Permit 392 Ocean Blvd (vault) BUILDING AND ZONING NSPECTION DIYISION
CITY OF ATLANTIC BEACH
ATLANTIC 119ACH,FLORIDA 3AX33
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT—Applicant to complete all items in sictions 1, 11, 111, and IV,
Street Addrasss
LZICATION
OF Intersecting strooll: jetoea And
BUILDING
sull-glivillon
r1l. IDENTIFICATION—To be completed by all applicants.
it"co�sldsireflon of permit 91"n for doinq the work as described In the*6ov*slatorntnt we hetaby aqese; to perform said work in accordance
with the ottachod plans and specifications which are a part hereof and In accordance with the City of Jacksonville ordiwanc*#and standards
of qood.prmctico listed therein.
Name a'modham'441 H Contractors (filco-97 61 '�
c..,,.Gt.(FI.fl Matter
Naoss,of
FreFerty Owner
s"04ture of Owner of
Amiltorlasnil Agent, it
Arch,act at Engineer
III. GENIRAL,INO!M!tTION
Ty"of hoat"I: B. 15 OTHER C014STRUCTION BEING COME Off
THIS BUILDING OR SITE?
C3 gm-0. LF (3 Natvral ".hrolufflity
If YES. GIVE NUMBER OF C004SYRUCTION
C3 09 PERMIT
0 Other—Specify,
IV.msc"�NMAL SQUIPMeff To IN INSTALLEO NATURE OF WORK
Ilarevillor complete list of components 40 back of All fer"I &—Residential or 0 Commercial
&- Heat 13 Space 0 Iteconsed M"&ntfa'l 0 now 0 Now Building
13 Air Consirthealavi 93 Reason, D Cootral 0 Existing Building
Systoms lvlaferlssl---� Thlcksn@%L-�— 0 Replacement of existing system
mealronsm callogily a-'Now Installation(No system previously InstalleQ
13 W,40-ti- ED Extension or add-on to existing system
(3 coollaq 0 0 capsidly 141^ C3 Othor—Specify
13 Rms wripmers: Numbew of Isseell,
E3 awho, a Monlift 13 Eacalefor—Inumber) YNIS VACS 001 OFF=UM ONLY
C3.G000lloo Pumpe..—Ino-bor) lRess,10641
Remarks
(3 LPG conkloors--lauffiller)
Permil Approw" Do
i3 Miller—'$P-Wfr Formit Fee-
1�111rr ALL XQUIPMENT
AOL C0fWM0N1i4G AND RIMCISRATION EQUVUEXr cq"ty AVV-0 bkg
Numbw u1sits Domalou- No"Winabor (TOMI, AgIM7
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CITY OF
4Z&a& Awz4-49&
Office of Building Official
REQUEST FOR INSPECTION
Date -3 9 ,-x Permit No.
Time A.M.
Received RM.
CCA A) 6 -C- L/
Job Address Locality
Owner's (,<-- WN
Name Contractor
<�l U I L D�IN G CONCRETE ELECTRICAL PLIJIMBING MECHANICAL
Framing 7 Footing F"r Rough Wiring E Rough 0 Air Cond� & 11.
Re Roofing Slab El Temp Pole [-j Top Out —i,� Heating
Insulation Lintel E Final [I Sewer [I Fire Place 11
Pre Fab
READY FOR INSPECTION A.M.
Mon. T, we Friday—PM.
C
Inspection Made Rw-
Final Inspection F,
inspectoi— --- Certificate of Occupancy E,
Date
CITY OF
Ile ;&Td
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Timew A,M-
Received RM.
Job Address Locality
Owner's
Name
BUILDING CONCRETE _6-ELECTRICAL PLUMBING MECHAN`ICAL
Framing 7 Footing L, A�dUqh Wiring"'' Rough El Air Cond.&
Re Rooting E, Slab D Temp Pole 17 Top Out El Heating
Insulation f] Lintel
Final E Sewer D Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. 6i�7id-ly---, r,.M.
A.M.
Inspection Made PM�
Final Inspection
inspector—_
Certificate of Occupancy C
Date
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL PERMIT .
17
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19(1
IMP013TANT 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.
C-11 _u
ELECTRICAL FIRM: MAS-0ER EL&TRICIAN SIGNATURE JOURNEYMAN
Zq
NAME DILL k tA ____�A/DDRESS: (3 RFD_BOX
BLD'G.SIZE FPk)V\,;L,!g R-e- BETWEEN:
I
RES.(X) APT. ( COMM. PUBLIC INDUSJ NEW( OLDPO REW.
ADDITION ( ) TRAILER ( TEMP. ( SIGNS ( ) _SO. FT.
SERVICE: NEW INCREASE ( REPAIR ( FEE
CONDUCTOR SIZE AMPS COPPER ALUMJ
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE -210 CD AMPS PH-t 3W ZL/aOLT Se-U RACEWAY
FEEDERS . NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS. 31-100 !tmps.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. ov
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. I VOLTAGE PHS NO. I II.P. VOLTAGE PHS
MISCELLANEOUS
cx� (-o r\ck
.TRANSFORMERS: UNDER 600 V. OV�R 600 V.
NO.- I KVA I NO. lKVA
NO.NEON TRANSF. NO. VA. Im MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES
CITY OF ATLANTIC BEACH, FLORIDA
F-Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMP013TANT NOTICE:
I 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.
All Se-s-vile Ele6rric
ELECTRICAL FIRM: MASTER ELELTnICIAN SIGNATURE JOURNEYMAN
NAME j2U-0 Cff— _ADDR 39--1 cot-calpi _(fid RFD—BOX -
BLDG.SIZE BETWEEN: S-rr_,ea_f * qr& S-rree7-
RES.(4 APT. ( COMM. PUBLIC INDUSA' NEW( OLD (v� REW.
ADDITION ( TRAILER ( TEMP. SIGNS SO. FT.
SERVICE: NEW( INCREASE ( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ( ALUMJ
SWITCH OR BREAKER AMPS PH I Wl VOLT RACEWAY
EXIST.SERV.SIZE 1.00 AMPS PHT3 W -2y(DVOLT Q5 RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES --IONCEALED OPEN TOTAL
0.30 31-100 AMP
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES i I 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. I VOLTAGE PHS NO. I II.P. VOLTAGE PHS
77
MISCELLANEOUS ;A-f e- �le sz,ae C)r er 1/;,c c.
.TRANSFORMERS: UNDER 600 V. 1 OVER 600 V.
NO.' K-VA IKVA
NO.NEON TRANSF. NO. VA. MOTOR SIZE SWITC
EACH SIGN
FORWARDED
TOTAL FEES
$201.
A
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RAMqO.FORM 409
FLA. It67 LAWS
FS 713.13
OTM 4P
'"Ofilre Of (EMT
VpCpAnx to
nts will be, do, to certain real
me ma
The undersigned hereby informs all concerned that Improve
property, and in accordance with section 713.13 of the Florida Statutes, thelollowinq Information
is stated in this NOTICE OF COMMENCEMENT.
..............
Description of property........ ...................�.4..
............................................................. .................. ................................... ............................
..........I.............................................. ....................................
...................................................................................................
. ..............I....................................................I........................I...........I........................................................................ .......................I.............
General description of improvements..............
.............I............... .......I......I...............................
................................. ..................................I...............................I................................. .......I........................-I............................................
........................................I.................................I.........I.............................. .................................................................................................
........... .........;.,f ........... A
Owner...... .... ....... ...................I..............................................I........................................
................... .............. ...........................
Address..................................................
1-,6 6i,)6...................................................................................
Owner's interest in site of the improvement............................L:l........I.......
fee Simple Title holder (if other than owner)
Name.................................................................................................................................................... .............
................ 771....Pi...................
Address.................................................................. ......................... ..................................................... ....... �.......
Contractor................. .......... T
....................................................
L
Address ...... .11............. 7��f Al
......................................
-7
Surety (if any)...............................................................................................................
Address.......................................................................... --- ----
Name of pamn vAhIn dw State of Florida designated by.
owroer %�=i, �"Y
be served.
Name..........................................
Address......................... ........................... ..................................................... .......................
........... ............
In addition to himself, owner designates the following persori to rewive a copy of,;he I-lenor4 Notice
as provided In Section 713.13(1) (F), Florida Statutim (Fill In it'Ownees optlon�7�
Name....:........................................................
................................... - -------------
Address... ...................................................................................................... . . ...... ...........
THIS 6PAC4 FOR ItICCOROCR-0 U*jL,0KL.V
st
DENISE WARP
wary Ptac,State d Ploods
my Cwm
t:
Swciorw before 1W Ln
2
CITY OF ATTjMTIC BEACH PERMIT CALCULATION SHEET
Address S) 2- C "i IS e, L.,C)
Date tl- tq - t�
Heated Square Footage $ er sq ft =
Garage/Shed @ $ er sq ft =
u1i I
Carport/Porch @ per sq ft =
Deck S(I @ per sq ft =
Patio bp A per sq ft =
TOTAL VALUATION: $
Total Valuation Ist S
-��>4/
jC00 $ 120
L
Remaining Value S6. per thousand
or portion thereof
TOTAL BUILDING FEE
+ 1/2 Filing Pee &-7 SV
Fireplaces @ $15.00 —0
BUILDING PERMIT FEE
WATER IMPACT FEE
SEWER IMPACT FEE
WATER METER/TAP
CAPITAL IMPROVEMENT
SEWER TAP
) RADON (HRS) .0045
) RADON (CAB) .0005
SECTION H PAVING
HYDRAULIC SHARES
CROSS CONNECTION
) SURCHARGE .0050
OTHER $
GRAND TOTAL DUE $ 2)
ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing
Electric/New_________�Electric/Temp_;SwimmingPool
Septic Tank ; Well Sign_Finish Floor Elevation
Survey other_
CALCULATIONS and/or NOTES:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
j 'n
Owner(s ) :_
Address : -Phone : �30
Lot # 0 Block or Unit # Subdivision:
Contractor : c)n ru c-+ n
Address :241 A+ ) C Phone No : 24� I
Describe work to be done:
001e ( I'n 0 c V-(41�v) ?0i
Dfa 0 vi
6C .�2e-S ? jfv-)+� 6Z
Present use of building :_
Valuation of Proposed Construction: C60
Proposed use:__.__
is this �n addition? If yes , what are the dimensions of
the added space:_ ft . X ft . Will the added area
be heated and cooled? New electrical (or increase) ?
New plumbing fixtures?_ New fireplace?__New Heat/AC?._----,—
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY ,
ENERGY CODE FORMS , NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Sign.;4.4re OWNER:- Date :
CONTRACTOR : C Date :
J
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A 0 -7(7
CITY OF
BeacA_0;&%iJ4
Office of Building Official
REQUEST FOR INSPECTION
Date— Permit No.
Time -Z/- --A.M-I
Received P.M.
Jo A dress Locality
Owner's
N'ame actor
BUILDING CONCRETE ELEJ RI CAL PLUMBING MECHANICAL
Framing 011 Footing 11 Ao—ug—t�—Wiring Fj Rough Ej Air Cond. & El
Re Roofing E] Slab Ej Temp Pole F] Top Out 0 Heating
Insulation El Lintel D Final
Sewer F] Fire Place 11
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Thurs. Friday P.M.
C!!�� :L(i
A.M,
Inspection Made --PM.
Inspector Final InspectiorIX
'17 Certificate of Occupancy F�
5�0—,La � ao Date
q po
CITY OF
Aeacl%-
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Time A.M,
Received e2i?.M.
Job Ad r s s a ity
Owner's
Name Contractor�
BUILDING tC6N E CT RICAL LUMBING MECHANICAL
Framing ugh Wiring Fi Rough
Re Roofing Air Cond. &
D Slab Temp Pole F-', Top Out
Heating
Insulation C Lintel Final F-
Sewer Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. ri ay
inspection Made P M,
Inspection
Inspector 'fi F i n a I
Certificate of Occupancy
Date
P.01
BEACH, FLORIDA
CITY OF ATLANTIC
A 'V3LjCAy1om 7011 ELICYRICAL P111MIT
To YIIr C)UrT r.I.ECTRICAL tmVr.CY(3"-. DA'Tf:_— 0 0,
NOTICI':
IN CONS]IMIATION 01' ITIMIT CtVfN I'l)II I)OING TIM WOAK AS DESCMDED IN TIIE,rOLLOWING, WE
HrIKIly 11.1:11C.L 10 111,1111,011hi SAID W011st 114 ACCORDANCE Willi lilt Ar7AC#tCO PLANS AND SPECtFICAIIONS,
V41111,11 All'A I'Artr 1111117.01'.AND IN ACCORDA1,11;V 111C I:LrCI'IIICAI,ItEC.ULATIONS.CODES AND CITY Of
AYi,ATIC:3*I-.A(:II 01101-NANCI'S.
ALL L", Ave,
1:111t.l: 1.1"Mil"I 11 _tA ON/M MUHNEYfAA
MAI.' Ic _N_�
c 6Lvo-
519 1z 0 Al
RFD—DOX—
ill.Vc.CIZZ: —tirTINCEN: CtQ�-j en;T- Q10PSf
U".1-k) APT.I I cor.*%t I I PWIUCL�`) I.NDUS. NEW I OLD A F.W.
-mAll.r.11 I I YUM1.I SICNC I I SO.r-T.
ccI,lv,.4X: rJUAIV I I 1111.1'Ain I I FEE
1) JCTC!I�IYC Io AMPS
CQPPCP(_j AUI (A)
1xi 0
t,ygyr.c i q I,.it it rk t(r.i i ou. RACFWAY-
AMPS I'll IN -.—BACEWAY
ro VOLT
gpwlls tin. Efyi: clyfl.
-FL;
COVICII'Al.61) OprN TOTAL
C(1N(:r'AtX.Q OPEN TOTAL
1:1.001CUC�'NT 8,M.V.
nELL TAANSr.
All'I I.P.I I A1 11,10 11.1'.IlAY11,10
1(110N(l (T)LIP,IAOTOIl oyllcil Ivloy0IIs AMPS CEI!�.IICAT�-, XMIUAT
ovill
VOLYAOF NO. 111.11. VOLTA011- pils
11st.A N S r 0,_?i I 2.).N..O.r-11 0 1)0 V, V.
No. KVA No. 1KVA
NO.lJ(.0N YiIANSV. Nu. A. AL. , MOT011 alzl:. SWIT01 stien
E I
AC I SWN
FOnWAIADED
TOTAL F15ES
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247_5826-Fax: 247-5877
ELECTRICAL PERMIT
IRE= C61CA Tl N11,13,
Permit Number: 20917 Address: 392 OCEAN BOULEVARD
Permit Type: EtEC;T�AL(YV—e-k ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lot(s): 6 Block: 2 Section:0
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost:
Date Issued: 11/07/2000 Name: DAVID AND SARA DEFIKIN
Total Fees: 51.00 Address: 392 OCEAN BOULEVARD
Amount Paid: 51.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 11/07/2000 Phone: (904)241-1639
Work Desc: 5i i 1: Ell
HUXHAM HEATING &AIR PERMIT 51.00
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 REVOCATIO:])N
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date: 11/e8/00 01 Receipt: 9?09221
CHECKS 6104
AQNcT—IC—BEAC� B - LDING PT. 00100003221000