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Permit 40 Ocean Blvd (vault) 1OBADDRESS . &a, )Dy � U TYPE WORK % PROPERTY OWNER CDNTRACTOR Til t Ro IFEUMOOL PERMIT NU sR_ - DATE / U�G l INSPECTIONS: FOOTING SLAB 3�3 TIE BEAM LINTEL FRAMING/COVER UP INSULATION FINAL BIIlLDING CERTM7C4TE OF OCCUPANCY ELECTRICAL PERA OT# 21545 -)AZO( INSPECTIONS ROUGE FEVAL MECHANICAL PERMIT# 2I INSPECTIONS ROUGE FINAL AWWAM VG PER BM LVSPECTIONS ROUGE/UNDER SrARI z Torour -� a WA�WER FINAL NOTES ) }' J} CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD r� ATLANTIC BEACH,' � •;� FLORIDA 32233 1 I INSPECTION PHONE LINE 247-5826 Application Number . . . . . 02-00024924 Date 10/01/02 Property Address . . . . . . 40 OCEAN BLVD Application description . . . COMMERCIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ JOE JUBRAN OWNER 40 OCEAN BOULEVARD ATLANTIC BEACH FL 32233 (904) 465-4113 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . INSTALL DRYWALLL/SUSPEND CEIL Permit Fee . . . . 17.50 Plan Check Fee 17.50 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 17.50 17.50 .00 .00 Plan Check Total 17.50 17.50 ,00 .00 Grand Total 35.00 35 . 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. BUILDING OFFICI 419 OZ CITY �f 12"401 G�p1�l ZZ BU1� 3 E C' J v f r City of Atlantic Beach Building and Zoning I antic ch 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904 -5800 • FAX (904)247-5805 • http://www/ei.atlantic-beach.fl.us BUILDING PERMIT APPLICATION FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCTION (INCLUDING NEW CONSTRUCTION, REMODEL-, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) "f o ® �L'�A/ � �� DATE C � 3 JOS ADDRESS -� / APPLICANT ✓ C" SC-�L.-tt g fi-t- ADDRESS _ L(3 �� 'al z 6iJ l a ' (�(� PHONE: 190 L{ VG Y 3 LEGAL DESCRIPTION: BLOCK NUMBER LOT NUMBER ZONING DISTRICT CONTRACTOR STATE LICENSE NUMBER ADDRESS PHONE CITY STATE ZIP FAX DESCRIBE PROPOSED USE AND WORK TO BE DONE "iCdLC.�'(r� (nellf—k- r 1NG— 1,0d 1�57P /a e-- PRESENT USE OF LAND O BUILDINGS) VALUATION OF PROPOSED CONSTRUCTION Is this an addition? AJ If yes,what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? /V o New electrical or increase in service?' I(l New plumbing fixtures? Na New fireplace? I)O New hearing/air conditioning? © Is approval or Homeowner's Association or other private entity required? k O If yes,please su4mit with this application. WILL THIS PROJECT INVOLVE CHANGES IN ELEVATION, SITE GRADE OR ANY USE OF FILL MATE_kAL? ER'&O._Applicant certifies that no change in site grade or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation, please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone:(904)247-5834 6/18/02 STEP 3. Please submit Energy Code Forms,Notice of Commencement,Owner/Contractor Affidavit if owner is contractor,and four(4)complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic . Beach,FL 32233 Telephone:(904)247-5826 10, In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. L Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures,temporary and permanent,including setbacks,building height,number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works,a pre-construction topographical survey. 5. Any significant environmental features,including any jurisdictional wetlands,CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. 7 SIGNATURE OF OWNER. —� DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND. CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR DATE ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAME MAILING ADDRESS PHONE FAX E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF STATE OF FLORIDA,COUNTY OF DUVAL I"'•� NOTARY'S SIGNATURE l.�V^�� � ��"O JENNIFER SCHWETER O MY COMMISSION# 1 AS TO •• ;.� EXPIRES:May 277,,200606 Personally known Bonded Thru Notary PuWb Underwriters produced identification Type of identification produced AS TO CONTRACTOR: ❑ Personally known ❑ Produced identification Type of identification produced 6/18/02 FLOODPLAIN DEVELOPMENT INFORMATION Location:: 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. COMMENTS: Applicant Acknowledgment: 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 As Built Lowest Floor Elevation Survey Filed with Building Department Building Department Representative NEW IMPERVIOUS SURFACE REGULATIONS On January 01, 2002, the City of Atlantic Beach enacted new regulations limiting the amount of Impervious Surface that can be developed on property. Within all residential Zoning Districts, the maximum amount , of Impervious Surface area allowed is fifty percent (50%). Within all commercial and industrial Zoning Districts, the maximum amount of Impervious Surface area allowed is seventy percent (70%). The Zoning regulations define Impervious Surface as follows: Impervious Surface shall mean those surfaces that prevent the entry of water into the soil. Common Impervious Surfaces include, but are not limited to, rooftops, sidewalks, patio areas, driveways, parking Lots, and other surfaces made of concrete, asphalt, brick, plastic, or any surfacing material with a base or lining of an impervious material. Wood decking elevated two or more inches above grade shall not be considered impervious provided that the ground surface beneath the decking is not impervious. Pervious areas beneath roof or balcony overhangs that are subject to inundation by stormwater and which allow the percolation of that stormwater shall not be considered impervious areas. Swimming pools shall not be considered as Impervious Surfaces because of their ability to retain additional rain water, however, decking around a pool may be considered impervious depending upon materials used. Information verif)ng Impervious Surface must be provided prior to issuance of Building Permits whenever new construction, including building renovations or additions, new driveway, decks or porches involves any increase in Impervious Surface area. CITY OF ATLANTIC BEACH MECHANICAL PERMIT 8W SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX. 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21383 Address: 40 OCEAN BOULEVARD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est.Value: Parcel Number. Improv. Cost: I OWNER INFORMATION Date Issued: 2/02/2001 Name: JUBRAN Total Fees: 51.00 Address: 40 OCEAN BOULEVARD Amount Paid: 51.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/02/2001 Phone: 000)000-0000 Work Desc: REPLACE HVAC CONTRA N FEES ARLINGTON AIR CONDITIONING PERMIT 51.00 ions:_R F 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 VATH 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. 151.19 14 ATLANTIC BEACH BUILDING DEPT. DDate: UIPJ11 11 Receipt: 1931159 CHECKS 11848 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC■EACH,FLORIDA 71177 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Addresse i OF InterreeNnq Sln.la Mlw..n And WILDING Sr6-dhlden 11. IDENTIFICATION —To be completed by all applicants. In cemrid—fien f pomit give for doinq the -k .r d..cril,.d in the .bo•e eb t.m•nl we it—hy agree to perform Id work In.cc.rJ..c. .01% the ell.chpd pl... •nd ep.ciflc.11— which uv • p.rl h._i .red in .ccord•.c. .ilh the City of J.ckronvilf. -din•eco and #.md.,d. of good.prectics listed Iheroln. Nome.f Mechaelul r Cenfncin's G.Mufe(Print) Muf.r / Nene.*I Property Owner sipe.lere f Ower sign.lure of w Author u i Agent MahiHef or Englnear Ill. GENERAL IN ON A. Type of he ll"fuel: B• IS OTHER CONSTRUCTION BEING DONE ON l:!" • THIS BUILDING OR SITE? ❑ teas—❑ t1 ❑ N.ferel ❑ Control U1RIIy If TES, GIVE NUM�E1,OF CQ;TION ❑ ON � PERMIT_+7a �1 G� ❑ Ottley—specify IV.h{111CHAMI'.AL 1{QUIPM*a TO At INSTAUAD NATURE OF WORK (►meld.complete IIA of cempoeents em beck of this ferml ❑ Residential or 69 COmmerclzl —'//Next ❑ specs ❑ Recessed �C.nfwl O 1. �❑,Now Building "Cendril"lnq: ❑ Ree erCenlrel y LI�'J',Ex�le^Unq aulldln0 0''0•x+, system. McNriskAZ"SThkkm..`L� L'>'Replacement of s11slMQ system Meslmem capacity ❑ New Installation(No system previously Installed) (3 RehiseleNea C3Extension or add-on to existing system ❑ Coolies tore. Copoelly 9 ❑ Other--Specify ❑ Rw gdnklo s Numbr of head ❑ So—oke, ❑ M.nlift ❑ {aaaleti• (nem►.r) THIS s►AQ YOR ORIGi YS11 OMIT ❑./iasollae pumps (eemberl (R...l..d) Q,•Ael• (eemker) Rowels .. . . ❑ LPG ceetelw (nemkerl . p Uofind proesere veeel ❑ Moro ►.mei► Approved try Cee` . OIAw—'ap.clfy Permit Fee . LISP ALL EQUIPMENT Alt CONDMOMIiG AND REFRIGERATION EQUIPINENT tr J► p.are.{f Numltee Valla Deaoslptlm Yodel Nmaboe ][aau[aatssnr ( ) HSiATING•FURNACES, 110111315, PUMM.ACM Oay�d Aypso�h� NtmeAer Valta DeerlAptlee )lo"Nmaher Yasutaautser TANKS now➢Lacy woutinal Capacity type Llauld Mama Cd Serial AF 31 and Dlmrndma Ooatoinod ]Laaafaatm�m No. c �u /� /CITY O/F 99&% , Office of Building Official r REQUEST FOR INSPECTIO Date Z.^" 2 Permit No. Time A.M. Received M. V Jobdress Locality r Owner's Name Contra�teF-- BUILDING CONCRETE ELECTRICAL LU ING MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. ues. Wed. Thurs. Friday A.M. Inspection Made © Z _ P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ �ffF. C� F`o2 Qcsf�JC�rs Oft' Ir �--- — �CITY OF ATLANTIC BEACH ! C.)EPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 =tlf Permit Number. 21269 I Address: 40 OCEAN BOULEVARD Permit Type: COMMERCIAL I ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: I Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 87,438.00Oft—AT - _ _. Date Issued: 1/10/2001 Name: JUBRAN ~ Total Fees: 953.00 j Address: 40 OCEAN BOULEVARD ! Amount Paid: 953.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 1/10/2001 Phone: _f000)000-0000 Work Desc: INTERIOR REMODEL FREIHA RED A TOUFIC PERMIT 618.00 WATER IMPACT FEE 300.00 CROSS CONNECTION 35.00 1 f f i ie Orr& c1=rert� _ l FRANING/COVER-UP I FINAL BUILDING I INSULATION NOTICE-INSPECTIONS MUST BE REQUESTED ATI LEAST 24 'HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS 1.1VORK 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. Mentors ANIER Hate: 1/11/flet !i Recei fta NP5�91 Tool Pays"t l953.AB A NTIC CH BUI ING DEPT. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PLRM�'I�k�INiFONAK 3N''.7. LOCAT N FAft�IItAT10N . a r., ; Permit Number: 21225 Address: 40 OCEAN BOULEVARD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est.Value: Parcel Number: Improv. Cost: flWNiER.iitF; plq- Date Issued: 12/29/2000 Name: JUBRAN Total Fees: 50.00 Address: 40 OCEAN BOULEVARD Amount Paid: 50.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/29/2000 Phone: (000), 000-0000 Work Desc: INSTALL PLUMBING W f EES STYLES SMITH PLUMBING PERMIT 50.00 >`oAi T nr Tf ... UNDER SLAB PLUMBING TOPOUT 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. X58.88 14 Date: 1Z/29i88 81 Receipt: %W1 553 ATLA TIC BEACH UILDING �� 8818882 83221888 R CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:— OWNER OCATION:OWNER OF PROPERTY: jpc TELEPHONE NO. PLUMBING CONTRACTOR S � ocn�„ C CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: TELEPHONE: 2111-11131 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER TOTAL FIXTURES: l x $3. 50 + $15. 00a c wi MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834 STOP WORK CITY OF ATLANTIC BEACH BUILDING AND ZONING DEPARTMENT NOTICE This building has been inspected and General Construction ❑ Concrete and Masonry ❑ Plumbing ❑ Mechanical ❑ Electrical ❑ Gas Piping IS NOT ACCEPTED CORRECT AS NOTED BELOW, BEFORE ANY FURTHER WORK D NOT REMOVE THIS NOTICE Inspector: Date: 1 0 � Failure to respond to this Notice within 10 days will result in this violation being forwarded to the CODE ENFORCEMENT BOARD. The posting of this Placard by its content shall serve as due notice. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �� d e e-yt ,,y e-y v ��li,� Date 0 C Heated Square Footage @ $ 9-00—P e r sq ft = Garage/Shed @ S per sq ft = $ Carport/Porch @ S per sq ft = $ Deck @ $ per sq ft = S Patio @ $ per sq ft = $ TOTAL VALUATION : $ y3 To aI Valuation 1st $ aev-o rJ 3 l S -co Remaining Value $ per thousand o portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee S ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ Do WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ _ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ D OTHER $ GRAND TOTAL DUE $ �I 3 •�'� ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: JAN-2-2001 05:08P FROM: 247-5945 RECEIVED TO:93902709 P:1/1 SAN - 4 2001 City of Atlantic Beach Building and Zoning CITY OF AThANTZC BEACH PERMIT APPLICATION REWDEZ, AL'DDIT X0XS, OR ALTERATIONS AvvzNG, DEMOLITIONS Owner(s TAS N)A L. A 7 U r�fe/L�1 Job dCi e_s s i� H tiJ �L� 1� Phone 9 - 9 7 l� 5 Lot # JrL Rlock or Unit N�_ Subdivision: /9 Contractor: r i R6 /La state License �' ( < t 1_',a, p, J Addresa:J_-�e ' 4,61 `� 4. Csr��.�, d:.l' Phone No:��t;?,.1 City �" �/ code— Describe _— _. State __S .. � zip Code .� 1 Describe work to be done: 1Ztc (--y Present use of building: Valuation of Proposed Construction: ' ti Proposed use: Ts this an addition? '-!� If yes, what are the dimensions of the added space; ft, X � yft. Will the added area be heated and cooled? New electrical (ox increase)? t,-S New plumbing fixtures? &5 New fireplace?1)6..,New Heat/AC? £cam 50=r TjW= (C CSAZ) M (=SrIi WX") OCSdPZ= 4=8 G8 Pi�lll►S, ?NGZ=27iG Brix PLAN, swwr, alPmm Conm . , XMXCZ Or AM vnse/cx W=AC=M W7%=V7s, ra 011111AM ra C0 r=ACn - Signature OWNER: 1 � Date: Signature CONTRACTOR: Date:AS _ TO JANET RIDDLE • y� 1t�ISSI N C 713027 Q ZOOM Sworn b d' �I �T,' ` hisday of ''�; Bonded ThN Notary Public Underwriters NOTARY PUIaL-I AS TO CONTRACTOR: Sworn to and subscribed befoxe met 43day of 200 • NOTARY PUBLIC a Patricia Monette . +: ,+ MV COMMISSION# CC94701- August 27,2004 +AI a BONDED UM TROY FAIN NURAi`;♦-. ,... CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PE A. Permit Number: 21550 Address: 40 OCEAN BLVD. Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 25,000.00 Date Issued: 3/02/2001 Name: JIMMY JUHAN Total Fees: 203.00 Address: 60 OCEAN BLVD. Amount Paid: 203.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/02/2001 P dry. 904)241-9776 Work Desc: REMODEUBUILDJWT TO', NITS &44 • � FREIHA RED A TOUFIC ITS 203.00 S'T 1 ia RK 'I w' 51 51 y COVER UP * z 4 r fru f NOTICE- t PECTI011 T"Ef^ REQUESTED AT LEAST 24 HOURS , IOR TO I PECTION BUILDING MATERIAL, RTBISH ANDS' RIS FROM THIS WORK MUST NO PLACED 1 , PUBLIC SPACE, AND MUST BE CLEARED UP Atm HAULEDAY k3Y EITHER CONTRACTO OWNER "'" "FAILURE TO COMPLY V1it � NS. �'�. Ir., 'SULT IN THE PROPERTY OWNER PAYING ISSUED ACCORDING TO APPROVED PLANS IS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. r� AT NTIC ACH BUILDING DEPT. CASN: 4/11/81 81 Receipt: 8848351 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 -__ __ PI=RMIT INFQRMAI'ION _ - L.E3CATK)N INfQRMATION __ a Permit Number: 23243 Address: 40 OCEAN BOULEVARD Permit Type: UTILITIES .ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: - _... OWNER INFORMATION_ -- —_ Date Issued: 12/31/2001 Name: JUBRAN Total Fees: 525.00 Address: 40 OCEAN BOULEVARD Amount Paid: 525.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/31/2001 °�`,' yP n ' # 000-0000 ,� Work Desc: INSTALL 3/4" W - �VI E SN E TING 2 service CONTRACTQRON FEES ;PUBLIC WORKS DEPARTMM. T; 525.00 "^4 ` 14 FINAL , .. fi N ' ;3y NOTICE- IP #sECT10 _ T Bl4 RI= TEL1 AT IST 24:HOURS, tIC�R TO fPECTION BUILDING MATERIAL, R 31314.ANO kSlk`t( S £JI {MU$T N PtACEID . PUBLIC SPACE,AND MUST BE CLEARED UP A HAU � �I=fE -CCONT "FA►ILURE.TO COMPLY WI°F � € T Lt SUIT IN THE 1 PROPERTY OWNER PAYING R a 1'S" ISSUED ACCORDING TO APPROVED PLANS WHP r THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW: 6 � i k t. ATLANTIC BEACH BUILDING DEPT. Hate: 12/31/ Bl Receipt: 9623149 -- �- DECKS -1-rV nC Arl AWrif- QCAf1U ;�a a g �a �a�.%0 g� �—I B DEPARTMENT OF BUILDING Aft0kaminnia Rnwi Ationfin R :arh F! 1�911-Tai- 947-15896- Fay- 9A7-.5A77 ELECTRICAL PERMIT PRRMOV WOMAT, QNN Pen-nit Number: 21277 Address: 40 OCEAN BOULEVARD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:U Square Feet: Subdivision: ATLANTIC BEACH Est. vaiue: Parcel Number: Improv. Cost: wate issued: I/I I1/-UV I Name: jUBRAIN' Total Fees: 27.80 Address; 40 OCEAN BOULEVARD %-7.()o r%A Amourst Paid= 41 ATLANTIC BE MACH, FLORIDA 342-33 Date Paid: 1/11/2001 Phone, :—(000)000-0000 1A Work Desc: V 11IRE- FOR REMODELING AMERICAN ELECTRICAL CONTRACTING PERMIT 27.80 "40–O&H-LE' CTWIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBIPH 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 IMPROVEMENTSOO ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $e7.N 14 ktol 1/219111 Rmipbuem ATLANTIC BE CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 _ LOC TION iNFOglATION PERMITPMAT(©N Address: 40 OCEAN BLVD. Permit Number: 21720 ATLANTIC BEACH, FLORIDA 32233 permit Type: MECHANICAL Township: 0 Range: 0 Book: I Class of Work: NEW Lot(s): Block: Section:0 i Proposed Use: SINGLE FAMILY Subdivision: ATLANTIC BEACH Square Feet: Parcel Number: Est. Value: ^� OWNER INFC3RMATION Improv. Cost: 4/05/2001 Name: JIMMY JUHAN Date issued: Address: 60 OCEAN BLVD. 47 00 Total Fees: 47.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: e: 904)241-9776Date Paid:Paid. 4/05/2001 j Work Desc:HVAC LICATION-I C+DNT CTOR 47.00 ARLINGTON AIR CONDITIONI T Or ' < FINALK ,�� � j IN ECTION NOTICE SP�TI` & �fiUESTIrD A"I` °2'# P OR TO Bl$1'1 I= RIS FROM HEF VVORK MUST NOT OEf� UBLIC SPACE,AND BUILDING MATERIAL, CT OR O ER MUST BE CLEARED UP° HAiL AX — LT IN THE "FAILURE TO COMPLY PROPERTY OWNER PAYIO RMIT AND SUBJECT TO REVOCATION ISSUED ACCORDING TO APPROVED PE FOR VIOLATION OF APPLICABLE PROVISION ATLANTIC BEACH BUILDING DEPT. Date: 4/85181 81 Receipt: 8847286---- aei�e8e�z�r:3ee BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC etACH,FLORIDA 3aa33 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, 11, III, and IV. I. LOCATION Sh•d Addnaas OF Iefars.afleS Slr.•Ist s.fw..n ` t And S RUIL13ING ' Sub-dlrldan 11. IDENTIFICATION—To be completed by all applicants, 1. co.sldv.fien o1 quoit given fm dolnq the w-k a d..crib•d in Ph..6— del.m.nl r•h.r.bvay..to pod— ..Id rock In accord.nee .41% the etf.chrd plena .rad rp.eilleelton.which area parr %—.i end in .cc-d..C.with Ph.City of Jeclaondg. adi—Ac.,end denduda a) gaad.pracflca lial.d the-in. Nemo of M.440.1641 Ceatr..f.n Ceohraef.r )Prinfl IA ��- ✓ Mader Nome d Pr.p.rly signature of O..er sign.fure of or Autherirad A9 at A,.hil..t or Eagln•er 111. GENERAL INFOR N A. Type of hosting tacit 8' IS OTHC0.CONSTRUCTION tEiNG OOH[ON THIS YYILOING OR 31TIl tee-6 ❑ Goa—Q V ❑ Neteral ❑ Central Utility IF YC3, CIVC'Uks$! A�NSSTRUCTION C3 ON PGIMIT �� ❑ Other—Sp.cify IV.M*04AMW-%L IQUIPMINT TO se INSTAUM NATURE or WORK (Provide complete lid of components as bask ofthisf'am) ❑ Residential or C3Commercial [* at C3Spsu C3 Recessed a Gntral O Floor ❑ Now Building 9-<;iGndip-lnq; ❑ f:aam . Central ❑ Existing Building �Oact Syd.mt 1Aslerw a kyne ❑ Replacement of existing ayslem Masimwa capacity ❑ Now Installation(No systa rn prwfouely Installed) ❑ Extension or add-on to existing system Q eefrigeraHee ' ❑ Other—Specify (3 Compaq twert capacity q.P+M1 [1 fora VA.hlenl NurnbN .♦ hesde . Q Elsvatw Q Meallh ❑ EK+IANW Icumber) THIS sPr^c; FOIL Orrica Use ONLY ❑.Qeeelloe pumps (camber) (eaod.+d) Q•Teel )number) Remarks ❑ LPG oeralde� —(camber) ❑ Ua/bed ime"Wo—m ❑ NO&M Permit Approved by ger- . ❑ gibe► Permit Le - LISia ALL$QUIPMENT AIR CI N IMOMNG AND MMGF.RAMON ZQUIPMFN T tr . NmberTTalta De.aetvtloe me"Number ][tavlaatunr (TOM) O Aa (Iez HEATING-PURNACE3,XGUIR3,PMEPLAC S CS �t Number Unite tmoartpti— Xo¢ol Number Xaatataal rsor (�p�),t� TANKS now X-7 N-abi" Cayealty TPFe ZA"W Name at Sem AY e cad D&MUNkaa Coatairsed Xamxtaatltase No. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT PERI�IIT IN N L+ ►C 1 11 INFORMATION Permit Number: 21663 Address: 40 OCEAN BLVD. Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: Date Issued: 3/22/2001 Name: JIMMY JUHAN Total Fees: 25.50 Address: 60 OCEAN BLVD. Amount Paid: 25.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/22/2001 1 _ Phone: (904)241-9776 Work Desc New Lavatory& Drinkm Fountain i C€ �TCx Jk itFfJ rSKINNER PLUMBING, INC. PERMIT 25.50 r" c 75 , ffi ctl i'1 Re 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 LIENLAWCAN 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. r f,, ATL#NTIC BEACH BUILDING DEPT. 25.58 14 bates 3/22/81 91 Receipts 9944449 99199993221999 CITY OF ATLAN'TXC BEACH APF.LICATX0X I= FLE001.G FERMIT JOB LOCATION: 4-10 &!chN I&V12 OWNER OF PROPERTY! cJ 4 m L)0,609-1 TELEPHONE NO. PLUMBING CONTRACTOR Z7t1W CONTRACTOR'S ADDRESS: y �.�,322/ STATE LICENSE NUMBER: /CelgL��o J TELEPHONE: 77®eO BCP MANY OF THE F'OLLAWMGi FIXTURZS RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS HATH TUBS DISHWASHERS URINALS DISPOSALS / CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE—PIPE (LIST rZVZMtZS BZnrG FZIPXPZD) I OTHER TOTAL FIXTURES: 3 x $3.50 + $15.00 MINIMUM PERMIT FEE — $25. 00 SIGNATURE OF OWNER: /,� SIGNATURE OF CONTRACTOR: Zi .�, ------------------------ ---.---------------------------- -- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITIQN OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 6��Zer-z- Rf 2 l' g 709 MAR 2 ; 20U1 rn Beach ,l i rig CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT „<� ',: n . Y. ,�;; �� t,M 'tY.INfO MA7r4N — 7 ,5 ...�, <,v_ .CQCATI N I f0 MATIOt� — . Permit Number: 21595 Address: 40 OCEAN BOULEVARD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: Date Issued: 3/09/2001 Name: JUBRAN Total Fees: 70.80 Address: 40 OCEAN BOULEVARD Amount Paid: 70.80 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/09/2001 Phone: (000)000-0000 Work Desc: Replace Existn.9 Service/Buildout P AMERICAN ELECTRICAL CONTRACTING PERMIT 70.80 ROUGH ELECTRIC 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. $71.19 14 lite: 3/19/9111 Receipt: 9648124 AT TIC B CH BUILDING DEPT. DECKS 1223 61199163221996 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT RM BEINFORMAT O >ti x .,�• ,�. . 7 ..#. t.00 TIOI!� NFORMATIORI Permit Number: 21594 Address: 38 Ocean Blvd. Permit Type: ELECTRICAL Atlantic Beach, FI 32233 Class of Work: REMODEL Township: Range: Book: Proposed Use: COMMERCIAL Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: f F'..:OWNO INFORMATICJIV Date Issued: 3/09/2001 Name: J. Jubran Total Fees: 66.80 Address: 38 Ocean Blvd. Amount Paid: 66.80 Atlantic Beach Date Paid: 3/09/2001 Phone: (000)000-0000 Work Desc: Replace existin service with new x � � . *kNf u��� ��,�-C �' GT'OR S�_ � � � ��, -� , �,� ��A.PPI'r'IO AMERICAN ELECTRICAL CONTRACTING PERMIT 66.80 h ROUGH ELECTRIC 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. $66.8814 A LANTI EACH BUILDING DEPT. �tK8 3/99/91 9i Receipt: 99491142.23 91IM3221M Building Department SO4-247-5805 P• 1 CITY OF ATLANTIC BEACH, FLORIDA APPLICAVON IrOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ IMPORTANT NOTICk: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE;WITH THE ATTACHED PIANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF,AND IN-ACCORDANCE WITH'THE ELECTRICAL REGULATIONS,CODES AND CITY OF �ATLANTIC BEACH ORDINANCES. yY� 6;f/'�fl"f ;644 EL F1 M: M&M ELECTRICIAN ICa /BTU ACDRESS:, � 'srrJsl i"Q FQ�.BOX NAME SLOG.size 11CTWG[N: RES.( 1 APT.I I COMM.( I PugLiC( ) INCUS.( 1 NEW( I OLD( I REW.{ ) ^COITION 1 ) TRAILER I > TEMP.1 ) SIGNS ( i SO.FT. RFRVICF, NFW(y-,— INCREASE 1 I REPAIR i f FEE CGRIdUCTOR SIZE AMPS COPE UM- Ild— NVITC.4 OR BREAKER PN �r/�LT TRAGCINAY Eg=r.SERV.SIZ£ 2-00 AMPS PM W 2 &OLT EqIrRACEMIA,Y FEE"RS NO, SIZE I NO. SIZE I NO, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RMPTACLPS CONCEALED OPEN TOTAL a.ae ww,►s�, a�•goo AMOQ. BWIrc*tr_a INCANIDESCENT FWORPSCEli1'r S M.V, PIXED vioo M+ta. woi APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT as ovrx MOTORS H.P. VOLTAGE Pas NO. i H.P. VOLTAGE PMS MISCELLANEOUS TRANSFORMERS UNDER 6010 V. OVER 600 V, NO. I KVA NO. RVA �} NO.NEON TTIANSF. NO, VA. MA. MOTOR$IZE 1&WITCH FLASH EACm SieN FORWARDED 9 TOTAL FEES [� u A 1...,.�.•s ,per � � }�• 1� � :'•.'y�� Kg RS.i art!! o'l • •) i1 i v'+ i�1( i V i 1•� t It T_ - - , _ , - RETURN state Ut FloridarPHOa s �.�'�tom!„! --.._- _.. ss.at ;e•+nrn+ rtnants will be made to Curtain real propert`r, and in accordance ,Mh sectio life undenSigned hereby gl'Ves notl.e U, urrA.•0 v•w.+a :rs• L;-Jv .0 .i.:Uis,irii��-: W.v `-- _ :�• � r a,.e �rP',TFI'•e r1� Pae'i AR RAFitlf-� i'SV --• i i�fir-' r: �: A a .i _ €,?,� _ --- -- e-Eari � cra:r .I: 3 •ro;.r ex -.� -� Address MAL iiii: 1.- .- • _ •- � � +3�lfner 3 Iiii�iGj► i� aii� vi iiiE: YrV:rei:e nit i _ r s.�i-jer n� .- r than owner' lee Siriple i-sie i1 v A19lmP ����1rQi•sv'} /h,_j t�� T ft.� r_..i� - v Address v7 i_ 1 ,n ! A ► i� 1 rz fess 9 -71 _ :i-:r-`1- }S%�"/ '-•>:zy'_... . ._ �,...- -- --- $rI�IOCC uV g !lfi14J lJrSt �� rti.! gr_ ::I :.:10n V. '" lmp Vi eflflz-Lays`-•ter'• Any person tflidii�j a iianii ifori,iir iitii`+si.i Mars iiq.gnn u_.hnin*i4a Mato_of Florida desic-instsu by owner ucon whom notices or ather documents Mbar be ser`.e;d as provided h'; Section I=ioricid Statu%c'S. :1,aine - 1- _AAW. .a moi. l.i.weMf _Ymner !'i C.Cinnates Of r-.cs F,:..op..� lid left:ive A7 copy vi iiia: 1,.leno. 3 aE:s:ice,. 2- 5 -- - y e� j j _ J: •4!.-.rr. n different r+�. r•._-t ♦r;_. Jia_ wi Rl.�tiwn ni�nrn T6nr`Pment (tile Pyniration date is i year from the nate. ui rp-c r igI```` unjess a different date �.. ..._..- ._ .-_ - � ii 3 specified). THIS SPACE FOR RECORDER'S USE ONLY yy yy " -n � ; i .^.fit r3 of Owner Iii•••ECS "_A'.0 2 w _ i •,..ElJ�.7c��-� fu- �� j' �l�C.- -- 'h - :moi- ^s:_:�- � ti � "-' __ s-t S'7 div iA f p, ited Signal L'rn 0! LArs�f •a•ienr"'�. h i f e,:N c-i -��,�# �� S�wo-ren• to and suFiSC.iii7Ci.+ -_-,� 5 +C'� Fr, idiMR11�#�iW�'![ i601 L •Jw. cm.$ i ro EXPIRES;Le}t;embe!r 2sti,� I� ti. CITY OF ATLANTIC BEACH, FLORIDA Approved or APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �! 19a IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM- MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Z2C-%J:t— I'�� ADDRESS: '"lle elIC21--)" R//y(2� RFD BOX BLDG.SIZE 4 f�n�C (� BETWEEN. 7q RES.( ) APT.( ) COMM.(4' PUBLIC( ) INDUS.( ) NEW( 1 OLD( ) REW.( ) ADDITION( ) TRAILER ( ) TEMP.( 1 SIGNS ( 1 SQ.FT. SERVICE: NEW( ) INCREASE( 1 REPAIR$ ' FEE CONDUCTOR SIZE AMPS COPPERf ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS / CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 MPS. 31.100 AMPS. SWITCHES 1�11 7771 INCANDESCENT I`( � iT FLUORESCENT&M.V. FIXED 0.100 AMPS. IOVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN 11 FORWARDED S TOTAL FEES //CITY __ __O//F l�s��/LrtfG /.SP.G�CfZ-�LOR�Q� Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received / P.M. Jn li JobAddre s _Locality Owner's Name Co actor EG-E. BUILDING CONCRETEE ECTRIC PLUMBING MECHANICAL Framing ❑ Footing ❑ oughWiring � Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION �J A.M. Mon. Tues. Wed. 3 �[Q Thurs. Friday _ P.M. 0=06-1•-wp dX hoey�rllbefufeeTnT A.M. Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF 4&a#tt(C /3e=A-9960u'o& op-a Office of Building Official REQUEST FOR INSPECTION All� Date Permit No. Time A.M. Received /? P.M. �v J&S I Job Address i I Aocality Owner's Name Contractor,_ I CONCRETE LECTRIC L M MECHANICA ❑ Footing ❑ h ❑ Ai ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday RM. A.M. Inspection Made P.M. In ector Final Inspection ❑ t Certificate of Occupancy❑ CL Date /��///�� , //CITY OF 4&44��W l3eMA-�LOZLQQ Office of Building Official REQUEST FOR INSPECTION Date-2 O / Permit No. . / 6 3 Time A. Received M, �fD p�e� •+ /.�Iyo� Jo Address Locality 211— 7 p�► Owner's —71A Name �J Lt h� Contractor I n h e r BUILDING CONCRETE ELECTRICALPLUMBIN MECHANICAL Framing F1 Fooling E71 Rough Wiring ❑ oug ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out V Heating Insulation ❑ Lintel ❑ Final O Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday M AIL Inspection Made Inspector Final Inspection D, Certificate of Occupancy Ej Date q�O �/_ ��;.c // // CITY OF 07 __ 'd_ Office of Building Official REQUEST FOR INSPECTION Date .23-61 Permit No, S Time :2S 5 �A.�v1, ReceivedC P N1J Job Address Locality Owner's /� O Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBI MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough L01" Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M Mon S. Wed. Thurs. Friday A.M Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Oryp�y D Date 3 1 1' CITY OF 4&4o&c BwcA-49&"' Office of Building Official REQUEST FOR INSPECTION Date ` Permit No. Time ' A M. rr , Received t` P '.,1 ��� cLi Job Address Loc ity �^ I Owner's Ij Name . Contractor1 j BUILDING ONCRET4.) LECTRICAL PLUMBING MECHANICAL j Framing ❑ 'o y Cl Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Re Roofing ❑ la ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab >M. READY FOR INSPECTION A.M. Tue Wed. Thurs. FridayP.M. A.M, Inspection Made PM. Inspector Final Inspection ❑ Certificate of Occupancy ❑ E ? Date CITY OF 4&4Ml3eaaA-_T Office of Building Official REQUEST FOR INSPECTION Date � ` `�� Permit No. Time ( i 1 A.M.Received �-( P.M. PAID t-l0 i�-- y 7 2 2001 Job Address Locality Owner's Name MW10g BUILDING CONCRETE ELE PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air on ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final Cl Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed, Thurs. Friday Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date CITY OF /1 r4& ^4.0 !3P�-99la%,144 Office of Building Official REQUEST FOR INSPECTION Date to_ Permit No. T-1 Time A.1%L Receive 4129 Job Address Locality lel Owner's � Name G� ��' h Contractor re UDING CONCRETE E RICAL L MBI MECHANICAL Framing ❑ Footing ❑ Rough Wi,i'ng Ci Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION ((►► A.M. Mon. Tues. ed. Thurs. Friday RM. Inspection Made InspectorFinal Inspection ❑ 9 Certificate of Occupancy El 144)-,e f M Date ,_r CITY OF _ 1Y�IQ�'LfdC Office of Building Offici REQUEST FOR INS CTIO Date 1- 30 -01 Permit N,, <X `� L Time A.M. Received P.M. 7(7 Job ddress Locality. Nwne' CONCRETE ELECTRICAL PLUM8ft4&-, MECHANICAL Framing Footing ❑ Rough Wiring -- -� ❑ Air Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out � Heating Insulation 11 Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY F09 INSPECTION A.M. Mon. Tues. Wed. Thurs. /tJ,�J Friday r A.M. I /d ri 4 / r I C/ Inspection Made :2, t' / P.M. � r-�— In ctor Final Inspection ❑ Certificate of Occupancy ❑ Date w p�LANl,C 0R10Q. IL[oil I OF ADDITIONS or • • - • DO NOT REMOVE JOB ADDRESSDATE U 0.. THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted a H r3 uS T`c CSC- /4-rrrrr t xkl 7<f $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made,call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors EHEC are in the office from 8:00 a.m. to 5:00 a` p.m. Monday through Friday. CITY OF fQ, / __ ,.��X40 B11114404-49k% 4 Office of Building Official REQUEST FOR INSPEC to /�-� r.. / �' V� Permit No. ne A.M. ceived P.M. v Jo dtT ss Locality ter's R (�_,( •r Contractor _ tiS t •. IXC, NG CONCRETE ELECTRICAL PLUMBING MECHANICAL ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating ,ulation Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION >n. Tues. Wed. Thurs. �Friday +�✓ tr A.M. ;pection Made P.M. ,pector Final Inspection ❑ Certificate of Occupancy ❑ Date P�LANTj X10 R10P NOTICE OF ADDITIONS or CORRECTIONS ; DO NOT REMOVE JOB ADDRESS /VolATE ©Leapt �t (. Jam-'/d THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 SL p.m. Monday through Friday. CITY OF ATLANTIC BEACH d APPLICATION FOR PLUMBING PERMIT -C1 k S t✓ DATE NEW TYPE OF BUILDING OWNER' S NAME REPIPE RESIDENTIAL LOCATION ADDITION COMMERCIAL PLUMBING FIRM r�Nh�7-�C- c�WSt /Nw�}�:,;� (' � s. 1 ( ADDRESS MASTER PLUMBER 6lL C��. j E 3 f ? please print f� CITY/COUNTY OCCUPATIONAL LICENSE NO. STATE CERTIFICATE N0. C FC Ar Z( $ z C1 BUILDER OR CONTRACTOR ---------------------------------------------------------------------------------------------- SINKS LAVATORY BATH TUBS URINALS FLOOR DRAINS _ CLOSETS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS WASHING MACHINE OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUSTBE IN ACCORDANCE WITH THE MOST RECENT EDITION `� - OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UN TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS) (3 UNITS) DENTAL LAVATORY (1 UNIT) KITCHEN SINK CONBINATION SINK & TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS) FOOD DIS. (4 UNITS) DOR (1 UNIT) KITCHEN SINK W DRINKING FOUNTAIN (11 UNIT) DISHWASHER (2 UNITS) WASTE GRINDER FLOOR DRAINS (1 UNIT) LAVATORY (1 UNIT) LAVATORY, BARB LAVATORY, SURGEONS (2 UNITS) - SHOWERS GROUP PER HEAD BEAUTY PARLOR SURGEONS SINK (3 UNITS) (3 UNITS) (2 UNITS) FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY URINAL, PEDESTAL, SYPHON JET STAND (3 UNITS) SINK (4 UNITS)BLOWOUT (8 UNITS) URINAL, WALL LIP URINAL STALL, URINAL TROUGH EACH 2' (4 UNITS) WASHOUT (4 UNI SECTION (2 UNITS) WASHING MACHINE RES. WASH SINK EA (3 UNITS) OF FAUCETS WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) TOTAL FIXTURE UNITS DEPARTMENT OF BUILDING �4 2 6 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB i Date March 19 19 84 Valuation$ P12"IM, Fee$ 20-M J iThis permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. T. This is to certify that ATLANTIC $OA,S'T 209 OUT ) i has permission to MM INMTJ. P'f 31MRM AS Mr X A,AT!g�i�'17 1 A 3/19/04 I CSU Classification A1011MCIAL Zone MT Owned by Lot Block S/D House No. /�� � Boulevard 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 —� �---► 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 con- for or owner. uildin Official. F FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR PLUMBING ELECTRICAL SEWER WATER Cl "1 :" ui ,,,__� Ai'P1, 1CAI luN I- R 1.I;C'lRICAL 1'isr,?11,T (:'•.1,i, o v rd by : 10 'THE CHIEF EI ECI'RICAL DALE : - �(� 19 v i .,'SPr:CTO R : - i '%PORTANT NOTICE : IN CONSIDERATION OF PERMIT GTVEN FOR DOING THE ?•,ORK AS DESCRIBED IN '111E FOl_.LOWING , WE HERELY AGREE TO PERFORM SAID '.JORK IN ACCORDANCE wLTH 'I}IE ATTACHED PLANS AND SPECIFICA'T' IONS , .;HICH ARE A PART HEREOF , AND IN ACCORDANCE WI 'H THE ELECTRICAL RF_GL'I,ATIONS , CODES AND CITY OF AIL..%,NI'IC BEACH ORDINANCES . u !sem_ ------------ �% ( -r- EI.r,C"TRLCAL FIRM: :•`ASTEP E _ECI'Ri CL/_ SIGNl.7'tiRE JOURN r z''JP.N ?.;!,-MEADDRESS W-4- BLDG . SIZE BETWEEN : RES . ( ) APT. ( ) CO'•iM � _ PUBLIC ( ) INDUS . ( ) NEW ( ) OLD ( ) REW . ( ) ADDITION ( ) TRAILER ( ) SIGNS ( ) --- SQ . FT . _ SEK'VTCE : `:EW ( ) INCREASE ( ) REPAIR ( ) CONDUCTOR SIZE AMPS COPPER( ) ALUM ( ) aI '?'CH OR 3RE_.KER A:1PS I PHI W) VOL`� rRACt ?ti'AY KIST . i RVI CE SI 'LE MPS � � PHI WIt� VOL PACE AY) I —_- _-_ �- - — --- __ _ i2.- --- - - - _ - IZ-FFDERS NO. SIZE N0 . SIZE N0 . SIZE LIGHTING �( i ( OPEN I .1TOTAL OUTLETS ! CONCEALED, .RECEPTACLES I CONCEALEDI ( OPEN I ` TOTAL amps -- - ------------------------ _ 31-.100 amps S?ti'I T C H E S INCANDESCENT ! FLUORESCENT 00 ::.ps over .PPLI AN CES FLL TRANSF � '' A IR � A1,11 'S i CEIL 'KW HEAT CONDITIONING ip MOTOR ( - - - --- ON - - ---------- -- i 1�EAT I k ! OVER ------ ---- - -- -- iOTORS VOLT . PHS N0. • , � I 1 HP 1volt I k I ISCrI 1- ' T 3OL'-S i --. .- - - - - - - _ MAR 1, 4 A' W "PSPh o. ;LOCATION INFORMATION P rt�i Nu b r> 2 414 Addiet s: ' 40 6CEAN BOOL VARD Permit r tMECHANI AL ATLANT It, BZACH FLORIVA 32233 s of `IR ALTERATION LZfi AL DESCRIPTION � .». ..r» �c. ''" s . +�?D } �� N I d T'y t bdyy* �m� � M gym/ �yy Y s Dwellings: 8ubdiviviCJn ATLANTIC AZAC w V .0,0 # ON �. .. .� A PL I CAT I CSN P'EFN r: IT74,0 $VAR t `LOR A ` "T � Na wl AR k. N ° C N DIV AKNCt 322I i ` exp: C w ALLCOMORM i� t tl �L PE{'{WVolo SIX m i HS AfTE 1 A oP issudi. s j 1 i 6i BiNM.Ai`i0pE$ii i` `fHiS'WC►1 K;M,U5T t }T .iLACED lixi;PUBLIC UP ANb�i4 iL ?A�fiiAY BiMR Ci�TCR ONi+t �. wa== ��rfG`i=1tRE PAR'1� 3 `HI f� NlCf A i*IBJECT T REVC)��0.F . PiUVtSiCtNS q i B �# BtV7F1 ; k nx r, s �t F 4 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC OEACH, FLORIDA tlafia 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 tatersecliall streels: Between .-Int /(/c AndLit W ILDiNG S��-divi►ien 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 pirform said work in accordance witA the ertachjd pians and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Naw el Atachaaical Cenhade►s Ca+aracter (hint) Master C QS hsperty Owner S;patvre o( Ow Signature of r Iwt►erisad ASeat Architect or Engineer III. G OLA.L 1N A' Typo of bating fuel: 8• 15 OTHER CONSTRUCTION stLINO GONE ON Q soct►;c TNIS SUILOINO OR SITE T 120 Q hes—Q V O Neivrel D Ca"*W Utility IF Yes, GIVE NUMBER Of CONSTRUCTION O 09 PERMIT Q C46— IV. bACKMC LL 90UNb4W TO M WALUD NATURE OI'WORK / (Poe,4e complex slat of arnpaisah eM tead of this"1 ❑ Residential or t�' Commercial O Heal O Spa Q Recessed O C oattsei O Row O New Building Er'�r C-44;ewing: Q Rena �C o" �W-Existing 8ullding C3Dvc? S�room: Me- A-1 Thlcbsa...—.—,... lid' Replacement of existing system sbaiftem c+PO1b afjis. ❑ New Instaltation(No system previously Installed). ❑ Ret.;ge,ene. O Extension or add-on to existing system 13 Other— Specify 13c041i� ta+w: Capacity O r w tsp;nktas: Nwnbr of bsd& ...,�...�..�.,�..�. O El wetw C Mad;lt p bselatarlnantbse► THO!FACE 004 ORIM Ui1>E ONLY O (;poise lesssssber) IReae+aed► ❑ TanksAwmAs O tx W Iftomb«1 ! ❑ Unfired rka+w.treeael ❑ goal" Pe►tni► J1Nreeed by DNs` ....�.. QO*W — fel IL�.r.r,�i•r rr�.�,n... LUST ALL EQUIPMENT ASA CONDITIONM AND REF><IARAIION EQUW)QW Matbet.*Vslts Dsecivu0s Model MOW 70 WAM0 • FURNACES, tWt[ERS, FRREFL.ACZA NRlsow Vstta >1<e�ei lMlts�boar SANTS i4..KUY 310WAW °`�•� tai xaRswe of Saiaa A� � rc No. M oo DEPARTAEP#T OF Of)L17# ## CITY QP ATLAIdTILOCATION INPORMATIO GEaCH' ems ." .: it#36 - ►, C�� �tN P i t '�"ype. mXCHAw j CAL+ _ � E LA C , " C rI1 A, , Ass r � � � ;� ,� �: . L �.� ,_...... 164'V t#. .LSF: i #7`Vr7JJT�A 1»w' r' on+ po ropo l i ; : .. c . .. CI SuBEACH , old p5r D. . 1 k " CAT ACOA# i .00 � PACT Fee ,oo 017K GA 00 l rtt 4 A CF ON I NC CA 80'.'00 , ROSS ltyp� a ` .o' 4" 'o9 06 C PPURIN ;S PEFtIWI'f VC)lA !X MUNTHS AFTt=!`i'OAT QP ISSt11; ulNG MATRia>t,AuBB#sM Al�lC3 bRtS TH�s wc �c rsT=rc ra tu �.rcPAe ; CL ARE UP ASU HAULED.AUUAY BY.l;ifiHER°CtiNT RACTQR CR' tMi Arlt MUST TBE L 4o ul RE LAWC N" sw 14 okopllt- ENTS I ACC©Ra1Nl TQ Apf'RC)V8D OLANS INf91CH ARE PANT OP TH1S'FS# MIT ANt�SUSJ��T T4 RI�1lC7��4T���#� ir tl Tt 3Ps!tit Apt Al � r:PROVISION OF l.� W. � f IYPCH 5,U' l ©EPARTMENT WO 14 ov f Y { i 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, II, III, and IV. 1. WCATION Street Address: , / > St OF Intersecting streets: Between �h,fsr ( And WILDING Subdivision II. IDENTIFICATION — To be completed by all applicants, In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attachpd plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Naas• of Meehenieel Contractor C•otraetor (hint) r4ZLI— Masfer Nein• •f ►r•,erty Owner C DSIo M=of Owner Signature of HM*d Agent Architect or Engineer 111. GENEItAI. INFO A. Type of heating iv1: S. IE OTHER CONSTRUCTION BEING DONE ON C3 Sech c THIS BUILDING OR SITE?__ 13 "—❑ It ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q OA PERMIT Q 0#4, — Specify IV. RAK*"I.AI. BQIIIMAINiT TO tE INSTALLED NATURE OF WORK (havid•complete list of compoe•ets on beech of this fond) ❑ Residential or l� Commerclal Q' Hest ❑ Space ❑ Recessed O Ceafrr) O poor ❑ New Building Q--Air Conditioning: ❑ Room tj—'C•ntn) ❑.., Existing Building O Dec# System: IAetwiel Thicksen 01 Replacement of exlstlnq system Maximum capacity atm. ❑ New Installation(No system previously Installed) Q Refrigeration G) Extenslon or add-on to existing system (] Coating twee: Gpac;ty g„p.m. ❑ Other— Speolty Q Fire sprinklers: Number of h"do Q Efwafer ❑ menlift ❑ Escalator (ow"4r) THIS VACS FM OI•gCE USE ONLY O 6400000 pump 'number) (Reeeivel) L7 Tenks (number) Remarks (Q LPG conNiW- (number) C] Usfned pressure V~ O I sa w Pearl! Appreved by Da O Otte. — Specify Permit No. LIST ALL EQUIPMENT AM CONDITIOMNG AND REFRIGERATION EQUIPMENT Irtma!!er Units Description attedN Nwstber xanu ('2611184 IMAMNG • FURNACES, BOILERS, FIREPLACES MtmDer Vdta Dwcrlptim Ko"Ntmeber TANKS now many No rbw CNpBdty Type UV" N&Ou of Serial Approving clad Dfmoosiaes CbnteJead No. L BUILDING AND ZONING INSPECTION DIVISION CITY OF AMMM MEM N ATLANTIC 8"CM. FLORIDA aaaaa APPLICATION FOR MECHANICAL PERMIT CALL414 NUMBER IMPORTANT— Applicant to complete all items in sections I. II, III, and IV. I. LOCATION She*t Address: ,�► - a / c OF laterseating Streets: Retweea ��r®, n f: C_ /�� /c./s Aad / 3 r J 1 BUILDINGS Se►divisiea 11. IDENTIFICATION — To be completed by all applicants, In consideration of permit given for doing tke work as described in the above statement we hereby agree to perform said work in accordance with the *"Schad 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 mochaaiad Ceatraatorr combasbr (Print) Meow 626? Name of hrperty Owner Sigeatswe of Owaw algnelYre of er AeMeriaad Agent Anhi/esl w inglaew 111. A. Tyne et bedding feted: Is eTNa Al1aTR1PT10N noon OM MIslastlit TNI* OWILOe 011 a1Ta t M ■ O 6a—O V O Notood O Cwmd 4MIIy 1►1Res N1K NIIMea 0►C011>1TIN1CT1011 O Oil POIIh1A1T Q Other — %M* IV. LOMIM I"IQUV MfT TO N OW MLN NATI M OP WONK (hevids aewplNa so of compoaemb as bad of Mir bawl O Rhfslde Hal a 0 Commgrclal 0-11HeN O Spee,. O Reawad we " O IIMr O Now eu" O Air CemMtianiag: O Room O Cemlwl 0"E M1ll am" O Dad system: W—P,40"~of exlatW4�ygtam M"wow� � t ba O New w4tewien(No ewom pewlalely w4 a" O Rdrag.00ti" O RKWA en or oat."to otdeme eyom O Omer—apw�lty O Cl+1w /..w: Cesar tl� Q No spy' Ll : Noat`w of 6*6 O ds inoter O klWAN Cl beelle#416 ..�.loeai.rl no 11111111101 Polt Ow1Ci YN ONLY O ieaarw w"` (&alien IO..rMe�l O T466 (auwrarl Rwmwlr O LPG fteft;.:. Im.arYwl O tJ.Rted pre.rw.veeaa O Reif.n Paw* A,,dd f,.■ s.a. Q Othor — specify NON 1160 LW ALL EQUIPMENT AIR CONDITIONWG AND REFRIGERATION EQUI1111 tlQ lAarNot Valb DebeelptNl N/M NwAbw ! j OLA71NG • FURNACES, *OILERS, FMFZLUU !N■R1ee� Isa�hlllta N>/r lI�N �� � � OOa TAKU sinr We+rr x=ftd alloadv =hNt IS41111 alr !la CITY OF 0; Office of Building Official REQUEST FOR INSPECTION Date / Permit No. Time A.M. Received p.M. District No. 1710 P Job AddressIity Own / � Na _Contractor A? BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole 0 Top Out ❑ Heating Lintel ❑ 6tFire Place ❑ Pre Fab REA Y FOR INSPECTION A.M. Mo Tues. Wed. Thurs. Friday-P.M. 7({/ A.M. Inspection Made �✓ P.M. n Inspector Final Inspection❑ Certificate of Occupancy Date l l CITY OF r l.3e4c.4-�lonida �r� Office of Building Official REQUEST FOR INSPECTION Date ��'�( .V Permit No. Time A.M. Received Received /' P.M. Job Address Locality Owner's ))� Name Contractor BU CONCRETE ELECTRICA PLUMBIN MECHANICAL Framing ❑ Footing ❑ Rough firing ❑i Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made _PM. Inspector Final Inspection>� Certificate of Occupanc ❑ `._� t Date r2 ^�1 D�Qi �6 CITY OF 2)1UL0 3 4&Odic 1.3weA-47>Ca lSS�J Office of Building Official REQUEST FOR INSPECTION Date v Permit No. Time 1l A.M. Received t l P.M. Job Address Locality Owner's Contracts' (�UIL:DI�NG CONCRETE ELECTRICAL PLUM NG MECHAMC ❑ Footing ❑ Roug ving ❑ C7 Air ❑ Re Roofing ❑ Slab C Temp Pole C7 Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. Friday— A.M. Inspection Made P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ �� Date P�L.ANl/C y F�0 R10�' OF ADDITIONS or CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE © P 0[(/0 S ".2 -ID/ THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted e A-41 d ` G ^OfS�G�ccr~e e5 i Gl0S�-� ezt tole -b-4 yah 4h W4111 a4 A& e-01pa. r o� $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 BLDG p.m. Monday through Friday. f APPROVED CITY OF ATLANTIC BEACR BUILDING OFFIGa PLL"•iBING WORKSHEET MAR 3 ►°�4. - C S SHOi:ERS DI SHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING ILACHINE EATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTILRE UNIT BREAKDO,%N FIXIURE UMTS ARE ESTABLISHED AS THE I`-EASURE?IENT OF WATER DE` '\D FOR EACH WATER FIXTURE ""IT I STALLED "L'QD CO;XECTED TO THE C1 TY WATER SYSTEM. i11E ?.ATER SUPPLY CHARGE IS HEREBY FIXED AT $10. 00 PER FIXTURE UNIT CONNECTED TO '.HE CITY :-TATER SYSTEM. 7 - BATHROOM GROUP CONSISTING OF ��.?AiOR ' 1 UN . :DATER CLOSET, LAVATORY, A\D BATH TUB OR SHOWER STALL SERVICE SINK TRAP STA--ND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (Z L'NIT) _ URINAL, WALL LIP (4 U-NITS) FLOOR DRAIN (1 UNIT) WASHING ILACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) _ t-TATER CLOSETS, VALVE OPERATED ?,CATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) S?',;--ER STALL, DO -NI BATHTUB (W/OR t,'/0 OVERHEAD --_ - — (2 UNITS) SHOWER) (2UNITS) LALDRY TRAY BIDGET (3 UNITS) (2 UNITS) coe'v. 7� DISH?-ASHER (2 UNITS) KITCHEN SINK mitt KITCHEN SINK/?TASTE GRINDER (3 UNITS) - ' TOTAL FIXi_kE 1\ITS @ $10-._00 E_?CH lk lu. pE.PARTMENT OF BUILDING CITY OF ATLANTIC BEACH E. . PE 'mm rti o cA�r ax �- . LQCAT ION INPOP ICN --- + 3;t >`t b+6r' .681,9 Adsir��al�.< 4CI OCEAN scauL�vAl�l� Mi M xiANlcAI iTLAI TIC, P ► --- 32233 t ALTERATION „. �_. : LEGAL DESCRIftIQ» _. . soy a+ W,6r My.�( /yy {�}�-��(y�yry/� Loi r ..yy' }.�El Section. so i an: P" A c ec1: tJ t� RECod .BT0 5ubdivisi6 ATLANTIC HEACI�. .a>a `E iztiated V�.� ue«�14 DC7 . 4 -,ft rov. -Cost : t1 ,13't� Tot a W .00' I18/93 )!1brmf;OR '�IN EXISTING B BTEC � {r APPLICATION `EES ��_"_ I ON -------- - .» M1'131*1 r 21 4, WAIT :R 114PACT >�`ET $o ' bo ' S. $ IL AC PE E 11 ,Q� a r"LOEILA 122 ` ''Ph4 M!S "� txDO GAS, j C R 'CC1NC IONIN:+3 EA "SAP iia TAE .. tl t + B ( VE PC9 Altl? .. :;11Y1NAtT,I G RARE ,0 $`0 .00 TYpo, CAPITAL IMPROVE L a m J 1 ' .N IMPACT y I� TES- A�5 t �. 110 lk- gym, NQTIS,�E_-Al.lw CINft#AETIIi"FOAMS AND FI,QTINQ$IYAII� 'INBPEITEC> 1�tJRII1IQ PERMIT 1/611) SIX MONTHS AM, BATE df IS$UE <' 3ttll{�ING MAT RtAL,RUBBlS# AND'pE,B IS FROM THIS WORK MUST NCT 8E PLACEb LIC;SPACE,A if IM T I� L1rARfl7 UP AND HAULEC 'AWAYBY�EITHI=R C4NTRACTC)R�JRQkN#�if#' r� �ry4 �AlLUR 7"O CQ�APL�I WITH THE �AEC1�#A i �w Woe WM PAYING TW, F�►lq' u :7 �� R 1 ►Nr MNG TO APPROYEWPLANS WHICH AIME:PART al~THIS PERMIT AN IE?N;O0 APPLICA$LE PROMS QNS bF LAW. 3 1+e 7 Tl ANTIB A rW Bl11LI7fNO DEPARTMENT � i s Al BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC IREACN ATLANTIC ©EACH, FLORIDA 3228 APPLICATION FOR MECHANICAL. PERMIT CALL NUMBER, IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. 1. / LOCATION 5freef Addret►: Q ��f+t.. �r� i r- OF Intersecting Streets: 1e1weon � Lfi1s s r LAnd MILDING Sub•e(iririon II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the wort as described in the abcve statement we hereby agree to Fe•Ic•m said wo•. ..M the attacfLed plans and specifications which are a part hereof and in accordance with she City of Jactson„X0 o(d.nances a^a of good practice listed therein. Name 44 h44Kkenical Contractors Ceurlrac/or (►rinf) C �•� Madel Name of PropertyOwnw Sigeefun r!Owen Signature of w AwtbrisoJ Agent Architect or Engineer Ill. CANELAI INFORM i A. Type of bating twat: B. f ,,�'" IS OTHER CONSTRUCTION BEING OOH[ON E a-0^c THIS BUILDING OR SITE?__ A/D T Q Gae—0 L/' ❑ Netwral ❑ Central Utility IF YES, GIVE NUMOER OF CONSTRUCTION ❑ Oi PERMIT ❑ Off— — Specify IV. MWMANICAL EQUWbAIWT TO Rf INSTALLED NATURE OF WORK I- / (Pro.ida comp640 Est of cornponaah on bacit of As$form) C� Residential or ICY commercial [3 Heat ❑ Space ❑ Recetwd O Cenfwl O NoorCJNew Building nd Air Cortioning: C1Room 121-Csntrai c /Exlsting Building i (] Decf Sys!.m: Metria! Tmctaa.a 0-48,ptacement of existing system Mesimwm capacity Gfnb D New Installation(No system previously installed) ❑ RefrigereKoa C1 Extension or add-on to existing system Q Other -- Specify ❑ COOL" tower: Capacity O,P+n C3 Fin fire spriaklom: Nombar of Wd -- ❑ Sevetw ❑ hLaeHh ❑ Escalatr�._._—.��Iswmber) THIS SPACE FOR OFFICE USE ONLY ❑ 6aaoRaa pwmK (Lumber) (ReKelwl) ❑ Tom, (number) Ralnerkt ❑ Ue&od pneawe vassal ❑ s.am Permit Approved by pat, ❑ 40w — Specify �_..__ Permit Few , LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION FQUIPMENT I!fttmbesr Vnle a Iliamutactttrar �) yAprDomerIpos Nodl Number Agency HEAT NG s FUILNAt:ES, BOILERS. FIREPLACES -- mlDeVlsl r ts D 0criptlon Model Number Kaoufacturez (HTV)y Agmc�cy lhy TANKS 2lov 3[any � y Zypp 164uld Name ed Serial Approving I S[anutactlaar No. Apncy -� 1 F D#PAdTMENT OF BUILDING 3279 CITY 0 ATLANTIC BEACH, FLORIDA PERMIT NO.- PERMIT O.PERMIT TO BUILD F THIS PERMIT MUST BE POSTED ON JOB Date Jaan• 31 19 77 Valuation$AWnI rig S I gO Fee $ 5.60 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that T S4R Awning CTpany has permission to build Awnt ng SI gn - 28 Feet Long let 20t; liar ft,) Classificatio*+ 7�ne Owned by Susan Pastore Lot Block 'q/D House No 40 Ocean 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 �- � ► 0Building material, rubbish and debris Zfrom this work const not be placed in public space, and meat be cleared Bp and hauled away by either contractor or owner. R. C. YOgeI Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER y FOR OFFICE USE ONLY 7� Date rJ- l. ...19 ...... Permit # ... Fee$.Z4 ..'l... CITY OF ATLANTIC BEACH Valuation $.,4.2 11'.veel FLORIDA House #.. ��'.....© . APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. J Date--•------...'••/- -------------------------------------------- 19-..7..^ -- � /fNom-`W. Owner..: -� �-�CD------ (aS0 ---_-------.Address--- .....--•--.Telehone .... �... g Architect.--- --------••-------•-----------•---------......... Address............................................................Telephone No.-•-•----- -_----- .-. . _. � eEa 1AuPTelephone No .- _.� -Contractor Builder--- 1L11l LotNo--------------------------------------------_Block No •---- Sub Division...................................... ------------------------- Zo ---_---- ------•-----. . ---•---- -------- --------•---....-----Street.---------------.._.....Side Between....----•----------r-------------•--------•--------and----------••----_-----.._------------------------Sts. �C 6 ao Valuation $.....................c..-.......For what purpose will building be used........__- ---5_LzAl-----------Type of construction---------.a `ua----..-_ Dimensions of Building-----------------------_---.-----------Dimensions of Lot.............................................._-----_Size of Footings-------------_--•----__----_.--•_--- Size of Piers------------------------------------Size of Sills---.-------.----------..........GTeatest Sill Span in ft---------------------------Type Roof-----................................. How will Building be Heated?____---------------------------_----._.-_...---------.------Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists---------------------- --------------- Distance on Centers............................................I Greatest Span----........................................ It Size of Floor Joists-------------------- -------------------- Distance on Centers-- ...... ---.............................. Greatest Span............................................ I, Size of Rafters.---- ----------- ------ �-------------- Distance on Centers - ---- --------.--------------. Greatest Span----••--•-•-- /� Zg A, 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. 2. When steel is in place and ready to pour columns and/or lintel. Z x 3. When steel is in place and ready to pour beam. '� a 4. When framing is completed. H 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. A A 7. Electrical inspection by City of Jacksonville. m 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City/4Atlantic Beach. Signature of Builder--...--6-'1­,.1'Zr� e-c . Signature of Owner. .. :.. _ Address.... L/(P.... _.... dpi r ��,