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Permit 390 Mayport Rd (vault) 4' DEPARTMENT OF BUILDING 4497 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 9/25 1 Valuation$63.3000 Fee S 164.50 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify that John-14008&rd has permission to build an Addition acrardina to Ulama Ahmi_tted. Classification Cnonerciaa gone Owned by Fleet Pa aerVee.�C,l�tiih 29.0 Lot �G���L' -��yBlock 29 S/DSect. H House No 390 Mayport Road According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE -4----♦ ► 0 Building material,rubbish and debris Z from this work not be placed in � public space, andd must be cleared up and hadled away by either contractor or owner. Bill M. .Iis . si4�C snit 4�7 eLJOCAC FOR.OFFICE PERMIT yy '5 4S USE ONLY NUMBER DATE CON'i'1'2AL`TOR PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT DateJ- Location Grrt Plumbing Finn C c Q, - c Master Pluunber fsLi� City/County Occupational License No. State Certificate No. Builder or Contractort' o42-3 t,111A2 0 rl Type of Building 0�n .-�,�i c cls' cCX / SINKS SHOWERS J- LAVATORY WATER. HEATERS BATH TUBS DISHWASHERS URINALS DISPOSAL S C�ETS MSHING NACBINE FLOOR DRAINS OTHER jam- TOZAL. FD(TURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RBC ENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. DEPARTMENT OF BUILDING 4498 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 9126 198® Valuation$ Plunhhasc Fee 12,00 This permit not valid until above fee has been paid to City Treasurer, and is abject to revocation for violation of applicable provisions of law. This is to certify that Uncle Orth Pl iMLbi Co. has permission toInat al l I 3 ximitaxisa J' ur.;LUAI ct_4 r*1 o aettc 2 floor drains.. Classification Comercial zone Owned by Fleet Reserve Club 290 Lot Block S jD House No 390 Mayport Road 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 x -4 ► O Building material, rubbish and debris 1 from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. Bill M. Davisl2. U Tl, Building ffMCK T I) n FOR OFFICE PERMIT USE ONLY NUMBER DATE CONT*k+0f0R *U CA G PLUMBING ELECTRICAL SEWER WATER APPLICATION FOR FENCE PERMIT Owners, Name F+-f+ o2gO Phone `� v JC&.Addrass 390 02.0, AJ G A*1%+c. g cf aJ4 i'L t 2-5 3 Lots 110 Block and/or Unit # c-P-9 Subdivision A4i Rc-H Sec_ )4- Coutractor if different from owner jz�t'+ a v lu Vaation_of fence_ o v� Corner or Interior_Lot Go,e uc-r - Type of Construction moa 4 Show location and height of fence as well as location of street(s). F © Q ��a S76j2R(,E .oU Y h�Aypo�T �o C �}TGl�NTIC_ [f}c/f Owner Signature Date 7- Contractor Signature fj Date F j'hily CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18487 Address: 390 MAYPORT ROAD Permit Type: FENCE ATLANTIC BEACH, FLORIDA 32233 Class of Work: Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 7/12/1999 Name: FLEET RESERVE ASSOCIATION Total Fees: 10.00 Address: 390 MAYPORT ROAD Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 7/12/1999 Phone: (904)246-6855 Work Desc: 6' WOODEN PRIVACY FENCE SEE NOTE ON DRAWINGS CONTRACTORS APPLICATION FEES PERMIT 10.00 Inspections Reqtdred NOT APPLICABLE NOTICE-INSPECTIONS MIDST 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. FOR OFFICE USE ONLY Date...........r.F.��.-----------------19 ...... Permit # yyl�1.......Fee CITY OF ATLANTIC BEACH Valuation $ ....................................... FLORIDA House . f ..................................... 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. Date....................... �'1;2..J.• .----...------...........1 19..eD Owner.... �� --. �/ � �.� `t Y�Address... ' �.. r� .....---.Telephone Architect................•--•----...................-----------------..-----• -•-.....•--.........Address,...........................................................Telephone No............................. Contractor Builder----- .. . I... //.��......Address...................... ................................Telephone No...-�------......------• Lot No. .... . Block No....c�� o? ..--..Zone................. . ... ------------•---Sub Division.... ..G-�.�--•!<-A---•---------------•-•-•------....... 3 .........................................................Street 'Side Between.................... and......................................................Sts. Valuation $ - .........---For what purpose will building be used........................_•--.........Type of construction..'............. Dimensions of Building of Lot...._../Span ..............................Size of Footings........ ....._.-.-------_- Size of Piers-----------------------•-----------Size /.s-Dimensions .....--•-----------------------Greatepan ' ft...........................Type Roof.-- --------•-•---------------------- How will Building be Heated?........ ....................................__..............Wig be on Solid or Filled Ground .-...................................... Size of Ceiling Joists---------------•---.....---••-------••-- Distance on Centers..... ........................ Greatest Spa ........-...-------------------------------Size of Floor Joists..............................................Distance on Centers..... ......................... Greatest Span-.-.....---......---------•--.-.•----------- " Size of Rafters--------------------------- -, Distance on Centers........ .................................. Greatest Span-----•------•---------- " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W 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. 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 pe 't given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with a attached plans and sp ificationa, which are a part hereof, a4inrd;,itthhnee wthe building regulationsof the i At 'c Beach.Signature of Builder L�1-�.... ...... .. ... Address.Signature of Owne .. ._. Address.-�Z�,�......--•--- l :: „Y�-:-, ry-p:xx �,t`f5 Ey_ rl'.T.'-.K `;^`... �✓`,�i`.q "`,may,, sa`"�" �,.,q,� f��'�"� �i-'-"`Yy.L.. r.",r tY"r....y; r r-"-u,,,,� • fhLF.•-^a's.-.t w.F�'^d va • r „'•"�;+.. i-.-1 ..r� ...f rt:.�•race• .�` • - - :'.�5. : �,.'-t....t':.. 'z:,*�;. �•'�.,�p�„'"'�.; _-• .. `Q;.r � Kn'c.v`x:.fu��ay;�r.--! ;`w.4��'�^,'a..t,,,�.,�...r,.`- "'�,.-e'4.,�,s-,M ,. `' .'�•�–,,,,,.'-%a'- .ti �� b•;nom. �" tj ,�+� -� '� �� � '�''' ���. yi s FL Lr9Lr"T R E"S Lrol K" VE A S S 0 r I A TI 0 N Branch & Unit 290 Atlantic Beach, Florida d, Years26th Host PEARL HARBOR MEMORIAL DAY • Y�= 11 -:3 7 DECEMBER 1941 - 1991 50 YEARS GOLD w� t r .f ry 3+� a Mayport, Florida - On Board s a At Sea Off �r s USS JOHN HALL FFG-32 e g ,.,(. .. Y �>yr l�".. • �.r yr Sr��;;, 1'i ,:;';;^��^+=f"�i'-ar-�L�. �,�:..��.�'-�,_"'. •'.d'i� v�. "µv-" �i'��"w.��ti '"u�'��-� S-�.,. r DEPARTMENT OF BUfi11NQ ( CITY OF ATLAOC BEACH LOCATION l urcmNA -lou 1` 401' ' DQlACI fA `� Ili C.1 13 ATLA*Txc �i�ACt#, 16'L�FfIlf�A IAk OU " f LWAL: ORSCR TPTION x?. , 401A, Lot's Slk k �tI.trn TP• ,Rs G DrsS �s �` + , u # vaxN R _ +tet gad :4 Iwp � APPLICATION FRES GIT � w ROAD, _ WATI« IMPACT FCC }� *0.00 00 7 `T RADON OAS -li !It 9 11`!ATToo RADOV GAS :, . • ? . WAT99, TAP SEW R- A TIL + ACA� ` : mybRAk1LI S ARIE RIW- NifPfC:T IPIw ,0ktial f, 0 ,,�=r may .�•E � ,, `«m;,„wz,,. NOTES: f i i, { NOTICE.-- ALS Ct?NCI BTE I MS AND FOOTINGS MUST 13 INSPECTSO'BEFORE Pf3UR11Vd { PERMIT VOID SIX MONTHS AFTER DATE OF ISSl1E Bl1f!Q,fNta MATERfAl. 'RUBBISH ANQ I3EBRIS,FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE GL ARED UP ANO H;AULP S A§Vsf KY=BY.jVTHI4R:CGNTRACTC R OR OWNER. A c URET CQMIY WI1`N THE 11�ECHANI:CS' ."1 L�lV1VAl .Rll.T 11 TIDE PROPER "t PAYING TWICE FOR WILDING IMPROVEMENTS 1 SSG ACCORQIN TCi APPROVE PLANS,WHICH ARE�PART OF THIS PERMIT�,ND,SU$JECT T© RE1/C�GAT�M.:PQR. V#G 11 K N'OF APPL NASI I*F�"A41f���`�C��l&OF LAW. ATLANTIC BEACH Som-1 Q A [�AI NT 4 4J CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Address 'honeOwne -&� Architect Address zip Phone Contracto ,Address A"4— zip 3a a �Phon Contractor's icense Nuiber Expx.raticn Date Copy on File Lot Y Block or Section it Subdivision Zoning Street Between and side Valuation $ yt'(} Type of Construction K- /L� Purpose of Building Number of Units Fireplaces Utility Service: Water Sewer If the City if providing water or sewer service, do we need to make taps? Dimensions: Building Lot Size Footings Sz. Piers _ Sz.. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Method of Heating Solid-Filled Ground Roof _ Flood Zone If located within a FLOOD HAZARD complete page 2 SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings: 2. When steel is in place and ready to pour columns/lin-tel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, pluTbing, electrical, .fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB.. In case of rejection, reinspection MUST be called for after ' Rear Lot Line corrections are made. In consideration of permit given for doing the work as described in the above statement, we r ,hereby agree to perform said work in accordance ' m m with the attached plans and specifications, 61 5 which are a part hereof, and in accordance rt rt with the building regulations of Atlantic Beach. ro Signature Owner SigitaLure Contractor Front t: Une 00907 " t OAATME.NT O,R BUILDING ',. 1 YOF`A tt_-AN BEACH j �BIlEATIOU ►II 4,t ttie ► x * d as lt,AYI OI�t' RE3AI3 P °I" P U ATLAWT C I ACHI PA Car. '' 1t L a Bluer" k3 c�rx's ,lt" im Ter� rr rl t x + C .rdo , B b+ i v cps" c rx n .h mw 0V,lK ' # rte 1 I+II FC �Ri 'o— AP ICATION l >! I ,x hl` , Ott Ve O OAS. CM. TA k a Ai- MOT .a i HYoR'AUL.IC;t l[l4JFte #« C?Q Po'i " "' " ` #«00 t +I+ € �yy f N©1ES. Y e r ti f k k � k wa NOTICE*=ALL"Gt �M11'BCrt1AS AND t'tJCittt+IG$MU3t BE.tN5PTCTED BEFORE POUR{NG' PI R tIIT.V©ID SIX MO14TH$AFTER DATE:OF ISSUE; 4 13IL['ING MATIRIAI.,.RUB$f$ i AUbEIRI$FROM THIS WORK MUST'NO7 BEPLACED IN PUBLIC.SPACEAND MUST BE C€ A D UA AND 1AULI:I3`AWAY 3Y tT# I=Ft Cf3NTARC'�C?R"fUR OWNER. ia fq A1LU�� '�t3 � � VI��"TH THS I�C�GC�IANICS' LlE1�C LA11V CACI PESULT CN " "C PC F T ' 3�` t ' 'f N0 T)VCGE PF SUI:' MG IMPROVEMENTS 1 ' 1�CG RD1' TO-00i b PLANS.-WHICH ARI= PART OF THIS PERMIT AND SL BACT TO REVOCATION tIOtV`Of AF1ICABLI~Ri1V! #INS DF LAW. k ,ATLANTIC CH f�U1Ll�l 't7.E AI�TMi�T ' ' '. i . * 77 A P P L I C A T I O N F O R B U I L D I N G P E R M I T CITY OF REQUIRED SUBMITTALS '4A_�ac Vc4a/ - 9ed'tet& 716OCFAN BOULEVARD Each application for building P.0.BOX 25 permit will be accompanied by ATLANTIC BEACH,FLORIDA 32233 two complete sets of plans, including TELEPHONE(9041249-2396 a detailad site plan indicating location of utilities, parking, size of yards and other pertinent data; one set of Florida Energy Efficiency Code sheets; recent survey (on new construction) SCHEDULE OF I14SPECTIO11 Requests for inspections will be accepted from SiOO AH until 4330 PM. All inspections will be made the following working day. 1. Footing 2. Rough Plumbing/Sewer CALL IN WITH PERMIT 3. Slab NUMBER FOR EACH TRADE 4. Framing, Rough Electric, Mechanical, Top Out Plumbing S. Insulation 6. Final Inspection/Issuance of Certificate of Occupancy ------------------------------------ BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE Pour no concrete or cover any work until building card is SIGNED by 'the inspector. You will be required to uncover any work that has not been inspected. Y $10 fee is required for all re-inspections. Plibl'ERTY DESCRIPTION ' z'�'A�ttiC t CACI - V60T('d4 710OCEAN BOULEVARD Lot NBlock 8--------Section #________ 11.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 _� TEI.E1'IIUNE(904)249.2395 Subdivisions _____________ Street Hame "� DESCRIPTION OF WORK or Address__ -------- _Yf in a FLOOD HAZARD Flood Zone:..............area complete page 3. Brief Description:------------------------ __-___ .2S^ a b Class of Works �t (New/Remodel/Addition)___ __________ ZOIIING INFORMATION Type of ' Construction:- a - ------ ------ Zoning Proposed �T , �i DistrictsUse: Estimated Value Exceptions or MatOrialss__________________________ Vws'inncen GrniAnd s Solid or ----------------------------------- Filled Ground:-------------Roofs . (/ --- OWNER INFORMATION Method o! Hratings_____________ Property Owners__ _ -__- _- ------------__- __-- Phones_____________ Mailing - -- Address �u-- -+-6 -- -------------------- ------------------------------------------------- Zip:---------------- CONTRACTOR INFORMATION ContrrsctorsCA_ __ . .. - ....-__.._. Phones_ /j Mailing ^- Addreeas -- 3 ------------=---------------------------- ------ Zip}- 3 -------------- Expire ion License Numbers__4�__0 It X 5� Date s ------------------------- -------t---- I HrnEny CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AHD KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVEPH1110 THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER, SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUMF. TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, +..•'V ti f" r�.• RF.OULATIOHS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS • �.\��:rl�'J,:y�., CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLAINS AND SUPPORTING Ff?!'"" r A�•i ',' DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature Date -------------------------------- ___________ - Contractor Signature__ Date�Z / 6-- FLOODPLAIN DEVELOPMENT INFORHATION Type of Development:-------------------------------------------- Flood Zone: Required Lowest Floor Elevation:--------------- If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for. that zone.. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMHENTS: Applicant Acknowledgements I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date--------------Applicant's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation ................. An Built Lowest Floor Elevation Survey Filed Filed with Building Department ----------- ----------------------2------------ Building Department Representative page 3 ,� heated Square Footqgo @ $ per sq f4- = $ G=Zo.clShed sq fi-- = $ Ca_-port/'PorCn @ $ per sq f L = Deck $ sq ft = $ er sq ft = $ TOTAL VALUYNTION: $ 7 00, oa Total-Valuation-- - 1st Z-2 4v 0a Oc Rcl'a'Lnder Valua!_-ion 4-�IC ,Us,and or Don.- 1-0 1 tI.ereof Ba ----------------------------------------------- Total Building Fee $ 21DDZTICrV, , PET [ITS adjcr, T 7S RF�aj !�E D Kli J, I D t'i? Fe" $ 74-,:ej:)Iacc.s @ 15.00 $ I`r­c�-,.anical BU_LLDIN(:, -PEP 111T FLE, E7_ecLric/'Nc-,,N7 ------------------------------------------------- _P t C, TBUILDING PEF= $ Septic Taal k- Well Iti =R CI AIRCE $ Pool SZIIIVaER FEE $ DIPACE HE ------------ 1\1 FS"'I,TAIIEOITS SEL_­wer Cc-ni.-iection $ T 4dter MEto E T� levaLion Cert_if-_ic-:-,!f-_e GRAND TUIAL DUE y V C:LCUI,',TIONS and/orN1911,S OF WORK 1 . REMOVE FLAT ROOF ( A ) COMPLETELY AND JJA.UL TO DLJMP . (a) Roof (A) is a built-up roof . imp, J ?_ _ Ct t cjab1 c7�, T- aof ( B ) (a) This roof will be framed with either trusses or custom framing. (contractor should provide an estimate showing construction cost for both types of c construction. (b) Roof sheathing will be V8" ; roof felt will be 15 lb. , roof shingles will be fiberglass/3-tab/20 lb. per square, mineral surface. Shingle rating will not be less than 2j< years. 3 P,ENIOVT AND REl?T_..ACI=. SIiINCLES ON ROOF ( C ) TENT) REPLP\CE ALL. ROTTEN WOOD PRESENT r AND T I E ROOF ( C ) T N`-I'0 ROOF ( B ) . ,s (a) Included in the replacement of the shingles on roof (C) is repair of all gable flashing at the joining of floor (C) and roof (D) . (b) All wood repairs will be made using materials which match the existing roof materials. (c) All roofing materials installed on roof (C) will match in color and quality those installed on roof (B) . 4 _ R.1 :1�40VTF AND T-R,r PI T\CT, SH I NGLES AND REPLJ\r'E ALL ROTrI.'EN wOOD ON ROOF ( D ) (a) Replace existing valley flashing . (b) Replace all gotten wood with matching materials. (c) Replace all roofing with same materials as used of roofs (B) , (C) , (D) . NOTE: ALL MATERIALS WILL BE APPROVED BY CUSTOMER. COLORS WILL BE CHOSEN BY CUSTOMER. CUSTOMER IIIIL APPROVE A SCOPE OF WORK AND SCHEDULE WHICH WILL BE SUBMITTED BY THE CONTRACTOR BEFORE CONSTRUCTION BEGINS. GVERY JAH Building and Zoning 9 17> 7'_; _. .'F T;' 1. c " 7� 'P F C.�)[\T rz, .1-1 J7-1 7'.11, T.. MATERIAL REQUIREMEN'T'S: (A) LUMBER USED IN CONS'.1'RUCTION OR REPAIR WILL, 13F. #2 OR BETTER. (B) SAVE DRIP WILL BE ANODIZED ALUMINUM. (C) ALL UNDERLAYMENT FEI,T WIld, 13E, .15 lb. (D) ALIS SHINGLES WILL BE FIBERGLASS 3-TAB, 5" REVEAL, 270 lb. PER SQUARE. (r) IF A CUSTOM ROOF IS ELECTED FOR ROOF (h) , RAFTERS WILL BE 2"x12" YELLOW PINE, (SELECT) OR BETTER. (F) AJ, , VALLEY AND GABLE FLASHING WILL Br ANODIZED ALUMINUM. 2 . CONTRAC'T'UAL REQUIREMENTS: (A) ALI, DECISIONS AS 7'0 Sl1ING1.E ('01,ORS, CHANGrS IN CONSTRUCTION PROCEDURES, OR CHANGES IN 14ATFRIAL QUALITIES WILL FIRST BE APPROVED BY CONTRACTEE. (H) WORK SCHEDULES AND TI14E TAfi1,1`8 WIi,J, AGREED UPON BETWEEN CONTRACTOR AND C'ONTRACTrr BEFORE WORK COMMENCES. (C) AT NO TIME WILL CONTRAC'T'OR L1;AVE ROOFS UNPROTECTED FROM WEATHER F1,1I-IENTS I.11ITLE REPAIRS AND ('011SI'RIICTION IS IN PROGRESS. (D) WORK WILL COMMENCE WITHIN 10 WORKING DAYS FROM DATE OF CONTRACT WORK I-111.11 BE COMPLETED WITHIN 30 DAYS FROM DATE OF CONTRACT. The contractor herein stated agrees to perform this contract in the manor set forth in scope of work and specifications herein contained and within the time frame herein stated. FLEET RESERVE BOARD MEMBERS CONTRACTOR LICENCE NUMBER ZIT'r"'`fs �IPf tree Pyec�o" 4 � • 4 I 1 Ro OT' 1 7 abi� c. �u�cf uP Roof_ • - = 0• ti - v � y lb, co mg Z. e� a.l B It�j Q L ; i // ltCGT�nJ Yf :.r6le C Fig r' t C B T I B I C A T B O F I N S 0 R A N C 9 12e;42 G120 G9920r I5501 DATE 10/02/89 #1##########################################################################t########################################################### P80DUCER This certificate is issued as a matter of information only and confers INSURE-ALL no rights upon the certificate holder. This certificate does not amend, 1840 UNIVERSITY BLVD S. extend or alter the coverage afforded by the policies below. Jacksonville, FL 3221 COMPANIES AFFOADIN6 CDVERA6E Co. Ltr. A : LINCOLN INS. CO. INSURED Co. Ltr. B : SOUTH ATLANTIC COUNCIL ROOFTEC SYSTEMS INC. Co. Ltr. C 153 LEVY RD. Co. Ltr. D ATLANTIC BECH, FL 32233 Building and Zoning Co. Ltr. E # COVERAGES ############################################################################################################################ This is to certify that policies listed below have been issued to the insured named above for the polioy period indic.-ted, potwithstanding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance afforded by the policies described herein is subject to all the terms, exclusions, and conditions of such policies. ---------------------------------------------------------------------------------------------------------------------------------------- Cp Type of Insurance Policy Number Policy Policy All Limits In Thousands qtr Eff Date Exp Date ---------------------------------------------------------------------------------------------------------------------------------------- ;; # GENERAL LIABILITY 8910030001 10/02/89 10/02/90 General Aggregate f (X) Commercial General Liability Products-Comp/Ops Aggregate f (X) { ) Claims Made (X) Occurrence Personal & Advertising Injury t t ) Owner's & Contractors Protective Each Occurrence f (X) M&C 100BI 25PD Fire Damage (Any One Fire) t ( ) Medical Expense (Any One Person) $ ----------------------------------------------------------------------------------------------.--------------------------------------- AUTOMOBILE LIABILITY O Any Auto CSL # S ) All Owned Autos Bodily Injury O Scheduled Autos (Per Person) x { ) Hired Autos Bodily Injury ( ) Non-Owned Autos (Per Accident) f { ) Garage Liability Property Damage f t ) --_-__----------------------------------------------------------------------------------------------------------------------------------- EXCESS LIABILITY Each ( i Umbrella Form Occurrence Aggregate { ) Other than Umbrella Form i # -------------------------------------------------------------------------------------- Statutory --------------------------------------- 8 WORKERS' COMPENSATION 8910030001 10/03/89 10/03/90 $ 100 (Each Accident) AND # 500 (Disease Policy Limit) EMPLOYERS' LIABILITY t 100 (Disease Each Employee) ---------------------------------------------------------------------------------------------------------------------------------------- OTHER Description of OperationsiLocations/Vehicles/Restrictions/Special Items -------------------------------------------------------------- ROOFING '. # CERTIFICATE HOLDER ################################ CANCELLATION #################################################################i### DEPT OF PROF REG. Should any of the above described policies be cancelled before the CONST. IND. LIC. BOARD expiration date thereof, the issuing company will endeavor to P. 0. BOX 2 mail 10 days written notice to the certificate holder named to the JACKSONVILLE, FL 32201-0002 left, but failure to mail such notice shall impose no obligation or liability of any kind upon the company its ents 99r repres ntatives. ����L_ / � L'•'� i ��COJ: is C—) WORK 1 REMOVE FLAT ROOF ( A ) COMPLETELY AND fiAUL 'I'O DLJMP . (a) Roof (A) is a built-up roof . ( e is I 2 _ Cc-137s t r_ 11.Ct cgaID c= i ooh ( B ) (a) This roof will be framed with either trusses or custom framing. (contractor should provide an estimate showing construction cost for both types of c construction. (h) Roof sheathing will be 5/8" ; roof felt will be 15 lb. , roof shingles will be fiberglass/3-tab/29Sf lb. per square, mineral surface. Shingle rating will not be less than 29 years . 3 F,U-J-1.OVJ : AND R:EPI.,ACI~ SI3INCLES ON ROOF ( C ) 7\ND R.FP.LI\CE ALT_, R 0 T T FN WOOD FRFSEN T P AND T I E ROOF ( C ) T. N`I'O ROOF ( B . . (a) Included in the replacement of the shingles on roof (C) is repair of all gable flashing at the joining of floor (C) and roof (D) . ' (b) All wood repairs will be made using materials which match the existing roof materials. (c) All roofing materials installed on roof (C) will match in color and quality those installed on roof (B) . 4 _ R_r-:.r4oVr ANI7 1-R.F_.p1,.�7\C1T SHINGLES AND RFPL7,%.CE ALL ROT,PFN WOcDD ON ROOF ( D ) (a) Replace existing valley flashing. (b) Replace all rotten wood with matching materials. (c) Replace all roofing with same materials as used of roofs (B) , (C) , (D) . NOTE: ALL MATERIALS WILL BE APPROVED BY CUSTOMER. COLORS WILL BE CHOSEN BY CUSTOMER. CUSTOMER taII,L APPROVE A SCOPE OF WORK AND SCHEDULE WHICH WILL BE SUBMITTED BY THE CONTRACTOR BEFORE CONSTRUCTION BEGINS. a T c._. .1 i 1 c`"• 7\ J?.If' L . MATERIAL REQUIREMEN'T'S: (A) LUMBER USED IN CONS'.1'RUCTION OR REPAIR WILL 13F #2 OR BETTFR. (B) SAVE DRIP WILL BE ANODIZED ALUMINUM. (C) AT-1, UNDERLAYMENT FELT WILL IIF 15 Ill. (D) ALI, SHINGLES WILL BE FIBERGLASS 3-TAR, 5" REVEAL, 270 lb. PER SQUARE. (E) IF A CUSTOM ROOT' IS FLECTED FOR ROOF (13) , RAFTERS WILL BE 2"x12" YELLOW PINE (SELECT) OR BETTER. (F) A1J, VALLEY AND GABLE FLASHING. WILL, BE ANODIZED ALUMINUM. 2 . CONTRACTUAL REQUIREMENTS: (A) ALL DECISIONS AS 1'0 SHINGI•F. COLORS, CHANGES IN CONSTRUCTION PROCEDURES, OR CHANGES IN MATERIAL QUALITIES WILL FIRST BE APPROVED BY CONTRACTEF. (B) WORK SCHEDULES AND TIME I'AFLLS W11A. AGREED UPON BETWEEN CONTRACTOR AND CONTRACTFF JI FORE WORK COMMENCES. (C) AT NO TIME WILL CONTRACTOR LEAVE ROOFS UNPROTECTED FROM WEATHER FI,E1•IFNTS WHILE R1?PAIRS AND CONS'TRIICTION IS IN PROGRESS. (D) WORK WILL COMMENCE WITHIN 1.0 WORKING DAYS FRO14 DATE. OF CONTRACT HORK IlIL1 BE COMPLETED W1111IN 30 DAYS FROM DATE OF CONTRACT. The contractor herein stated agrees to perform this contract in the manor set forth in scope of work and specifications herein contained and within the time frame herein stated. . FLEET RESERVE BOARD MEMBERS CONTRACTOR LICENCE NUMBER G�LL C�7 ,foac� 47!6L7 o c c 2 IL d O r (L; Q .cc• � Qpm • >'!rQ � loci:• z:��� i .QC I � i i t ' v 1 ` I ..py'�S�r� uo�.�r JoaLy rs„` :�»�`o.a�• c'„3�V �E,C OPV cfl v- °- - o 2 p tt �-l6tS i r . r �ervt�c� °t�p0 r iosn'" i has/� 4 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 I, 11, 111, and IV. 1. LOCATION Street Address:OF Intersecting Streets: Between And BUILDING Sub-division It. IDENTIFICATION — To be completed by all applicants. In`consideretion of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the atfachpd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein, S 4,0 Nana,of Mechanical zj Contractors CenkaOar (Print) Master Nome of Pn►Wfii Owner Signature of Owner - Signature of or.Apttw h" Agent Archi feet or Engineer 11! 094MAL INFORMATION A, Typo of hating furl. B. IS OTHER CONSTRUCTION BEING DONE ON (3 609tric THIS BUILDING OR SITE? On—13 V ❑ NOfun( ❑ Cenfnl Utility IF YES, GIVE NUMBER OF CONSTRUCTION QOS PERMIT „ ...�.�... ❑ 06*r_— Spse f+fY IY. #A MIiWICAL EQUIF1k OMT TO U INSTALUID NATURE OF WORK (►Io ide eompke%list of componeets on back of All fora►) ❑ Residential or ;�' Commercial Q• Heat 0 Specs ' ❑ Roceaad O Cannel O FIOW ❑ New Building Q Air Condstionisg: 13 Room E3CenMal ❑ Existing Building i?aet Systarn: Materia Replacement of existing system ` Maximum capacity / 'am3Gi r� 13Now Installs tion{No system previously Installed) - N6. ❑ Other Extension or add-on to existing system 13 Ref i"'6tswl Specify ❑ Cooling tower- Capacity g..m' Fin sprinklers: Number of ham Q Hweter Q M4elift ❑ Escalefot�..�.,Ind ) THIS SPACE km Opp"USE ONLY ❑:64$0100 PUMPL- (numbor) C3 Taet (numbor) Remarks 13 Lft (numbw) a v4�.e Pte•�•« Permit A"vod by Q O*w SPKih Permit Foe pff ALL EQUIPMENT Apr CONDITIONING AND REFRIGERATION EQUIPMENT GpW Nmber Undo Deect*Uft Now NUMba KsmufoaEutslrMazz /7':7 f ./Yj = HEATING - FURNACES, BOILERS, FIREPLACES Nf$rmlbor un ks D4111"Wilm mood Number Yaat>ltaatur�e ;ANKS Sedad 01101111,Yang NMI"d taaa"d4r Ty" > X111111111111 49 Anwvfft Md DJ{mrm/osu Conti >w[ weta>hr NO. Neff 20011 TL I • DEPARTMENT OF BUILDING 6744 q}q1 7/13 a CITY OF ATLANTIC BEACH,FLORIDA PEF �"',�iVO.-----'r . PERMIT TO BUILD ' ° ��0 THIS PERMIT MUST BE POSTED ON JOB Date July 17,'19-86 Valuation$ 1i Fee$ 20. 00 This permit not valid until above fee has been paid to City Treasurer,and is I subject to revocation for violation of applicable provisions of law. This is to certify that SHAW'S METAL WORKS I i has permission to bt. REPLACE EXISTING EXHAUST VENT FAN t Classification COMMERCIAL Zone Owned by FLEET RESERVE i Lot Block S/D House No. 390 MAYFORT ROAD + According to approved plans which are part of this permit l NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. r PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE -- ♦--i O Building material,rubbish and debris ' 34 from this work must not be placed in public space, and must be cleared. j up and hauled away by either con- � tracto r own�f���! ding Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL i SEWER WATER BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82285 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT Applicant to complete all items in sections I, ll, III, and IV. I. LOCATION Street Address: 3 OF Intersecting Streets: Between And BUILDING Sub-division IL 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 attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein.' Name of Mechanical � Contractors Canfrector(Print) Q!:1*" t J `�'�'t'�r' „ Master peof e1 `art-- F— S fav E C.WB Owner of Owner Signature of Signature or A=iced Agent Architect or Engineer Ilt. GEN ('FORMA A' Type of Mating fwl: B. ' IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITEt ❑ Gas—O LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 OA PERMIT (3 Other — SPacify 111.`M111C'IANICAL,BQUIPMENT TO U INSTALLED NATURE OF WORK (►rovido complete list of components on back of this form) ❑ Residential or A Commercial Heat ❑ Space ❑ Recessed O Central O flow ❑ New Building Nr Conditioning: ❑ Room ❑ Central ❑ Existing Building • Oust System: Material ` �� Thickness —~ El Replacement of existing system Maximum capacity _ c1m. New installation(No system previously ins%lled) ❑ Extension or add-on to existing system ❑ Refrigeation ❑ Other — Specify C) Cooling tower: Capacity 9•Pan. ❑ fire sprinkbrs: Number of head ❑ Elevator ❑ Manlift ❑ Escalator (Rumba) THIS SPACE POR AFFICE USE ONLY ❑ 6asoline pumps (number) (Re-me Q. T- (number) Remarks IQ LPG containers (number) Q Unfired pressure reser 0 „ Pem+i! Approved by Da'h Q Otkor — Specify Permit fee UST ALL EQUIPMENT AiIR CONDITIONING AND REFRIGERATION EQUIPMENT NUMber Unites Description mom Number ]itmufactnrer c�. MATING • FURNACES, BOILERS, FIREPLACES C Number Units Description ]NO"Number Rtarnutaatuer �y saw WALL- UN%T C TANKS Now Many Natmlloal Capedty Type Liquid Name at Skr6i AE►pr and Dilimendoms Contained Manu tetow No. Aracf r DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 9 q�jq""5 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 50*011 T Date May 3 19 88 135ItiU I i 5/03/8 j 11695 .Of.TAC Valuation$ Fee$ SO-(M 3 113 P 0 1 A 5/01/1 This permit not valid until above fee has been paid to City Treasurer,and is 1 MCI subject to revocation for violation of applicable provisions of law. This is to certify that Ocean Stste Heat jAir has permission to bX install A f C Classification COMerCial Zone Owned by Fleet Reserve Lot Block S/D House No. 390 M&)=rt Rnxd According to approved plans which ate part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS ,I AFTER DATE OF ISSUE —� 4- 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 b eit on- trac r or owner, \ <�_ } Building Official FOR OFFICE PERMIT DATE I USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER S w CITY^4 ATLANTIC BEACH, FLORIDA t �� Approved bxAPPLICATION FOR ELECTRICAL PERMIT TO, lCHIEF ELECTRICAL INSPECTOR: DATE: 19 4 C! IIIAPORTANT 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. ELECTRI A!FIRM: MASTER ELLqhlCIAN SIG TURE JOU NAMEelegy 1 9 c6e, 1 RESS: 3 9a /'R/hr/'d el Aa/- RFD - BOX BLDG.SIZE BETWEEN: RES;fi-t-- -AP'fa- }------£BMM:4le---- PU6i.iC.-l-_1. __.:INDUS.( } _. NEW( ! ._ OLD(PK REW.( } ADDITION( ! TRAILER ( } TEMP.( } SIGNS ( ) 80. FT. SERVICE: NEW( 1 INCREASE( 1 REPAIR (vr' FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE -;I--O 6 AMPS PH V W 2 Vd VOLT ACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.80 AMPS. 1 81.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT ('p OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS ^- y TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO, VA. MA, MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES m`�--0,G►O . 4 BUILDING AND ZONING INSPECTION DIVISION c S CITY OF ATLANTIC BEACH, FLORIDA Z c ELECTRICAL' -' HERMIT Q ' Date SYSIM Fee s. Permit No.^ O m Location _ 3 > I O Between and a This is to certify that d POW 21st" . 11 (Electrical Contractor) (Master Electncion), has permission to install Electrical Construction as described herein in 109- accordance accordance with the provisions of the Electrical Code and regulations Z of the City of Jacksonville, and subject to the information shown on the w $ , x application, drawings and specifications which are mode a part of this f permit. Mwt ItSAll"s C1l& ~ M W CL Type of work:_ It's ) ,itlr Q SERVICE:4XIStUg Z 4w 240mlt W roevoiay a " > d s N V. Feeders: WJ Outlets: O Receptacles: W m Switches: 44 . Incandescent: xF. Fluorescent: Appliance's: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: WWI eft"it Imo!` _.# I-S ll, IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY:. MONTHS "PERIOD, PERMIT Electrical inspection Supervisor' BECOMES VOID, __ 1N1 S. "°'"e` CITY OF ATLANTIC BEACH city ManagerMoyo►dommbsiener P. O. DRAWER 25 JAMES E.MHOON ATLANTIC BEACH, FLORIDA 32233 OLIVER C. &All Commissioner City Attorney (904) 249-2303 ALAN C. JENSEN MRS.ADELAIDE TUCKER Commissioner Acting City Clerk L.W.MINTON,JR. MRS. EMMA M.STEPHENS Commissioner March 26 , 1976 City Treasurer-Compholler ROSERT S.COOK,SR. CARL STUCK[ Commissioner Chief of Police and fire Department Mr. ,john Kozloski RICHARD HILLIARD 390 M a y p o r t Road Director of Public Works Atlantic Beach, FL 32233 Dear Mr . Kozloski : A recent inspection of the Fleet Reserve Association Branch 290 indicated that you have take'p measures to correct difficiencies we discussed on March 4 , 1976 . Your actions to maintain a clean and neat establishment contributes to the overall status of the neighborhood and the City of Atlantic Beach. We appreciate your efforts and trust that you will continue to main- tain an attractive premise . Yours very truly, R. C . Vogel City Manages „ RCV/chh :1 CITY OF- 4&"4.0 Office of Building Official REQUEST FOR INSPECTION 17 Date Permit No. Time t. A.M. Received P.M. t]lstrict No. i Job Alldress � � � y Owner's t..tt. ? C L l K fYL Y Name_ t -j` G`ontractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 0 Footing 0 Rough Wiring 0 Air.Cond.& 0 Re Boating 0 Stab 0 Temp Pale O Top Out p beating t.intef 0 Fire Piste 0 Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Th Friday_rte_____P.M. Inspection Made '-F v � Inspector `� Final inspection 0 y� Data Certificate of Occupancy 4780 IEpARTMENT OF 8t1141ING" CITY Of'ATLANTIC'BEACH f .: PERMIT' INFORMATI N _ ----- I~OCATION INFORMA` IIA ,,.�...�._--- 1 rm t Numberi 4780 Addreiset t 3,90 MAYPORT ROAD z; permit Ty p : PLUMBINGATLANTIC BEACH, FLORIDA '322 t class 0f . W.prk: NEW »._� .� .. LEGAL DESCRIPTION ---------- class _. :- orwatr» Type t WOOD FRAME Lot: Block% section. a +roposod U t WAREHOUSE Township. RUG: O I Codec LD SubE I"v "A3c�n: ttkmitt4d 'Values t; #I .fad I*prov. toot: 3.Ofl ' al 018« O Aeu s© 9� ,w I0" � � � � k� � � APPLICATION FEES -__-4-° M 1�E ASSOCIATION PERMIT $18. 50 dryRT, 1IAE� 1W` I"PAIT FL mw $0.00 ' C. '" SEE �,.. yy��,yy RADON GAS-H. R. S. $0 00 .„...,. Ind ,FIi'I�IXA�.....,. ... _... .: .,,. � ..�TAfr ., $0.00 ACH, IaLve SEWER TAP 00.00 . � .` II.Lg:,, PL 3222 4 ffY RA 41C, SHARE $0.00 n Type: O W-11SPECT FEE + f� SEC,H" T"PAC 1" F' t " Olt � 141, .. N&is, q t s s; NOTICE -ALL CONCRETE 1=bi1Yt5 AIVO FOOTINGS MUST B i"NS#� C"1'R! BfFQFif POURING r r t.ff PERMIT,VOIDSIX MONTHS AFTER DATE OFF,ISSUE n BUILDING MATERIAL,RUBBISH AND DESRlr>FAOM THi$WORK MUST N©T#��PLACED 1N PUBLIC SPACE,AND MUST`BE { CtEAR.ED UP AND.#1AWl ED AWAY BY EITHER"CL?NTFiACTOR"OR OWNER 0,COMPLY WITH THE MECHI�NICIVI LIEN LAW CAN R� ULT IN T�[E' f�R+t 0 OWNER #A'V' ANG T�VlCE' Ft�R 8U'JL0I- G IM IS y ED ACCORDING TO APPROVED,PLANS,WHICH ARE PART OF THi3.>PE RMIT AND S TO",R OF WFOR {4AL ? OL .i v 'AFITME. Dims N fi s ` rMM Qp �10 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTOR (-T- t tXj% LICENSE NUMBERS �. -622.02 .�. OWNER �SET ,9,cSr-PL)C, BUILDING CONTRACTOR_ TYPE OF BUILDING t SINKS SHOWBAS LAVATORY WATER HEATERS _BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINSOTHER ,TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. , 1 n 4766 4 Of PAIRTUONT OF 0011».Q N CITY OF±ATLANTIC SACH _ PER111 INFORMATION - .._,.-... --. : LOCATION INFORMATION -- P rrmit Num) 6r t 4766 . Addr t' 390 1lAOORT ROAD' Per*it Typvt UTILITIES, . , ATLANTIC REACH, FLORIDA 32233 C I,ss nf' Wg ~#s NEW ........�..:. --- LEGAL DESCRIPTION --- at�iatar. Type: CONCRETE Lott B1cacH tatixn z Proposed UI�e t RECREATIONAL Township t Ruas 0 P ellin w t 0 Cadet 0 5ubdi+v�R' afi t. E ttimet,ed Vsluo t $0.00 1 ImproV. Cant« Tott aR1435.00 Aso *1035.00 011 MAT11311^. : .. ��y " .... APPLICATION FEES -. ASEICIAT1�ON PERMIT: $0.00 l dr+Nlri T ROAR '14011�A IMPAC FEES a°` *0.C}0 � �� x CNr '1•�1 # T�E 0w '7R a ?'VA RA QU OAS—H. R. S. $0.00 NF'ORi AI` CII ., *pox GAS - 5% $0, 00 Name t WORtf DE>I'A �' NA"�I�,R .'SAP., 0. 00 A SEVER TAP 0+001 00 HYDRAULIC SHARE $0.00 ^ T pet 0 At-INSPECT FEE .00 SEC. N IMPACT FEF � *t?. n `'' . NOB E� S, :4 NOTICE ALL CONCRETE FOAMS AND FOOTINGS MUST BE INSPfEGU0 BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE'.OF ISSUE BALDING MATERIAL,RUBBISH AND"DEBRIS FROM THIS WORK MUST NOT'BI PLACED IN PUBLIC SPACE,AND MUST BE CLEANED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNEA1. COMPLY W'I'1`H THE MECHANIC LIEN-LA. W,-,CAN RESULT IN *E PRC&AERTY t'�'11' Nt P�t NQ TWICE F61 BUILQi11 G' I ,ROVeM!IENTS:." °. ..I�ATIC�I tVATEe '�Id#1 �'� 1 UE D ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMT'AND SUBJEQWEVOCA ` tt N OF APLICABLE PROVISION; OF LAW. rt A'���IC t I� I?EPARTMENT 4 r y _� �,... a ,,.r..,... ... g APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT HAM ---�-- , -- --- - - - - ------- MAILING ADDRESS_lzf 910 _________ DAT PHONE HUMBER _-_-- 6 Z _/--------- SERVICE REQUESTED—4- 2 2----L----- ------------------- ---------------- SERVICE LOCATION_2a O _ _ f _ ---------------------- ------------------------------------------------ DATE SENT TO // / DATE RETURNED ,l ) PUBLIC WORKS `P !_____ TO BUILD. DPT. ��L��� / DATE OWNER I! NOTIFIED --------------------- REC:EIVED i A N ;PUBLIC WORKS 0 V1-o �r ���Q- S �� c,f {y. a bo x � co I r ra —a i O Q .. UQ o n.