Permit 418 Mako (vault) Address L 4// AI 4- 0 0(ot App trio, i)
Heated Square Footage cr @ $ n. per sq ft = $ / ) L/,.2 f C) ()
Garage /Shed @ $ per sq ft = $
Carport /Porch @ $ per sq ft = $
Deck @$ per sgft =$
Patio ( @ $ per sq ft = $
TOTAL VALUATION: $ l 1 1 1/2 a7
Total Valuation 1st $ / ,, 6 CJ $ /5
/ 5i ya. ST`'' c.) q T V $ / J .
Remainder Valuation $ s: )per thousand or
portion thereof
Total Building Fee $ /l( . X71
ADDITLONAL PERMITS and /or EMS REQUIRED ,
+ lZ Filing Fee $
Mechanical ()Fireplaces @ 15.00 $ CD
BUILDING PERMIT kEE $ / Plumbing
6t C' U
Electric /New V/
Electric /Temp /. ` � 1
Septic Tank BUILDING PERMIT $ / k
Well WATER METER CHARGE $ 0
Swimming Pool SEWER IMPACT rrr: $
Sign WATER IMPACT r $ Q
Water Connection MISCELLANEOUS $ C'
Sewer Connection S ,5 t- �� 00 $. .
Water Meter $
A
Elevation Certificate
GRAND TOTAL DUE $ ( / /7 D . S
CALCULATIONS and /or NOTES
` �, CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
.4
INSPECTION PHONE LINE 247 -5826
Application Number 02- 00025284 Date 12/09/02
Property Address 418 MAKO DR
Tenant nbr, name REPLACE WATER HEATER
Application description . . PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
ROMAN, MANUEL B & G PLUMBING
418 MAKO DRIVE 13997 BEACH BOULEVARD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32224
(904) 223 -3585
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 42.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 42.00 42.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 42.00 42.00 .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.
,1/4.
BUILDING OFFICIAL
V
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: We oil 14 Kt, O le
OWNER OF PROPERTY: e01.440 N.)
PLUMBING CONTRACTOR 8rC fLr) pl eIrk)c co
CONTRACTOR'S ADDRESS: f J q 47 et'KJ (2 H
STATE LICENSE NUMBER: ('F TELEPHONE: 1
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY 1 WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER Le K1 T bt. H6)4rfv ✓�j JL/
TOTAL FIXTURES: x $3.50 + $15.00
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF OWNER: A
' 1
SIGNATURE OF CONTRACTOR: l_ ��_�.'
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
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - (904) 247 -5834
4 , LAJ‘j-f
4 v fo "pp
— gfw ,,111 CITY OF ATLANTIC BEACH
- ,
JJ 800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dept@coab.us
Application Number 07-00001206 Date 8/23/07
Property Address 418 MAKO DR
Application type description ROOF PERMIT
Property Zoning- TO BE UPDATED
Application valuation . . . . 12985
Application desc
REROOF
Owner
Contractor
ROMAN, MANUEL
THD AT HOME SERVICES INC
418 MAKO DRIVE
DBA THE HOME DEPOT AT HOME
ATLANTIC BEACH FL 32233 SERVICES
TAMPA FL 33610
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 95.00 Plan Check Fee . . .00
Issue Date . . .
Valuation . . . . 12985
Expiration Date . . 2/19/08
Fee summary Charged Paid Credited Due
Permit Fee Total 95.00 95.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 95.00 95.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
�s r BUILDING PERMIT APPLICATION
�'� ���'�
J ''.4- :- ,,,:ifivzli-
-z CITY OF ATLANTIC BEACH
- 800 Seminole Road, Atlantic Beach FL 32233
Office: (904)247 -5826 • Fax: (904) 247 -5845
Job Address: I PS / ak° DC
Permit Number:
Legal Description Rip d v OP v` cal P r a ms (jniT ..?1} L-o eix l '�
Valuation of Work (Replacement Cost) $ _ / 2 ' , 9 E s
• Class of Work (Circle one): New Addition Alteration Repair Move
• Use of existing/proposed structure(s) (Circle one): Commercial
• If an existing structure, is a fire sprinkler system installed? (Circle one): Yes N /A
• Is approval of homeowner's association or other private entity required? (Circle one): Yes (J\lo)
Describe in detail the type of work to be performed:
r -r
v r - fi j40 / 7 / / 44-1.-7/ n-I WY/ 4 trh -
Property Owner Information
Name: NM) f,I 12o,M (urt Address: i{le tviAl -O ae
City , ctn f t.c_ gc 10• Statue• - t- Zip 32-/-3 = Phone 9 2-S - y5`5 (
Contractor Information:
Name of Company: -j41Q 14'y, Q u Qualify* Agent: Q(.(f !ln in 06P 4--45
Address: ; a ( ai (TZd q7 4 City /1 Qi, a i' State FL Zip 3360
Office Phone 3)3 1,30 -y/// Job Site /Contact Numbe (Q 3v. x.41 /`
State Certification/Registration # 0 (' ( D3 a Office Fax # )3 - (DX O -U/ /,?
Architect Name & Phone #
Engineer's Name & Phone #
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 perfornied to meet the standards o all laws regulating construction in this urisdiction. This permit becomes null and nstr comm enced. iI understand that separate per,nits must be se o red for Plumbing, Signs, Wells, Pools, Fern ces, Boilers, Hea ers,thulks t.s
Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing his
of wor/cwill e complied with whether specified herein or not. The granting of a ernait does not presume to give authority to '.. e or cancel • : •ovisio, q' any
other federal, state, or local law regulating construction or the performance of construction. 5
41111 01PAgalig
Signature of Property Owner: R e
Signature g ature of Contractor:
Sworn to and subscr,}'bed before me ``` Sworn to and subscr' •.ed before me ` ``` �����1 1
p �� tii��
thus / 7 Day of fdZf y O jd 7 \ ��.� d i o A LA/ o ��r this D of _ . . ._� ; (< O PO , C i�
7 V : 12 '.0 9 F , t� „� 2, � a`�J'' p
Notary Public: Notary Public: � � � � , : *
tr . Z : , #DD336890 * ' 111 �: Q
J O
i •,;2,4 4°. �� �QS. < ' • ����� OQ `.
, .10, STO- A
11 111111
D O NOT WRITE BELOW THIS LINE: OFFICE USE ONLY
Zeview Result (Circle one):
Approved Disapproved Approved w/ Conditions Review Initials /Date:
)evelopment Size
3abitable Space Non - Habitable Impervious area Total Area
✓Iiscellaneous Information Conditions /Comments:
Occupancy Group
Type of Construction
Number of Stories
Zoning District
# Parlung Spaces
Max. Occupancy Load
Fire Sprinklers Required
Flood Zone
Revised 12/11/06
MIA M MADE MIAMI -DADE COUNTY, FLORIDA
BUILDING CODE COMPLIANCE OFFICE (BCCO) METRO -DADE FLAGLER BUILDING
PRODUCT CONTROL DIVISION 140 WEST FLAGLER STREET, SUITE 1603
MIAMI, FLORIDA 33130 -1563
(305) 375 -2901 FAX (305) 375 -2908
NOTICE OF ACCEPTANCE (NOA)
GAF Materials Corporation
1361 Alps Road.
Wayne, NJ 07470
SCOPE:
This NOA is being issued under the applicable rules and regulations governing the use of construction materials.
The documentation submitted has been reviewed by Miami -Dade County Product Control Division and accepted
by the Board of Rules and Appeals (BORA) to be used in Miami Dade County and other areas where allowed by
the Authority Having Jurisdiction (AHJ).
This NOA shall not be valid after the expiration date stated below. The Miami -Dade County Product Control
Division (In Miami Dade County) and/or the AHJ (in areas other than Miami Dade County) reserve the right to
have this product or material tested for quality assurance purposes. If this product or material fails to perform in
the accepted manner, the manufacturer will incur the expense of such testing and the AHJ may immediately
revoke, modify, or suspend the use of such product or material within their jurisdiction. BORA reserves the right
to revoke this acceptance, if it is determined by Miami -Dade County Product Control Division that this product or
material fails to meet the requirements of the applicable building code.
This product is approved as described herein, and has been designed to comply with the Florida Building Code,
including the High Velocity Hurricane Zone.
DESCRIPTION: GAF Timberline Ultra Shingle
LABELING: Each unit shall bear a permanent label with the manufacturer's name or logo, city, state and
following statement: "Miami -Dade County Product Control Approved ", unless otherwise noted herein.
RENEWAL of this NOA shall be considered after a renewal application has been filed and there has been no .
change in the applicable building code negatively affecting the performance of this product.
TERMINATION of this NOA will occur after the expiration date or if there has been a revision or change in the
materials, use, and/or manufacture of the product or process. Misuse of this NOA as an endorsement of any
product, for sales, advertising or any other purposes shall automatically terminate this NOA. Failure to comply
with any section of this NOA shall be cause for termination and removal of NOA.
ADVERTISEMENT: The NOA number preceded by the words Miami -Dade County, Florida, and followed by
the expiration date may be displayed in advertising literature. If any portion of the NOA is displayed, then it shall
be done in its entirety.
INSPECTION: A copy of this entire NOA shall be provided to the user by the manufacturer or its distributors
and shall be available for inspection at the job site at the request of the Building Official.
This NOA revises NOA #04- 0305.02 and consists of pages 1 through 4.
The submitted documentation was reviewed by Mark A. Zehnal, CPRC.
- ` 110 / NOA No.:05- 1115.10
`~ z Expiration Date: 04/22/08
x,.
- r Approval Date: 01/12/06
.I/ 1 N\ Page 1 of 4
t
ROOFING ASSEMBLY APPROVAL
Category: Roofing
Sub Category: 07310 Asphalt Shingles
Materials Dimensional
Deck Type: Wood
1. SCOPE
This revises GAF Timberline Ultra Shingle as manufactured by GAF Materials Corp described in Section 2
of this Notice of Acceptance.
2. PRODUCT DESCRIPTION
Product Dimensions Test Product Description
Specifications
GAF Timberline Ultra 13 39 TAS 110 Fiberglas reinforced heavy weight asphalt
roof shingle, with a laminate profile
3. EVIDENCE SUBMITTED:
Test Agency Test Identifier Test Name/Report Date
Center for Applied Engineering TAS 100 02/23/94
Underwriters Laboratories, Inc. ASTM 3462 ASTM D3462 03/26/94
Underwriters Laboratories, Inc. TAS 107 Modifed ASTM D 3161 04/13/94
Center for Applied 090[Engineering ASTM D3462 03/18/97
PRI Asphalt Technologies, Inc. ASTM D3462 GAF - 103 -02 -02 11/02/05
PRI Asphalt Technologies, Inc. TAS 100 GAF - 046 -02 -01 01/13/04
GAF - 103 -02 -01 11/14/05
Underwriters Laboratories, Inc. TAS 107 04NK04273 02/20/04
Underwriters Laboratories, Inc. Modifed ASTM D 3161 05CA42840 11/11/05
4. LIMITATIONS
4.1 Fire classification is not part of this acceptance; refer to a current Approved Roofing Materials
Directory for fire ratings of this product.
4.2 Shall not be installed on roof mean heights in excess of 33 ft.
4.3 All products listed herein shall have a quality assurance audit in accordance with the Florida
Building Code and Rule 9B -72 of the Florida Administrative Code.
5. INSTALLATION
5.1 Shingles shall be installed in compliance with Roofing Application Standard RAS 115.
5.2 Flashing shall be in accordance with Roofing Application Standard RAS 115
5.3 The manufacturer shall provide clearly written application instructions.
5.4 Exposure and course layout shall be in compliance with Detail 'A', attached.
5.5 Nailing shall be in compliance with Detail 'B', attached.
1 " NOA No.:05- 1115.10
J i
Expiration Date: 04 /22/08
- �'F- Approval Date: 01/12/06
r(i �`/'\, Page 2 of 4
6. LABELING
6.1 Shingles shall be labeled with the Miami -Dade Logo or the wording "Miami -Dade County
Product Control Approved ".
7. BUILDING PERMIT REQUIREMENTS
7.1 Application for building permit shall be accompanied by copies of the following:
7.1.1 This Notice of Acceptance.
7.1.2 Any other documents required by the Building Official or the applicable code in order
to properly evaluate the installation of this system.
8. MANUFACTURING PLANTS
8.1 Tampa, FL
8.2 Michigan City, IN
DETAIL A
DECK
FULL
5th
17" OFF 4th
11" OFF 3rd
6" OFF 2nd
FULL
1st
c;c
(0/ NOA No.:05- 1115.10
Expiration Date: 04/22/08
Approval Date: 01/12/06
i f 1 Page 3 of 4
DETAIL B - 13-1/4" X 39 -3/8"
39 -3/8"
i _ Release
-"*-- " - - -- - - -- 71" — � '"' Tape
6 fasteners 7
13
-•--1
1.
82 74"
i i \ I \ I
5-5/8"
Front Side (Maximum Slope 12:12)
- -- 39 -3/8"
, ./ Release
Tape
6 fasteners 72" — 72" "
134" 1 or / I \ \
6"
5 -5/8"
1 A f
Front Side (Maximum Slope 21:12)
Tab Sealant
1'•
2"
i ___ ImINZ elL 11■11 11■11 .....o
1/2" 1
Back Side
END OF THIS ACCEPTANCE
�!r c� NOA No.:05- 1115.10
, Expiration Date: 04/22/08
,,- Approval Date: 01/12/06
( i p\ \ Page 4 of 4
3-31 9'/V
Return to:
Name: THD At -Home Services, Inc.
d/b/a The Home Depot At -Home Services Doc # 2007271202, OR BK 14149 Page 1280,
Address: 3200 Cobb Galleria Pky. Ste.
Number Pages: 1
200, Atlanta, GA 30339 Filed & Recorded 08/22/2007 at 09 :14 AM,
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
This Instrument Prepared By: RECORDING $10.00
Name:
Address:
Property Appraisers Parcel Identification:
NOTICE OF COMMENCEMENT
Permit No. Folio No. t J'1 ) 1 4 -7 '2 I ,
STATE OF FLORIDA
COUNTY OF t i
The undersigned gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes, the
following information is provided in this NOTICE OF COMMENCEMENT.
Legal description of property (include street address, if available:
'I-It Mikr.6 r2 ATL-a Tl< PZ14- Ft.. 3223:3
General descriptiw of improvement:
(if. 2c) i--
Owner �� t Information - name and address: L
Interest in Property: iN)4A.i,r
Name and address of fee simple titleholder (if other than Owner):
Contractor - name and address: The Home Depot At -Home Services
6422 Harney Road Suite A Tampa, Fl 33610
Phone Number. 813 -383 -7000 Fax Number: 813-630-4112
Surety - name and address:
Lender - name and address:
Phone Fax Number: Amount of
Number: Bond: $ /A) 113
Persons within the State of Florida designated by Owner whom notices of other documents may be served as provided by Section
713.13(1 Xa)7., Florida Statues:
Name and address:
Phone Number Fax Number
In addition to himsel4 Owner designates of
to receive a copy of the Lienor's Notice as provided in Section 713.13(1 xb), Florida Statures. (Fill in at Owner's option)
Phone Number Fax Number:
Ex Signature iration date ofNotice o Commencement (the expiration date is 1 year from the date of recording unless a different date is specified).
f /ctst i -., icy
Signature of 0 Si H of Owner
Nail we i ((Oka it
Printed Name of Owner �+ Printed Name of Owner
Sworn to and subscribed before me by i t l Ct„ r.p-r va/ who is
personally known to me or produced
as identification, and who di' take : , s : h 7, day / day of Z ' 20 6 7 .
Signature of Notary , ' f ` 0 A LA N c '
i
State o — "FIT — ---'-',-..%--e< M * * * OG V:-
Printed Name of Notary:
Commission No./Expiration: =
d 9 opp336890 #
y • to stn. c, � • 17. -fr
artrittlItittlit
-
CITY OF
41Iaat c Beach - .hyuald
Office of Building Official
REQUEST FOR INSPECTION
Date • Z
Permit No. 41)0 Time Q. /a
•
Received / CJ / District No.
` / ,, YAr... /' M r
/
Job Addr
������ ) Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING
Framing ❑ Footing ❑ MECHANICAL
Wiring ❑ Rough ❑ Air. Cond. & ❑
Re Roofing ❑ Slab Tough Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
READY FOR INSPE Pre Fab
Mon. ues. Wed. A.M.
Friday P. M.
Inspection Made • Q,44 a e v y �.,/ 1,,
Inspector W T
Final Inspection ❑
Certificate of Occupancy
Date
l eP
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: /4 /.27 6`%
PLUMBING CONTRACTOR: <:�' � C r
LICENSE NUMBER: C)1('2),T7/9-Z,
OWNER:
BUILDING CONTRACTOR: <11)14/!4
TYPE OF BUILDING: "/i
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS
DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT: + $15.00 =
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
f3R4A
�, � 7436
�` DEPARTr1AENT CAF BUILDING
CITY OF ATLANTIC BEACH
_ ' PE M I'T IN `OR IA TION -° -- - LOCA'' INFO CATION •
E rr ' .N tub 4 Address s 418 t Al O DRIVE •
( ' e � -N T . WELL ° A BEIgCH, ?LORI DA 32233
1 C`, nstr. Type a ?i /A O I kF n
1 r • zed U TILT Ts n, h3 P RNA,
1iing I Co e: Subd vi cans
t.i a d Value: 0,bD
I ..,. Cost : $ 0 , 00
`Tot 1 C�
Amoun , 10 D
... .. # a te : '"ZC+t ,_Tr -'_..- A P PLICATION SEES _. .:
�� :� PE N T I t . bb
Ads lE y}�y' . y �y { y�y � NA T • �� IMPACT e$C b0
' �,. a .„.'4',..,,„;13 �, a 11. 7,F 4N rfi i.s�w �� � u , :�s� " 7 .^+. Q f ir
b y °'
RADON OA$- - H , R . S , $ ▪ 00
»:.� P h _ ' R t FORMAT 1:. -� - RADON OAS P 5 $0,00
N 1 A S .1- ... ,. ' CAI'I'TA� .... IMPRO fiE -- _ _. SO . CC -
ATL,AN L EAC CR OSAtJLI .' SHARE .0
I
I
� " . C EBSONtC'TICN s��;�D
.; '� • ,° SE y H IMA:;T ` E Q ▪ f4
I i . , :' ..' , ' . .: 'NOTES:
B NOTICE -ALL CONCRETE FORMS AND POOTIN 8 MUST BE INSPECTED BEFORE POURING
l '-''''''''''''''' PERMIT VOID SIX M ONTHS FTER A DATE OF ISSUE
B UILDING MATER RUBBISH AND DEBRIS FROM THIS WORK MUST'NOT PLACED IN PUBLIC SPACE' AND
MUST BE .
CL EARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
` FA LURE TO C., PLY;IMITH THE MECHANICS LIEN LA CAN RESULT IN
THE PP OP £ - O T YrOWNER PAYING TWICE FOR BUILDING IMP I4° 4.9
C UED ACCO RDtN TO A PPROVED PLANS WH ARE PAR OF' THIS PERMIT AND SUBJECT TO REVOCA t t� i i .
' $ TLCf1 GF A P 1 LJCAB P R O VISIONS "O .
kT'L,ANTIC B DEPA RTMENT r, i;,rr, r, ,,,, ,,,,,,,,,,,,,,,,:r.,:,,,:,,,i,,
LAW
y
bEE $10.n0
•
APPLICATION FIR WELL PERMIT
CITY OF ATLANTIC BEACH
PROPERTY OWNER
Name: A0f✓ , e f �U /I? 1 /2.1 Day Phone 2r6` ?S'(
Address c �� Sj 4i �'0 �G-
Zip .3Z���
APPLICANT, IF OTHER THAN OWNER
Name: / fil/ r ` //� �.,,- y Day Phone Z c/7 --e Y8,
Address: / (2 . e3 v x S� ,of � lQ,j 7 /e.
Zip 5
JOB
Address or Location: 1 / 1 7 /14k d
Legal Description:
•
Is well to be used for drinking purposes? ///'
•
Any person, individual, corporation or other entity receiving a permit as
provided in Section 22 -40 of the Atlantic Beach Code, and who plans to use
water from the permitted well for drinking purposes, must first obtain a
bacteriological test report from the State of Florida Health Department,
furnishing a certified copy thereof to the building department of the City of
Atlantic Beach. A certificate of occupancy will not be issued until said
report is on file with the building department.
Department Notes:
t
T 1 21993
Cuilding and Zoning
I agree to canply with regulations stated herein:
/6
f" - ture Date
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION q/
PLUMBING CONTRACTOR 6 Ai /3 ` 97 &71 6 610
LICENSE NUMBERS OF 6: c9At,,� t s ,j�� -6 a 4# 4I3 y
OWNER i� flry "
v - L , 0 iV
BUILDING CONTRACTOR
TYPE OF BUILDING Siie iR-c
SINKS ___ SHOWERS
LAVATORY 2 WATER HEATERS
BATH TUBS ___ DISHWASHERS
____ URINALS DISPOSALS
___ CLOSETS ___ WASHING MACHINE
FLOOR DRAINS OTHER
J TOTAL FIXTURE COUNT •
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
•
•
» r
P$F1.384a _ -
DEPARTMENT OF BUILDING `
i ,
CITY OF ATLANTIC BEACH .
.... PERMIT INFC}
R1ATICtN ' -r. __
"e Nu' 16900 Lp 4 m ' ,D ' I --
r Pern�it bee PLUMBING •dress
: ss of Type: ALTERATION 418 RQ BRZVE
A'PLAN'TIC SEACH R
";C'or�str, �Y`Pe:C4NCRETE --w___ - LEGAL DESCRIPTION IIJA-32233_
C O O st eed - E?se Eloc Section: Sib k: -
Dwell sed ' U rs Lot
' "
Est, Value: 0.00 Sttbdlvlic�nr, Rnq. 00
Improv. Cost:
Total P'e'els R 0.00
Amount PO
f- Date. Pt : ' .2 '.231
cry Deep *q 4.'
' . i ': '''' r ';"'' ';';'; ; 7 , i, :* �� � "" APPLICATION PEES
41 t ' ELI ES �.
T � �'a' A ` ',l,f 3RIJ A 32233 1, : 25 <04
Vie. 4 ��48'
.; d Y ' i h Y�' i - •
CON �T x r I . A , . ; <z
Vi e: � �TL,A I� �C _ . T��N .�., -- 1
*S :P LUMI I 1*{I Sw TILE
�-_ ■3.2.3 .. = 9PR A - . j r ,. ORS, r -
ACKSOrIVI LA tBEACH, EL 3225
t,i CP't2i29 t
NOTES: �� " .
*'': '''''''''''''''''-::;::''';''';':',--''';''''''''''''', ' NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HO
URS, PRIt?i� T81SpJETHQN I
SI,f;ILDIN6 MATERIAL, RUBBISH AND DEBRIS FROM THIS WQRK MUST NOT BE PLACED
CLEARED:UP AND HAULED AWAY By EITHER CONTRACTOR OR OWNER
ED IN PUBLIC SPACE, AND MiJST BE
i` A #LURE TO COMPLY WITH THE �
M E CHAN #GS' LIEN LAW CAN RESULT IN
THE P ROPERTY OWNER PAYING 'tW #CE FOR BUILDING #M �
I�RC�►V�MENTS. I
ISS A T a
8U N ?FAFPLI YED PLANS WHI CH ARE PART OF THIS PERMIT AND SUBJECT TO'REVOCAT
C B P VISIONS OF LAW
�- - ION FCtF{ ° ,
,,7r, 3 ti DU " A` atp11,1 Yale+ (: 7 a a E 'r.'#_ - L . 4'
4� d{ i d s 4 Q� fr , R+L` ; Y t *
s ae .r..lita. -
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING 'ERMIT
JOB LOCATION: � g
OWNER OF PROPERTY: 6 g A-c\i
PLUMBING CONTRACTOR -
CONTRACTOR'S ADDRESS: 0 Z • 4
STATE LICENSE NUMBER :
l a TELEPHONE: j2 o
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS
SHOWERS
LAVATORY /fi �¢�e �^J
I`� WATER HEATERS
BATH TUBS
DISHWASHERS
URINALS
-� DISPOSALS
CLOSETS
WASHING MACHINE
FLOOR DRAINS
• SHOWER PANS
OTHER
TOTAL FIXTURES:
x $3.50 + $15.00
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: _Aims f
II NI
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. A DAY AHEAD TO SCHEDULE INSPECTIONS ODE.
- (904) 247 -5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - (904) 247 -5834
C17-a, _ op
O / /lc o/ 494144 °me
9_,,,20_ e�' R EQUEST Fp I►d SO//icial 41111 (
Receiv ' R PE
Permit No. 0
Job Ackir. time 41. - District No.
4 • IN D
Re Roofing oON9 RETE E Contractor Ztif./..)._. AL
Sl ❑ �ECTRICA
Lintel
Tame P ole R ough byirtn P�uM @lNO
g
Mon. 0 Rou ti►EC ❑
0 ugh AVIV '
'rues
ToP Out 0 Air. Co n d4 N1C4L
Inspection Heating a A.M.
M ade ` Wed READY FO R 1 NS PECTION Fire PI _P.M.
I naPector 3 ""Qt
Thurs.
Pre Fe 0 ,ftiVOit � ( A.M. Friday
i P. M.
�+,* Final In spectio n 0
l 61:5L_
Certificate of
Date
Occupancy
•
OWNER BUILDER PERMIT AFFIDAVIT
State of ,Florida
City of Atlantic Beach )
BEFORE the undersigned authorit y, personally appeared
�, th �� < , /
/� .111F° / Le v who upon first being duly
sworn, deposes and says:
I' /7( I r 1 _ �, ct? /I , and the legal
owner of the following property:
Subdivision /Lid /
Block � Lots _ ,,
AKA = 1 274c.Li' efr!I's -e c
I am applying for a building permit pursuant to the Owner
Builder exemption set forth in Florida Statute, Section 489.103.
Florida law requires that I have been provided with the following
DISCLOSURE STATEMENT:
DISCLOSURE STATEMENT
State law requires construction to be done by licensed
contractors. You have applied for a permit under an
exemption to that law. The exemption allows you, as
the owner of your property, to act as your own
contractor even though you do not have a license. You
must supervise the construction yourself. You may
build or improve a one - or two family residence or a
farm outbuilding. You may also build or improve a
commercial building at a cost of $25,000.00 or less.
The building must be for your use and occupancy. It
may not be built for sale or lease. If you sell or
lease more than one building you have built yourself
within one year after the construction is complete, the
law will presume that you built it for sale or lease,
which is a violation of this exemption. Your
construction must be done according to building codes
and zoning regulations. It is your responsibility to
make sure that people employed by you have licenses
required by state law and by county or municipal
licensing ordinances.
I hereby acknowledge that I have read the above DISCLOSURE
STATEMENT and that I comply with all the requirements for the
issuance of an Owner - Builder permit.
Further, affiant sayeth not.
_A
Property Ow er
Sworn to and subscribed
th s ___ -_ day
of f6: `� - - -• 190/.
g o/ /, d ee -
NOTARY PUBLIC
My Commission Expires:
V)T,,uy PU3(,/�
m+ is a CAP s �� CF. etriv?
Aug 17, 199,4, •
/L. /. ii!- -.1 �f /U14/ //V.. ..:� Vt: Y OF
el .
L 0 7—____- 3 BL o e h' i.3 AS SN0A/A/
ON MAP op
AS R.GCaQOFO /n/ PLAT BOOK O caF .'O /.-?L f A G 445 Z/4// 7" TwDA
P-4a4S /42 A B C c e2. THE "..454. /4' RECORLS OF LX/VAG Co, fh4.
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t 0 Lit IN,
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otr- � �t¢r G F ®c -rE APPROVED
QN CITY OF ATLANTIC BEACH •
0
PLANNING & Zt1NINf OFFICE I a lli
£
° APR 4 1991 w Ai a
/ U Q W
. By 4 .4%..t, , _,„/ .7_. ..zo (1,,,‹...: TN/.5 FURTN4R CERT /Fi4s THAT Tiff S4/RV4 l'EPRESENTED 6 V 44447 THE
— X— OENe7Qs RENe1 .M /N /MUM REO4I /REMENTS ADOPTED 8) THE FCoR /OA 50C/ETy OF PROAESS /ONAG
O-- DENorGs /Ron, P /,e,' LAND ,SuRV4YoRS AND THE FLDRADA LAND T /TGE ASSoC /AT /c,.
Ty /S /S TO CER T //C Y TNAT THE A l oye 407 /fAS .SG/RVYeO (.1,N MY
S�/Pi/RV / S/DN ANO THAT ,T' [ /l : �,'.. �� .. .
eLOCA7ef0 ON SAMe9 ' ' '
AS SM /N ON AND TWAT THERE ARE No ,
MAX G.QRC /A E ASSOC /4 e I ., k ' 6 4 1 ))1, ENC<jOACNM6NTS ?roomSA/C?LGT, /1^/,MARheir.fr,./A onev .<4; Pt fl . r �
RErZipRCFO SvRV.5M1.q AZ:4H'1, F[o " '
-. n ►. .. e ,')� / 4 •••, �, +1
,,` .u.weu.(w...... — ......,. - .. !. ,. w....... _ .. .. .......r..:,,.,,,..,:.......... _... ....._e. 73, +Lu -l.1 "v AiL1it;. i; :.....a. +.�i::.......a..w_.
1�.. _. .�..._. yea.. .w...— .,.......i.pi.,
PREPARED 12/16/02, 8:22:06 INSPECTION TICKET
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS
ADDRESS . : 418 MAKO DR SUBDIV:
TENANT, NBR: REPLACE WATER HEATER
CONTRACTOR : B & G PLUMBING PHONE : (904) 223 -3585
OWNER . . : ROMAN, MANUEL PHONE :
PARCEL . . : 171472 -0000- -
APPL NUMBER: 02- 00025284 PLUMBING ONLY
PERMIT: PLBG 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETE RESULT RESULTS /COMMENTS
45 01 12/16/0 LJH x ;7'; TIME 13:00
COMMENTS AND NOTES
•
•
•
CITY OF ATLANTIC BEACH, FLORIDA
A""." `I' I APPLICATION TOR IL1CTRICAL llama
TO THE CHIEF ELECTRICAL INSPECT OATI;
IMPORTANT NOTICE;
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HERESY ARE A TO PE1E�M WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS.
ATLANTIC BEACH OIIpN ANCES• WITH THE ELECTRICAL RUINATION, CODES AND cm OF
�►� EOL` / Elec_tnc0 -Q• c vis � • ,
ELECTRICAL fIRM; ER
t T IME .URtg
NAME. lik L � v � ^ n l APOR r.; y i i� ►� K� r
,RPO_..„.Bpx,�_
BLDG. SIZE 51g 6 1 �- N1'trERlik
ass. b4 '' Arr.1 1 coast 1 1 PI*UC,w 1 mo11S.1 1 NEw 1 1 ow t 1 Raw t 1
ADDITION (A TRAILSII ( 1 Tar. ) SIGNS 1 1
ia. PT.
SERVICE; NMI 1 MICMAN 1 1 REPAIR 1 FEE
INFAA ropmmuum
.•.
NOM No. SIZE N0. ssWE No. SIZE
OUTLETS CONCEALED OPEN TOTAL
RECEPTAI:LES OPEN TOTAL
SWITCHES 11111M1111
MrCANOESCEli1T
PLUOR • M. V.
FIND III' l_!-11A1t:.;_HMS
APPLIANCES NLL TRANS*.
AIR H.P. GATING H.P. RATING
CONDITIONING COIN. MOTOR OTHER MOTORS A KHEAT •
14
MPS W
MOTORS • H.P.
VOLTAGE PHA VOL
NO PNS
TRA ORME UNDER 1101V 1
• NO. KVA 111 M. KVA
NO. NEON TRANS*. NO. VA. MA. I MOTOR SIZE SWITCH
EACH SION •
MOM
• FORWARDED
S
TOTAL FEES a a.-_
•
•
6
ieDci
CITY OF cC �`
/Want is 1 eac i -' WOO (3 Q 6
Office of Building Official ( 4 d g°
REQUEST FOR INSPECTION --- W x „_
2 ...- 5 qi 6 / Date r'�
Time :c v AM• l District No. O
Received PI ° '
JobAd• I
Owner's ; Xn C,'• Contractor AL
Filit, Name
BUILDING CONCRETE ELECTRICAL PLUMBING ECHANICAL
❑ Air. Cond. N ❑
❑ Rough Wiring ❑ Rough Heating
Framing ❑ Footing T op Out ❑
Slab ❑ Temp Pole ❑ Fire Place ❑
Pre Fab
Re Roofing ❑ ❑
Lintel
READY FOR INSPECTION -� A.M.
Th
, Friday. _------ - -P.M.
Mon. s ' � — 4"-- A.M. 0 , 'i i
P.M.
Inspection Made � r
N ■
/ � Final Inspection ❑
Inspector ..
Certificate of Occupancy
rE�'Ki� L � Date
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
/ 7 )
Owner(s):jr4g_aj4_1A21/...,
Address: 4/./.(AAD_Z,2ctiz ey--ki.d iay i_i' . _
Li )
Lot ii__3___ Block or Unit #_./.3__ Subdivision:49PCZv k i L2 L 3/7
---- i
Contractor
7
Describe work to be done : _ALL' ia4L.d.ked_i_Z,LL ) .._cii_jit.rei - evc a
/..-)
Present use of building:_fu_d4L4__
Valuation:___ .),... 0 • • , r 4‘. .&o..c2S.2
Proposed use:
Is this an addition?__ I/ _‘...„___ If yes, what are the dimensions of
the added space:.2-SZ ° ft. X j5 ft. Will the added area
be heated and cooled?___ILL__ New electrical (or increase)? c-
New plumbing fixtures?ko _ New fireplace?..10_Nev Heat/AC?_114
SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Da te:_0_;_-P,_2-_
A --(.'
Signature CONTRACTOR:,_,..1,1.44(4.t. _,, Date:_i:*-.42,L12_
L,,,..!
CITY OF
411a4ic £ e44 - 41e auk (il/ f
Office of Building Official
REQUEST FOR INSPECTION �� !�
/ 1/ Permit No. Q lJ l
Received A.M.
Time / C? District No.
Received
l / 1 ) '---) ft' Locality
Job Ad
Owner' �
Name Contractor / ) M BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
❑ Air. Cond. & ❑
❑ Rough Wiring ❑ Rough Heating
Framing ❑ Footing Top Out ❑
Slat ❑ Temp Pole ❑ Fire Place ❑
Pre Fab
Re Roofing ❑ ❑
Lintel
READY FOR INSP � A.M.
Wed. / 'furs
/'. Friday _P.M.
Mon. Tues. 5-- — 6 / / A.M.
P.M.
Inspection Made
�� Final Inspection ❑
Inspector .r W . .: upancy
Date
Ammummimessw