Permit 481 Mako Dr (vault0 CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00025447 Date 1/30/03
Property Address . . . . . . 481 MAKO DR
Tenant nbr, name . . . . . . INCREASE TO 200AMPS
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
01MALLEY EARLY ELECTRIC CO. INC.
481 MAKO DRIVE P.O. BOX 50678
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 65 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 65 . 00 65.00 .00 .00
Plan Check Total .00 . 00 .00 . 00
Grand Total 65 . 00 65. 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- 'FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS-ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
�Q 6-iw- ( � 0
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH9 FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOK DATE: 20,9,5
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO
PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MAZ ELECTRICIAN SIGNATURE:
OWNERS NAME:
ADDRESS:
V�e RFE// -BOX
BLDG. SIZE BETWEEN:
RES.(4/ APT.( COMM.( PUBLIC( INDUS.( NEW( OLD(-,K REW.(
ADDITION( ) TRAILER( ) TEMP.( ) SIGNS( SQ.FT.
SERVICE: NEW( ) INCREASE(,j' PAIR(
CONDUCTOR SIZE #/o AMPS;,2op COPPE ALUM.(4-1 FEES
SWITCHORBREAKER AMPS PH W VOLT RACEWAY
EXIST. SERV. SIZE AMPS ) PH VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30 31.100AMPS
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING I-LP.RATING CEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS ANTS BEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS R!2�b2KZR:
UNDER 600V OVER 600V
TRANSFORMERS: NO. IKVA NO. IKVA
NO.NEON TRANSF. NO I VA I MA I MOTOR SIZE I SWITCH FLASHERS
EACH SIGN
Updated 5/20/2002
PREPARED 1/30/03, 16:21:49 INSPECTION TICKET PAGE I
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 1/31/03
------------------------------------------------------------------------------------------------
ADDRESS . : 481 MAKO DR I SUBDIV:
TENANT, NBR: INCREASE TO 200AMPS
CONTRACTOR EARLY ELECTRIC CQ, INC.; PHONE
OWNER 01MALLEY PHONE
PARCEL 171459-0000-
APPL NUMBER: 03-00025447 ELECTRIC ONLY
----------------------------------------------------------------------------------x
P M IT: 9LEC 00 ELECTRICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RErLTS/COMMENTS
------------------------------- -
�7 -----------------------------------------------------
23 01 1/31/03 LJH
L4-
-------------------------------------- COMMENTS AND NOTES --------------------------------------
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
Date 1 19"
CITY OF ATLANTIC BEACH, FLORIDA Permit #/�i��,Fee $
Application for Permit for Valuation $
Miscellaneous Alterations, HOUSE #
and Repairs
DESCRIBE: CA-A4� jta
IA:e4
U
(State if to repair, alter, add to or move building, erect aquings,
signs, etc. )
Building on: Lot No. 14 Blk No. -Sub"Di &C14,
Address 41 L'Mo-� _WZ16 Valuation $
Owner #s Name
BUILDINGS AND OCCUPANCY
Building Use - Residential or Business
What PUmbing work to be done?
Size of Present Bldg. -Size of Extension Lot Size
No. of stories noK_after altere4_Material of roof
Material of Present Buildin Material of Extension
9
NECESSARY PLANS TO BtSUBMITTED HEREWITH
OIL BURNER OR GASOLINE EQUIPMENT
Name of Oil Burner or Gasoline Pump_________...Type or Model
Name and Address of Manufactur
In connection herewithAap
gal. capacity tank(s) e metal
ground- (Name of Manufattuter) 1*Une(.-?- or Above)
(Under .ar Above)
of building. For
(InsiM or 'Ou (Name' or' VEWchairr-)
FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF
THI$ RIM
SY
,GNS
Size Classification
(State whethe� mrou"n-di r5of, wall, projecEiRg-,ban er)
Material of Construction
Illuminated?
.-type of illumination
MaEe �diether LERps or ITe-on)
Will sign be over public property?.
SUBIMIT DRAWING S, HOWING CONSTRUCTION OF SIGN AND METHOD Or. _HANGING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reverse -Ade)
7"
COMPL�J=&)
J IMPORTANT NOTICE: or
DA
In consideration of permit given for doing Jcribed
J, in the above statement, we hereby. agree to perform said work in
accordance with the attached plans and specifications, which are a
p
art hereof, and in accordance with the building regulations of the
City of Atlantic Beach
(Southern Standard Building Code) .
Signature of Build owner(99d,4<�:;" co -
Address 11,7- 'Wor "*q"e.
Phone No.-1 -7 7,5- '�w_
V
FOR OFFICE USE ONLY
Feb. 26 70
Date----...............................19 ......
915.........
Permit *.............. Fee$...�.O....0.0
CITY OF ATLANTIC BEACH 10,000.00
Valuation $.....................................................
FLORIDA House #..........4.8.9...Ma.ko....Dr.iye.....
....... ............ .............
............ .........................................................
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 Atlaniie Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
R. L. JOHNSON CONSTR. CO. Date............. ....7....19 - 70
-----------------.........................1 19............
Owner.------...... ----------------- --------------Telephone No............................
Architect....... ................................------.........................................Address------------------------------------------------Telephone No---------------------------
Contractor Buildatkxx*Y-Y-k"KJEAx----------- .....-.--Address..... ----.-.Telephone No-------------------
----------------------
Lot No------------15---------------------------------Block No------12-----------------Sub Division----RQy -' Palms
_a-L------------........-----------------------------.Zone--------------
--------Kak-o----Dr---------------------------Street------BaSt------Side Between... ------------------and--------Sa-bal.o------------------------sts,
Valuation $---10-t-0.00--------For what purpose will building be used....-R--Q-'9------------ ...Type of construction......Bx.iLc.4...X.ejae er
Dimensions of Building-----2-6----X1�0.....------Dimensions of Lot----ao...X....9-3-------------------------Size of Footings-----�8----x----2.0------------
Size of Piers--.---------------------------Size of Sills------------------ --------.-.Greatest Sill Span in ft--------------------------Type Roof__As -
............
How will Building be Heated?-Gen-QRal----Ga-s.---------------------.-Will Building be on Solid or FilledGround?..---;�-olid...................
Size of Ceiling Joists-.Trrusser---------------.--, Distance on Centers.--.---- --------------------------------- Greatest Span----------------...................... to
Size of Floor Joists------jti!At�.......----------------- Distance on Centers-.. ..- ------------------------------ Greatest Span............................................ of
2 x 4 TrUS-es 24
Size of Rafters---------I-------------------- -------------- Distance on Centers——.. .................................. Greatest Span........................................
R E n This rectangle is to represent the lot.
F � V
i F 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 F rE B 20
be submitted with application.
Inspections required. THE CITY OF ATLANTIC BEAC14
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. Z
3. When steel is in place and ready to pour biam.
4. When framing is completed. COWLETEL)
5. When rough plumbing is completed,and ready to cover up. rl 4
rA
6. When septic tank drain field or sewer is laid but before it is cove9r4eTQEL2=% 1:�
7. Electrical inspection by City of Jacksonville. W
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
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 i h attached plans and specifications, which are a part hereof, and in accordance with the building
wit
regulations of the City of anti Peach.. R. L. JOHNSON CONSTR. CO.
Signature of Builder---- .................. ......... ....... Address---- ....... --- -----------------
Z---------
Signature of Owne ... Iress.-----P---,........
--------------------
FOR OFFICE USE ONLY
6 ' 1, 26 19 ..70
Date--------K'PP�t.......... ....
926 30.00
Permit #........................Fee$.............
CITY OF ATLANTIC BEACH 10,000.00
Valuat& $. ................................................
FLORIDA House #------ ........
'r'*'1'�"o....n.... d
...........................................................................
APPLICATION FOR BUILDING PERMIT
............................................................................
Application is hereby made for theapproval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlaniic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.R. L. JOHNSON CONSTR. CO. Date.......2---..1.9.........7.0--------------------------------1 19............
Owner---ZM-AT-1ca W- 54-X3 6.r_p ----------------------------------------------Address........ ----------Telephone No---_---_---_--------------
Architect-............................__-------------------------------------------------------------Addres&---------------------------------------------------------Telephone No.........................._
Contractor Builder__..&X.*XXk2KXX ---------------$ZL�!-----Address----1 ?0W-?WWW. 4----------Telephone No........--------------------
Lot No..........I---------------------------------------Block No-----13------ .............Sub DivIsion..Ro_,y.a1..._,Pa_1.MS------------------------------------------Zone...........----
.....M.a-ko---------------_--------------Street..We st---------Side Between-----T-rit.an---R-d-----------------and------aab,@.1_G............................Sts.
..........
Valuation $-------1-0-9-0-0-0-----For what purpose will building be used------Res--- -----------------...-Type of constructionBrick--lene.er
Dimensions of Building.-2-6.---X_�---4-0----- ....Dimensions of Lot.-------8C)----X-----9-5- ------------------_----Size of Footings--.8....X-----2.()--------------
Size of Piers.-----------------_----- -----Size of Sills------- ----------------GTeatest Sill Span in ft--------------------------Type Roof.._A_ShPR1t------------
How will Building be Heated?_-Gantral...GaS-------- .........-Will Building be on Solid or Filled Ground?._So_1-;Ld----------------------
Size of Ceiling Joists--T-rus,%es.----------...... Distance on Centers-........................................ Greatest Span............................................ IV \
Size of Floor Joists---------Slab IV I
------ --------------_------- Distance on Centers.......... ------------------------ Greatest Span----------_-_-..........................
Size of Rafters-------2...x.-A----Tr_USS.e_S.._._, Distance on Centers........ ....24-----------------_-_--- Greatest Span-.-----.................................... IV
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.
Two copies of plans and specifications shall flErurzHVE Do REAR LOT LINE
be submitted with application. FEB 20 1970
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour colum�MAJW(ngf.ATLANTIC BFACH Z
3. When steel is in place and ready to pour beam.
4. When framing Is completed.
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.
7. Electrical inspection by City of Jacksonville. CPO?
J"
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called forafte0l'�O�
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby ag-ree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City ofAan ic B ch.
R. L. JOHNSON CONSTR. CO.
Signatureof Bul'Ider------ ............ ........ .................... .........I... ....... A04ress--------b-------- -----------0 ----*------------
........ .... .... .......
Signature of Owner. dress--------- ------- .... ..............
FOR OFFICE USE ONLY
Feb. 26 70
Date...................................19 ......
927 30.00
Permit #......................Fee$........................
CITY OF ATLANTIC BEACH 10,000.00
Valuation $.....................................................
FLORIDA House #...A19...K4k*..DriKe..........
...........................................................................
APPLICATION FOR BUILDING PERMIT ............................................................................
............................................................................
Application is hereby made for theapproval 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 Atlaniic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
R. L. JOHNSON CONSTR. CO. Date.....2=1 9=70............................................. 19............
Owner.... ------.......------------------------------Address-?QW-191118N�_ __ �_ I----------------Telephone No...._---------------_------
Architect_-------------------------------------------___----------------_......... ....Address,_. -----------------------------------------------------Telephone No---------------_----_-_-
Contractor Builder-----X4_XX4X.NVAPPKX----------P 44�........Address..... ....Telephone No--------_---_---__-----
Lot No---------2--------------------------------------Block No.__._1_3-------------------Sub Division......Roy-al-.-Palms--------------------------------------Zone-----------------
....JIL�Q-----------------_--------------------Street.---We-$t----- ...Side Between-_.........�Trlto..0------------------and..........S abzLIQ.......................Sts.
Valuation $.1.0_,.0_00-----------For what purpose will building be used---------Res__---------------Type of construction.Br.-lek----Ven'e.e.r
Dimensions of Building------2JS_X----4-0----_....Dimensions of Lot---------BO...X__9_3-----------------......-Size of Footings----8----x----2.0--------------
Size of Piers_---------------------------_Size of Sills....__- ------------------GTeatest Sill Span in ft..-------------------------Type Roof----&hp.'alt-----------
How will Building be Heated?.......Gentr a I....Gas----------------__-Will Building be on Solid or Filled Ground?......S.0.1id..................
Size of Ceiling Joists---Tr_usse_s----------------- Distance on Centers.............. ................... Greatest Span------------------------------------------- 29
Size of Floor Joists----------Slab 09
------------------_------1 Distance on Centers_... --- ---------- ---------------., Greatest Span--------------------------------------
Size of Rafters----- x----4---- 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.
Two copies of plans and specifications shall FEB 20 19i'O REAR LOT LINE
be submitted with application.
Inspections required. THE CITY OF ATLANTIC BEACH
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. Z
3. When steel is in place and ready to pour beam. �i
E-4
4. When framing is completed. 3
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.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
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 with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City ojoantie,Dcea'ch.
Signature of Builder R. _-L. J SON CONSTR CO.
-----V.._.. 7__OC:1_ .........--------.......
R
Signature of Owner ----- ----- .... ..............I..............
FOR OFFICE USE ONLY
j Date........F.eb.......2.6......197Q.
Permit ..........Fee $......3.0- 0.0...
CITY OF ATLANTIC BEACH Valuation $..*k&xKaEkc& 10. 000..00
...............................8............
418 Mako Drive
FLORIDA House #_--------- - .... .........................
...........................................................................
APPLICATION FOR BUILDING PERMIT
............................................................................
Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
R. L. JOHNSON CONSTR. CO. Date.......am....1.9--------7-0---------------------------------) 19............
Owner.----- -------------------------------------_-------Address... --------------Telephone No.............................
Architect......--------_------------------------------- ..........................................Address,...........................................................Telephone No---------------- ......
SELF...Address......4�. -------- .......
Contractor Builder...---------------------------------------------------------------------- ... _.....Telephone No......---------......
Lot No---------3----Black-----------_-----_Block No_----13-------_--------Sub Division----Royal---Pal-us.-----------------_----------......--Zone.......-----__
...---------Maka--------------------------------Street...WQ�$_t-�-----;Side Between-----Tr.it_0_U_.1R_d.......---------and------Sab-alo....Dr...................st's.
Valuation $10.,-0.0-0............For what purpose will building be used-----Res-------------_---------Type of construction...B-r--i---k---Ven-ee 3r,
Dimensions of Building-----2.6---X-40------------Dimensions of Lot-------80...X-----9-3--------------------------Size of Footings.___�---x..2.0-.........
Size of Piers----- --------_----------------Size of --------------------.-..GTeatest Sill Span in ----------------Type Roof--AShp.alt----------
How will Building be Heated?---Central Gas Solid
.---------- ..........................Will Building be on Solid or Filled Ground?----- .............................
Size of Ceiling Joists-----Truss-e-s------------- Distance on Centers-------------------------------------------V Greatest Span------_----------------------............
Size of Floor Joists-S-1-a-b----------------------------- Distance on Centers.......... ------------------------_---.' Greatest Span-----------------..........................
Size of Rafters-2... 4----T-ru-s-s-e-S---------- Distance on Centers.. 24------------------- Greatest Span--------------------------------------------
R 0 This rectangle is to represent the lot
D Locate the building or buildings in the
ECHWE right position. Give distance in feet from
all IDt-lines and existing buildings.
Two copies of plans and specifications shall FEB 20 IM REAR LOT LINE
be submitted with application.
Inspections required. THE CITY OF ATLANTIC BEACH
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. Z
3. When steel is in place and ready to pour beam. :I
4. When framing is completed.
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.
7. Electrical inspection by City of Jacksonville.
S. Final inspection. C 2 3 7
Note: In case of any rejection,re-inspection MUST be called for after DXT�L��
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 with attached plans and specifications, which are a part hereof, and in accordance with the building
kt!
regulations of the City o ttentip each.
'ity 0 c
R. L. JOHNSON CONSTR. C
Signature of Builder... . ................................................. Address............. ----------- _.�STR
......7-7... -----------------
Signature of Owne --- ------------- ......... --------
-------------- ------------4 ------------I..... ...................
4676,
&
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�!C,S�4,_E AND MUST BE
NOTr$ �P Q E, IN PO's
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WHICH ARE PARTO ...HIS P
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PROWS16I4SOF LAW. ,
OF-APPLICAJB�]K
77" all NMI
A
F
-.LANTIC�8,tAQH SUILDING'DIEPARTMENT,
By
FFY, $10-00
APPLICATION FOR WM PERUT
CITY oF ATLANTIC WACH.
PROPEUY OWNER
Name: ___.Pay Phone__2L -_-
Addresst '�b\ zip
APPLICANT, IF OTHER THM OWNER
_Da3r Phone
Addressc Zip—
JOB
Address or Location:
I,egal Description:
is well to be used for drinking purposes? �-e q
Any person, individual, cOrr)Oration or other entity receiving a permit as
provided in Section 22-40 of the Atlantic Beach Code, and who plans to use
water frorn the permitted well for drinking purposes, mist first obtain a
bacteriological test report from,the State of Florida Health Department,
furnishing a certified copy thereof to the building department of the City of
Atlantic Beach. A certificate of occupancy will not be issued until said
report is on file with the building department.
Department Notes:
I
agree ccmply with regulations stated herein:
Slim—ture Date
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORII)A 32233
-5826
INSP
ECTION PHONE LINE 247
Application Number . . . . . 02-00025256 Date 12/02/02
Property Address . . . . . . 481 MAKO DR
Tenant nbr, name . . . . . . INSTALL FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
FLETCHER, SCOTT STEEG PLUMBING CO. , INC.
481 MAKO DRIVE 1601 MAIN ST
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 249-5191
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 112 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 112 . 00 112 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 112 . 00 112 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TIES WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
APP-LXCATX02q FOR PLU248XNG PEP141T
JOB LOCATION:
OWNER OF PROPERTY: ' TELEPHONE NO.
PLUMBING CONTRACTOR
CONTRACTOR' S 'ADDRESS:_&a Ana,: ::i± Z419
STATE -LICENSE NUMBER: K' F- c'-o 3'717 TELEPHONE:
HOW bMNY 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: x $3.50 $15.00
MINIMUM PERMIT FEE -. $25.00
SIGNATURE OF :OWNER:
SIGNATURE OF CONTRACTOR:
-------------------------- --------------------- -----------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
019,PARTMENT'OF SUIWING
dj.IIy 0
LANTIC 2S8Aofj
AT
LOCATION IMPORMATIG*
DRI
t. PcRtaf I NFORKATI 481 MA VV
978,,,
Add
Ku ATLANTIC BEACH, FLOpjDA 3;��2jll"
t
jEOAj., DESCR IPT I Oft
RVPA,:URl ot
cliioo of
Lot t
on*t Ty joe I rj:[�,Ly at 800k i, paig 0
SI NGLF
oposed UA*e I
Subdjvj**.on2 OWYAL PALM
6,0*,l 1 i X%aa!1 0 T%
FORMA 014
OWNER' IN
s t ROSS
o i*ot d,
AddrikeS v 481r,KAKO :DRI VS
AT
IIIANTIC 9ACHi FLORIDA
T V047Z4
097
nu
XON FEES'
LICAT,
020*00
R, PERMIT
T 0,11
VATTXF
W�
w,
t
011 A
*0400
A,
RADON S, H.,R..S
*0. 00
RADON' OAS
V� Ao
$0
WAt" 'T
TAP'
4 1 A 6/P
ULIC
HYDRA!
-INSPECT FEE
RE,
IDTI V
S.
p
S MUST 1 s E POURING
ReTe FORMS"AND,FOOTING 'OF'rin ECTED BEFOR.
N OTT I
E ALLCONC
SIX MONTHS A "DATE ,
FTER OF ISSUE
PEAWTVOID
6 DE IN-PUBLIC SPACE,AND MUST BE
RUBBISH AN BAI&FROM THIS WOR UST NOTLBE PLACED
ILDtNG MATERIAL,
CONTRACTOR OR OWNER.
�LEAAEDr
UP'ANQ HAULED AWAY BylITHER
ICS' RE$ULT-IN
L THE MECHA LIEN LAW CANr
C 01%
''y 1�0
NJE'RLPA. IN 'T W' I C 'tMPROVEWNTSe"
A BUILDING,
OP E"T—Y C)W
JECT TO REVQ0ATION FOR
_Q,TO PROVE'D"rp r
�LANtrWHICH ARE PART OF THIS PERMIT AND SUB
3kRD p
ISSUED A00 _,IN
Ii PROVI%QNS
ATtoN �Of LAW.
OL 'OF*PPLfCABL
Addir
IN F.0"A "'S
ATLANTIC H,f3VILD
No
k
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address: X49
LOCATION
OF Intersecting Stre4ts: Between 4 And_ ..
WILDING Sub I-division_ P I�Akt_y% -
11. IDENTIFICATION — To be completed by all applicants. C-�q
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 attach9d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and stan clards
of good-practice listed therein.
Nam* of Mechanical Contractors
Contractor (Print) master Ate— r?
Name of
hoporty Owner
Owner ature of
Sign4
Mtitld Agent A Architect or Engineer
Ill.I -IMBIAL.INF016A%0N
: 7
A, type of hosting fuel: -1 a.
15 OTHER CONSTRUCTION 8EINS DOME ON
Sect& THIS BUILDING OR SITE?
C3 See—0 LP 0 Noturel E3 Confrol Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
fo on PERMIT
offor S"cify
IV.,Ilill WHAN" NWOWMT TO,K INWA= MATURE OF WoRk
'(PmvW*complete list of compossaft on bock of thlis forsoll' Residential or 0 Commercial
Host 0 space 0 Itoce"W Contn'l Flow C3 Now Building
Air Qwdrllioniav 13 Rom Control Existing Building
JK R I oplacement of existing s.ystem
0 ovelt System: Materiel Thick k I
0 New Installation(No system previously Installed)
Maximum calisecity cfm.
0 Extension or add-on to existing system
13 Rof-i""fic" C1 Other — Specify
13 Cooling tows, Capacity
C) Fire MiAnklon: Number of
13 flovoter Q Meallift , 13 Emleto
THIS WA= MR OPWA Us OMY
es"lles Pu (number)
_(aumbor)
0 LM confeteen' .(mimber)
0 UrAred pre"un V*"
(3 1poll Isonnii Approved DO%-
13 Other SpecKy Permit I"
V9Vr ALL EQUIPMENT
ABE CONDmONIING AND REFRIGERATION EQUUWNT
Ninabor Units Domotpuca MOM NUmbor CgWty AWWft
usnut"ta"Ir (Time) Avow
2
FURNACESI BOILERS, FAREPLACES
NuuWW Units D"ark"n Kadd NUMber Woutdactow 0W
CAkied_
TANKS
X9W MMY 21111111014W Irm TA4pdd X10110111 of Serw ApproAfts
and Dbaft&aW contaft" XBRUft0tWW No. —'Arnef
N
14-4 L_�
CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
-71 BUILDING 01IN13R JA) PHONE
JOB ADDRESS—
LOTH BLOCK Oft UNIT 0 SUBDIVISION
CONTRACTOR
PHONE
ADDRESS 571- tA)!�
LICENSE NUMBER 9CCV6012- 7 EXPIRNFION
JOB VALUXHON $ cyo
MlRIALS:
-7,
SIGNATURE OWNER —DATE
SIGNATUM CONTRAC1,01( DATE
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 8962
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date Jul Y 31 19 87
Valuation$– 1,900-00 _Fe,$ 7.50
This permit not valid until above fee has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law. 7*5M
This is to certify that A(WUNUMIM I.C11MMM 7
Fleming Roofine Co. RC0060127 0,1471 1 1 7/31/1
has permission to bAX_ Te-rOOf 1*1 9 6 2
Classification Residenti&l Zone RS1
Owned by— Nick Nicholson
Lot Block S/D_
House No. 4R1 Makin Driva
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
14 10 4 0 0 Building material, rubbish and debris
zq from this work must not be placed
in p#lic space, and must be cleared
&UplfinA hauled away by either con-
r
r or owper.,
ding Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTO
PLUMBING
ELECTRICAL
SEWER
WATER
FOR OFFICE USE ONLY
4�
Feb. 26 70
Date------------------------------------19 �.....
916..........Fee$�P--.0.0........
Permit #..............
CITY OF ATLANTIC BEACH 10 000.00
Valuation $-_-__ _-------------.........................
FLORIDA House #......48.1...Mako....Dr.iye.........
............. .............
............................................................................
APPLICATION FOR BUILDING PERMIT I....................................................................
............................................................................
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
R. L. Johnson Constr. Co. Date.........2... 1.9 ----70........................... 19----.......
Owner---XRUX31txt�p�. ?tkaxRkXXkit.22------------
.....................------- ----------- ---------------....Address.... ..... -------_--------------- _ --Telephone No-----------------------------
Architect..............1�......L----J:6_fi'fii�04�---c6h�g_fi� C----------Address,.................------------- ---------------Telephone No--------------------_-------
Contractor Builder.* dress.... _X
----------__-----------_......Ad Smnm- - ---------Telephone No------ -----------
Lot No.........16 12 Royal Palms
---I----..............------------_-Block No-,------------------- Division.....-----I--------------------------------------------------.............Zone-----------
_481---W-ko-----D.rive----------Street------ Between------T;riton Rd Sabalo
- �--------- -------- ---------------------------------and--------------------------------.....................sts.
Valuation $----1C).VQ00---------For what purpose will building be used--------Res....---------.......Type of constructionBrIC-4...Vene-e-r
Dimensions of Building.-2-6----x---4Q---------------Dimensions of Lot.-..-,........80...X�...9-3-------_----------Size of Footings---8----x----2-0---------------
Size of Piers----------__-------------------.--Size of Sills------------------ ----Greatest Sill Span in ft..----_----------------.-Type Roof--Ashpklt............
How will Building be Heated?-Ce-ntr�&J...�Gas---.......................Will Building be on Solid or Filled Ground?.-_S41.id.............._
Size of Ceiling ................ Distance on Centers-........................................... Greatest Span........__-----------------_.......... ..
Size of Floor Joists_.--------slab------*---------------Distance on Centers-......... ................................. Greatest Span_------- --------------- ......
------------
Size of Rafters.......2 x 4 Trusses 24
---------------- ---------- Distance on Centers,....... ..... ....... ------------ Greatest Span..................................---------
his rectangle is to represent the lot.
0 E lit- Loclate the building or buildings in the
right position. Give distance in feet from
FEB 2� N'' -all lot-lines and existing buildings.
f REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application. THE Cff Y Of ATWTI�,, §tgt,�j
Inspections required.
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. Z Z
3. When steel is in place and ready to pour beam.
E-4
4. When framing is completed. 3
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.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-Inspection MUST be called for after
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 with �Ae attached plans and specifications, which are a part hereof, and in accordance with the building
ke Xach
regulations of tf.e �,ty ti
Signature of Builder- .. ......... .. ............ .... A41 R. L. JO-HNSON �?�. TR CO.
-----------_---- ------------11------------- ........
Signature of Own ........ .. ... . ...... .... ... ...............1-............ . .. ..-
4
F] Proposed Construction DESCRIPTION OF MATERIALS -No. I T" br.—.1-1-A b, F,Ilk 11;7\ �J_
Under Construction
city state
Property address
Mortgagor or Sponsor
Contractor or Builder �Address)
i a We—I
INSTRUCTIONS
I� for additional information on how this form is to be submitted, number required, then the minimum acceptable will be assumed. Work exceeding
of copies, ek., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically described.
Mortgage Insurance or VA Request for Determination of Reasonable Value, as 4. Include no alternates, "or equal" phrases, or contradictory items, (C6-
the cap may be, sid.ration of a request for acceptance of substitute materials or equipment is
1 2. Describe all materials and equipment to be used, whether or not shown on not thereby precluded.)
the drowings� by marking an X in each appropriate check-box and entering the 5. Include signatures required at the end of this form.
information called for in each space. If space is inadequate, enter ''See misc." 6. The construction shall be completed in compliance veith the related drawings
. Tho:spec if cations include this
and douribe under item 27 or on on attached sheet. and specifications, as amended during processing
Materials and the applicable Minimum Construction Requirements,
3.,Work not specifically described or shown will not be considered unless Description of
1. EXCAVATION:
Bearing Soil, type sandy -lown,
2. f*UWAT101N$:
Footings: concrete mix 2000 1b. Rcintort-ing ods
Sri,ne,i, 1)NI
r 1 Reinforcing
Foundation wall: material
Interior foundation wall: material Party foundinion
Columns: inaterial and sizes Pv,s�: material and reinforcing,
Girders: material and sizes Sills: material
Basement entrance areaway ircaways
Footing drain.,
'Ternitite protection
Basententless space: ground cover --------- irmilittion.. foundation
Special foundations
Additional inforffiation:
3. CHIMNEYS:
Material Pretahricated ??,iA,,and.size)
Flue lining: material Heater (lite suc Fireplace flue size
atrr heater
Vents (materialarrdsi�!e).- gas or oil heater v,,
Additional infortnis6on:
4. FIREPLACES:
Type: [3 solid fuel; C] gas-burning; 0 rirculator(ritake and size) Ash dump arid (lean-out
Fireplace: facing lining hearth mantel
Additional information:
S. EXTERIOR WALL&
Wood frame:'-wood grade, atnd F-1 Corner bracing Building palter or felt
Sheathing thickness width El solid: El spaced-__ 0. C.: 0 diagC1114
SAding grade tNpe size exposure-__"� histe.ning
size exposure fastening
Shingles grade type
thickness
Stucco Lath weight--ft
Masonry veneer Sills Lintels
Masonry:@I;bfid [3 fkced 0 stuccoe& total wall thi(kness _ �6- facing thikness_______._'% lacing material
ROW100k Backup material ---— thickness bonding,
-'a. 7
Door sills I Gry;f- qllhind.. sills
Interior surfacr�s: dampprooting,�__ coats of r-
furring 1*"--4 A
Additional information:
Exterior painting: material number of coat%
n
Gable i,%all construction: gM-me as main walls� C] other constructio
6. FLOOR FRAMING:
joists: %vood, grade. and species other bridging anchors
Concrete stab: F1 hascii nt floor; �13t first floor; alground �,upported; E] self-supporting; mix thickness
-inf6rcing6ff X P __10/10 ZLt V, vi azilettion membrane
Fill unclier slab� mate ClekPl Ogglil Additional information:--
r,
rial thickness
----------
7. SU8FLOORING: (Describe underflooring for speciol floors under ifern 2 1.)
Mat crial; grade a rid s per ics 5 izC type
Lai& 0 first floor; C] second floor; C] attic sq. ft.; diagonal; 0 right angles. Additional information:
11. FINISH FLOORING: (Wood only. Describe other finish flooring under item 2 1
&.06, PAPER
Rooms (;PADE SPy,(-,1FS '1711ICKNE&S___WtUrti
Fir, flow
Second floor
Attic floor
Additional inffirmation:
DESCRIPTION OF MATERIALS
DESCRIMON OF MATERIALS
9. PARTKUM' -FRAM":,
'�o.Ws: wood, grade, and species 2 igo 'yel.,;.- pinoin and spaciiitg .2X4 StUf 6�iq other
Additional informatim:
10. IM11140-1FRAMING:
joists-, wood, grade, and specirsa6l O�J-f) Other Bridging
Additional informationi
IT. ROOF FRAMJNG:
Rafters: wriod. grade.I and species I 2X614A1611 od. Roof trusses (see detailY grade and species
Additional infbrmatio�:
12. ROOFING-
s1heathing: w(xxi, grade, and pecle, i;(,x J3.01
� is � ."��i -,i+
Roofi ng a t d, Z 0 solid; 0 spajejd O'c.
size ty 5
f elt
Underlay weight or thickness. fastening
BUilt-up roofing number of plies surfacing material
FWhirig� material F2'2-V* gage or weight 0 gravel stops; 0 snow guards
Additional inibrination:
13. GUTTERS AND DOWNSPOUTS:
Gutters: material gage or weigh, size shape
Downspouts: rnateria gage or weight size shape number—
, ae�llx2l' ec-c.
Downspouts connected to. C) Storm wwer; 0 sanitary scN%cr: [] dry-well. Splash bVicks: material and size
Additional information!
14. LATH AND PLASTER
Lath 0 walls, C] ceilings; material wei&tit or 06(kness Plaster; co*s finish
thickru-ss finish
Dr, -wa
waHs, rrkdleriak.A�i
joint treatment and o re�mne�nte
15. IMCORATING: (Point, wdl�poper, etc.)
Roma WALL FINISH MATERIAL AND APPLICATION CEILING Fimsti MATERIAL AND APPLICA"TION
Kitche &_F_A-L1e.L nzalnt
Additional information:
16, PITERIOR DOORS AND TRIM:
Doors: type PI 1�1��l C material -ILL11 thickness
Door trim: type material Base: type Sto Ck material Vel '6irlo size A
'Finish; doors $A-li I i—G-1 t)P-3 t
trim
Other trim (item, �ypr and lof atiov
Additional information:
17. WINDOWS:
Windows.
t Vpe 4�'
TT make
material sash thickness
GUss: grade sash weights; balances, type head flashing
Trim: tv uc 9- QZ�b.9 material Faint number coats
Weatherstripping: type material Storm sash, number—
type o
ScxceaslW full; 0 half, number screen cloth material
Basement windows:,type material 0 screens, number 0 Storm sash, number
specia I windows
"'Additiorial information:
lr$. ENTRAPKIIS AND EXTERIOR DETAIL: 39_0
Qllde=bi� Pill�$width thicknessl__3/141�rarne: matffia1y_fi)_a_,6j.J�A thicknessj"
Main entrance door: materis � 1%
Other entrance dcIors: material Poadero saX inj width I'—Q" thicknes,2_.___V'.o'amc: material YVjP_UW thickness
Head flashing Weatherstrippipg� type 31)1:irlL b.1'0114L' ; saddles
Screen doom thickness number screen cloth material Storm doors: tkicknm namber
Combination storm and screen doors:!thickness number--, screen cloth material
ghuiters: 0 bingedPo fixed. Railings . Louvers
Exterior millwork: grade and species 3 J'l-,. better 'yel ' Dlaa Paint eXteli-Or J1'1,01)AP_; number coats 2
Additional information:
19. CAGMS AND INTERIOR DVAIL:
Kitchen cabinets, wall units: material lineal feet of shelves 2-2- shelf width
Base units: material counter top j'ar', . :L�'I L-stj C edging 1 1; 1:1pstle%
Back and end splash IaLi � UIP—StiC Finish of cabinets baked er,,-mael number coats
Medicine,cabincts: make model
Other cabinets and built-in furniture
STRINGS HANDRAIL U&L.USTVk5
STAIR
Material Thickness Material Thicknen Material Size Material Size Material Si.
Basement
Main,
Attic
N4pearing: make and model number
Additional information;
2
A. R. COGSWELL SUPPLY CO.
7
21. srsaAFL0C*S AND WA*GCOT:
WAU&BE
LOCATION MATERIAJL, Cqt,04,&A09k, SAM GA09,ETC. MATSAIAL MATERIAL MATERIAL
d
Kitchen— 1/161, villyl ai'-Tcll
v'i 0 ri d
Bath
0 6
J
HEIGHT itLIGHT IIN UOWIRR3
LOCATION MATERIAL,COLOR, BoRvER, GAr. SIZES. GAGE, ETC. Hziotrr OVER TUB ('FRo%t ftooit)
BAth jjg,,�, Qlazed cerainic til c ir- Fhc
-7 T__ZT;
Z �002 Glazed evrE,"r,"ic tile arol;l�'d tub only
number
Bathroom accessories:[] Recessed; material number Attached; material
Additional information
22. PWMW4G:
FIXTURE Numam LOCATION MAKE MFR's FLxTvRE 1DEvrwtcATto.-4 No. SIZE
Sink
j", P C', C—C,
Water lowt 0-1
16,
liwthtub L_X! —I 3c,
-h—n+1q, UL 4,
Sbower over tub,�"
suit st�q-e'A m" V) (12, �_tui- 1.'=�7
L�u,,Idry trays
Z* Curtain rod A0 Door M Shower pan: material
Water supply: 0 public,1] community system; [] individual (private) system.*
Se di al: 0 public; C3trornmunity system; [] individual (private.) system.*
pecifications according to requirements.
W.a 1141sktal indiv�dtiaiqstem in complete detail in separate draiviikgs and s
�j4uw drain (inside):X] cast iron; 0 tile; C] other House sewer (outsicte)::K] cast iron; tile;0 other
Water pipirW]a galvanized met); C] copper tubing; 0 other Sill cocks, number
Domestic wAter-heater: type- 81 entri 0 make and model heating cap�city
gph. 100* rise. Storage tank: material capacity 40 gallons.
Gas service: 0 utility company; n liq. pet. gas; C] other— Gas piping: C] cooking; 0 house heauing,
Footing-drains connected to: storm sewer; 0 sanitary sewer, Ej dry well. Sump �Ump; make and model
discharges into
capacity
13. WMTWG:
Hot water. 0 Steam. F] Vapor. C] One-pipe system. Two-pipe system.
0 Radiators. 0 Convectors. E] Baseboard radiation. Make and model
Radiant p": 0 floor; [] wall; 0 ceiling. Panel coil: material
Circulator. []Return pump. Make and model capacity gpm.
Boiler: makc.anci model output Btuh.; net rating stub.
Additional infbrination:
see drawixigs
Warm air: 0 Gravity.', Qj Forced. Type of system
Duct material: supply return Insulation—, thickness— 0 Outside air isitike.-,
Furnace: make and model Input Btuli.; output— Btuh.
Additional information:
number units
0 Space heater; '0 door furnace; wall heater. Input Btuh.; output Btuh.
Make, model Additional information:
Pputr ols: make and t�jxs
Additional infortnat"' :
"[3-Coxi; 0'�oii; 0 gas.; (I liq. pet, gas C] electric; 0 other swage �apacity
-Addidonal in��.
equip"ent Atraiahed sdpst�y: (3 Gas,burner, conversion type. Stoker: hopper A*d [j; bin feed [I
Oil I buhtiei' to'
<a r-takwe mizing; 0 vaporizing
Make and Control
Additional informatiors:
%JActric heating system: type Input watts, —volts; output Btuh.
Addit�onal infbr*wiorv;
clin.
equipmotit- attic.favi,make and model capacity
kiwJic�n exhattit fan Y"23 CC
rral�and model 30
e;:R overbvid,,, 0 underVourid. Panel: (j fuse bm, circuit-breaker; make 100' AkP serviceNumber circuits
wp'g� arn-wred cable; 0 nonmetallic cable; 0 knob and tube; C] other
condu I it;'
oullett- 0,ma -0 water heater; [I other
mes. Push-button locations
Additional information;
fixtures Total allowance for fixtures, typical irwallation' sl5ploQ
on"cal instaliation
Idditional information:
It. of
PESCRWT", MA*I"LS
co"Wrt-.1'sup"J00.
A�
DESCRIPTION OF MATERIALS
26. INSULATION:
LOCATION THICKNESS MAiERIAL,TYPE, AND MEMOD OF INSTALLATION VAPOR BARRIER
Roof
Ceiling 3
Wall
Floor
HARDWARE: (make, material, and finish.)
SPECIAL EOUIPMENT: (state material or make and model.)
Venetian blinds Number- Automatic washer
Kitchenrange 277;ct� VI-7, Clothes drier
Refrigerator Other
Dishwasher
Garbage disposal unit
2�. MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide
additional information where the space provided was inadequate. Always reference by item number to correspond to numberinig
used on'this form.)
PORCHES:
TERRACES:
GARAGES:
WALKS AND DRIVEWAYS:
Driveway: width,.i,� base material r , I, thickness surfacing material thickness
Front walk: width material thickness Service walk: width�; material thickness
Steps: material treads--"; risers-". Check walls
OTHER ONSITE IMPROVEMENTS:
(Specify all evterfor onsite improvements not described elsewhere, includin�items such as unusual gradi
ng, drainage structures, retaining walls,jence, railings,
aWd at cessory structures.)
LANDSCAPING,- PLANTING, AND FINISH GRADING:
Topsoil-" thick: [I front yard; F] side'yards; E] rear yard to feet behind main building.
Lawns (seeded,sodded,or s
,aL�jed): [a front yard side yards M rearyard-- 7 1
Plantinf�: f-1 as specified and shown on drawings; F1 as follows:
— -Shade trees, deciduous,—" caliper. recs.
Low flowcring trees, deciduous, to*_ Evergreen t to B & B.
High-grovAng shrubs, deciduous, to Evergreen shrubs,—' to—', B & B.
Vines, 2-year
Medium-growing shrubs, deciduous, to
Low-growing shrubs, deciduous, .to—'
I DENTIFICATION.--This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is
known at'the time of application.
Date Signature
A. R, COGSWELL SUPPLY CO, Signature
433 WEST SAY STREET
JACKSONVILLE 2. FLORIDA
4
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AV
44:
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sz A AF
40
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