray Ford Pick-up Truck �7
Y P
Stewart & Mealy No Tag no VIN#
'ncerely,
;)-
Dbn C. Ford
Code Enforcement
DIVISION OF PUBLIC HEALTH 4 5 3
CITY OF JACKS9NVII7/LE
JACKSbNVILLE/, FLpRIDA
FEE $5.00 SEWAGE DISPOSAL FACILITY
Name of Owner: W Stansell
Address: 1740 Main Street Atlantic Bch. Florida
Sept. 21 19 73
Date:
Installation At: 1640 Main Street
Installation By:
NOTE: This certificate does not guarantee the successful
functioning of this unit and the occupant will be respon-
sible for its satisfactory sanitary operation at all times.
Septic Tank Capacity 750 Dosing Tank Capacity
Drain Field: 280 Si. ft.
DIIRRECT E NMENTAL HEALTH
CONSTRUCTION Co
Se ~ ��
PERMIT By: TITLE
VOID SIX MONTHS AFTER. ABOVE DATE IF NOT STARTED
DIVISION OF PUBLIC HEALTH 4 5 3 8
CITY OF JACKSONVILLE
.,.E JACKSONVILLE, FLORIDA
FEE $5.00 SEWAGE DISPOSAL FACILITY
Name of Owner: G. W. Stansell
Address: 1740 Main St. Atlantic Bch, Fla. 32233
Sept. 21 19 73
Date:
Installation At: 1630 Main Street
Installation By:
NOTE: This certificate does not guarantee the successful
functioning of this unit and the occupant will be respon-
sible for its satisfactory sanitary operation at all times.
Septic Tank Capacity 750 Dosing Tank Capacity
Drain Field: 280 sq f t
DIRECTOR 9 MENTAL HEALTH
CONSTRUCTION
PERMIT By :R G1 Ines, t
TITLE
VOID SIX MONTHS AFTER ABOVE DATE IF NOT STARTED
FOR OFFICE -7 SE E ONLY z
Date ` 2 19 73
Permit # Fee $ - - -/7 °e'
CITY OF ATLANTIC BEACH
Valuation $.-- •4,0 - 0
FLORIDA House #____ i t •
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 s bmitted to this office so that licenses can
be verified. G o�
Date. -.. 41.' .I I' cz. -.Cf# , , /3
Owner ._
t.�. f.. Address --/ ! 1) �Q�-c 4 /‘ Telephone No `t / / ` 4141 4141 7 L /
Architect _Ad: -t q._ Address (a 'i-` Telephone N - - - -- - --
Contractor Builder N !=• Address... - Telephone No. _ vs,k.
Lot No M
No. n / Block No. Sub Division Zone
I e qo 11,0 5. _Alf • Street Side Between and Sts.
Valuation $I D • — For what purpose will building be used dU. 1. Type of construction .. _ __ -_ - .../.6.
G
Dimensions of Building._ =� ' � , 25 u Dimensions of Lot _.j..(�.tj y P O O Size of Footin gs - O- -• - -- • -•.1.0 ''
Size of Piers Size of Sills - Greatest Sill Span in ft Type Roof
How will Building be Heated �>!Ul - - - -U. n Will Building be on Solid or Filled Ground?
Size of Ceiling Joists , Distance on Centers , Greatest Span "
Size of Floor Joists , Distance on Centers_ _-- .._... , Greatest Span "
Size of Rafters , Distance on Centers , Greatest Span "
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot -lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall C--- /a o ' -'�
be submitted with application.
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Inspections required. W I W
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and /or lintel.
3. When steel is in place and ready to pour beam.
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4. When framing is completed. !��3 1 N
5. When rough plumbing is completed, and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered. A ' n A
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7. Electrical inspection by City of Jacksonville. V sJ '
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8. Final inspection.
Note: In case of any rejection, re- inspection MUST be called for after I
corrections are made. �/
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance wit the attached plan: and specifications, which are a part hereof, and in accor ance with the building
regulations of the City l Atlantic B9ch. ✓/
Signature of Builder. -4 s ' LC"... +!� ' ' / / l * ' Address...,!_ ITh
Signature of Owner.- _� ✓- t 1/./- ,I - •' 't 0 . Address. .i -_ 7"1_Q 2 a4 , 1 4YL,
MAP SNOWING SURVEY OF
','mat certain tract or parcel of land being a part of Section 18, Township 2 South, Range 29
Salt, Dural County, Florida being more particularly described as commencing at the Northeast
corner of said Section 18; thence South 0 23' 10" East along the Easterly boundary of said
Section 18 which is the c8uter line of Main Street (formerly Levy Road, County, Road No. 222)
435 feet; thence North 89 49' 10" West, 33 feet to a point in the Westerly right of way line
of Main Street for a point of beginning; thence continue North 89 49' 10" West, 100 feet
thence South 0 23' 10" East, 100 feet; thence South 89 4 10" East, 100 feet to the West-
erly right of way line of said Main Street; thence North 0 23' 10" West along said right of
way line, 100 feet to the point of beginning.
Date: September 25, 1973 For: George W. Stansell, Jr. Scale: 1" 50'
R. L. CROASDELL & CO.
not inc.
429 East Adams Street Civil Engineering & Surveying Jacksonville, Florida
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