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Permit 128 Ocean Blvd (vault) `f CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD 1 = ATLANTIC BEACH,FL 32233 ` INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001222 Date 9/08/08 Property Address . . . . . . 128 OCEAN BLVD Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ STOUFFER, M.A. AIR ENGINEERS INC 128 OCEAN BLVD. 10947 BEACH BLVD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 641-2333 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 55 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/07/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ' MECHANICAL PERMIT APPLICATION Date Property Address: Q t j}A) L(),Q Owner: eeze,S'71f 4_)lm jWS Telephone #: Contractor: -d4 f'r ek)q, Ott] P 6,. <� Telephone Contractor Address: L0 9 V 7 6P14c_,I eL✓Ip Fax #: 1�9�2—0VCOZ 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 whicb are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of podpractice listed therein. Type of Heating Fuel: If other construction is being done on this building Electric or site,list the building permit number: ❑ Gas: LP Natural._ Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat Space Recessed •--Central —Floor ❑ Residential ❑ Air Conditioning: —Room Central ❑ Duct System: Material Thickness ❑ Commercial . Maximum capacity. chn ❑ Refrigeration ❑ w Building ❑ Cooling Tower: Capacity gpm ❑ Fire Sprinklers:Number of Heads Existing Building ❑ Elevator: _ Manlift Escalator (Number) Replacement of Existing System C3 Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously.installed) . ❑ Unfired Pressure Vessel B ❑ .oilers ❑ . Extension or Add-on to Existing System ❑ Gas Piping ❑ Other-Specify ❑ Other—.Specify LIST ALL EQUIPMENT Ant CONDITIONING;REFRIGERATION EQUIPMENT&COND'ENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency aN Pis R�D 43 �yNa 3 T�NS HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S " , Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone:.(904)247-5800 i, Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us . �1!.� �1 j✓� . CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 �. ° INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001297 Date 9/18/08 Property Address . . . . . . 128 OCEAN BLVD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc repair 150 amp 240 volt ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ WADKINS R & R ELECTRIC COMPANY 128 OCEAN BLVD. P.O. BOX 60665 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32236 (904) 768-6166 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 95 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/17/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95 . 00 95 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 95 . 00 95 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH J N� ELECT CAL PERMIT APPLICATION Ac�(iL Date: D� Property Address: 128 ocean Blvd Owner: Celeste Wadkins Telephone#• 249-8146 Contractor: R & R Electric of North F1, Inc Telephone#: 764-5555 Contractor Address: P.O. Box 60665, Jax Fl 32236 Fax (904) 768-8240 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 Atlantic Beach ordinance and standards of good practice listed therein. Building: Building Type: ❑ Trailer Service: If other construction is ❑ New Residence ❑ Temp. ❑ New being done on this building e Old E3 Commercial L3Si ns ❑ Increase or site,list the building Signs Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ®' Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS ( PH W 3 VOLT WAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN 0 10 AMPS 11 106AMPq Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE' PH NO. OVER 1 H.P. PHS UNDER600V VER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous Replace breaker for a/c 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us .t►.,,�.11yr CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-debtncoab.us Application Number . . . . . 07-00000841 Date 6/21/07 Property Address . . . . . . 128 OCEAN BLVD Application type description WELL PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ------------------------ ----------------------- WATKINS OWNER 128 OCEAN BLVD. ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . WELL PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/18/07 ---------------------------------------------------------------------------- Special Notes and Comments A reduced pressure zone backflow preventer must be provided on the customer' s side of the City water service . Backflow preventer must be tested by a certified tester and results sent to Public Utilities . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH PERMIT j BUILDING / ZONING DEPARTMENT APPLICATION# 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 I l (904)247-5845 Fax www.coab.us APPLICATION TRACKING FORM REQUIRED DEPT: ��8 Q chgl) BGv6 Y N PLANNING Property Address: Z Y N BUILDING Y N PUBLIC WORKS Applicant: / . 0 Y N PUBLIC UTILITIES Y N FIRE DEPT. Project: Y N PUBLIC SAFETY �^ w APPROVAL oz l U o REQUIRED AGENCY: RECEIVED BY: INITIAL: DATE: Z UJ LU Y N D.E.P HUFSTETLER Cf Y N S.J.R.W.M. CARPER _ Y N ARMY CORPSof ENG CARPER Y N HOTELS&RESAURANTS HUFSTETLER APPLICATION STATUS CIRCLE ONE: SITE BUILDING DA AP REVIEWED BY: DATE: 1ST REV _ / _01 PLANNING 2ND REV 0 BUILDING ?IRE WOR S P I IES DEPT. PUBLIC SAFETY ® 3RD REV Return this form to the Building Department once you have entered your comments into the AS400. Z_ a_ w � Public Utilities —Distribution & Collection Initials: (� Date: L Project Name/Address: �� Dal�! 13�f Application/Permit#:�7 Check Box Application Tracking Comments' To Ad1 _ omYnent Avoid damage to underground water/sewer utilities. Verify vertical and horizontal ❑ location of utilities. Hand dig if necessary. If field coordination is needed, call 247- 5834. Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible. ❑ A sewer cleanout must be installed at the property line. Cleanout must be covered with ❑ an RTI concrete box with metal lid. Cleanout to be set to grade and visible. A reduced pressure zone backflow preventer must be installed if irrigation will be provided or if there is a private well on the property. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. Plans note the building will be unsprinkled. If plans change, any fire line installed must be metered with a Sensus touch-read meter in a properly sized vault and an appropriate ❑ backflow preventer installed. Backflow preventer must be tested by a certified tester and a copy of the results sent to Public Utilities. If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow ❑ requirements. At a minimum, will require double check backflow preventer. Fire lines must be metered with a Sensus touch-read meter. Meters larger than 2" must ❑ be installed in a vault as noted in 7EA specifications. F:\PIanReviewComments-PU-doc }, CITY OF ATLANTIC BEACH 800 SENIINOLE ROAD j � ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 t onIS);a Application Number . . . . . 03-00026139 Date 5/27/03 Property Address . . . . . . 128 OCEAN BLVD Tenant nbr, name . . . . . . REPLACE, 25YR, 3-TAB,GAFROY Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4000 Owner Contractor ------------------------ ------------------------ WADDINS, GARRETT SCHULTZ ROOFING 128 OCEAN BLVD. 216 N. 20TH STREET ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 249-8146 (904) 246-2315 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4000 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 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 OFFICIAL . CITY OF ATLANTIC BEACH PERMIT ..CALCULATION SHEET Address—as 0 Cc"_v'j Date Heated Square Footage $ mer sq ft ..= $ Garage/Shed $ zser .sq ft = $ Carport/Parch @ Per sq ft .= $ Deck @ $ ver sq ft = $ Patio �@ $ per sq ft = $ TOTAL VALUATION: S � �. $ 35 .Total Valuation 1st $ �eo� $ i 5 Remaining Value $6-.00 per thousand or portion thereof TOTAL BUILDING FEE $ 1/2 Filing Fee $ 'P,5 F.irepla.ces @ . $15. 00. $. BUILDING PERMIT FEE $ T- 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 $ OTHER $ GRAND .TOTAL DUE $ b ADDITIONAL PERMITS OR FEES : ,Mechanical ..Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well ; Sign Finish Floor Elevati.on Survey ; .Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD .: ATLANTIC BEACH,FLORIDA 32233-5445 Y TELEPHONE:(904)247-5800 FAX:(904)247-5805 SUNCOM:852-5800 http://ci.atlantic-beach.fl.us c f3 j PIAN REVIEW COMMENTS Permit Application Applicant: Q k L I f x ke) _S'� Address: 2.;? 00(-cc el 1-2'1 f Project: re ribo +� m/ Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date Mar 27 02 05: 53p Lt P- 2 J t Citv of Atlantic Beach • 800 Se -unole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 • FAX (904) 247-5805 • http:i;wwwlci.atlantic-beach.fl.us PERMIT APPLICATION FOR ROOFING JOB LOCATION 128 Ocean Boulevard O'W'NP:RO1 PROPERI'YGarrett D & Celeste Wadkin�ON'E4 249-8146 CONTRACTOR Douglas A. Schultz Schultz Roofing co . , Inc . CONTRACTOR ADDRESS 216 N 20th Street Jacksonville Beach , F1 . ZIP 32250 CONTRACTORS LICENSE NO.CCCO36989 PHONE 904-246-2315 SCOPE OF YORK DECK SLOPE^ CREATER THAN 2 : 12 ____-_ LESS THAN 2 : 12 ACTUAL VALUATION OF WORK S 4,000.00 _ MATERIAL TO BE USED_g,N R,v;rt; S6V er e_ q_q ! ASTM DESIGNATION�31�,I REQUIRED INSPECTIONS _ SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED YES NO WORKERS COMP. POLICE' SUPPLIED YES NO CONTRACTOR LICENSE SUPPLIED YES NO OCCUPATIONAL LICENSE,SUPPLIED YES NO r'Y SIGNATURE OF OW"TER X'�t' �'1-�� SIGNATUREOF CONTRACT, R S ROSALIND CLARK�D CLARK •` E ME THIS DAY OF 2003 'iin�'n"'• MY COMMISSION#DO 137721 �• EXPIRES:August 25,2006 A ThruN mryPobAoundenw m NOTARY PUBLIC AS TO CONTRACTOR NOTARY PUBLI ; . ROSALIND CLARK ,- MY COMMISSION#DD 137721 _ . i EXPIRES:August 25,2006 Banded Thni Pbmry PubBc Underwriters we . DEPARTMENT OF BUILDINQ 1 1 CITY OF ATLANTIC BEACH pis V PERMIT' ,INFORM TION LOCATION INFORMAT 014 1�it f4umb*1": 1,36161 ddl e _ -1281:'OCEAN BOIJLEVARD e mlt `YI .RIM l3 L.INE TLA��C BEACRo PLORILA 32233 S's 0f Nvik:ADDI'TION . _ _� � ' L'EGAL. DESCRIPTION don-strT r .Wt OD FIRMS -L6t' TwA, a Secti�at : S btisll! Rng: 0 '11�!'Oposed Ute: 3wel. i :. Su bdivfs ,crIATLANTIC BBC Est. V I 0.00 pro ..111501, Total Fe 30.00 mo�mtl 30.,00 -- ION �- F LICATION FEES �.��� 81 aCICIR PERMIT 30 R d PERMIT A 60 f� g y@ }may S✓ C �i'4 edia. S.�"+rp e p61d is 1n+ i �. .._ . C : R RMT 1014 mime** x � i ES, . } I : 4 � } i G NOTICEALL COWRETE PO MSAND FOOTINGS MUST BE.1NOPISI'OD SE0ORE POURING , i PERMIT V016'SIX MONTHS AFTER HATE Of ISSUE i 461LOING MATE IRI.,RUBBISH AND DEBRIS FROM THIS WORK MU$T.°NOT BEP PLACED IN PUBLIC SPACE,AND MUST BE k .EARED UP ANC!HAULED AWAY BY bTHEpilCONTRACTOR OR OWNER � ; ,4 1FA I=ItRE "TC► C M ..1� W1Ti TFfiE MECHANICS' . LAW:CAN 11LlL.T IN RR ? R"! d' Ir II FIA'YING TWICE P R BL;II�? it III�IPIwi V " NT$." i S1 D ACOOR, IhICa TO APRROVEO PL4ks WHICH BARE PART OE.THIS PERMIT'AND SUBJECT TU,Rgvlll ON`f0 ° Ti©N 4P°A ICABiE F'Rt1f1$IQNS OF LAW. . ' ; 'Otte: wvff it CIWCKS ATI:ANTIC,BEACH. UIL©MG MENT t �IIII x CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : cc to-s 4- Gr-6 hyy M 1A Address: M Oc c�_3 dr✓ &A t wf rc Phone: Lot # ft Block or Unit #y Subdivision: Contractor: Gt 1^ l GZ r✓C� r�— 1,1 S f 1^ 1 E' 111� '1� State License # Address: 1 rf Phone No: Describe work to be done: TI ` Present use of building: -,o d 5116`d 1 !2z Valuation of Proposed Construction: :5-0 Proposed use: Z I 0 1' 4?- k.S 2.A q A S i Is this an addition? If yes, what are the dimensions of the added space: O ft. X ft. Will the added area be heated and cooled?_ o — New electrical (or increase) ? /r� New plumbing fixturesj) New fireplace? /VVNew Heat/AC? 19 SUBMIT TXREE (CcM0RCIALJ TWO (RESIDENTIAL) CollipLETS SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMWCEMENT, AND OWNER/CONTRACTORIUAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: Signature CONTRACTOR: Date: AI License Supplied: CEIVED Liability Insurance: Vo Worker's Compensation Insurance: MAR 13 1997 City of Atlantic Beach 01 Building and Zoning CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address l/2l 10FD Date 3 • f 1 '� Heated Sauare Footage 0 4 $ O per sq � P= $ G a r a g hed 6> $ perA� f� I(S Carport/Porch O ® $ DI It r vft = $ Deck �' p r s e� •_ $ t k --- -- o Patio �8 $ 19per sq ft = S _ o TOTAL VALUATION :oft J S'p l S,". co Tota 01wgtion 1st $ �": c o S Remaining Value $ &'per thousand o.r portion thereof TOTAL BUILDING FEE $ �• �° + 1/2 Filing Fee $ /o_O m ( ) Fireplaces @ $15 . 00 $ 0 BUILDING PERMIT FEE $! 0.00 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP S ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ .3 0. 0 0 ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : AL CO.*, FLA. AS RECORDED IN PLAT BOOK -OF PUBLIC RECORDS OF DUV FOR. oll 314\ - '4 P 1) , \y )\\0 Q 17 I j i • 4: 4� A/07 /9 7-,l eX"1,v6 71,24n,4 71e , r ----------- ...... I HEREBY CERTIFY THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION `AND THERE ARE MW ENCROACHMENTS, 45 SCALE:-----, REGISTFnED SUIJVEYORJO. 520 FLA. Na 'u caw.Iv.ssoevn.0 soss�o ORDER NO.----.- V-19-97 Ot3:43AWAmnrtmPRw fw.G�.�r�u�► A 0.1 Phfts Hwy jadaKwm".FL 3=7 X70 ftw � FAX 4,,44,14H3 FACSIMILE E TRAIL SMITTAL DAM TO; L RECEIVED COMPANY' MAR 19 1997 TOTAL ♦ Of PAG"S City of Atlantic Beach 1110CLUo1MO G � r�►oE� Building and Zoning Pill- PAID MAR 2 11991 City of Atlantic Bch' Note,: T"69 AWOOOS041 rent by •ltclronAC tacerrnila ironlratsm," IM IAland90 4+14 rplrlClod far Me M4• Wt 11148 94411/94M44 00044, Tow MOS91140 0146Y e011t4110% reA1140061141 and priv:l**md IA1arltratllin, er9AtOl free+ f1woowrp 4Ad*1 hd- spot andler 41910 to., In Mrr •wnl 9Aolpri1 *gotten or 94n111y reoelgo the 19480Soda. She WOCip.901 i4 h9/eby rtoliNad lh9A &Ar► d19*9llltealiah, tr,tn9• o tele". 40I44ribblloA. of Y4601469110r+ it 1plomb11M0 to the •wool two ree99• 4109 is reeelwd by a PrrbeA Or snoly alher thaw 1>re 80Ms1110d reNlllowl ar IAe ra0401601'1 sea*$. of*Ace wanly W• by lulopth9eo. Cgiteel And rwtrrrw tntl AAtaely of the rMslove by US Mall zx9-srt1D5 2�"OCG. ko T/,RG"058. FLOOR, DECK G G A 5 1D5 SLY IP M ?�4 -fhO . � O�yy {/U 7'01"GLrVANG,ff D b TO FLOOR 2x4,f9"C,OLL.ff Tlt AMV2x't t . x 4 x - - J015T5 l2"OG. FLOOR PLAN FIAOR FRAMING ROOF FRAMING 5tLF -5PAUM5 10 5tf1AC 1/16 Zef BLV'r xt? 5lDlrltG OVtsYt1ANG G" G W#47"5 h4 ALU17lNtJ!t tflNG� -iN T 117 12xg M417t5 2x'`tDoor Iry � 48" 246 0OTTOJ7ML 2x4 ,o1571 KVN11vM5 LEFT SIDE ELEVATION FRONT ELEVATION FRONT WALL SECTION' S !O'x 12'r 8' 5TA 5MM VCAOW a, 9-11-x! 0 1005 Nomrtland Industries,Inc. ALI!Rlghis Rsssrvsd qr CRA ILS 5rflll'L`R 1�'f' r-o" Mar-19-97 08: 45A - P- 03 41 barber to to in RD 90 os equal, V.rs ;All Vlrm*d/plrwed �asesl4 e'1rr. to eoM�� to latest adw.Of �?! oleira. All e�e�aroo�lor�/laot� & too amend.to soot . ~Mw► �p2 ioable eeMe. . All IabW per all ,applieib2e !veal 00406 .4%000 "me to U ""A- fbr atm 00 & ee! ►r babi to tion* . + 't dowlatlen troy"`lbrtse plarro Faust app y t m ViiN IN XAT aaWVW "Jo to to •srtlf�r that tbo reel f"M $UP& o building as skew eo tug d"r#tC (Pot 14110 eitb u# sebee"d seal) rot.* tbo fellowAne dselgr erite�r* 149 (aw Plorida 'Adld w Code & $%A&64 J"IALU OOde Met. 9M.) vial ,lends of !?d SIM �ridlilnd a►!lI V!! lead !bs •Wo Ieada ■3 tti peo�t As an altexsatis $4 "t"I l ee �oberint 3' ft"I 3 ! eorr/i�rle leataet" no. of a as vr. st "Whrraroar be-.us". Vve arri"4 steel rtraj (+vin. tsrrrils �teen�tb 4.7 `sin. sabeMat . 2"� i� in aMfl4:ei/). 16% dM � 1�1 airar is first th"adei thri tbo '61it In bolt d as tho out if, tidfr te"Ods the strap WIMA ars"! ibe belt ohms uefa4 a1s'a!t eu-tifted drlrs=tised atoll strap+ nia.i+t 5110 •tr#Mth a 4750 Moat oohfoutvW to AM A 119.1 . 1Ibrrtr Anebers 3601tvin WO beliyr anobor, } nedsl l 225. manuf'ar#vred br "2 DR'llAtW"pRZW# Mete !t• - . .. :.� iij tti1 .: 111te'.`' 1 x 0 1 ficng • ,the "tie d/wrM. xi cha ". shorm" - �+�, .x 3010 '1`on; (4" single helix) I to .dam,. WWhari.� (,.ti h .eye at top) bolted to 4 z IrklQ�t .with:. /�"+►-x 4'! larg bolts Ci Mi;th wisher) thru F the- eye of andhors, 'cin be used.;., t . rw," 4Vivalent numberV •of th+�si' a► ho s rsgQ. shall be,. As •s�rin+rd per local codes eilct beet or exceed t�caPacitfaff tla corresponding;no. of a»chors mai ane ors to • located at '&- vin.! diatom* +r l.' how rkid t.s ands, squally spaced (i f rnpre than 4). Mar- 29-97 08: 45A P . 02 ' w000�vsstt � . r'I��t N� •OMD ��J—_ r'A`' T t] ANC 71.11 SioiN6 � "SEC' AV r r A Xis -evA/Ne ` N Mdn . .fl'• w 7'evhder !v. jhjW(rmn)p4p) T/B OO WW A n,C/rte''Ge i , A+trv, q: 5, 12'x 41 4 Miq. UP ro /9'v ZR e oy/*. 20 k l4 wr -5 TORA 6t.Z.. 46ell4tOING 5 ATS IV;rA ;rA CK ROOt) f f 4TlS ,,. runneVe rmerSO resp, .�-ICAVit' s ry Jli %r CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date 3 Owner's Name: /``� '�"' ��4�" Address: 1' Z Gc�ccOl+ �� IVO Well Address (if different than above): 6,✓yL e- Well Location on Property (i.e. northeast corner, etc.) 121d D vie'5 e Well Installation Contractor: G.ft/l/dltZ Contractor License No.: z, 7 Phone: FAX: Contractor Address:�j� �j� ��, � Check Use of Well: Domestic Irrigation/ Other Estimated- Well Depth: 3 G� Casing Depth:,7G-� Screen Interval fromJ6to- Well Diameter:_/ Casing Material �--� Is address currently connected to the City water system? Is address currently connected to the City sewer system? 6 Has a Well Permit been obtained from the City of Jacksonville? N Permit# Does the well require a permit from the St. Johns River Water Management District? (Not required for wells under 2-inches diameter installed by resident or wells under 6- inches diameter if installed by licensed well contractor). A02 If permit is required, note Permit Number and attach a copy. NOTE. WHENA WELL IS INSTALLED ON YOUR PROPERTY, YOUMUST INSTALL A REDUCED PRESSURE ZONE TYPE BACKFLOW PREVENTER ON THE CITY WATER SERVICE, ON THE CUSTOMER'S SIDE OF THE METER. THE BACKFLOW PREVENTER MUST BE TESTED BYA CERTIFIED TESTER ANDA COPY OF THE RESULTS SENT TO THE PUBLIC UTILITIES DEPARTMENT. CITY OF 4& /3444-14111 lad Office of Building Official REQUEST FOR INSPECTION ? Date �� ` 7 Permit No. �� ✓ Time A.M. Received P.M. o � Job Addre s Locality t Owner's / A ,t n Contractor Name DING CONCRETE ELECTRICAL PLUMBING MECHANICAL rammg 171 Footing C Rough Wiring — Rough Air Cond. & C Re Rooting C Slab C Temp Pole Top Out Heating Insulation C Lintel C Final Sewer C Fire Place ❑ Pre Fab READY FOR INSPECTION _` A.M. Mon. Tues/ 7Wed. Thur.. Friday P.M. Inspection Made 7 1 P.M. Inspector �` Final In pection Certificate o ccupancy C ���� Date CITY OF . /VO Per M I T �� y4��C�ssfic /3eacl:- f Office of Building ici REQUEST FOR INSPE ION Date ___ Permit No. Time Received Job Address g Locality Owner's 'AJC/ ,p� Name CR-��cli✓(i'7 Contractor ," --, BUILDING CONCRETE ELECTRICAL PLUMBIN MEC CAL Framing Footing F11 Rough Wiring I I RoughAir Cond `_' Re Roofing 11 Slab F1 Temp Pole I I Top Out Heating Insulation C1 Lintel ❑ Final F1 Sewer F' Fire Place F� READY FOR INSPECTION Pre Fab /' A.M. Mon. Tues. e Wed. Thurs. Friday M. ^/ A.M. Inspection Made �_I _______P.M. Inspector_ ��, - Final Inspection,`, l 'certificate of Occupancy a Date ---- -- I ` CITY OF 4&sALLC Be44134-&1(tiU*J4 �. Office of Building Official REQUEST FOR INSPECTION Date "_ Permit No. < C7 Time A.M. Received _ P.M. Jo fires ^ Locality n � i Owner's ) Name 7 on, BUILDING CONCRETE ELECTRICAL MBING MECHANICAL Framing r❑ Footing ❑ Rech kkiring- C Rough ❑ Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Insulation ❑ Lintel ❑ Final E Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday;- �Ru..--' � ! r A.M. Insoaction Made XtLP.M. Final Inspect I*ipector� �. _ � f Certificate of Occupancy L' �_ Date �- _-_-- LA I l F�OR10Q' OF ADDITIONSor CORRECTIONS D• NOT REMOVE JOB ADDRESS DATE .121 Cfof)0 6C010- THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted A10 to )i2t4 c in? F'1)--- C C)^3!DST r 0a I-IN/ _ I_FA ,<ItV 6 $15.00 REINSPECT FEE 41 It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath,earth or other material, until the proper inspector has had ample time of approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEc are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. BLDG DEPARTMENT OF WILDING- ''CITY ILDING CITY OF ATLANTIC SEAqtJ t - mkm I r i INFORMATION. LOCATION I NFORMAT ION in t Numbea�r;« 12201 Address: 228 OCEAN BnI3LLttARI3�� e rmi t 'Ty i' z MRCHA t I CAL ,A'TLANTi C BKACH #LOA I ISA 32233 ` of Wor SALT RA `-I`t N _ ___..--- L��A� RSCRI`PTION ,,. __---. --- str. Typ- *WOOD P'RUE B1o�ck:' Ldt 'TFtP: 0 ;op �sd �us � Sectkow 0 Subd«0 Rng 0 DWeiinc 1 Subdivision s;ATL TIC ,BEACH Att Value- 0 .00 IN OWNER��'MMEFOKMSW VV OWMEN CC? `� Cr .OQ; t ` .00,; 3tt '' .0 . AP } y/� �y 1�t @moi �y 10N, .. _ ....'.., �F' +t i.'aw 33t t: + w �-....rr+�.«.w.....�,. N ADKI N: X'' 37 .O C3 A W IVARY.� ph 77 x i NSE- AL,L ro it PC NGS MUST BE :I FORE POURING PEAMI�V0 SIX MONTHS AFTER GATE OF,ISSUE eurtrr+ro MATERIAL,RUBBISH AnrR:eEeRrs�1r.THrS wroRrc nntlsT IVUT 8 -prACEp IN PUBLIC SPACE,arae MUST BB LE ED UP ANO' , ULEd At+VAY Sl(t rTHFR CCINTRAC TaR t}ft t'�WI rER ' LY WVM,THE MECHANIC'$ IE LA CAN ESUL - �KH ARE PART OF THIS'`P�� r., W. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC 89ACN, FLORIDA 81930 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, 11. 111, and IV. 1. Street Addreu: ez, LOCATION Of laWsest;ay Streets: Between 1 ST And N WILDING Swb-divisiea 11. IDENTIFICATION -- To be completed by all applicants. I* consideration of permit given for doing the wort as described in this above statement we hereby agree to plrform said work in accordance Vitt, the a»actyd plans and specifications which are a port hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed theroia. ?leap of Lfachaaiaal [ Controetere C.08*04tar (hut) jy1 ON y Cck Y +! / / /Z master L'f�C 0 2-KOM* of Owaer �tJ� Q5f lAJOrA'ikf,n S s4isabre of Owner Signature of W Aarliwis»d Ageat ,� Architect or Inglaoer Its. G&*M INFOR"TKIPW J a betisy 11W. 8. IS OTNZR CONSTRUCTION •[{NQ DON[ON 610Cric THIS WILDIN0 an SITZ? Al O ❑ "-0 is ❑ Notvrel p C**W Utiitlr 1I YZS, CIVZ NUM111ZR 0►CONSTRUCTION ❑ Gi feZRMIT ❑ O*fw — Seoc+fy 1V. baCKA iIGAL BOUM AINT TO M plsi ALUM NATURE OR WORK (h*wW* to III k lid of conspe~%so bed of this fermi 0 Residential or ❑ commercial ?Nat ❑ Space ❑ RecossW JC Coated O fuer D New Building Air C NW*;eniag: Q Rams ,1'Coafrol ,�' Existing Building ❑ Dvc+ Sg+trm: Mata:al Tµe;SSIL.— .,, 1®' Riplacement of exlsting system Wasiavan cepedty CJAL O New Installation(No system prevlously Installed), ❑ IL044 "" O Extension or add-on to existing system D Other— Spsolty ❑ Coal" tow: Gpedly •ice ❑ FMr wnk{sre: Nemlsor of We&_ ❑ bs"sw ❑ M44ft O beafeTNI?WAM POR OPRM UTE ONLY 13 TW2 (Mt"sM►I ROMA$ ❑ LPG a..a..r..._._ 4otsmbal 1 D Weed d pr saws v"W [7 1-4.w ►enrtit ANswsr by ..r........ Dsfa.._...-..�. ❑ O* W— specify hnRit■-- ......_ urr ALL ZWPMENT AJS CO=TTONING AND REFRIGERATION EQW'IMW "W wr v9118 DweftUn Hodai Nua+bes IRs C>Mr) Cka G + n1 12— NCOh , /pNtr HEATING • FURNACES, AOILEM FkiF.11.ACZ "%WjbW y9dsa Deeetlt+Ftlon me"Irtt od"r >►RatllaR9etitrws Al-C �- i� 1 . oDo 1 V TAXIS >e.l. r Nowba capadty ea Now mne Na i DEPARTMENT OF BUILDING i CITY OF ATLANTIC BEACH 51 X ---- PERMIT INFORMATION -- - - LOCATION INFORMATION - P#rmit Number: 12189 Address 2 i' O LEAN- BOULEVARD „,Permit Ty 'es«ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 c of Work«ALTERA'TION -_-.,.I .� LEGAL DESCRIPTION ...��.----__4 Inst , TY «WOOD FRAMEBlock« Lot « Twp: { I rnpcss�d U*e,: SINGLE FAMILY Section** O Subd-« Rngr« Owellin0a« 4 Subdiv sion« Est . Valle: 0.00 rov 0 .00 Co Total Fe X25.0 ;,:Amount nat 2 .QA 00 4rW TTt}N --� APPLICATION FEES _ u_ Nim Atld rte', 1 EVARD FLORID IIA N « BA` O Lia TRIC S A JACKS N - 32250 kN i _ « ES. NOTICE,”—ALE.t�CRETS"000 �1 FDCTYIN MUSS'BE"PECTEN.�C►RE POURING 1 PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE i Bit#LCftNG MATERIAL, RUSSISN.AND DE S,FFiOM tHtS WORK MUST NOT BE PLAOE©iN PUBLIC SPACE,AND MUST BE t'XARE0 UP A HAULED AWAY BY EITHER"CONTRACTOR OR OWNER " A L# RE t10 PL`s THE EWA ' L LAW A RESULT IN w Pap NE A r�€TWICE Fa► �r r I D ACCORC ING TO APPROVEDP kNS WHICH ARE PART OF THIS PERM "� TION OF A PLICABLE 'I IVIS r AW., L 3" � ► 90, w ER - . ;. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT r TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_4_,_/� 19 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: MAVfff ELEC ICIAN SIGNATURE JOURNEYMAN NAME S - `L y ADDRESS: � . . X16 RFD BOX BLDG.SIZE BETWEEN: 1 RES.1 ) APT. ( ) COMM. ( ) PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE ( i REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV,SIZE AMPS PH !� W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 10.100 AMPS, OVER APPLIANCES BELL TRANSF. AIR N.P. RATING N.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT - r 0'1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA NO. IKVA NO.NEON TRANSF. [No. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN t 7 FORWARDED TOTAL FEES CITY OF AL'LTANTIC BEACH Q`. COMPLAINT MANAGEMENT SY->`L'L'M TAKEN (date/time) : Cs� �✓ _ COMPLAINANT: - Last Name First Name MI- ADDRESS: VD CITY/STATE/zip: TELEPHONE: COMPLAINT: go NO6?7 K _l�C�_. Q_(/ c�LS_ C11- f2�4�✓ LOCATION: PROPERTY OWN . PROPERTY OWNERS NAME: DEPnRTMENT FORWARDED TO: 'co 470dAv CO O-IL.AINT TAKEN BY: E div DATE/TIMI:: OFFICE USE ONLY IN'V'ESTIGATED: (date/time) _ 6�, _ ASSIGNED DEPT. /-DIVISION: _ /o�o� PRIORITY: INVESTIGATOR: CONDITIONS FOUND: A(-TION TAKEN: COMPLIANCE: NOTES: l� DEPARTMENT OF OUILDING' CITY OF ATLANTIC BEACH - . tPERMI,'t I NPORMAT ION �:..� . � ._ ------ �� LOCATION 'I NFORMAT I ON Pxi ttu► 8 6L'9Adtrs; 18 :OCEAN BOULEVARD -,,:Permit; ' WELL ATLANTIC SUCH, FLORIDA 32233 'Ciis of Work: NEW ------- LEGAL �ESCRIPTiON --- o .t r. ,Ty0e►: WOOS} E Lots..# Back.' Section: l�r(alr rigid a i UTILITY �s 'I`r����hi}p+} �y{.1 RNG: t� { C"`iC + .r f.ubdivi ", i ALTA �t 1 G+. BY2 . V*lxlez &t7»Q l Improv.. Cot : `: 'dotal $10.00 � ' W,40 »» TION -4,Ce APPLICATION FEES PERMIT $10.00 A«Are's BOULEVARD �b [� dPAC FEE' $Q 00v B CH,. 'LQRI E A CTAP` r RADON GA S�-R.R.S. $0.00 Q N 'OiT N EAL�C?Pt CA8 $0.00 BI1tel: IL3i1i3 V '"liL75 &� s yi1 .x.„ »...„ .,.,-... ...........,m... ».... SEWER TAP, S�.o L 4 Type: 7 SEC TI IMPACT PEE Y i W^: yttUINA' Y.+e'.x emi w.wcd.wacaawmakm�F +', 1 C E ATL. ." NOTES; y .r F 1 t NOTICE t ALL CONCR TE FORMS ANO FOOTINGS MUST BE INSP,,I*CTEb BEFORE t�OURI.NG i i, ; PERMIT VOID SIX MONTHS AFTER'DATE OF'ISSUE BU .D1IvG MATERIAL,RUBBISH AND DEBRIS FRQM THIS WORK MUST NOT BE PLACE©IN PUBLIC SPACE,AND MUST'BE CL"ORED UP AND"i AULED AWAY BY EITHER CONTRACTOR OR OWNER I ` A .URE ' " COMPL.V Wlfit THE MECHANICS' LEEN.LAW CAN RESULT IN TSE PRQ►PE tTY OWNER PAYI`I+�G TWICE FOA-EatlIL.C��;NQ'IMPROVE MENTS . F7 SUEa ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO"REVOCATION FOR VIf�.A6[ON OF APPLICABLE PROVISIONSOF LAW, ATL TPGwBEACH BUILDING DEPARTMENT. 711 / 4 (?fkol 0vam J { 1 � A.� uWMhI+F•. i b ..x a1s..1., ... _.. _ .. .. $? FI-1 $10.,10 APPLICATION FOR VA LL PERRIT CITY OF AT ANTIC BEAM PROPERTY 06M Nam: t/ Day Phane2 �' Address c ZiP3 r 3� APPLICANT. IF OMER UM OWNER Name: r/t '151 GL�� C��zc Day Phc . 7 Address: JOB Address or Location:, Legal Description: Is well to be used for drinking purposes? Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code. and who plans to use water from the permitted well for drinkingpurposes, must first obtain a bacteriological test report from.the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the buildingdeparAU=M Department Notes: I agree to comply with regulations stated herein: Sia,dawre Fate CITY OF Office of Building Official f �} REQUEST FOR INSPECTION Date ( ! Permit No. Time A.M, Received PM. Jo Addr� Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICALPLU MBING MECHANICAL Framing F-1Footing0 Rough Wiring ❑ Rough ❑ Air Gond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole C� Top Out ��'❑ Heating Insulation ❑ Lintel 11Final ❑ Sewer y� Fire Place ❑ X, Pre Fab READY FOR INSPECTION A.M, Mon. Tues. Wed. 1 Thur Friday P.M. v —; q– A.M. Inspection MadeP.M. Inspector_ r Final Inspection l Certificate of Occupancy Date DEPARTMENT OF BU�t DtN4 CITY OF ATLAN7iC®EACH ---- OCATION INFORMATIObi N, Addy s5 ; OCEAN, BOULEVARD ARI TypeISL M I I ATLANTIC BEACH, FLORIDA 3.233 ''LEGADESCA. ' 'IO ALTERATION Lo D IVE . , . . . rpq d x ItCLE 'ANTLTaRNC I' xa I Code:: 'ub.div�i slion:, A"I`LA�3'I I �RA�� j t " t aI ue . V)fal F` Amoix 4,44 k APPLICATION `EEE' . --- i INS I'ERI�IT BOLVARD �+tA'I" IMPACT FEEO 10 I. . , LORIL �� FEE A ' �. y� + y p� pyr �y �r py p^ s'.A.iw�`-PA's t7 ::7'"" .&'c�. i. 'RADbN, :CA0 5V FORNATT , C ° '' 'LO " I E CAI 'AL� Ii £ + tE, :, fly. A IA LLE EACtf`f, FL` YDRAIJLIC SHARE a y n x F E CONNECTION � SEC.,H IMPACT FE $0 ,1 ° y 5, �t h•' j 3 i NOTICE-ALLCONGRVTE FORMS AND FOOtING$MUST 8E"jNS0'ECfiED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE l IILD-ING:MATEF�IAL,RUBBISH AND,UEB8,18 FROM THIS WORK MUST�JOT.BE PLACED IN PUBLIC SPACE.AND MUST BE . : .EARED uP ANIS HAULED AWA' BY EITHER.CONTRACTOR'OR DINNER �AtLURE 'T£� COMPLY WITH THE MECHANICS' L.1EN LAW CAN RESULT IN RTY ' WN R PAYING TWICE F0WOUILDIIN IMPR© /EMENTS." r" AT k 31fA AOCORtSiN�a TO APPROVED PL WHICH ARE PART OF Tk PtRMI i`AND;SUBJECT TO AE1/OCATiQN FOR s LATdC31!t CSF AI�PLICABLE PROVISIOINIS OF LAW.. r At AP1�tC ,EACH#BtJILCIl1rC DFAARTIklE1T {t�t" t CTR. .. Anes iIETl a' T Z CITY OF ATLANTIC BEACH APPLICATION FOR JOB LOCATION---- lug /G�<'� ___ PLUMBING CONTRACTOR ----- LICENSE NUMBERS OWNER r- t4 ep le 14 BUILDING CONTRACTOR TYPE OF BUILDINGeSr dere?, SINKS SHOWERS LAVATORY __—WATER HEATERS -------BATH TUBS ---- DISHWASHERS ------------URINALS -------DISPOSALS --CLOSETS ING MACHINE ----FLOOR DRAINS OTHER -----TOTAL FIXTURE COUNT TN,�,`",A7,LATTn,' i)F PLUMBTNG, AND FIXTURES "ll'UST BE IN ACCORDANCE 1-' ITH ,F� I T�l T j i 'OST 7 EDITION OF THE SOUTHERN STA31�DAPD COI' CITY OF- �✓ 4&4rtic BeccA-0;Ar2tlu�a i� Office of Building Official REQUEST FOR INSPECTION /,�L/1•�//I Date / r �r Per No.__ / / Time A.M. Received P.M. District No. Job dress Locality Owner's / y Name Ch Contractor ..� 7 )77 �Gr Z BUILDING CONCRETE <tLECLWC PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ed.) Thurs. Friday P.M. Inspection Made /1^/6 A.M. P.M. Inspector Final lnspectiorL Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Arawa by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 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 IRM: MASTER ELECTRICIiN SIGNATUflE NAME _ADDRESS: � RFD BOX BLDG.SIZE BETWEEN: RE _ APT.( 1 COMM.( 1 PUBLIC( I INDUS.( 1 NOW( 1 OLD( 1 REW.I ADDITION ( 1 TRAILER ( 1" TEMP.l 1 SIGNS ( 1 SQ. FT, SERVICE: NEW I 1 INCREASE( 1 REPAID FEE DUCTOR SIZE AMPS �Q COPPERf I ALUM; TCH OR BREAKER AMPS PH W VOLT. RACEWAY 1ST.SERV.SIZE 5-Z?9 AMPS PH W OLT RACEWAY FEEDERS NO. SIZE_ IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31-100 AMPS. $WITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P. RATING NDITIONING, , 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. lKVA 'NO.NEON TRANSF. NO. VA, MA; MOTOR SIZE SWITCH FLASHEII EACH SIGN- FORWARDED S - TOTAL FEES 0