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Permit 1540 Main St (vault) Pelee QUOmmmm APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME ....................... MAIL1Nr, ADDRESS_ PHONE HUMBER__Z�Lj /6/ 1?, _&_V DATE t I r SERVICE REQUESTED X ----------------- ----------------------------------------------- SERVICE LOCATION. /s- ,aLl.s�-------------------- ------------------------------------------------ DATE SENT TO DATE RETURNED PUBLIC WORKS_6_ ,;L�� ------ TO BUILD. DPT. ___�(�(Q (?� DATE OWNER NOTIFIED R E%--E I V E D JUN 4 b PUBLIC WORKS r FAVP r � I C F TV JL 1 6a IeC) JUN 2 5 1992 Building and Zoning 36 5871 OF BUILDING CITY OF ATLANTIC BEACH "kAP, t- PERM11T INFOANATION ------ -------- LOCATION INFORMATION '04'i*it, Numbery 5871 ,111 Addre'sat 15401� ' 11AIN, STREET Ylpe I 'ATLANTIC �BEACH, FLORIDA 32Z33 :f Wbt*t ALTERATION RGAL DESCRIPTIOji yp ' 60D FR Axe Lot Block- Section. ed U,JiO;.,'SINGLE�:FAJA ILY T wnwhips 0411ings t, RHO: 0 Code t ',0, Subdivisions . SECTION H - *6060.'Oo lop rbv t: $0. 00 Total , *25.00 ' ASOU $Moo �Ivf it DO Ikw j; fusCELLANEOUS REPAIRS- AND ALTERATIONS "TION V APPLICATION FEES- ----- MA lu� 'STRONG P9914IT $25 00 'd , ET -IMPACT PEE $0 00 WATER P FEE Fb 4 RADON GAS-H.R.S. *0.00 4AT ------- JtA0GN ,dAS 5% $0.00 mal AX WATER T' P A 113TW A 4-340-, 43TW SEWER 'TAP' moo JAC ILI $0.00 PLOR16A 32250 HYDRAULTC' SHARE Typol" I RE-IINSPECT FEE 00 xv SICC-44 IMPACT FEE ALL CONCROE FORMS AND FOOTINGS mUST 4E IN SEPOR E POURIM90 "C PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE RUBBIS14 AND DEBRIS,FROM THIS WORK MUST NOt:6E,p A RE-6 UP-A LACE D IN.PUBLIC SPACE,AND M No U,ST BE ;1 tiLiD,"�w�y�ay:E�ITHEA�CONTAACTOR OR OWNER: 14A 1,�Y, THEMECHANICS'LIEWLAW.CANIRtSULT-IN LURE'Ito — VITH' COM 00104 im -VEMENTS. AYING 7W FOA I G lam* CO 40IN J0 AP T PRqVf.OPLANS WHICH ARE PART OF THIS I AND,$UBJE EVOCATI I - 9 fERM IPN O#,LAW_. 'Loo CT 7 7 7, 'A Suk,DING DEPART it CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS CIR ALTERATIONS DEMOLlTIONS Owner(s) : Phone: &2 Address: 'q4 Lot Block or Unit Contractor: &, ne: Describe work to be do --------------------------------- -------------------------------------------- ------- Present use of Valuation of Prajq.§ed-Cons trup t ion:... Proposed use:------------------------------------------- Is this an addition?XP ... If yes, what are the dimensions Of the added space:---------ft. X Will the added area be heated and cooled?--------- New electrical (or increase) ?- ------ New plumbing fixtures?---- New fireplace?---New Heat/AC?-------.- .. SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date:--- t9 Signature CONTRACTOR:__ Date:- 9-10 3,. 0 1992 Building and ZO-Ring Ou . In"AftegA%OVINTIP4 CDP~ LeLwv-& F1 3-Zzb-L Rouct of fimmefianwat (POWMA IN To whm ft way Gencem Th* undersigned Ureby Worms you ftt 1znprovwnmU viU be made to esrUln real property. and In scowdance wi* sation 713.13 Of Olt 7110ri" SUU1101. *4 following WOrm"M Is 6"I"d hk *W NO"CZ of C0U3MCz3U=- Descr*uork d Property Pt. Lot I Rec'.d O/R BK 1251-32 Having an address of: 1540 Main Street, Atlantic Beach, FL 32233 Alterations and repairs to bring structure into Genwzl description of Improvements -—----—----------- compliance with the City of Jacksonville' s _Uq_Uin_q Safet — e Standards. owmw Charles & Mary Strong ....................... Address 1540 Main Street, --At]-antic-.Beach, FL 32233 owner's interest in site Of the improvement ------ Fee--Simple---------—---------------—----- N/A roe Simple Title holder (if other than owner) -------------------------------------------- NameN/A -------------—-------------------- ------------------------------—--------------- NIA AAdress -—----—-------------—------------------------------------------- Ken Carpenter Builder Contractor ——---------—----------------------------- --------------------------—-——-—----------- 5510 Palmetto Inlet, East , Jacksonville, FL 32211 Address -------------- —--------—-------- N/A Surety (if any) —--—----------------------—------ N/A NIA Address ————----------------—----------------- Amount of bond $--—---------- Name and address of any person making a loan for the construcrion of the improvements. SunBank/North Florida Name —---—----------—------------------------------------------- Ad&ess 200 W. 11Q,_ Name of person within the State of Florida, other than himself, designated by owner upon whom or odw donunents mrf be served: NIA Name -—-----—--—-—---------- N/A Address Zn addition to hinuelf, owner d*sjgnates the following parson to rective a copy of th* Lianwa Notice as provided in Section 713.D6 (2] [b]. Florida Statutes. (M in at Ownaes option). N/A Name N/A Address ------—------- —------—---------------—-----—--- —-——----------- TWIG SPACK POR R&CORDWAIS U89 ONLY Sworn to and subscnbed before me two --- day of - -- ----- JVy SSW CITY OF ATLANTIC BEACH, FLORIDA Approv"by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. ?68 la-z Qk&:f�- E"�_�391, ��- z ELECTRICAL FIRM: MWER ELECTRICIAN 319NATURK JOURNEYMAN NAME CALLS' -,f79Z2::j4 —ADDRESS: /-L6 /%I AZ;�j RFD—BOX BLDG.SIZE BETWEEN: RES-(Ioloo APT.( COMM.I PUBLIC I INDUS. NEW( OLD ur' REW.(Ir-' A' DDITION( TRAILER I TEMP. SIGNS ( I SO. FT. SERVICE: NEW( INCREASE tw"", REPAIRI FEE 'CONDUCTOR SIZE -0 AMPS COPPERf I ALUM.( "oo' WTCH OR BREAKER 1-5'0 AMPS P H W 2y" VOLT 64'54e:� RACEWAY EXIST.SERV.SIZE 40 AMPS PH W 69AVOLT C40"" RACEWAY fEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-80 AMPS, 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT,&M.V. FIXEO 0.100 AMPS. 1 0 ER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT aPA- /0<w 0-1 OVER MOTORS H.P. I VOLTAGE pHs NO. 1 M.P. VOLTAGE pHs MISCMXNEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA PO. - IV- - -1 —1 NO.NEON TRANSF. A. MA. OTOR SIZE SWITC� EACH SIGN _T_ FORWARDED S LIOTAL FEES —32--_vl� BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 6 /1, 4�� APPLICATIO-N FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: LOCATION OF Intersecting Strovils: Between _AndA--TLft7,_7il C_ 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 attachpd 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 C ontractors Contractor (Print) Master Name of Property Owner Signature.of Owner Signature of of Aullhorized Agent Architect or Engineer Ill. GGENERAL INFORMATION A. Typo of heating fuel: B. IS OTHER CONSTRUCTION BEING soctsc THIS BUILDING OR SITE 7. C3 Gas—[3 LP 0 Natural jzf—confral Utility IF YES, GIVE NUMBER OF CONSTRUCTION, 0 01 PERMIT C3 Other — Sp4cify IV. MX34ANtCAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components an back of this form) >�_Residential or El Commercial ;;�H siall (:I Space CI Recessed 1;Izr_ C$Atr4il 0 Floor L-3 New Building r Conditioning: [3 Room [3 Central )9,Existing Building Duct System: Mater4l Thickness— Replacement of existing system Maximum capacity A— IZF--New Installatloktho, system previously Installed) (3 Refrigeration 0 Extension or add-on to existing system (3 Cooling tower: Capacity 9-P-M. 0 Other— Specify C) Fire sprinklers: Number of heads 0 Elevator 0 Manlift 0 Escalato (number) THIS SPACE �Olt OFFICE USE ONLY C3 Gasoline pumps —(number) (Riicaii,") 13. Tank* (number) Remarks 0 Lpo containers (number) U 'red pressure vessel sift Parmii Approved b Da C) toilets Permit Fee O*er Specify, LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT capatity Approving Number Units D"cription Xodel Number manufacturer (Tons) MEATING - FURNACES, BOILERS, FIREPLACES capacity Approving Number Units I)weription Model Number manuftcturtr (BTU) Agency I _Z� G�_e (2 TANKS Now Many NomLW Capadty Type Liquid X=9 of Serw Aplr;o;v,'ng Lnd Dimensions Conta.1ned 11imufacturer No. ncy 6007 DEPARTMENT OF 13UILID CITY OF ATLANTIC SEACH PERfjjt� INFORMATION LOCATION INFORMATION *it Nv*borl � 6007 Address,;,, 1154,0141AIN STREET �vrwit T 'ATLANTIC BEACH, FLORIDA 32233 PLU"81W ---------- as o;f Wor�k t ALTERATION DESCRIPTION Block Section: Astr.� Tyli3O: MASbNRVBRICK Lott 0; 0 SINGM F-AKILY, avnehipt RN I C*dle Subdilvi,aion.s.. i a $0-�00 * t ed -i�ue JAupr ov,. 00.00 *36 ,00 Air iou Dot sxfts�1k! REMODEI.ING ATIOW—O'4 , APPLICATION FEES "ke" I.J PERMIT $36. 00 N REST d , WATER IMPACT FEE 0,_* $0.00 E f FEE"', '14 $0 '0q, W Alt �p 5 J4: S A$_H�. R.S. $0.00 RADOW-OAS 5% ------ *01 00 0 $AT WATER :TAP TV P LU -A *0-00 SHARE �FLORIDA 32259 -INSPECT, FE 4 RE, 14 XAPACT FEE sec., 140 rce, Tv ALL C64CAS as INSIs 0 SSFORE POURING �OI*S:AND FOOTINGS MUST' PERMIT VOID,SIX MONTHS AFTER DATEOFISSUE AND QEBRISfROM THIS WORkmUST�NOTBE PLACED IN'PUSLIC SPACE,ANOWUST BE WILOING MATE�Rb�' L RUBBISH RED,UP ANP�HAU EA- C,*EA LED AWAY,iy�Elfk` 'CONTRACTOR OR OWNER. TC APLY CAK :� , N LAW. LURE WITH THE MECHANICS" LIE RESULT IN 'ERTY1 1, Nf-R�PA ING TWICE F0 ILI -MG�"Jg E PROP Y, 11if 1 SU MENTSill VXIDATION bATE.- 10 t' ,ACCOROING TOAPPR( ARE PART OF THIS PERM I) SOWE CATION 0 )VIEDPLANS WHICH IT AN Lt� AOVI N8 OF LAW. LICAB P 51, 0 APO -,Z10- 4, �k T' OcT 15 " ' ' 1�01 PEACH:OU fLDING DfP14ATM tN ��_L1_ City of Atlantic 8* 6007 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBIN6 PE1011T JOB LOCATION : OWNER OF PROPERTY :--- BUILDING CONTRACTOR :_ PLUMBING CONTRACTOR AND ADDRESS: v-e- TELEPHONE NUMBER : ev STATE LICENSE NO: (f FC TYPE OF BUILDING: Is SINKS SHOWERS LAVATORY HEATERS ...... ....BATH TUBS ......—.-DISHWASHERS URINALS ......Z ....CLOSETS -WASHING MACHlNE FLOOR DRAINS PANS OTHER--.-.__.__ TOTAL FIXTURE COUNT:-----,- x $�J. 50 5. u u ----------------------------------------------- ----------------- 1NSTALLAT10N OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF i,HE souTHERN 'STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904 ) 2-47-LiB26 CITY OF ATLANTIC BEACH 800 SEMIN ROAD E 111A, �� t 32233 ATLANTIC BEAC INSPECTION PHONE L 2-47-5826 Application Number . . . . . 08-00000373 Date 3/24/08 Property Address . . . . . . 1540 MAIN ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 ---------------------------------------------------------------------------- Application desc TORCHDOWN ROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STRONG, CHARLES H. ACACIA ROOFING COMPANY INC 1540 MAIN STREET PO BOX 1777 ATLANTIC BEACH FL 32233 ORANGE PARK FL 32 ),67 (904) 298-2170 ------------------------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . �000 Expiration Date . . 9/20/08 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERmrvis,*PPROVED oNLy IN ACCORDANCE wrm ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 08- 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE (904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 140B ADDIRESS� f—VALUATION OPWORKi 11 SO,FT.UNDER R37F 57-(40 (na',n S+- �Kas�s 4,LEGAL DESCRIPTIONi-, T CLASS OF WORK� u,USE OF STRUCTURE: El NEW BUILDING 0 DEMOLITION URITSIDENTIAL LOT I BLOCK—SUBDIVISION CS4,C,)r�Qt-N 0 ADDITION 0 CONVERTING USE 0 COMMERCIAL 7-DF-SCR1PTI()N Of WCIRI�. 0 ALTERATION 0 ACCESSORY BLDG. 8,FIRE SPRINKLER: 0 REPAIR []POOL/SPA 11 YES 0 N/A 0 MOVE P—InrH E R 11 No I W-- A—R-50-17'' E GINEER. WO-PERTY OWNEM CONTRACTOR': 9.NAME: 15,COMPANY NAME: 23.COMPANY NAME: 9-,JSY,� C-,,.y 16,NAME J 24,LICENSEE NAME: 3-(M'"4 r'L4-N- 10.ADDRE§S: 17.STATE OF FLPRIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: CC�C- ( I S-1-4 c) (y')0.'%n S�- 18.ADDRESS: 26.ADDRESS: a�,\aXn)r%, 3(".q ,, ()..0. . 11,OFFICE PHONE: 12,FA)(NO�: 19.OFFICE PHO�E: 20,FAX NO.: 27.OFFICE PHONE: 28.FAX NO.� --1,4- -i V-�'-1 el'q-.;?.I e-g-I-;,I I 13.CELL PHONEi 21�CELL PHONE. 29.CELL PHONE: '7oq--75-2i-/03'? 14.EMAIL ADDRESS: 22 EMAILADDRESS: 30 EMAIL ADDRESS: FE-E ER, BONDING COMPANY' MORTGAdE LENDER: 31.NAME: 33,NAME 35.NAME: 32.ADDRESS: 34.ADDRESS 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER's AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. \:'N' CONTRACTOR OWNER or AGENT 'e- (If Avant P"er Zjagt=�eno/lAter R*40rad) Only) Signed Sign Date: Before me this y of 20CFn(Ithe knty of Before met s day 0 20QI�in the county of Duval,State of Florida,.has personally app lad val,State of Flon personally appeared oaj��4 he'rin by himselfKerself and affirms th3t all statements and declarations are hV1 by himself I herself and affirms that all statements and declarations are true and accurate. true and accurate T--1 b NotarLpawic;-at Larg Notary P bli t Large,State o I County of e,State of County of �er,onally '5�'n- Produced Ideication 13 Produd Identffi It Notary Signature: Notary Signatu A-� Dawn Marie McLanahan N�- 4% Dawn Marie McLanahan 05 commission#DD316053 53 '&EE*lir.e8**13,2008 Commissior#DD3160 COAB Wi,� "Gondso Tmy Fskn-InswaM.ft 900-365-7019 Expires May 13,2008 awdegi Troy F*ih-Inwramos�MG.400-3]954019 NOTICE OF COMMENCEMENT State of Tax Folio No. Countyof "Davcj To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. I T 46 Legal Description of property being improved: Ci E PT Lb C-,D bh�= Address of property being improved: 154 6 MOG V 1._e5hre--eLf A+icu-lf�c 60z-�a 1$1 FL- 3;��3 3 General description of improvements: Owner: 11)A Address: Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: 12--voC�vNe -"A Address: Sipct 6 !AQ 6iVA-*1bV-0AaC4 Telephone No.: Fax No: Ct Q -2019 tc) Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida, other than himself,designated by owner upon whom notices or other documents may be served: Name: Address- Telephone No: Fax No: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: 01 Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: -0��te-L A Date: Before me thist- day of I jpthe Codnty of Liuval,S t Doc#2008073868,OR BK 14431 Page 1742, X Florida,has p6m&Wly appeared Number Pages:1, '4otary Public at Large,State of Florida,Co-W' ' u*D0MZ;;9141"= Fited&Recorded 03124�2008 at 03:06 PM, Ay commission expires: JIM FULLER CLERK CIRCUIT CO URt DLIVAL 31ersonally Known: L-11 or COUNTY, :1roduced Identification: RECORDING$10.00 --------------------- Pjace Quos"M APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME------ ----------------------- "55,16 MAILING ADDRESS_ PHONE XUKBER__Z��-� - '/Cff"/61� _AeA,:a- -------- DATEZI SERVICE REQUESTED ----------------- ----------------------------------------------- SERVICE LOCATION 4/o ---- 4ktu�--------------------- ----------------------------------- g-Request P&C Scotch@ 7664"Post-it"ROuting-ROCIu9st ROUTING - REQ E'r, Please Lu k 8� 7 n 0 READ To _149_1�1 24 F] HANDLE APPROVE o and R FORWARD F1 RETURN O&Z El KEEP OR DISCARD �00 EJ REVIEW WITH ME Date From Dai To 16 it -43t_ 4 8 ----------_------------------ PRICE QUO APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME_-Z��(�- ---------- --------------- MAILING ADDRESS --------------------- PHONE NUMBER_-2 - ------ DATE EQUESTED SERVICE R ------ ------- J ----------------------------------------------- SERVICE LOCATION_---!- ---------------- ------------------------------------------------ DATE SENT TO 2- DATE RETURNED PUBLIC WORKS_..�--------------- TO BUILD. DPT- ---------------- DATE OWNER NOTIFIED--------------------- wrl MAY 2 7 1992 Duildling and Zoning CITY OF 4&4 K& B Off Ice of Building Official REQUEST FOR INSPECTION Date- Permit No. Time AD <a� Received District No. / I jl--q() f " S —�— , Job Address Locality 0 ner's N,w me —Contractor BUILDING CONCRETE ELECTRICAL �PLUMBIN MECHANICAL Air.Cond,& 0 Framing 0 Footing 11 RoughWiring 22��X, Re Roofing 0 Stab 0 Temp Pole D TopOut 0 Heating Lintel El Fire Place 0 Pro Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs 4_�Flldq��P.M, CA,M Inspect!on Mace Final Inspection El Inspector Certificate of Occupancy Date J, of. vol", 0006 0% t4svle Agotc -'f olik Vol ,\30's ?\are ve �om 3ODD I\OltA 1-0 w o f 0%\ O'N f 00(\ 0 1.A SO OPP 4 0 ('� lox) 1011A Ned- I\YO- 0- 014 L,AT L - / 2- - 92— Pf�E-D'ERVICE DiV1 :-)' Luf1 JA(7KSCJNViL.i'.i'--' AUTHOkITY :-'J--3' WE��T DUVAL JACKSONVILLE, FLORIDA 32-'O-� THL FOLLOWING F1NAL HAVi-, lii--K-N MAL11- AN[) AkE !=i ATI'S'.FA G-T 0 1<Y : 0-41 /-$--,�-o T-T S i N C,L R E L Y, BUILDINO 1N�-jPECTIUN DIVI:-,� OIN cc : FILE i"Ati USE THIS FORM FOR ESTIMATES ONLY 5/8" X 3/4" Meter & Box MAY C. Strong, Sr. New Service 1540 Main St. Ph. 249-4910 1 DESCRIPTION OTY. MATERIALS LABOR TOTAL SADDLE 6 X 3/4 1 13 25 CURB SMP 314 1- Ig_J0.0 BgASS p= LpAPrT7.R -1 4 1 3-2-0. MRP -,rrnP -4.44 1 bu=R 9 3/4 2 _244 NE= 3/4 1 85 00 Yib= BOX & LID 1 12 00 Suhr.-Tnt-al 81321 Aq 1-0:06 C) 13125 Total klaterial 145170 2 Dien -Hand dicr $11.56 2 IHMR 23 12. 30% ()-H- (;I q4 Total Labor Cost $30106 -MATERIALS--tABOR--TOTAL- TOTAL $145170 $30106 9175 176 MISC. JOB EXPENSES AMOUNT OTHER J06 EXPENSES 20 00 $195 76 1 Truck ($10.00/HR)2 3 20 00 TOTAL COST I TOTAL SELLING PRICE LESS TOTAL COST I GROSS PROFIT LESS OVERHEAD COST OF SELLING PRICE TOTAL NET PROFIT IA FEE $10.00 APPLICATION FUR ML PERUT CITY OF ATLANTICIEAM 4. 'PRDP= 'OWNER. Phone Name: e Address zip-1. 11 CANr 'IF O= THAN OWNER Day Phone -77 Address; Zip JOB Address or Location; it ,.LeRal Description:, --Tt-Js well to be used for drinkin g purposes? - Anyperson, individual, corporationorothe' r entity receiving a perrdt as j provided in Section 22-40.of the Atlantic Beach Code, and who plans to use 1-1,t water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Departamt, of furnishing a certified copy thereof to the building department of the City ;'--,;iiAtlantic Beach. A certificate of occupancy will not be issued until said -�04�,*,report is on file with the building department. Department Notes: :T -j� ;`4 agree to c=ly with regulations ted herein sta q.Sigmture Date DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 8973��: PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 40 T f4/Vt I ,e, Date August 3 ig 87 n't,A Valuation$ —fee$ 10.00 This permit not valid until above fee has been paid to City Treasurer,aid is Subject to MOCstiOn for Violation Of applicable provisions of law. This is to certify that Charles H. Strong has permission to 011 for drinking RUMSes. Classificatio Residential —Zone Owned by Charles H. UMUM Stranz Lot Block S/D House No. 1S40 Main Street According to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 0 4 0. 0 Building material, rubbish and debris Z-4 from this work must not be placed in public space, and must be cleared up and�auled away by either con- tract r ownex-� /,9 1�Iding Official. FOR OFFICE PERMIT DATE CONTRACT04-"/ USE ONLY NUMBER PLUMBING ELECTRICAL SEWER �ATER 6009 ---------- DEPAOTMENT OF BUILDING CITY OF ATLANTIC BEACH INFORMAT ION ------- -------- LOCATION PERMIt, INFORMATION pptl�it Number: 6009 Addreoss, 1040 MAIN STREET ATLANTIC .13SACH., FLORIDA 32233, lormit Type t UTILITIES ---------- L�EGAL DESCRIPTION� ' 'Cli as af Woi�k: NEW Lot% Block.., Section: j*aat�. Type z MASONS /SRICXe #�raposed U"; SINGLE FAMILY RNGt 0 Cod*; , Oe Subdi4isionj SECTION H $0. tiioated Value- '00 � *O 00 Improv. Cost: a; 33' *1340:00 Total Pi )C)Cf5 Amou *1340.00 Dot 0/15/02 1 WATER AND SEWER SERVICE ,AT RESIDENCE work, ATION v, APPLICATION' FEES 5, $0.00e StRONG, PERMIT -MPACT FEE q,$220. 00 STREET A*, , FEE pp'�J% 0 Aw_ h 'S $0.00 RA 4A -H,R. S. FORMAt N ------- RADON GAS 5% $0. 00 $0. 00 WATER TAP, .0 DEPAR, SEVER-TAP $0.00 ............ HYDRAULIC SHARE 00.00 .."*G 00 RE-INSP9CT FEE % Typol 0 $0. 00 tMPACT FEE SEC. H psw 0", NO�,ES: Alf, 4SpEC.T's0,,ssFORE POUAING NOTICE-—ALL CONCRETE PqRMSAND FOOTINGS MUST 13E It PERMIT VOID SIX MONTHS AFT8R'DATE,OF.Ip6UE, J�, ALUILDING MATERIAL,RUBBISH AND DEBRIS,FROM THIS WORK MUSTNOT BE PLACED tNPUBLIC SPACE!AND MUST BE 9LEARED UPAN6 HAULED AWAY 8`(EITHI�R 06NTRACTOR OR,OWNER. F LURE TO COMPLY WITH THE MECHAN.1cs LIEN LAW CAN RESULT IN , A[ THE PROPERTY OWNER PAYINGTWICE FOR SUILDING,IMPIOVEMENTS2 T'51 ; Re Pwr l*t ANIS�WHICH ARE PART OF THIS PERMIT AND CT TO RD OPMON FOR AC C0ROING TO A0PAOVWPL I (W 016 silmoo , F A,�PLICABLE PROVISIONS OF LAW. Loo _OLATIONO 0, I=Np A CZT, AII�ANTIC BEAGH BUILDING DEPARTMENT 6010 DEPARTMENT Of BUILDING CITY Of ATLANTICSEACH PER X INFORMATION --------- -------1,,- INFORMATION Addrep, *it Humbert 15,44, MAIR STREET � TLAXTIC BEACH, , FLORIDA 32233 ', 'petift,t T -i s UTi-LITIES ype C A,*a a of Work: 'NEW ---------- LEGAL DESCRIPTION ---------- 0onstr 0 Typos MASON*Y/BRICX Lots Block: Section: RHU: 0 RroPcoed U**i SINGLE FAMILY I CQ,det 0' ,1 Subdivia' iors,: SECTION H �,94,�'ti*atod Voluot *0. loorov. Cost; *0.,00 T11,11, Total a 1 *1223*60 Amou *1223;*60 Dot 0 �5/91 C,L-9 /(/- 7- k FOR ^tkV9 4ESIDEXCE 4A ICATION FEES STRONG $0.00 V A reset, ''STREET "I, I , I T IMPACT FEE *0.(w 11 p 00 o CH FLI)RIP. p %WIN RADON, S-9. R.S. $0.00 a XFORXA 5X $0. 00 PH Hvsme: � U$ IWO I*PPA Nt WA P $0. 00 so. 00 AyloftAi lic RE *0400 Types 0 -11-11-404 00 RE-INSPECT FEE Lip 'SEC.,A 111PACT FEE $0 ,00 NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE iNAPE .,CU,, D BEFORE POURING 1v PERMIT'VOID SIX MONTHS AFTER DATE OF ISSUE BUILD ING MATERIAL,RUB61SH AND DEBRIS FROM THIS WORK MUST NOT BE PL 08DIN PUBLIC SPAPE,AND M I UST BE ' A CL ARED UP AN",HAULEDrAWAY BY EITHER CONTRACTOR OR OWNER. till, ' LIEN LAW 71�� AILURE TO COMPLY WITH THE MECHANICS CAN. RESULT 1W E ROPt OWt E 3 0 , 19 - .4 APAYING TWICE FOR BUILID'ING, I, PROVEMENTS. -1 So CORDING:TO APPROVED. PLANS WHICH ARE PART OFTHIS PER 'IT 0 FOR, r M AN 6jff&,T0 RE�§, �v N OF-APPLICABI-5,PROVISIONS OF,LAW N s.00 IL ATL TIC BEACH 8VIL15INGDEPARTMENT, i. A—N ill-,�- 06 old -7,77" 6008 DEPARTIMENT OF BUIWING CITY OF ATLANTIC�SEACHI PERMIT INFORMATION -------- ,,,LOCATION INFORMATION --------- Pot 6008 Addreess' l540-$A,'IW �oit Numbir t STREET arm t y*t I T' ' RUILDIN ATLANT' ' FLORIDA 32233*1 �BEACH, � Clikus of Wbrki ALTERATION LE.O- L DESCRIPTION 011 1 t ypp: 1,�jnu r. - i "A ON1171 Lot: Rlook s, Sectiont F S ORICK P11. 0 Towmihip:- Itopom-d Uisipit :LZ FAMILY kNG: 0 L SIN SECTION H Dv"linq9t: -1 'Code 1, 0 ,, Subdivision V,41��imated Vi I*prov. Cost: Total 00.0 :�*q 00 , Amou 0. MISCELLANEOUS REPAIRS 4, ALTERATXOMS See Pat #5871, T4109 APPLICATION FEES V $TR,0N0, N PERMIT $0.00 WA IMPACT FEE $0.00 AC ioaf STR ET , FEE d, *0.100-` I Hi FLORID 71 RADON OAS-H. R. S. $0.00 FORMI T RADON,' OAS 5,% $0. 00 $0.-00 DING, TEMS WATE9 P ---9LV SEVER 'TAP $0.00' RE $0.00 JAtx FLORIDA 32225 HYDRAULIC,,SHIA At'T e Type"t 0 NSPtCT FEE 01�`*Q* 00 SEC-.,-R .tffPACT FEE, -this Permit is issued in couj�4notiou with Permit No. 5871 ,4uw ,to ,a scriveners error listing t�* -contractor a umme.' The $25.00 fee v", pAid -in ssid permit. TE FORMS AND FOOTINGS MUST 69,INSOECTSO BEFORE POURING NOTICE:-�-ALL CONCRIE P Mil VOID SIX MONTHS AFTER DATE OF ISSUE ER SLKDING MATERIAL,RUBBISH AND,DESRI I S FROM THIS WORK MUST NOT:BE PLAcED44PUSLIC SPACE,AND.MUST BE CL ARkD UP 'AND,HAULED AWAY BYEITHER CONTRACTOR OR OWNER. #AILURE TO, COMPLY WITH THE MECHANICS$ LIEWLAW"CAN,RESULT IN THE p Y1 G TWICE F ftoptoty OWNEA O-A N 0 SUILPING,IMPROVEMENTS.' ED ACCORD1j4G TO APPROVED,PLANS WHICH ARE PART OF THIS PERMITAND SUBJECT TO REVOCA ION FOR TtONOPAPPLIC' ABLE PR T OVISION S OF LAW. Z 44 :TE Ed IMPACT ,,.,AT�AINTICBEACH.BUILDINi3,Df-,'P�A"RTMENT !-17 L,?—ct--: CITY OF ATLANTIC BEACH Fixture 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) Z WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF LKITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) -URINAL STALL, WASHOUT (4) 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--,&—@ $20.00 EACH Z JOB INFORMATION—/— I OF BUILDING 'DROARTMgN CITY OF ATLANTIC BEACH PERMIT,, 4NFORMATION ------- LOCATION INFORMATION --------- plik-mit Numbors � 5928, Address,,$ 1540 'MAIN STREET MECHANICAL ,,ermit Type �ATLANTIC BEACH, FLORIDA 32233 cAss o-f Work s NEW LSOAL DESCRIPTION ----------- �0nmitr. Typ*s WOOD FRAME Lot; Block's Section: opo8c*d' U*p� SIMGLE.�FAMILY town0hipt , RNQ: 0 Subdivibiont D*J'p1lings.- 1 Code t'' 0 Estimated Val' ue 'Improv. Cost 1 *0 00 047.00 Total, F, on: , Amou 047.00 D '9/2$/$2 * k Do I D AIR I,$ RESI!E"C9 2! JgAT AN E-H APPLICATION FEES ATION I'A" �2' ` 4 PIRR"XT� *47.00 TREET WATER IMPACT FEE *0.00 'CH, S PLORIDA,,,014 FEE *O.�O-q OAD � 'OAS-H. R. S. $0.00 FOMIATI RADON OAS 5,% *0. 00 WATER AP $0.00 WER, UP- 0. 00 LLEf FLORIDA 32216 'HYDRAULIC SHARE $0.00 JAI Ty L i,� pwl 3 1t-INSPECT FEE 00 9C S H,13 00 tPACT FEE .00 N P-TFS: NOTICE'' ALLCO*CRETE1f'O I Rms ANo FOOTINGS MUST BE INSPECTED BEFORE POURING WTV010 SIX MONTHS AF ER DATE OF ISSUE PERM 86ILDING I$FR I I N:P BLIC SPACE,AND MUST BE MATE i RIAL,RUBBISH AND DE69 ,OM THIS WORK MUST ARED UP AND J4AULED AWAY BY EITHER CONTRACTOR OR OWNER *AILIJ OMPLY W THE -AW C IRE TO C 'ITH LIE:N-L AN, RESULT IN T"EPROP' OWNE#PAYI:NG TWICE FOR SUMOM64M, PROVEMENTS.19 7 777 TIND 100 24 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMOAND SUBJ REVOCATICIN?f%R Po OF ATION OFA LICASLE PROVISIONS LAW. , 4J13 ATLANTIC BEACH BUILDING DEPARTMENT ocwdc-40,1�-4 44