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Permit 276 Ocean Blvd (vault) 000458 DEPARTMENT OF BUILDING k CITY OF ATLANTIC BEACH -- w PERIIrr TN{'o{{Mh•F7ou -- ------- :LOCATION INFORMATION rounat. Ilunwbs.•?t 458 Address: 276 OCEAN BLVD. Pex'mit Typ" E:LEC'i'RIC,AL ATLANTIC REACH, FLORIDA 32233 Claou of Work: REPAIR - LEGAL DESCRIPTION ---------- Constr. -- - -Constr. Type.- td;A Lot: Block: Section: P4 opr—)sed Ua : `-31111C;1-133 FAMILY Plat Boo.kb P,ayea, 0 I)wP1.l.trti(11a: 0 Subdivisions E13t imated Value- ----------- OWNER: INIrORMATION Improv. Co.nL : 4U. 00 flame r MARY BETH KOEKLAHU Total F'ts1420. 00 Addrea s 276 OCEAN BLVD. Arnc:riar:t 'tule3; ' $2C►.00 ATLANTIC'; BEACH, .FLORIDA :32233 Da tO-;Pa:Ld v: '4 I/M9- phone s (f404)246-4964 Wot{c : ,e1 ,3 i,` 1 t:,0Al3P , I PH, ;.1W, s 40VOL T, SFU RACEWAY REPLACF.0 BURN HE TCI? Luo ----- -CONTR'ACTOR(q) � _-w : �.w��� ' � �;��-- �A .1LICATION ,FEES. EARLY .>�,c.��,xRxc ��cir���,t��;�xtic. � � ,� ��Rrri $20. 00 WATER IMPACT FEE $0. 00u rj. r ` SEWER 1111PAUTp FEE $0.00 A;7 o: o6 ,. r . ,I: .n�1C� �,. RADON GAS 50. O(?73:� I.I[ .'� fl z , WATER ''M`At' $0. 00 t1f it SEWER-TAP $0. C?O IiYDRAULSC ;SHARE $0100 RE-INSPECT F S 40. 00 $0. Of-,ENGINEERINQ tt; ,�n M ti{"t' OTHER $O.p'n NOTES NOTICE ALL CONCRETE.FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF.ISSUE ' " J 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 MECHANIC.S'i 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. ATL NTIC BEACH BUILDING DEPARTMENT t P.. /I By -< NO. KVA NO. 1KVA -- NO.NEON TRAMP'. NO. V/4.' MA. MOTOR SIZE SWITCH FLASHE ACH;SIGN s FORWARDED TOTAL FEES fa ! I II CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 PLUMBING PERMIT T PERM ITINFOfMATION LOCATION INFORMATION I Permit Number: 21987 Address: 276 OCEAN BLVD Permit Type: PLUMBING KOCHLIN Class of Work: ADDITION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: -- lNIF` TION Date Issued: 5/17/2001 Name: MARY KOCHLIN Total Fees: 25.00 Address: 276 OCEAN BLVD. Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 5117/2001 "Phot• (000)000-0000 Work Desc: WELL PUIMP & HOSE I COI ► OR - ATION FEES WATSON MAINTENANCE SER_ ES IT , 25.00 00, ACL 5 , a ..;r' FINAL .. ;ki s NOTICE - iNSO,EC TIONS AST BE RtdUESTED AT LEAST 24 HOURS, RIOR TO INSPECTION ::] BUILDING MATERIAL, RUBBISH AND BRIS FROM THIS WORK NOT BE CED IN PUBLIC SPACE, AND MUST BE CLEARED A LED AWAY �- 'CONTRAeP ROR OWNER "FAILURE TO COMPLY WITH`-THE CONSTRUCT O LIEN / VAYL"ESULT IN THE PROPERTY OWNER PAYING nMM� bi2t 1 N ilii NTS ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. -} _-- AT NTIC CH BU LDING DEPT. kta: 5/21/9181 R.c.i a 0939231 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR cti. �`" '"': =' �': 'o•�- e�' '�1 .:,�. c— AND ADDRESS: TELEPHONE NUMBER: STATE LICENSE NO: 3 71 TYPE OF BUILDING: /�� =fa "" 'r:%• TYPE OF WORK: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3. 50 + $15.00 ---------------------------------------------------------------- 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 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 12/11/87 19 IMPORT ANT NOTICE: _.. - N 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, H THE ELECTRICAL REG WHICH ARE A PART HEREOF, AND IN`ACCORDANCE WITULATIONS, CODES AND CITY ATLANTIC BEACH ORDINANCES. 2 .R Electric ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE .> T { _. 7 O'Malley-30-al FstatP C`n_ ADDRESS: ?76 nrPan Rlvri `RFD - BOXY NAMEr LDG.SIZE BETWEENA APT.( 1 COMM.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( 1 OLD ( ►) REW.-17'1 SO. FT e►ODITION( 1 TRAILER l 1 TEMP.( 1 SIGNS ( ) 'w SERVICE:, NEW( 1 INCREASE( 1 REPAIR ( � ' > CONDUCTORSIZE AMPS COPPER ALUM. �� , s - . TCH OR BREAKER AMPS PH W VOLT RACEWAY *� E�JCIST:SERV.SIZE I'•S4 AMPS PH 3 W : VOLT RACEWAY a �PEEDERS= s�N0. SIZE NO.�� SIZE NO:� r 3 e "TOTAL �°rF ="e•,. ����'ik � ` < �` IGHTING OUTLETS CONCEALED` OPEN 1 CONCEALED OPEN ? :TOTAL .' iiECEPTACLES' - 0.90 AMPS. Si•100 AMPS. ixrg a"} SWITCHES r INCANDESCENT "FLIJORESCENT'&M.V. Z, 0.100 AMPS. OYER } Sr. r e 3aK ';F1XED, z M ';a � w � 4s `� * 'APPI:ANCES BELL TRANSF: a �� FAIR w H.P. RATING H.P. RATING "CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT "�d'*�t m OVER 4: 0.1,. 1 H.P. VOLTAGE PHSc � H.P. VOLTAGE PHS NO. MOTORS i MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA F ` NO:NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHE EACH SIGN F FORWARDED ; ,. S TOTAL PEES.' 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. LOCATION Street Address: OF I Intersecting Streets: Between PI�/� !/� And BUILDING Sub-division II. DENTIFICAT) N -To be completed by all applicants Lconsideration of(permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance th the ettacllgd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards 'good-practice li$ad therein. No " of Mechanical - Contra fors 4 i Con actor (Print) Muster /� / O N ` of f he rty Owner Sig .fun of Owner Signature of or Thor-ned Agent Architect or Engineer Ill.t QMERAL INFORMATION A' ;Type hating fuol{ B. IS OTHER CONSTRUCTION BEING DONE ON Hactr:e THIS BUILDING OR SITE? � ;3 Gas-O LP ❑ Natural ❑ Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION Oil PERMIT Other— Specify W.il$CHINAWAL SOMMENT TO It INSTALLED NATURE OF WORK vmvide comphite i�of components on beck of this foram) V—Residential or ❑ Commercial y Moat ❑ Space ❑ Recessed eMnf O Floor C3 Now Building Air Condrf'lenin9: 13Roo �ont al 1 ,3�,r�Exfsting Building Q/7L��N Syatem: MaNria Thieknau 9--Replacement of existing system maximum opacity ,Lr"�' , c,f,nn, ❑ New installation(No system previously installed) C'Refrigeration r ❑ Extension or add-on to existing system ❑ Other — Specify ❑ Coelialower# capacity q.p.m. Q Fire sprinkia#:j Number of hers Elevator ❑ Monlih ❑ Escalato (number) THIS SPACE POR OFFICE USE ONLY Q Gasoline pumps. (number) (RaaeMsf� Q Tam (number) Remarks ❑ LPG containors Inumbw) Qm Permit Approvedloo ❑ OIIW — Specify Permit s LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT App Number Unit o Dee0111VUon Modal Number Mututaeturer (Tons) AggWy !IDEATING FURNACES, BOILERS, FIREPLACES Cs�ac1 i plumber Vaits Desariptias Model Number YanuiBeltitbe (1�1'[J) A=s TANKS Row Manyt 00"ty Type Liquid Nam cc Serial Approving Contained Manutaaturw No. I CITY OF ATLANTIC BEACH i DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 ELECTRICAL PERMIT - -- ---_____--,-_ - --- - -.-_ ----_ -- - _PERMIT INFORMATION _ _ ____ LOCATION INFORMATION PermWNumber 20608 - - —7-Address: 276 OCEAN BOULEVARD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: INCREASE /EMERGENCY REPAIR) I Township. 0 Range: 0 Book. Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: _ Improv. Cost: OWNER INFORMATN Date Issued: 9/08/2000 ' Name: PROPERTY OWNER Total Fees: IRft $35.00 Address: 1201ZftfihftfXJMA1X76 Amount Paid: b $35.00 j ATLANTIC BEACH, FLORIDA 32233 _ Date Paid: 9/08/2000 Phone: (904)241-4131 - Work Desc ESS 150AMPS -- 2-00 AMPS 1PH 3W 240V/REPAIR AND SERVICE INCREASE CONTRACTORS) _ _ _ CONTRACTOR(S) APPLICATION FEES ADVANCED WIRING SERVICES, INC. PERMIT _ $35.00 xansW BILL GILLIAM — 744-4446 i I d S i i Inspections Required FINAL ELECTRIC --� C ► 1 1 � i NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND,SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. I SX.88 14 BUCKS 9/13AN 81 beeiptt BO7718� JNT_IC�IBEACH UILDIN PT. 88188883221888 CITY OF 800 SEMINOLE ROAD ATI,ANTIC BEACH, FLORIDA 32233-5445 TELEPHONE(904)24-11-5800 ,{ FAX(904) 247-5805 SUNCOM 852-5800 DATE JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re- Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved.- PERMIT NO. ADDRESS �n Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT DEPARTMENT OF BUILDING C1!)� II CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. 97 L f f PERMIT TO BUILD h f THIS PERMIT MUST BE POSTED ON JOB ; 030 T�^.r1pr..KT Date December 149 879295 onOrAr Valuation$ Fee$ 244.00 D• "11(07 1 P 01/14/8 1C? i 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 Air Enzineers RA0015188 `I has permission to build Heat/Air replace system �I Classification 1m"""V( Zone Owned byMaureen 0'Mail tsy Lot Block S/D House No. 276 XXIM CMIK Ocean 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 ,I AFTER DATE OF ISSUE —i �--- o Building material,rubbish and debris -Zi from this work must not be placed in public space, and must be cleared up a hauled away by either con- to or owner.. I &t ing Official. i i FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR ` PLUMBING I ELECTRICAL SEWER WATER i look CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE iEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, HICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF lTLANTIC BEACH ORDINANCES. r C �c co G ELECTRICAL FI M: MASTER EL RICIAli SIGNATURE JOURNEYMAN --= � AME�/9 �� wv,D ADDRESS:_-•<? RFD 80X LOG.SIZE BETWEEN: EES.( APT.( ) COMM.( ) PUBLIC( ) INDUS. (_) NEW( ) OLD( ) AEW.( ) �ODITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( 1 SO.FT, SERVICE NEW( ) INCREASE ( i REPAIR (J FEE i;ONDOCTOR SIZE AMPS COPPER 1 ALUM. iWITCH OR BREAKER AMPS PH W VOLT RACEWAY XIST.SERV.S' E AMPS PH WV->/O VOLT gjZP RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL ECEPTACLES CONCEALED OPEN TOTAL 0.80 AMPS: 91.100 AMPS. �WJTCHES NCANDESCENT LUORESCENT. M.V. FIXED 0.100 AMPS, OVER PPLIANCEs BELL TRANSF. IR H.P. RATING H.P. RATING ONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT g 0.1 OVER OTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS ISCELLANEO S , TRANSFORMS S: UNDER 600 V. OVER 600 V. 4� NO. KVA NO. IKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASIE 'EACH SIGN L - FORWARDED TOTAL FEES t � j May 16 01 11 : 36a Building Department 904-247-5805 p. 1 CITY OF ATLANTIC BEACH APP,LxCA ION .FOR P.Lmm PERMIT JOB LOCATION:OC OWNER OF PROPERTY: TELEPHONE NO. PLUMBING CONTRACTO�G"' CONTRACTOR' S ADDRESS: o el_kJ c AV STATE LICENSE NUMBER: TELEPHONE NOW NMY Or TIM FOLLOW_ING FIXTURES RE--PIPED OR NLnq SINKS SHOWERS LAVATORY ANTER HEATERS BATH TOSS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER. RE-PIPE (LXS}T FIXTURES BEING PIPED) j TOTAL FIXTURES: x $3.50 + $15.00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: "jg `INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION Off' THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 T00/TOO'a b6ET# Al' y2l uoslym D99ZLELb06 19:CT TOOZ,LT'AVW DEPARTMENT OF BUILDINQ .< . CITY OF ATLANTIC B�H �- I' SIT; INFORMATION � _... �,� .. . LOCATION IAIP't?Rt+lA� t tau it Addres w: 276 'OCEAN L BOU.LEVARO ' PLUMB NG ATLANTIC B LEA CH FLOItM as ofVdrk ALTERATION. - _--- LEGAL, DESCRIPTION on r , Type; WOOD FRAME Lot: Bl oak� �3� t j 6t Ir pio$' @ SINGLE FAMILY TawriS tip k NC: Q O i a9P I C d c�Ld r s cap w ATLI�NT I C S � ,, ue: Dt _00 tot 41 ees ; # b t ;llost- aid.- 04 4s Us ATI ON AtLICATIONFEES =nm 4T 5 A dz OULEV�RT1rWATER' IMPACT, FEE A CIK� ' H� FLORT ? 3 1 SZWER' IMPACT FEE C Y 00 9I WATER ME `IvR 'AP a R OfR.S,POI i BI `O CA 'N`AL IMPROVE $0 .00 A d TREET Ski TAS' $0 .0o i T C ACH FL ISA 3223 HYDRAULIC SHARE 50,00 Lc � HtNN�ItT . ._b.... i $ES:Ii IMPACT FEE $0 .00 N®1 CONST. SURCHARGE S: � t i � 1111` 1 `i NOTICE',4 ALL CONCRETE FORMS AND FOOTINGS MAST B>~INSPECTED BEFORE POURING 4 PERMIT VOID SIX MONTHS;AFTER DATE OF ISSUE BLf 01N4 MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT,SE:PLAQf 0,IN,,PUBLIC SPACE,AND MUST BE Rib UP`ANWHAULED AWAY BY EITHER CONTRACTOR OR OWNER k } r;1 j I.UF Ey1r 3 Ct' 14PLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN i 'OWN i Al PAY#NM TWI ■ Ot�,OU L�� 1 ��vr-MEN !Sr#i 415 E,A,ACCORDI TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANO SUBJECT TO REVOCATION FOR ATMOF AP ICASLE PROVISIONS OF LAW. �,-AYLA 0,13EACH BUILDING DEPARTMENT Ilrato^s CRYSTAL 4 Wa.Oa 111 00 �x � 0 1M Y: , Taal Pint ti 00i i CITYOF fY /9e _ ^9 Office of Building Official REQUEST FOR INSPECTION Date___ 6 -/7- / Permit No. � Time ! A.M. Lv Received Ci _P.M. e 1 % Jo ddrgss Locality Owner's Name _ Contract BUILDING CONCRETE ELECTRICAL PLUM i� MECHANICAL Framing Footing Ci Rough Wiring t; 13pu�M�' Ci Air Cond. & C Re Roofing C Slab ❑ Temp Pole F' Top Out CJ Heating Insulation C Lintel 1,11 Final C Sewer ❑ Fire Place 11Pre Fab READY FOR INSPECTION A.M. Mon. Tues. WedLx` Thurs. Friday P.M. Inspection Mads H Spector Final Inspection licate of cncy C 1 Date 6 CITY OF 900 SEMINOLE ROAD __ - --- ATLANTIC BEACH, FLORIDA 32233-5445 _ TELEPHONE(904)247-5800 FAX (904) 247-5805 - SUNCOM 852-5800 DATE1 JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 ,Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT r ITY OF O&NA:11gam-5744cd4 Office of Building Official REQUEST FOR INSPECTION Date / oma/ o / Permit No. Time A.M. Received �JR M District Na. 6L=T Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. ues. Wed. Thurs. Friday P.M. A.M. Inspection Made Inspector Final Inspection❑ Certificate of Occupancy Date 11,10M -www — BUILDING AND ZONING INSPECTION DIVISION c z CITY OF ATLANTIC BEACH, FLORIDA ? 0 co ELECTRICAL PERMIT a Date 321151 't Fee $" 20.08 Permit No. SM 0 W' Location 2011111111M Ibulovald in Between and This is to certify that a 1 L -%tom I'e (Electrical Contractor) (Master E vEtriician) ' has permission to install Electrical Construction as described"heiein in of "a - accordance with the provisions of the Electrical Code and regulations V r of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of this ?� permit. for wo Ae)Ci1111Ilmtr «' UJ Type of work: _ Old R"Iddatial p SERVICE: 1tZ11AX 1501111111111PS lPh 3W IIS/230MIt a r v, u Feeders: Outlets: O Receptacles: m Switches: to Incandescent: x t'- Fluorescent: Appliances; Air Conditioning: 34tolk ff..P. Motors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: MONTHS PERIOD, PERMIT Electrical Inspection Supervisor' BECOMES VOID.:- l . a; CITY OF rifttaael ve".4- Office of Building Official EOUEST FOR INSPECTION M Date ct2l ' Permit No. f Time A.M, Received P.M. � District No. Job Address f IpY Owner's Name Contractot•`( BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL / Framing ❑ Footing ❑ Rough Wiring ❑ Rough 411 t Air.Cond.& Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ READY FOR INSPECTION Pre Fab ,r* A.M. Mon. Tues. Wed Thurs. Friday r"ice A.M. Inspection Made Inspector Final Inspection❑ Certificate of Occupancy Date �� J (/�,JQ`�P V y E!F .� �'" , /. WCA- �Cvtsc�a Office of Building Off ic' REQUEST FOR INS CTION r.. Date ` Y Permit No. Time A.M. Received f Job Address Locality !/ Owner's Name ontract r BUILDING CONCRETE ELECTRICA PLUMBING MECHANICAL Framing ❑ Footing ❑ mng ❑ 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. Wed. (it�) Friday {/,,^�� Inspection Made P -- 3 . pector Final In�eo ion Q l er i icOccupancy ❑ Date CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT JOB LOCATION PERMIT# 276 OCEAN BLVD. SUBDIVISION 458 ATLANTIC BEACH, FLORIDA 32233 OWNER NAME PHONE MARY BETH KOEKLAND j�?P4}246-4964 LEGAL DESC: LOT BLOCK SECTION PERMIT CLASS OF WORK ELECTRICAL CONTRACTOR PROPOSED USE REPAIR z EARLY ELECTRIC COMPANY INC. SINGLE FAMILY w tg7 WORK DESCRIPTION f ESS, 15QAMPS, 1PH, 3W, 240VOLT�N INSPECTION REQUIRED I T ACEWAY REPLACED BURN METER LUi z i O 12fFINAL ELECTRIC AM DATE INSPECTED "� BY „ .Lys�,�...�� a� APPROVED REJECTED ❑ COMMENTS CITY OF z Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time / A.M. Received 4 P.M; �v2k �vcc.�- Job Ad70Ck " I,�cality,Owner'sName � Contractor `'��•../ BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ ❑ Air Cond. & ❑ Re Roofing ❑ Slab [,I Temp Pole F, Top Out FJ Heating Insulation f? "`"'CftiTeF- ' "^ ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. a es. `,j�� Wed. Thurs. Friday— P.M. A.M. Inspection Made Inspector Final Inspection ❑ 1 Certificate of Occupancy ❑ f �+ 7 Date PLANT/c F�1)R�pp OF ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS rl DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted iv Alar- a -PLP G 44 Lt j2nena� a 6 t $15.00 REINSPECT FEEL 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 G made, call 247-5826, Building Depart- Pl 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. CITY OF Q ,�� r�tla�cti� �eac( - jlGvuala f1 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 TELEPHONE (904)247-5800 ---'_ FAX(904)247-5805 SUNCOM 852-5800 DATE k-0 JEA Construction & Maintenance 2325 Emerson Street Jacksonville, FL 32207 Attention: Connie Re: Final Electrical Inspections Dear Connie: Final Inspections on the following locations have been completed and approved: PERMIT NO. ADDRESS Please call me at 904-247-5826 if you have any questions. Sincerely, ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. ���UI��t'.G� (w3 T +n4 Se�V�CG?S :int- �,a,�Gly i►1 ELECTRICAL FIRM: FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME._! ''C��'��'`��l ADDRESS: Z-74-06e-an MY(-( _ RFD BOX BLDG.SIZE BETWEEN: RES.1f APT. ( ) COMM.1 ) PUBLIC ( ) INDUS. ( 1 NEW( ) OLD (v REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP.1 ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( i REPAIR (� FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH ? W Z4VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS L4n2tNAe. SCrvioe T© hoK� W tZ, Aro t�,.�c ,wa L� s,ac C-46.11 Q� WCbI cvs G c2 rz4.4 013 rno%^ L�stt dti7cS0t ti ,eC TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAL FEES - ' PREPARED 7/17/03, 16:10:12 INSPECTION TICKET PAGE 11 CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/18/03 ------------------------------------------------------------------------------------------------ ADDRESS . : 276 OCEAN BLVD SUBDIV: TENANT, NBR: 1 FIXTURE/SEWER CONTRACTOR CHRISTY FIRST COAST PLUMBING PHONE (904) 247-4419 OWNER KOECHLIN, MARY BETH PHONE ; PARCEL - - - APPL NUMBER: 03-00026511 PLUMBING ONLY ------------------------------------------------------------------------------------------------ PERMIT: PLBG 00 PLUNBIRG PERMIT REQUESTED INS' DES RIPTION TYP/SQ COMPLETED RESULT RE LTS/COMMENTS ------------------------- ------- -------------------------------------------------------------- 45 01 7/18103 LJH -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �F?Jt1 '� Application Number . . . . . 08-00001272 Date 9/16/08 Property Address . . . . . . 276 OCEAN BLVD Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 cu lahu ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KOECHLIN, MARY BETH DONOVAN HEATING & AIR 276 OCEAN BLVD. 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/15/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 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 i 800 SEr180141OLE ROAD.ATLANTIC BEAM FL3?233 a OFFICE:M4PO-8826*FAX NQ490Q2 -SM _(I .: St-JILDING-TEPT us MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1:JOB ADDRESS- OC t a DDRESS:OCta rt (urc.Q DNC} Atlantic Beach FL 32233 O YES PERMIT#: —lam O 4.NAME. 5 ADDRESS IF DIFFERENT FROU JOB ADDRESS: PHONE: 517-HANrcaLcomwOrm 7,77 T.HAVE OF C OMPAW. IL ADDRESS,: or\OJurt --,P-T & 3(S- 9.STATE OF FLORIDA LICENSE NO: 10.CELL PHOFE: 1.FAX NO.: 3 ) 7J— L1Lv3 �i�to� 12.EMAIL ADOREW. 13.OFFICE PFS 14. 3`t �S- Application is hereby made to obtain a pem*to do the work and Installations as indicated. I ce ft#vA all work wN be permed to meet the sWftft of all{sols regulating car tion kI On jLxhxklion. This pema becomes nun and void if work is imt con nenced whNn six(6) morals,or if const ucdm or work is suspended or abandoned for a period of sur(6)morars at any time ager wok is convnenced. C ONrRACTORSSIGNAMURE: zz 15 CLASS?OF WORK:, t6:SURJMG: :SSE: i;l8 a�ODE 13 NEW INSTALLATION 0 NESiDENTiAL alva FLORIDA BUILDING CODE- 124EPLACEMENT OF EQSTM i NG 13 t oMME--RC1AL MECHANWAL ❑ALTERATION I A X)MON TO EXIST SYSTEM ❑REPAIR O OTHER .,;;..; tN:CNANtiCJItE(i�lIl31T - 19.HEAT: D SPACE D RECESSED CENTRAS. 0 FLOOR BURNERS: 20.AIR CONDITIONING• O ROOM 21.DUCT SYS : MATERIAL THICIOWSS: MAX CAPACITY: cfm 22.REFRIGERATION- MAX CAPACFM. afm 23.COOLING TOWER: CAPACITY: gpxn 24.FIRE SPRINKLER NLMABER.OF HEADS: 25.UFT SYSTEM- ELEVATOR MANUFT- ESCALATOR: AUTOUFT: 21L COMYERCU L HOOD NUM8R: 2T.FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: D PUMP DWELL D PIPING 29.GAS PIPING: #OF OUTLETS: D GAS AMI: O GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATM BOILERS,UNFTRIED PREMIREVESSEL,HIEN-TEKCHANSM OR COL IN DUCTS ETC. ALUE FOR OTFIER ITEMS- ., .J�i{�1RIGJ{lV.��VRM��• P f3 NUMBER IR APPROVING LF UNITS TION L40DEL# MANUFACTURER TONS AGENCY �'c� Gc sir 142 r1k ZC/m f 1`G v LiC - 3Z:HFA7ING`EQUIP II!ElIT:Nu RMAr-E& _ BOILERS FIREDAf FfAf S[3L EIS C APPROVING OF UNITS MODEL# MAWJFACTUFtER BTU AGENCY I YPE LIQUID APPROVING NUMBER GALLONS CONTAMED MANUFACTURER SERIAL# AGENCY COAG FORM BLDG03:REVISED:8M 3/2007 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001195 Date 9/03/08 Property Address . . . . . . 276 OCEAN BLVD Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 3 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KOECHLIN, MARY BETH CHRISTY FIRST COAST PLUMBING 276 OCEAN BLVD. P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 56 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/02/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56 . 00 56 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 56 . 00 56 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Sep 03 08 08:15a Brian D. Christy 9042494660 p.1 a97-s8 s CITY OF ATLANTIC BEACH PLUMBING PEitMT APPLICATION 976OwProperty Address: c976- Owner: ner: /a Telepbone A. o27Q rd��3 Contractor. &�� TeslephaDe#:( CoatratctorAddreaa• In caoa?daraiaa of parrot divan for"ft the work as da mibed in an above>ommem we hereby agree In pmfoma said work in aceordWM with the atteebad pia and apaMemiaets"hick are a part hereof and m awmdance with dx MY of Asloric Bacb ordiamoe aad standards of good pzaetioe liraed'tbaredn [naedW un of plumbing and asdm was be in aeeordam with*a most steer edition or ebo sa dom Stan"Plumbing Code_ Plumbing Type:: If odw moa is being data an this buRftg or sift, O Now list the building permit number: O Ae-Pipe Number of Fixtures: Bath Tubs showers Closets- Shower Pans Dish cabers _._.1._._ Sinim jdaAx --'--"' Diqxmids Urinals- Floor Drains Wasb g Machine a- LavatcKy; water Sewer Watex Heatters S4 " Other Fees Permit issains Fee: M.00 Total Factures: X 57.00 + S33.00 a soo SarNrwle Road•Atlarltm Bench,Florida 32233-5"5 Phone:MQ 247-6800. ft= 1804)2a.-OW. b tp:itwwwrci atlaafie-be -fL 2/r!4 X97-s(?Ys- CITY OF ATLANTIC BEACH � F PLUMBING PERMIT APPLICATION All Date: G Property Address: J7& 62o-�_ &jj-� Owner: Telephone#: 027Q Contractor. C Telephone#:aq?_q11 c Contractor Address: I.Fax#:a4 Co in consideration of permit given for doing thio 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. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type:• If other construction is being done on this building or site, ❑ Now list the building permit number. ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets• Shower Pans 1 Dishwashers Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters " Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road.Atlantic Beach,Florida 3223345445 Phone:(904)247-5800• Fax: (904)247-5845• httpJlwww.ci.atlantic-beach.fl.us Revised 1/04 r r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD 0 . m, ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Ji l Application Number . . . . . 05-00029616 Date 1/31/05 Property Address . . . . . . 276 OCEAN BLVD Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5149 Owner Contractor -- ---------------------- ------------------------ KOECHLIN, MARY BETH CHAMPION ROOFING SERVICE, INC. 276 OCEAN BLVD. 3734 SPRING PARK ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (9 04) 3 96-4 64 2 ----- --- ------- -------------------------- ----------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5149 Fee summary Charged Paid Credited Due -- --------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 k PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BU � f S rLA`f'r\ r CITY OF ATLANTIC BEACH `~ PERMIT CALCULATION ,SKEET Date � • 2�- .oS� Address �'•�- ©��-r,l � � Permit fee based on dollar evaluation as indicated on permit application. -Heated Square Footage @ S per sq ft= S Garage / Shed @ S per sq ft= S Carport / Porch @ S per sq ft= S Deck . @ S per sq ft= S Patio @ S per sq ft= S TOTAL VALUATION: S S ( 4-1�( 535.00 V, 51000.00 S 535.00 Total Valuation Remaining Value Per thousand or portion thereof. CONSTRUCTION TYPE: TOTAL BUILDING.FEE S G 0 ZONING: + '/z Filing Fee ' S 30 FLOOD ZONE: ( ) Fireplaces @ S35.00 S . LVIPERVIOUS SURFACE: BUILDING PERNUT FEE S WATER INIPACT FEE S SEWER IMPACT FEE S WATER IVI ETER/TAP S CAPITAL INIPROVENIENT S SEWER TAP S C ( )RADON HRS .0050 S SECTION H PAVING S CROSS CONNECTION S ST ( ) SURCHARGE S OTHER S fit-1a' fv� CITY OF ATLANTIC BEACH cc: BUILDING / ZONING DEPARTMENT D. Ford J r 800 Seminole Road S. Doerr ' Atlantic Beach,Florida 32233 Js3 ;� (904)247-5800 (904)247-5845 Fax €_ ; www.coab.us Ca d Y r ,' PLAN REVIEW COMMENTS JAN 27, `A Permit Application # Property Address: Z-7 �>y Applicant: 6 t ►J Project: ►2C-'�i This permit application has been: Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: !L?, A-5 FROM CHAMPION ROOFING FAX NO. : 904 396 5343 Jan. 27 2005 05:06PM P1 ............. I CITY OF ATLANTIC BEACH 902 L, e l N��' ROOFING PERMIT APPLICATION r-� Date- Job Address: t Owner of Property: Q r d-vk- Address: Q3L2 t7 mn Telephone: Contractor: 12k -S�taate License Number: Contractors Address: 3134 y ►% Qr k 1Qn ILS!/►(lf_ Ik-L 3 ZZD� Telephone: 3qu LI(PW,2- Fax: _ . q Cr�534 , S(c}opa of Work: 2e mn� 'y(1 t r6a `�►'1 t TQ jh�" d -� �.�f 1�t 10�P�a �n T �'.IrCn (_,fit Sit C df. r Deck Slope: `t Z Greaten than 2:12 Less than 2:12 Valuation of work: d) 5 1 09 -b Product Name(Example:Timberline): T►MX`I L r1 P V(Z Manufacturer(Example:GAF): 17- ASTM-Designation(s): . Required Inspections: 5t� g,and F' Signature of Owrser: T date: Signature of Contractor: Date- AS TO OWNER Sworn to and subscribed before me this day of Zo( - State of Florida,County of Duval Notary's-Signatur NM�ct w ersooally known of Cam"""nOM27 Produced identification tv eta June 06.209Y Type of identi8eatiea produced AS TO CONTRACTOR: Sworn to and subscribed before ate this day State of Florida,County of Duval . Notary's Si nature: 04 ersonally known My CAnuaiwion t10�Ot27 E] Produced identification %4V t3oi mi'mos nor Type of identification produced 800 Seoslsok Read •Adande Reacts,Florida 32233-5445 Telepboue: (904)247-SM •FAX: (904)247-5545 •kup://www.cLatlantic-beacb.tl.w Fags 1 ne"adWIM -�j'�11�1 flys CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026511 Date 7/17/03 Property Address . . . . . . 276 OCEAN BLVD Tenant nbr, name . . . . . . 1 FIXTURE/SEWER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor --------------- --------- ------- ----------------- KOECHLIN, MARY BETH CHRISTY FIRST COAST PLUMBING 276 OCEAN BLVD. P .O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 -------------------------------------------------------- -------------------- Permit . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL D CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION ort as Date: 71 C © 3 Job Address: a 7 (e Owner of Property: 61v 2 C 06 n Telephone: )70 -- 0�J' Plumbing Contractor: / S Contractor's Address: t'0. S0 C411, 10 Telephone: 9 y 7- 1f 1-// 9 Fax: a V9-- V (�O State License Number: cl r- C 0 5-V It y How many of the following fixtures(re-piped or new): Sinks Showers Water Lavatory Water Heaters Hose Bib Bathtubs Dishwashers Sewer Urinals Disposals Other Closets Washing Machine Shower Pans Floor Drains Re-Pipe(List fixtures being re-piped) Total Fixtures: x $7.00 + $35.00 — (Minimum Permit Fee:$35.00) 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 800 Seminole Road.Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800. Fax: (904)247-5845. http://www.cLatlantic-beach.fl.us An.i—I MAIM