Permit 433 Mako Dr (vault) eq
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4:
CITY OF
4&.1.- B.J,-A;"- z,-,/ , -
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received 7-3-p.m.
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PILUMBING CHANI
Framing C Footing D Rough Wiring E Rough 0 Air Cond.&
Re Rooting r-j Slab D Temp Pole 0 Top Out D Heating
Insulation El Lintel E Final 0 Sewer D Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed, Thurs. Friday
GD
XM,
1 5
nspection Made -RM.
Inspector Final Inspection 1i
Certificate of Occupancy 0
Date
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-58T7
PERMIT.INFORMATION: LOCATION INFORMATION:
.......... ......................... .. .............
Permit Number: 18361 1 Address: 433 MAKO DRIVE
Permit Type: MECHANICAL ATLANTIC BEACH, FL, 32233
Class of Work: REPAIR Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost:
OWNER INFORMATION
Date Issued!'* 6/10/1999 Name: WHITEFIELD, GEORGIA
Total Fees: 42.00 Address: 433 MAKO DRIVE
Amount Paid: 42.00 ATLANTIC BEACH, FL, 32233
Date Paid: 6/10/1999 Phone: (000)000-0000
Work Desc: RES REPL 1 CU,PH10JA036,PAYNE/CARRIER 3 TON UL; 1AH 1OKW, UL
CONTRACTONS): APPLICATION�FEES .:
A C CENTRAL INC PERMIT 42.00
4n
spections;Required:,
ROUGH MECHANICAL FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
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.
Date: 6/11/99 01 Receipt: 906335
ATLANTIC BEACH)bUILDING DEPT. CHECKS 7 76
00"
i IJI N I ful 1999
BUILDING AND ZONING INSPECTION DI%IQN, r' h
I,, ijeac
CITY OF ATLANTIC BEACH Building and Zoning
ATI-AtIrIc nEACH, ILORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALLAN NUMBER
IKAPORTANT -- Applicant 1`0 COMPWO )II ilOtTIS in sections 1, 11, 111, and IV.
Street Address,
LOCATION
0 F Intersecting Sf,eels: Sol,rpn
BUILDING
11. IDENTIFICATION --- 1-(-) I-)e completed by all applicants
In consideration of pe—iii qi—n for doing the —)A 'I s dr,sc,it—d in ll,p abr— Oal—,—1 —e he—Ly 19,ep to re,for smid �0,1, i,, mccordnnn
-ifh ll�a alfacl'�ed PIMns Ar,4 Spe,;I;rAlions �hicl, a,p 6 F,Art And ;ri Arro,dAnrn -ill, Ij,V (-;Iy of JACkSon,ill
of good pfaclice listed e o,dinances And slanda,cls
Name of Mocl,anical Contractors
Contractor (Print) MAster
— - ---6'�,
Name of
Property 0-nor
6L 14 1 C:I.=
Signature of C�nor 5ign'alure of
or Aul�oriiecf Agent Ar, ec I or Engineer
Ill. GGENE"L INFORMATION
A, Type of Iseat;nq fuel:
S 01IIER CONSTRUCTION 13EING 0 NE ON
r;c THIS BUILDING On SITE 7
E) Gms — Ej I-P Ej Natural [j Central Utility
[j Oil IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
E] off,er — Specify
IV. MECHANICAL EQUIPMENT TO IF 114STALLED NATURE OF WORK
(Pmv;do complete I;tt of components om back of Wo form)
El Spec* 111 Ro-cessa,cl W—C-ontral 0 Flocw 11 NOW BuIlding
@R'--X7,r Condit;oninq: E] Room LI Central <Isllng Building
C] Duct, System: IvIsferal (J noplacelyloot of 8XIStIng systeill 4P-
maximum capacity I I New Irlshallat loll(No sysleto previ
• Refrigeration ExlelisloF, or add-on to exIsllng s
• Coolinq tower: capacity 001pt Sf)nclly
C] F;ry iprink6ri: Number of headt
C] [lervator Ej Menl;ft El Elcalator —(num6erj
C] Gasoline pumpt (number) THIS SPACE FOR OFFICE USE ONLY
(Recol"j)
(j Tanit (num6er) Remarks
[] LPG conte;meri (num6er)
Ll Umfirod pressure ,essei
C] tollerl Permit Appro,,#c! by Date—
C] Offier Specify Permit Fee
LIST ALL EQU11WEINT
AIR CONDITIONING AND RETRIGE RAI ION I-QUIPMEN1
Number Unitjo Description Model Number MR-nufacturtr Capacity A proving
(Tons)
P4
-M T�1(5
FT11EATING - FURNACES, BOILERS, FIREIPLACES
Cap,adty ApprovInt
Number Urdtq Model Number M&nufiLcturvr (BTU) Ag*my
------------
M eellj
TANKS
Itlow Many Capacity TYPO Uquid Name of Seti2l APXT0VjRg
=d t)immsimo Contained Manufacturer
No. gency
CITY OF
Office ot Building Official
REQUEST FOR INSPECTION
Permit No.
Time
Received District No.
er Job Address Locality
Nam V�-)�L4
Own 's —J4�I& Contractor
BUILDING CONCRETE U ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 0 Rough Wiring 0 Rough 0 Air.Cond.& 0
Re Roofing 01 Slab 0 Temp Pole Top Out El Heating
Lintel Final Sewer E Fire Place 7"
READY FOR INSPECTION Pre Fab
Wed. Thurs. Friday A.K
Mon. iu4l' �? 4;�
71. A.M.
Inspection Made AI RK
Inspector /w/ Final Inspection L1.1
Certificate of Occupancy
Date
CITY OF ATLANTIC BEACH, FLORIDA
Appro%*d by APPLICATION FOR' ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 117/R:Z 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,VE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH AREA PART HEREOF, AND IN*ACCORDANCE WITH THE ELECT AL REGULATIOO�, CODES AND CITY OF ,
ATLANTIC BEACH ORDINANCES. ebe-,t A.
R & R Electric Co. P.-O.-BQx 9688 Jax- Fl '3??nR
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNAT RE lOURNElXMN
:NAME Whilfipld ADDRESS: 4133 Makm nr- —RFD---.�—BOX
BLDG.SIZE BETWEEN:
RES.( I APT.( I COMM.f I PUBLIC I INDUS. ( NEW OLD
ADDITION ( TRAILER TEMP.( I SIGNS ( I SO. FT.
SERVICE: NEW INCREASE REPAIR t
CONDUCTOR SIZE AMPS COPPER ( I ALUM.
SWITCH OR BREAKER /52 AMPS PH 3W OLT RACEWAY:
EXIST.SERV.SIZE AMPS PH 3 w 1110VOLt RACEWAY
FEEDERS NO. * SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN ITOTAL
0.30 AM S.
31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
0.100 AMPS, I OVER
FIXED
APPLIANCES BELL TRANSF�
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS IC E I L H EAT: KW-H EAt'�
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE �'PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
iNO. KVA NO. lKVA
[NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
NO.NEON TRANSF.
FORWARDED
$
TOTAL FEES op
V
BUILDING AND ZONING INSPECTION DIVISION
z CITY OF ATLANTIC BEACH, FLORIDA z
M
.2 (0
=I ELECTRICAL ' PERMIT 40
rzL
Dote 7121M Fee $ 3S.28 Permit No. SW
&U
Location 433 MaU Wyw,-i-�
Between and
This is to certify that CL
UOUW21, labeft JL W14*1* 39 C
(Electrical Contractor) (Moster Electrician)I J , I
has permission to install Electrical Construction as described herein in
accordance with the provisions of the Electrical Code and regulations U-
z
of the City of Jacksonville, and subject to the information shown on the w
x
application, drawings and specifications which are made a pprf-6hhis 3:
permit.
for WALIftald
LU
0. 1
Type of work: "SIAGM141 Immose a
SERVlCExx*jh%tUw 2/0 ISOamp alto
br*akor ISOamp 1ph 3w 1IS/230velt
Fee der s: su
:2
Outlets: 0
U
Receptacles: LU:
Switches: #A
Incandescent:
Fluorescent-
Applioric*s:
Air Conditioning.
1,04 to* 4*U bftt-1 tf4k"L lion
Motors:
Transformers:
Signs:
Miscellaneous:
IF NO WORK IS DONE UNDER
THIS PERMIT,'DURING ANY SIX ISSUED BY,: E I lectrioal Inspection Svperviso�
MONTHS PERIOD, PERMIT
BECOMES VOID-
DEPARTMENT OF PROFESSIONAL REGULATION
UNIFORM COMPLAINT FORM
Please return to: OPR Consumer Complaints
130 North Monroe Street
Suite 225
Tallahassee, Florida 32304.
(Type or Print) -2.1 P -6-2- 3 17 C/ -0 7,ti_V-. Contact (other than yourself):
Your name Don C. Ford, Building Ins-pector Rene' Angers, Com.Dev.Director
Name
Address City of Atlantic Beach same
Addre s
716 Ocean Boulevard
City State Zip
Atlant.ic Beach, Florida 32233
Telephone
Area Code
Telephone 904) 249-2395 Youroccupation Building Inspector
Area Code Area code
Business Resr dence
SUBJECT OF COMPLAINT
Name James O'Brien, III - Air Design of Jacksonville, Inc.
(Person and/or Company)
Address S032 San Juan Avenue Telephone (904) 388-4398
A(ea Code
Jacksonville, Florida 32210 Occupation Mechanical Contractor
city Jacksonville State FL Zip 32210 # CAC039758
License # (if known)
Have you contacted subject concerning complaint? Yes X No —'Date several times since 8/IS/87
Are there documents involved: Yes X No— Attached X —_ To Follow _.
Yes No Yes No
Private Attorney
(if applicable)
Name Address
Telephone Number City State Zip
WITNESSES (Full names and addresses):
Construction Trades Qualifying Board
GIVE FULL DETAILS OF YOUR COMPLAINT. (include facts, details, dates. Please attach copies of all bills,
documents,records,correspondence,and contracts. (Use back of sheet it necessary)
Contractor represented himself as having_ a valid license when applying
and receiving 12ermit: when in fact said license has been suspended for
one year per letter dated 8/6/87, Construction Trades Qualifying Board.,
We have made several attempts to clear matter to no avail. Contractor
will not return our nhone calls.
FLORIDA STATUTES 837.06 - FALSE OFFICIAL STATEMENTS. Whoever knowingly makes a false statement in
writing vv!,,!i the intent to mislead a public servant in the performance of his official duty shall be guilty of a
misdemeanor of the second degree.
IF
L a- 9/16/87
Signature (Required t, -,/ Complaint) Date DPR/C-5 rev
DEPARTMENT OF PROFESSIONAL REGULATION (CONTRACTOR CASES)
PAGE 2 , COMPLAINANT FORM
if you are the property owner and your complaint falls generally into
one of the categories in question 2, we suggest that you not send us a
lengthy_written statementye�* Just write a very .brief statement on the
preceding page. Based on it and your answers-bel6w, our staff will send you
specific questionaires �pplicable to your situation.
Please answer all que'stions below that you can. Do notiust attach
papers and say "S.ee Attachments." Return all this to DPR CompMnts
Section. Sign all pages ot complaint forms. Use pencil so you can change '.
your answers. Sign and date at the end . if you have already filled out
some other agency' s complaint form, we apologize for the inconvenience�, but
ask you to 2lease bear with us and comply with these instructions.
When returning this complaint form, please send us readable copies of
the documents below that you have not already sent us:
1. Contract between you and contractor (we must have this)
2 . Guarantee paperwork (mandatory if guarantee involved)
3 . Correspondence to/from contractor about your problem (helpful to us)
4 . Liens filed on your property (helpful in financial problem cases)
5. other papers you feel i4ould be helpful to us
1 . 1 am complaining in my capacity as:
Homeowner Subcontractor Supplier ZBuilding Dept
owner of commercial structure worked on by contractor
2 . Check the category that best summarizes the work the contractor did
for you or that you were involved in:
—Built a house Built addition to house
Remodel house Built commercial structure
Remodel or build addition to commercial structure
Reroof entire house Roof work; commercial building
Re-roof or repair part of the roof of house
E?uilt a pool at house
Airconditioning or heating � work. at� residence
OTHER as follows :
3 . Please circle the letter (s) for the category that best -describes your
basic complaint:
4D Poor workmanship by contractor.
B. job finished, but contractor� will not 'coriect problems
C. Roof leaks , contractor will not repair. ;
D. Contractor failed to pay 'subcontractors/suppliers*
E. Contractor taking unreasonably long to do job.,
F Contractor abandoned ,job.
G. Financial dishonesty/miscondu'ct by�'contractor
BASIC BACKGROUND DATA
4 . Was contract in writing: Yes No
(If yes , send us a copy)
5 . Contract price: $ — Date on contract:
6. Name' of contractor as sh�wn on top of , contract:
7 . Approx . date work began: App�ox, date work ended:
t
8. is the worksite located inside city 1#its? No
9 . if yes, name of City: 4-rl-6 A."77 C 45 64-CH
10 . What County is worksitd in?
11 . Street address of worksite: 4
11�zfH6 log I Ve
You can usually get the answers requested below, by phone from your local ,
building department. The questions relate to building code compliance by .:
the contractor. — rl�c rE 9 rel-11-
12 . Was a permit obtained- from the building department? ES 0 ' F��c7-
(iii)o N,
13. If yes: Name of Building Department: n4ocu-r(C C(4-
14 . Permit NO: Date Issued : -IK-7T
15 . Final inspection passed? YES ON
16 . Certificate of occupancy issued? � YES
COMPLAINANT SIGN HERE: TT7DATE:
[win] <das>cpQl Ori,` I complaint form, page 2
Revised 2-6-87
7
NW 0198
(Ed. 1-85)
Certif icate of Insurance
The Nationwide Mutual Insurance Company or the Nationwide Mutual Fire Insurance Company certifies that the insurance afforded by the policy or policies
numbered and described below is in force as of the effective date of this certificate and thatthis Certificate of Insurance does not amend,extend or otherwise
alter the terms and conditions of insurance coverage contained in any policy or policies numbered and described below.
Certificate Holder's Name and Addr ess: RE: :Certification #CA C039758
Florida State Construction Industry Licensing Board
Dept. of Professional Regulation
130 North Morrow Street .
LTallahassee, FL 32399 DESCRIPTIVE SCHEDULE
This is to certify that policies of insurance listed below have been issued to the insured named below and are in force at this time.
POLICY POLICY LIMITS OF LIABILITY IN THOUSANDS(000)
EFFECTIVE EXPIRATION EACH
TYPE OF INSURANCE POLICY NUMBER DATE DATE OCCURRENCE -AGGREGATE
GENERAL LIABILITY
�d Comprehensive Form Bodily Injury $ $
0 Premises—Operations 77PR546-862 12-9-86 12-9-87 Property Damage $ $
1-1 Explosion and Collapse Hazard Contract 8000
-0 Underground Hazard
R Product s/Com p leted Operations Bodily Injury and
Hazard Property Damage $500,000 $500,000
El Contractual Insurance Combined
0 Broad Form Property Damage
0 Independent Contractors
R Personal Injury Personal Injury $500,000
0 Broad Form Comprehensive G.L.
Endorsement
AUTOMOBILE LIABILITY BodilyTnjury
0 Comprehensive Form (Each Person) $
[I Owned Bodily Injury
• Hired (Each Accident) $
• Non-Owned perty Damage $
Bodily Injury and
Property Damage $
Combined
EXCESS LIABILITY Bodily Injury and
El Umbrella Form Property Damage $ $
Combined
El WORKERS' COMPENSATION STATUTORY
Bodily Injury $ Each
AND by Accident Accident
Bodily Injury $ Each
0 EMPLOYERS' LIABILITY by Disease Employee
Bodily Injury $ Policy
by Disease Limit
OTHER
Additional Information: Description of Work.Individual homes . . . . . . . . . .
. . . . . . . . . .
Location of Work State. of. Florida. . . . . . . . . . . . . . .
.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Insurance in force only for hazardsindicated by X.
Option C
This cerlikate is executed by Nationwide Mutual Insurance Company if said Company has issued Date Certificate Issued 6/25/87
the policy to which this certificate it attached-,it is executed by Nationwide Mutual Fire Insurance
Company d said company has issued the policy to which this certificate is attached. NATIONWIDE MUTUAL INSURANCE COMPANY
Insured's Name and Address: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY
Columbus, Ohio
Air Design of Dacksonville, Inc.
J�,t.,v (,//�0, za .ge
5032 San Juan Avenue P"Si&nt
Jacksonville, EL 32210 Countersigned a ��ed Representative
B. JOAN
CONSTRUCTION TRADES QUALIFYING BOARD
V
0
August 6, 1987
'-669CkS0NNV0 0
Mr. James O'Brien, III, CAC039758
Air Design of Jacksonville, Inc.
5032 San Juan Avenue
Jacksonville, FL 32210
Re: Disciplinary action taken by Jacksonville/Duval County
Construction Trades Qualifying Board
Dear Mr. O'Brien:
On August 5, 1987 the Construction Trades Qualifying Board of Jacksonville/Duval
County held a hearing of charges filed against you by W. P. Greene,, Supervisor
of the Mechanical Inspection Section and J. C. Patrick, Supervisor of the Electrical
Inspection Section. You were charged by Mr. Greene with violating sections
342.121 and 320.401 of the Ordinance Code of the City of Jacksonville in that you
and/or your employees performed heating and air conditioning work witl;out permits
at six separate locations in Jacksonville as follows:
1. On or before April 3, 1987 at 9166 Third Avenue,
2. On or before April 6, 1987 at 9429 Heckscher Drive,
3. On or before April 20.- 1987 at 8140 Ft. Chiswell Trail,
4. on or before April 21, 1987 at 5626 Sabena Road,
5. On or before June 1, 1987 at 2618 Forbes Street, and
6. On or before June 3, 1987 at 2649 Rosselle Street.
You were charged by Mr. Patrick with violating sections 342.121, 320.401, 325.102
and 325.103 of the Ordinance Code in that you and/or your employees performed
electrical work without permits and without being licensed to do electrical work
at two locations as follows:
1. On or before April 17, 1987 at 3337 Lannie Road and
2. On or before April 21, 1987 at 5626 Sabena Road.
During the hearing the City dropped specification number 5 concerning the violation
at 2618 Forbes Street. After hearing the testimony the Board found you guilty
as charged (except specification 5) and directed that your privileges of obtaining
permits in Duval County was '!-�T nded for a period of one year, such
suspension to terminate F rgust _5,l 988.
By copy of this letter and in accordance with Section 489.113 (4), Florida
Statutes, this action by a local construction regulation bond to deny permits to
a state certified contractor is reported to the Florida Construction Industry
Licensing Board.
haft"
AREA CODE 904 i63D-209]U 128 E. FORSYTH STREET/JACKSONVILLE, FLORIDA 32202
August 6, 1987 Page 2
Mr. James O'Brien
Yours truly..
J. R. Bond
Executive Director
JRB/dc
xc: F. C. Isaac, Chairman
W. P. Greene,, Supervisor, Mech. Insp. Sec.
J. C. Patrick,, Supervisor, Elect. Insp. Sec.
G. E. Eckstine, Asst. Counsel
Bldg. official, Jacksonville Beach
Bldg. Official, Atlantic Beach
Bldg. official, Neptune Beach
Bldg. Officiallr Baldwin
FCILB
,9MI
STATE OF FLORIDA l4partment of Professiottal l4gulatiOn
STATE OF FLORIDA 33cpartment of Professional liMillatiall
CONSTRJCTION INDU3TlY LICENSI'NG BOARD CONSTRUCTION INDUSTRY
LICENSING BOARD
DATE: 1.1ca.sm NO. BATCH NO.
07/GES/37 CA C039753 09271 0 13 7..1 C jN, j ,'IN X S J T I I
THE CLASS 6 C=-RTTF'--D AIR COND- CONTR- AIR D IZ T GN
NAMED BELOW IS CERTTFIED CLASS B CERTIFIED AIR COND- CONT
UNDER THE PROVISIONS OF CHAPTER 489 FOR HAS PAID THE FEE REQUIRED BY CHAPTER 439"
THE YEAR EXPIRING JUNE 30., 1989 OR THE Y�AR E N JUNE 30o 1989
0'. 1 &,Zia
Li'� G --La7 - I
MGNATURE
J 14 E S J I I I
0' BRIEN'r
AIR D;-:3IGN
5032 S.AN,JUAN AVE \.W ALLEY C ARD—F OLD H Eff E
JACKSONVILLE FL 32210 CONSTRUCTION 1NDUSTRY LICENSING Env,
POST OFFICE 3u'X 2
JACKSONVILLE, FL 32201
DISPLAY IN A CONSPICUOUS PLACE A.DIT COF8.4"O, L.C...; BATCH Ho -ou
3 3 CAC 397158 0927' 1 1 $8
CITY OF VAF
4&4m4-c 13w4cA-0;&u*dk 7�Y-G I`�, G
Office of Building Official cf, �0 v
REQUEST FOR INSPECTION
Date Permit No.
Time A.M. District No.
Received P.Mw
,-,� m IJ11,;-A �
Job Add reas Locality
Owner's V
Name ....................
BUILDING CONCRETE . :j�j�TR�ICAL PLUMBING MECHANICAL
Framing ED Footing Rough E) Air.Cond.& 0
Re Roofing M Slab Ll Temp Pole Top Out D Heating
Lintel El Final Fire Place 0
Pre Fab
READY FOR INSF7 A.M.
Mon. Tues. Wed. u rs. Friday_P.M.
A.M.
Inspection Mace P.M.
Inspector Final Inspection El
Certificate of Occupancy
Date
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 9016
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date August 14 19 87 40*11171 T
4nonaCKT
Valuation$ Fee$ 40.00 14�61 111 M4/8
9r.16 00CA
This permit not valid until above fee his been paid to City Treasurer,and is A a/1 4/1P
subject to revocation for violation of applicable provisions of law.
This is to certify that Air Design CAC039758
has permission to install heat/air
Classification Residential —Zone RS-1
Owned by Whitfield
Lot Block-
House No. 433 Mako Drive
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
M
0 Building material,rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
up and-hauled away by either con-
tra&7�'owner.
Building Official.
1-.7
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
___!tATER
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:
LOCATION
OF intersecting Streets: Between And
BLqLDING
Sub-division
11. 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 attach-ed 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.
Me" of Mechanical Contractors
Contractor (Print) Air e 3�'o n Master
Name of
:111"orty Owner 'tc�) e c4c 32,
== of Owner Signature of
risod Agent Architect or Engineer
III MWAL INFOINATION
A"Type of hooting fuel: B. IS OTHER CONSTRUCTION BEIN9 PONE ON
[�/Elloctric THIS BUILDING OR SITE? /1/,�
0 Gas—[3 LP (3 Natural 0 Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION
13 on PERMIT
'13, Other— Specify
IV.,W04ANWAL EWIPMINT TO U INSTALLED N:A7TU E OF WORK
(ProvWq complete list of components on back of this fwml Residential or El Commercial
'is Host 0 Space C3 Recta" 0-11contool a ROW El Now Building
��Exlstlng Building
"r Condifloniog: 13 Rogm M ContrW , I/
93/1*ct Syftm: MstwiolFb,�iba Thick [I Replacement of existing system
/02 C) 0/New Installation(No system previously Instatled)
maximum capacity c.f.m. 11 Extension or add-on to existing system
0 RoNgeration 0 Other — Specify
Q Cooling ioww: Capacity
E3 Fire sprinklors: Number coF hes,
Q Ellevotor C] Monfift 0 Escalato (number) THIS SPACE 0OR OFFICE USS ONLY
C3 :Gasoline pumps -(number)
Tooks .(number) Remarks
13 LPG containers -(number)
0 Ueow pressure v~ Permit Approved by Dete.-
13 11141111w
OtIW — Specify Permit
UST ALL EQUIPMENT
AIR CONMTIOMNG AND REFRIGERATION EQUIPMENT
ty ApPMVftg
Number XjBift Description Model Number Manufacturer (761111111111) APW
AT'rog:: Z"3 6
C 1-1,4A 3 0 A Wh;rtj-obL 9-7/
WATING - FURNACES, BOILERS, Fl[REPLACES
capacity I
X101111111111011'VOR11 Me"Number Manufacturer (Vmi __A_8ftW_
TANKS
PW Many NO" Capacity TY" "4111"id Name of saw Approving
&Ud 11111111fteNdobs Contained MAM111*1111turell! No.
FOR OFFICE USE ONLY
Date-------Feb.......2.6�......19 2Q
922 10....0-0
Permit #........................Fee$... .. ......
'UTY OF ATLANTIC BEACH 10,000.00
Valuation ...............................................
FLORIDA House #.......4-3-3....M�Lko...D-r-ive.......
----- ---------- ..............
...........................................................................
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-------I? ---------------------........ 19............
Owner-------RW§X--'V4-W-W---vruv�------------------------------------------------Address.... -----------Telephone No.............................
Architect-------------- ----R-,;-L-&-,J0hnson--- ------------------------------------ ...............Telephone No..............--------------
Contractor Builder....:RKX-*vM*CFRQPMX---------------- ------Address........ - -------Telephone No........................
Lot No.....22...----------------------------------Block No.---12-..----------------Sub Division...------------------R-oy-&.1----P-a-lnj&------------------Zone
433 Mako Drive
----------- -----------------------------------Street?,_ast. ....... Triton
---I----- __Side Between.---------------------------------------and--------- ........................Sts.
Valuation ------------For what purpose will building be used--------- -----------------Type of construction......Brick----Veneer
Dimensions of Building-----2-6----x-40............Dimensions of Lot-------8&-x....9,3-----*--------..........Size of Footings.............8-x----20-----
Size of Piers------------------ ---------Size of Sills.......--------------------GTeatest Sill Span in ft---------------------.-Type Roof------Aqhp-�?lt.........
How will Building be Heated?-Qe tr 1 Gas
- �4 --P-11...----------------------------------Will Building be on Solid or Filled Ground?-----Salid-------------
Size of Ceiling Joists-----Tr.usjseS------------., Distance on Centers........... ..I-—-------------------------- Greatest Span--------------------------------------------
Size of Floor Joists-----S-lab----------------------------Distance on Centers.......... ...... -------------- Greatest Span..........................................
Size of Rafters...----2....;K T;rqq 3 e s
Distance on Centers...... .. ....24 ----------------- Greatest Span................. ...................
This rectangle is to represent the lot.
Locate the building or buildings in the
BE CHU Do right position. Give distance in feet from
-all lot-lines and existing buildings.
Two copies of plans and specifications shall FEB 20 al"o REAR LOT LINE
be submitted with application.
Inspections required. THE CITY OF ATLANTIC BEAC11
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.
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.
Note: In case of any rejection,re-inspection MUST be called forafter
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 a�tachek plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City a tic We
o� �ch.
M— R. L. JOHNSON CONSTR. CO.
Signature of Bullder__� DQ&MCK—
.................
........................
....... .......... ..... Address............................................
Signature of Owner. I .. ........... .......................... ............... ress........ . . ............
1 - 1- , ", -" 77",
I , "'1�4k� -1
Y,1 777777,77 77- - 7
T
"k"!iSCRIPTION -MATIERIALS' NO.
(To be itiserted by 1`11A or VAJ
to�sftuction
city State
ftagtw,a�.,Sponsor
(Name)
(Address)
Giotmcfm or foilder
Narne) (Amrrss)
INSTRUCTIONS
For,gaill on how this form is to be submitted, number requ ifed, then the minimum acceptable will be assumed. Work
exceeding
of 0-04114 *g--, this instroIctions Upplicable_ to the FHA Application for minimum requirements cannot be considered unless specifically described.
W
Or VA Roquest for 0*1*rmination of Reasonable Value, as A. Include no afternafes, "or equal" phrases, or contradictory items. JC9ri.
t"bits. siditration of a request for acceptance of substitute materials or equipment I%
Z.4,76'"islip watitrials and equipment to"used, w1iiether or not shown on not thereby precluded.)
t *10spAp"morking,tin X in each appropri t ec -box Is i
I ,y a a ch Ji and riter mg the 5. Include signatures required of the end of this forni.
C *0,46th space. If spacw is inctcloquiste,enter "See misc." 6. The construction shall be completed in compliance yith the related drawingi
04"Oh Vor on an attached sheet. and specifications,as amended during processing., T4*40*cifications i"1144(thii
�'mit4l;WAigedify described or shown will not be considered unless Descrotion of Materials and the applicable Minimum Consiruc Re
ti*A quir timisift
8"dy lo am
2000 1b,
strenL-Ii psi Reinforcing (2) #5_roda
F011undAtiltift i ek
Reinforcing
1"tericir foun*ion wall', material Party loundation wall
Columns.- material and sizes- Pie,s: material and reinforcing
and�sim Sills; material
entrarvict ajraway
vt Window areaways
A
-wat�rIpMoting Footing drains
'Terinite protection
Basementless space: ground cover vents----__
Special foundations
Additional inforinAtion:
3. CHIMNEY$.
Material Prefabricatc(I ,owAe emd.IiZe)
Flue lining: material Heater (lot- Ni/c Fireplace ticie
Vents (materiataridsi,-e): gas or oil heater Water heater
Additional infortnitoon:
FIRPLACtIS:
TYPe- 0 solid fuel; C] gas-burnin'K; C1 circulator(make and sizell Ash clunip and duan-out
)Fireplace: facing Ii ning hearth ------ mantel
A4dillonal information:
EXTERM WALLS:
Wood frame:'Wood grade, and Corner bracing
Building paper or felt
Sheathing soli(i: 0 spAj-t.(i
thickness %%idth c L] d 0 al;
iag n
Siding
lm grade type 4 sizir-_ vxposure fastening
Shingles-----; grade—.---; type size exposure
fastening
Stucco thickness Lath
ght lb.
Masisinry v etmer
Masonry:1%4d bAced 0 stuccoed; total wall thickness facing thickness facing matcridl
I 'Rowl
Oak, Backup material thickness-
Door sil6 POtrwegi-sm br 011IS'inclow sills
Interior surfacr�:..damppri�ofing, coats of
forring
Additional infortnation.
Exterior painting: material
number of coats
Cable %Nall construction: me as main walls, othri constrix,tion AL�, V�_-
6. FLOOR FRAMING:
Joisis' wood,grade, and species other
bridging inch
Concrete slab;jr-] basellifnt floor, first fioor; t4r_ground supported jr� self-supporting; mix
b" X thickness L i
j reinforcing -AsEfi Xyl'
membrane
FiR undrit, slab: nuderiiii cle&r_ Belid -h ,' t
thickness_-O-t— Additional information: .11
--------------------
1k,SUM,9029ft Pestrfl* 'under.flooring for special floors under item 2 1.)
)i�eriall- grade and species
size type
Laid: 0 first fl(x,)r, 0 floor; 0 attic *q. ft.; L1 diagonal; El right angles. Additional information:
81 FINISH FLOORING: (Wood only. OesCribe other finish flooring under item 21.)
14,11 GRADE tur" PAPER Fisisit
LOCA1 ION Roo
'Fit floor
Sircond floor
Attic floor
sq. rt.
Additional i'lIormaiew, 7 'T
A. R Co4201114miel-i 'in i Neia'o
7-
4
11�, OF
IN
grade" Ad. yel.
"'Ou wecvs and "cig Other
jakiv;,470m,rack,:and
"X"bri 6
Other Bridging
44�14ioonal informatioo:
If. ROOF f*AMING:
KAfiers: wood, grade. an d,species 2x.6 I,Yll-C (i
Roof trusses (see detail)- grade and species
Additional informatitiI
12., *66FIkG:
"2
Sheathing: %ood, gra(k and species
2 7-1�.. 7t�
-s 16 � V E"9,1'.,L_�j 't
grade size t ; 0 solid; 0 s �l
ess-15 -b Plet�abted
Unclerlay
weight or thick fastening
Built-up roofing number of plies surfacing material
rwhing: rhaterial IV.
gage or weight 0 gravel stops; snow guards
Additional information
I&,OUTTERS AND DOWNSPOUTS:
C4;ltters', material i:�Ulv. not�_, gage or weight shape
size
bl�wnspouts: material or weight
size shape number
Dow,"Pouts,connected to; C] Sto' rm sewer; El sanitary SC%,rcr; dry-well.Yf�i Splash blocks: material and size ::1, 2
Addi J I information:
14.� tATH AM PLASTIM
Utb Owalls, 0 ceilinp: material wei&ht or thickness
Plaste�: coats finish
ua 6
WAR walls,. Wilms: materiaQrj,,evj� bc, k 1 -2; C,k
thickness finish
jo't tt-------� De and oemented
00MAItNo.�Pairt, wollpaper, etc.)
Rou"s WAcL Fi,,4isti MkTERIAL ANu APPI.ICATION CFALINc; FiNism MATERIAL AND AIPPLICATION j
nt
06
n,
Other n �i `7,
N
Adlitional-irtlibrmation:
IINTERIOR DOORS AND TRIM:
Doors type I material 7 thickness
Door trim: type material YA Is D ne Base: type. Sto ek- materi.; yel. size 3t��
i Ylt
Finish: doors ae!;i i
trim o C'.. 7-_I
04her'trim (ifem, typie nnd locatinn)
Additional information:
Win Ws-tY
PC I t __3",J1 mak
material sash thickness
CAws: grade ;S..R-A, sa;h weights; balances, type nig head flashing
Trim: type Z�M. bd. _irfff�b-4 material Paint number coats
atherstripping:,type material Storm sash, number
Scree4sM full; 0 half-, qpe number screen cloth material @a1&".1
Bailement windows: type material
0 screens, number. 0 Storm sash, number
Special windows
'Additional information:
I$- ENT, RAI AND EXTERIOR DETAIL:
Maori entranc I e door: materialZQnderosIF- Pil, width 31—of thickneul—V4'�rme: material thickness
Other entrance doors: material Pondero s width thicknessl 1 A Irame: material YJQ!.,'PL� thickness VA*,
Head flashing Weatherstiipping: type 01)1'j-!_� bror,;6�,� ; saddles t1qM's
thickness number screen cloth material Storm doors: thickness
Silreen doors.
Coiibintion-storm,and screen doors:,'thickness _"; number—; screen cloth material
Shutters: 0 hingedPo fixed, Railings Louvers
better Vel.. Paint exteri 01' JhQ11RP_; number coats
Exterior miltwork; grade and species 23
2
0- CAW, 4M ANO WM#OR DETAIL
4
Kiic" .bI %:�911 units: material
lineal feet of shelves—IL—; shelf width I
Base units; material counter top 1,11T.-I a s ti r
.; edging
Back and end 4ash Prn Finish ofcabinets liaked. erpral
number coats
N4edicine cabinets: make
j model
Other cabinets and built-in furniture,
Additional information.
20. STAIRS: .
Rispiu; SrRING$ HA1,I BALUSTERS
STAAR
Thickness Material Thickness Material Size Material Size Material size
&serricrit
main
1�4�aiing make and model number
tioial information:
2
A%, COGSWELL SUPPLY Co.
'77
77711, "77 'T%i"'1
A"D WAOMOTt
J,
v
Al a"'0 ti"ar 1/1,('�
-rc,
MATMA4., CbLOR, Boltmit, Cm Stzu, GAC.'E,9 RE10"T
OvEs Tug (f*-DM'
0 in a Ower Oril
ze aeranic til
t fe Oexuamiq t _"u-nd t '0
U
7-,
'A
A� number
�Q Rteft0d; truiterial tf=ber_
Attached material C2i=
MYR'S FIXTURF 1Df ICATtoN No, SIZE colow,
AT",-,
At
2�
Biwl ow Xm 3 5 17-PBA
T:_71
tis Uhl
A
-1 TA=to iL_L:4 2
7
4
Curizin,r4' 'A[3 Door 0 Shower,pan: material
ty sptm; individual (private) syste
i"ivislaal
in soaral,diig.,.,4 "awding k iquiritownts.
in
M' W dra 4r):11 cast imn; 0 tile; 0 other House sewer (,outeide�::M cast iron; C3 tik; 001
er
W**r p4m 0 copper tubing; n other Sill cmkc number
Vj&jalvanized,steel, 2
watof �eawr. type— '41 gto 4 a make and model heating capacity
gph. 100* rise. Storage tank: material &I (% 111,ct d capacity 40 gallons.
Gis�scrvioe, Q_WAM'co�mpany; C] liq. pet. gas;0 other Gas piping., E3 cooking; C] how
mp; make and model
Footing-drains conabeied to, 0 storm sewer; 0 sanitary sewer;'O dry well. Sump l5u
capacity
'.Oro discharges into
ING:
'f3liot water. 0 Steam. 0 Vapor. C] One-pipe system. 0 Two-pipe systern.
El Radiators. Convectors. C] Baseboard radiation, Make and model
R&dtant pap,�:D floor; 0 wall; [3 ceiling. Panel coil: material
(3 girt*t6t, 0 Return pump. Make and model capacity
model Output Btuh.; net rating�Rtuh.
'Forced. Type of sys drawims
air 4,v*,: tem fie e
t n return Insulation thicknes!s 0 Outside air Wake_
$Urnace: aiake'-snd model Input Btuh.; output Bt"h
.onis,
Qlpate he4ter; floor,furnace; wall heater. Input Rtuh.-, output Btuh.; number units
IMAke, roodel Additional information:
Coo"k- make and M*A,
A^ional informatim:
-pet. ps; 0 electric, 0 other
storage�ea ity
go;
pac
'0 Stoker: hopper feed bin feed (3
Go" burner,conversion type.
it vaporizing
Control
'_4
Uatir4:"em.' type Input WaVA; 9 volts; ou"d
!ion. "A
Ve""-g_'eq*iipmcqk: 'attic fart, make'and model' j capacity
-7777�
kitchen exhaum f", m*& and model Utons" 'V—21
100' AMP SeKVJ-C6NuYnber circW%
underivIound. Panel- C1 'fUse box; circuit-breaker; make
:;060dvk�'�O armored cable; C] nonmetallic cable; knob and tube other
range; 0 Water heater; [] other
'11. QNrnes. push-button locations
Additional inforn-.atifm:
.*Mbiir of fixtures Total allowance for fixtures. typical iiWallation, S 1W11)U0____
i installsition
ii"forruation:
IW!i
lofty ca.�
jr
Win.
DESCRIPTION OF MATERIALS
26. 94SULATION:
LocArtoN Tii icKNEss MA-MRIAL,TYPE, AND METHOD OF INSTALLATION VAPOR. HARRIER
Roof
Ceiling
Wall
Floor
HARDWARE:(make, material, and finish.)
SPECIAL EWPMENT: (state material or make and model.)
Venetian blinds Number Automatic washer
kitchen range Generc�,]. FO.Cetric J1f7'_,
Clothes drier
Refrigerator Other
Mhwasher
Oarbage disposal unit
27. AMSCELLANEOUS: (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 numbering
used on this form.)
PORCHES:
TERRACES:
GARAGES:
WALKS AND DRIVEWAYS:
0 1 - CACT thickness thickness
Driveway: wiclth,� U. - base material. "; surfacing material
Front walk� width--; material—; thickness--". Service walk: width—; material—; thickness
Steps: material treads—"; risers—". Check walls
OTHER ONSITE IMPROVEMENTS:
(Specify all exterior onsite improvements not described elsewhere, including iterns such as unusual grading,drainage structures, retaining walls,fence, railings,
aWd accessory structures,)
LANDSCAPING, PLANTING, AND FINISH GRADING:
Topsoil—" thick: F] front yard; 0 side yards; n rear yard to feet behind main building.
Lawns (seeded,sodded,or sp2&ed)i [a front yard side yards rearyard—
Ptantine-.10 as specified and shown on drawings; 0 as follows:
Shade trees, deciduous,—" caliper. Evergreen trees, to B & B.
to-', B & B.
z Low flowering trees, deciduous, to —Evergreen shrubs,—'
High-growing shrubs, deciduous, to_ Vines, 2-y I ear
Medium-growing shrubs, deciduous, to
Low-growing shrubs,deciduous, to
1! -- gor if the latter is
IM"j,,1PICATION.--This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortga
of application.
knoWii�at t e time
Date Signature
A. R. COGSWELL SUPPLY CO. Signature
433 WEST SAY STREEr
Jikey.SONVULLIK 2. Fi-ORIDA 4