Permit 1158 Ocean Blvd (vault) CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET Routed to:
e�D.Hufstetlesi.3
S175—e-M
Building Department Public Works&Public Utilities Departments e
800 Seminole Road 1200 Sandpiper Lane rR.
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 q�gnia
(904)247-5800 (904)247-5834 Public Sa"e
(904)247-5845 Fax (904)247-5843 Fax
PLAN REVIEW COAMENTS
Permit Application# Qq- QQQ6Ja---
Property Address
Applicant: "r(-
Project:
T plication has been:
ed as noted by the Department.
Final application approval must come from the Building Department.
Reviewed and the following items need attention:
Please re-submit 2-copies of all revisions. Please re-submit your
revisions to the Department requesting them.
Building Dept, Public Works and Utility information at top of page,
failure to notify the correct department may delay your permit from
being issued.
Reviewed By: Date:
Date Contractor Notified:
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road,Atlantic Beach FL 32233
Office: (904)247-5826 * Fax: (904)247-5845
Job Address: I js� 0C eq Y) e )j Permit Number:
Legal Description 4o� 816Ck 4 Ait�,,Ic
Valuation of Work(Replacement Cost) $4106V.00
• Class of Work(Circle one): Addition Alteration Repair Move
• Use of existing/proposed structure(�) Commercial 4�e:s�
�Circle one):
• If an existing structure, is a fire sprinmer system installed? (Circle one)i: Yes " o) N/A
• Is approval of homeowner's association or other private entity required?(Circle oiii)- Y e s DN-6
Describe in detail the type of work to be performed:
�(O,+ oeck
Property Owner Information
Name:— 01 rc L11 kl M r I Address: f Ke 0(e.0 I V14
city , A4t6.k Re,,� State ELZip!��3PIione 47
Contractor Information:
Name of Company: Qualifying Agent:
Address: City State Zip
Office Phone Job Site/Contact Number
State Certification/Registration# Office Fax 4
Architect Name &Phone#
Engineer's Name &Phone#
A he e ade a n a do k din �a ind, a d, 1, 'th no 'rnn "a�tion has commenced prior to the
a " 0 0 8 e , sta
n' e m t rni'fie wor on s*t st " t'o ,, w'c t ji er t a'ti 0 *or"0 r. tio . Th's
ed t H ee the a d rd a e a in c r n n th 3 c) n , permit becomes null and
6 ionth,at any time after work is
si� n 0 r 0 uc or 0 Isdi
" 'i t n so 3rgd a e f,
c 0 is r t to 0" wi, r "�o ct n rw is'is end, a d
i d h k ,b er
p
I la ce a r it n wor e
I aces,_Boiers,Heaters,Tkinks andAir
-or I P, 0 S_d f
0 e t a 'o 2, e r Zectnea ork umbing, g n oss e S, 00 S,F
d wo k s'at co "ncd,,'thin 6 th 0 con tr
d. ",dersta'd that,p r tp""i t,""t be ec,, d
f
In e"e
Conditioners,etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
Jhere certty that Ihave r ead and examined this application and know the same to be true and correct. All provisions oflaws and ordinances govern!'�g this ppe
e
rtvill e complied with whether qpecifted herein or not. The granting ofapernzit does notpresuine to give authority to violate or cancel theprovisions oj any
0Zth'v,0,)ederal,state, or local law regulating construction or the pe�fbrtnance oj construction.
Signature of Property Owner: Signature of Contractor:
Sworn to and subscribed before me Sworn to and subscribed before me
this 14 Day of. -400-7 this—Day of
Notary Public:. Notary Public:
BRIAN CROOKE
SS10
my C()mmisS1QN#013 468692
my 6 009
S,September 2
ptember 6,2009
EXORESv se
DO NOT WRffF, BELOW TIBS LINE: OFFICE USE ONLY
Review Result(Circle one):
Approved Disapproved A roved w/Conditions Review Initials/Date:
Development Size q!!��
Habitable Space Non-Habitable Impervious area Total Area
Miscellaneous Information Conditions/Comments:
Occupancy Group
Type of Construction
Number of Stories
Zoning District
#Parldng Spaces
/A: 0g,;_,7,e
Max. Occupancyf—oa-0
Fire Sprinklers Required 20 -rt
Flood Zone
Revised 12/11/06
Special Information for OwnerABuilders
DISCLOSURE STATENiENT for Section 489.103(7),Florida Statutes:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS.
YOU HAVE APPLIED FOR A PERNTr UNDER AN EXENWTION TO THE LAW.
The exemption allows you as the owner ofyour property,to act as your own contractor even through you do not have
a license. You must sLipervise the construction yourself. You may build or improve a one-family or two-family
residence or a farm outbuilding. You may also build or improve a commercial building at a cost of$25,000 or less.
The building must be for your own use and occupancy. It may not be built for sale or lease. Ifyou sell or lease more
than one building you have built yourselfwithin one(1)year after the construction is complete,the law will presume
that you built it for sale or lease,which is a violation of this exemption. You may not hire an un-licensed person as
your contractor. Your construction must be done according to building codes and zoning regulations. It is your
responsibility to make sure that the people employed by you have licenses required by state law and by county or
pu�nicipal licensing ordinances.
In addition,the owner must super-vise construction and becomes liable and responsible for the employees he/she hires. This
responsibility includes,but may not be limited to:
1. Workers Compensation,for workers injured on the job.
2. Social Security Tax must be deducted from employee's wages and matched with owner's funds.
3. Federal Withholding.
Since owners must be liable for injuri to workers they hire,the Building Division suggests Workers Compensation
Insurance be purchased unless the homeowners insurance policy clearly protects the owner. Owners hiring workers
become employers and should also observe IRS withholding tax Form 1099 requirements on the workers they employ
on their improvement work.
Un-lic6nsed contractors cannot be gMployed under M circumstances. Owners are subject to a$5,000 penalty under
Florida Statute#455.288(l)instigated via Building Division citations. An OcoMational License is not adeVate. The
owner should physically see the county Certificate of Competency or the Florida Contractors Certificate to ascertain a
person is a licensed contractor. Telephone the building Division(247-5826�f in doubt.
I hereby acknowledge that I have read and understand all the above on this Day of, 7
W114— I/S�,
Owner guilder Signat6re Address
CA FL Fu4 Y\o 6
Print Name Telephone Number
STATE OF FLORIDA:
COUNTY OF DUVAL
%
Before me personally appeared to me well known to be the individual and
owner builder described in and who executed this instrument and severally acknowledged the execution thereofto be his own free
act and deed as such owner builder hereunto authorized.
_Jr
WITNESS my hand and official seal this_2_y`d_a'y of, atAtla c _ ounty and State aforesaid.
NOTAaY PUBkt�,STATEBD FLJ)RIDA
Print Name: cA
BRIAN CROOKE ?V.V,�MVffsSION EXPIRES:
MY COMMISSION#DD 468692 ad Personally Known
EXPIRES:Septeniber 6,2009 Ei Identification:
J\J
CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET Routed to:
-D.HufstetleC)
Building Department Public Works&Public Utilities Departments oe
800 Seminole Road 1200 Sandpiper Lane ar e
Atlantic Beach,Florida 32233 Atlantic Beach,Floxida 32233 c:::�. a uz�nl
(904)247-5800 (904)247-5834 Public Safety
(904)247-5845 Fax (904)247-5843 Fax
PLAN REVIEW COMMENTS
Permit Application# Qq - ,QQQ& t'A----
Property Address da 4(21" &Vd
Applicant: Addrc
Project: tfleleb /
This permit application has been:
�Approved as noted by the'2�0171)v"i Department.
Final application approval must co M m the Building Department.
'�Iro
Reviewed and the Mowing items need attention:
Please re-submit 2-copies of all revisions. Please re-submit your
revisions to the Department requesting them.
Building Dept, Public Works and Utility information at top of page,
failure to notify the o ct department may delay your permit from
being issued. 9 7 ' 1!7 0� N
Reviewed By: SZE PC,,, eXz-,X'-A— Date:
Date Contractor Notified:
CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET Routed to:
V) Zf
e D.HufstetLe
Building Department Public Works&Public Utilities Departments c�. o 6
800 Seminole Road 1200 Sandpiper Lane C�. arpe
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 a uzni
(904)247-5800 (904)247-5834 Public Safety
(904)247-5845 Fax (904)247-5843 Fax
PLAN REVILEW COMMENTS
Permit Application# Qq - DO Or, i a----
Property Address
Applicant:
Project:
This permit application has been.- 6-J
Approved as noted by 00 Department.
Final application approval must come from the Building Department.
ED Reviewed and the following items need attention:
Please re-submit 2-copies of all revisions. Please re-submit your
revisions to the Department requesting them.
Building Dept, Public Works and Utility information at top of page,
failure to notify the correct department may delay your permit from
being issued.z�-140�� k
Reviewed By:'�-��- Date: J'0
Date Contractor Notified: JAN 2 (i 2007
BOUNDARY SURVEY
of
LOT 4 BLOCK 44 ATLANTIC BEACH TOPOLUu i
AS RECORDED IN PLATAEFD 8" 6 PACE(S)_ I OF THE CURRENT PUBLIC RECORDS Of DUVAL COUNTY,FLORIDA INC .
AT�� !AC.PAR-1
A�H`T`o SgAr�PARKWAY ".Lw.4 OL00.3 PROFESSIONAL SURVEYORS & MAPPERS,
wr A OLMI,2 rft�I IS Pis a I
re 61 LAND PLANNERS
50-00
3938 SUNDrAX WAD. SUrfl 2.JACIMNYMA, PL32257
LOT 3 r, LOT 5 (904) SM-9MO/FAX SM-0307
'I RRRM CIZVY,That this map depicts the results of a field
tlon and compute with
LE3T 4 tr lxt=_Ty=M1*S11b=for Surveys, as
BLOCK 44 promulgated ny the PUAII&Stata,Board of professional Surveyors
and Mapp*M chapter 61617, Florida Administrative Code.
pursuant to Section 4Z!,W%=i� Statutes:Subject to all
notes and notatiow 8 wa
DATE TIJU)JO DATZ X"SIGNED
THURUM P. MG FLCERTIFICATION No 4424
NQU170N. This survey does not constitute a UU. search by
WOOD DECK- - Surveyor end therefore the un4 oeruftc*uon
0 rawd"a Information shovIn Pertaining to
t1ams, of saxemente, rijhts-of-way,setback lin",
b 0 line disputes, ap*ment*, reservations,
0 rs.w im =C=W"—dats, a orvhip UU* evidence, or say,other
wo
fatts that an&*cur* and current Ut]s warch may disclose,
38.3111' THIS SURVKY 13 FWARIM AND C=MFM FOR THE EXCLUSM USE
OF TUB CLMM NAMED REREON AM 73 NOT VAUD VNIESS IT BEARS
AN ORICINAL SIGNATUM AND AN RIMMED SMVEYORS SE&L
PREPAnD An CERTIMD TO&
STORY FRAME MARCUS A. FUNARI &
DAWN M. FUNARI
RES # I 1 58 w
Is
CERTIMD TO:
b
AMERICAN BROKERS CONDUIT
12.30' OLDREPUBLIC NATIONAL TITLE INS. oomp.
INTEORITY TITLE & ESCROW SERVICES, CORP.
T
T
F:
T
13 pRoj, No�: 06.1 259 SHEET I OF I
SCAL& 1'.20
F.D./PG(3): 82/58
DRAWN BY* B.N. CHECKED BY* T.B.K.
0 T 00.t], SEC. TWP- RNG.
C)o
50.00, F.I.R,W FLOOD ZON.E: I
OCEAN BLVD. ( 513 1 R/W COMMUNITY PANEL No.. 1 213077-13242 E
DATE OF F-J-11-1k INDEX: 08-15-09
ABEIRElUTIONS: CURVE DATA., SURM ANNOTATIONS: BASE FLOOD ELEVATION: NIA
A/C -AJR CONDIIJOHER -RPE H'-,DRANT PQ -PACE A -DEITA a _FNO_CCHC�MONUMENT (NO M) -NO iDENTIFICAITON I— —
ASPH. -A-'JWL I FHO, -FOUND P K -PARKER KALON NAk 0 -DECWE Of CURW R -SET CONC,MONUUMT --X--X---CHAIN IJW FENU No. REVISION
-POINT OF PECINNING -RADIUS 0 -FWD.IRON PIPE/ROD ---------VARE FENCE
11,11. -EIENCH MARK CAR, -GARAGE P'CZ). R DATE
S.R.L. -OLM RESTRICTION UWE Qw. -GUY WIRE P'G.C. -POINT or COMMENCEMENT I. -LENGTH OF ARC 0 -SET IRON PIPE/ROD -WOW FENCE
(C) -CALCUIATED HX -HEAD WALL IRL) -RAIIIAL UNI C -LENGTH Of CHORD -F"O.DRILL HOUEYCROSS --CV--CV--OVERHEAD CABLEVIS;ON
-!�X�LINE Le. _UCENSE BUSINESS ILL& -RECISTERED C8 _C"aw SEAM"V -SET DRILL Hoa/Ckm E_- _OVE;*wAD VxCTRC Pw
(M) -MILD MEASURED R/N -RIGHT-OF- Y T -LENGTH OF TANGENT _FN0_PX NAIL _10V541M TELEPHONE SERV.
M.K -MANHW SAN. -SANFTARY PC -PIOWT OF CURVATURE -SE7 PX NAP -POYAR ME(WOODXCONC.)
.,vi_ -MONUMENT SIP. -SCREE34M PORCH In -POINT OF INTERISECA% :FND,NAIL/WK
RECORD VOLUME T.8-0 -TEMPORARY 804CH MARK PT -POINT OF TANGENCY SET MAIL/VSK -=k)T180E=A'11.
7RA-i -TP.ANSFORWM PCC -POINT OF COMPOUND CURVATURE 4 -FN0,TRAV�POINT -CONCRETE
WD. _wDOD PRC -POINT OF REVERSE CURVATURE A -SET TRAVERSE POINT -ASPHALT
TER METER PN7 -PUNI OF MOR-TANGEN" W -FWD.R/W CCMC�MONLWENT
BOUNDARY SURVEY ACCURATE
Of
LOT 4 BLOCK 44 ATLANTIC BEACH TOPOLOGY
AS RECORDED IN PLAT DEED BOOK 6 PAGE(S) I OF THE CURRENT PUBLIC RECORDS Of DUVAL COUNW. FLORIDA INC .
.�. _. --.y
a Lcff 4 MM_ooK 3 PROFESSIONAL SURVEYORS & M"PERS,
ijirr A a—.2
-15 All IAND PIANNERS
0.2, 50.110'
!== .d K — ' 3938 SUNBEAM ROAD, SUITS 2, JACXSONVELIE. M3=57
LOT 3 I-d I.d 0 LOT 5
(904) 086-9366 / FAX 888-9387
'I HEREMY CERTIFY. That this map depicts the results of a field
*�ey made under my responsible directi- and compUes,with
LOT 4 the latest wim-um Technical Standards for Surveys. as
BLOCK 44 promulgated by the Florida State Board of professional Surcyo�
and Mappers, Chapter 61GI7. Florida Administrative Code:
Pur,iivant to Section 472.027,Florida Statut�, Subject to all
notes and notations shown hereon,'
12-1 5--0 6- 1 2-1 B-06
DATE F110Z WOUX DATE MAP SIGNED
THURMAN B. ENG MCERTIFICATION No 4424
NOTATION: This woo,.y d-. not constitute . UtI. search, by
WOOD DEr_—K_ - Svr�eyov and thereto" the undersigned makes; no certification
0 r
- "-rdi%information shown or not shown hereon pert-Int,g to
an cI.I_, of easemenbt, right-of-way. setback Unca,
0 0 =p. iov=d�y line disputes, agrve-*n* �."ationx,
r ct!
5.5, �e �atx. *�enervhfp title evidence, or any other
1- �fl facts that an accurate and crarrent tIU* search may di.cloee.
tn 3 R ___1 THIS SURVEY IS PRVARRD A"CERTIFIED FOR THE EXCLUSIVE USE
E4 0 OF THE CUIENT NAMIM HEREON AND 19 NOT VALID UNLESS IT BEARS
AN ORIGINAL SIOUTURE AND AN EMBOSSED SURVEYORS SEAL
El _0 1!,2 0 PREPARED AM CERTIFIED FOR.
STORY FRAME MARCUS A. FUNARI &
DAWN M. FUNARI
On RES # I 1 58 Mw
In <
CER77FUD TO.
b
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AMERICAN BROKERS CONDUIT
0. OLDREPUBLIC NATIONAL TITLE INS. comp.
INTEBRITY TITLE & ESCROW SERVICES, CORP.
T
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0
T ED U1
< PROJ. NO.: 0 6.1 2 5 9 SHEET I OF I
r! SCALE: 1:20
0 F.131./PG(s): 82/58
E Cq
ri
DRAWN BY: B.N. CHECKED BY: T.S.K.
o T I CIO.11' SEC. TWP. RNG.
40
5(3.0c), F.I.R.M. FLOOD ZONE: X.
0(::E:AN BLVD. ( 513' R/W comMUNITY PANEL No.: 1 20077-0242 E
DATE OF F-I-R-M. INDEX: OB-I 5-09
ABBREVIAnONS.- CURVE DATA.- SURVEY ANNOTATIONS: BASE FLOOD ELEVATION: N/,A
A/C -AIR CONDITIONER F.H. -nRE WDRANT PC, -PAGE & -DELTA 0 -FND-CONC.MONUMENT (NO I.D.) -NO IDE TIFICATION
ASPH. -ASPHALT FND. -FOUND P.K. -PARKER KALON HAIL D -DECREE OF CURVE 8 -SET CONQ MONUMENT --X--X---CHAIN MINK FENCE
a.m. -BENCH"ARK GAP -GMAGE POB. -POINT OF BEGINNING R _RADIUS 0 -FND-[RON PWE/`ROO ---------WE FENCE I No. REVISION DATE
ERDr 0 -SET IRON PIPE/ROD -WOOD FENCE
B.R.L _RESTRIC11ON LINE G-W. -GUY WRE P.0,C. -POINT OF COMMENCEMENT L -LENGTH OF ARC
(C) _C-LCuL,,TE. H.W. -HEAD WALL [RL) -RADIAL LINE C -UENGTH OF 04M -FRO.DRILL HOLE/CROSS --CV--CV--OVERHEAD CASUM90N
CA -CENTER LINE LB. _UCENSE BUSINESS R LS' -REGISTERED LAND SURVEYOR Ca CHORD BEA NG -SET DRILL HOLE/CROSS --E--E-- -OVEAtHEAD ELECTRIC PWR.
CONC _ -OF- -FWD_P.K.MAIL -ovERKEAD TELEPHONE SERv_
_ CONCRETE (M) -FIELD MEASURED R/W -RIGHT Y T LENGTH OF TANGENT
C.P. -COVERED PORCH M.H. -MANHOLE SAN. -SAMITARY PC -POINT Of CURVATURE -SET P.K.MAIL -POVOER POLE(WOODXCONC-)
C.P. _CCUNTY ROAD MON. -MONUMENT S.P. -SCREENED PORCH PI -POINT OF INTERSECTION 0 -FND_MAIL/DISK �.MET-XF
(D) -DEED O.R Y_ -OFFICI RECORD VOLUME T-B.M. -TEMPORARY BENCH MARK PT -POINT OF TANCENCY @ -SET MAIL/DtSK .==A.
DAL -DEED BOOK (P)_ -PLAT TRANS. -TRANSFORMER PCC -POINT OF COMPOUND CURVATURE " _FND_TRAVERSE POINT .1. -CONCRETE
F�B. -FIELD BOCK P.CY. -PERU.CONTROL POINT wo. _WDOD PRC -POINT OF REVERSE CURVATURE A -SET TRAVERSE PO4NT -ASPHALT
-WATER METER PHI -POINT OF NON-7AMCENCY 0 -FND.R/W CONC� MONUMENT
2
CITY OF ATLANTIC,BEACH
PLAN REVIEW SHEET Routed to:
D.Hufstetle
Building Department Public Works&Public Utilities Departments Be
r Ti A 800 Seminole Road 1200 Sandpiper Lane ar e
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 M
(904)247-5800 (904)247-5834 Public Safety
(904)247-5845 Fax (904)247-5843 Fax
PLAN REVIEEW COMMENTS
Permit Application# Qq - ,QQQCJQ---
Property Address dff SAM,
Applicant: mArc 1�aulq'
Project: / 7�1-ee
This permit application has been:
Approved as noted by the Department.
Final application approval must comLVfrom the Building Department.
F7 Reviewed and the following items need attention:
Please re-submit 2-copies of all revisions. Please re-submit your
revisions to the Department requesting them.
Building Dept, Public Works and Utility information at top of page,
failure to notify the correct department may delay your permit from
being issued. 4n 1 t I
Reviewed By: Date: il r z 1 7 - 'If I
Date Contractor Notified: JAN 2 6 2007
34
- '7 04
TIC BEAC+� :
OF AT
LAN
CTY
LOC LEVARD
jr,00MATION— MAN
PERK Dh
IT- 114 Address . '1158 OC'
164"0 A LANTICI Zk
T
t I Number
P ril�i t
t Type,*,' -------- ci ,$et Ion. ,
0
tkor k NEW ck* ING
ot
Lot 0,
WOOD FRAME, Township:—
t",0. st.r. Type';
SINGLE, FAMILY,
Posed Use- subdivision'
Code".
190t ;Aated 'Val u* e,:,
$6.00
Cott:
$22 -50
Total
$2`2 ' $0
11 9/93
A,
at
W111TV
r PAPER
#30 FPW
NL
APPLICATIO" nu,
gu,
ION 761
$22:.50
Or ...PERMIT
LTZ 'WATER imPACT $O.W
0ULEVARD" A $0 .,QO
KPA
PER
FLORIDA E
r WW
P
Af 9 RADON- OAS-9 OR S
h
0
$0.0
GAS, 5*
RADON. $040,911
WATER TAP
ER
so .00,
A"I h
SL, X TAP
$0 .00,
ItY DRAU L 1 00'-
CAPITA 114PROVE
$0
Type
ACT 'I
SEC
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...........
0 13OF I.POURING
INSPIECTE
IaTS FoI%MS AND FOOTINGS IIIIUST BE
-A L
L CONCR
N
�FTERPA .
HS TE OFEASSUf
PERMIT VOID SIX MONT A,
AND MUST BE
TBE PLACED-IN PUBLIC SPACE
IS FROM THIS WORK MUST NO
-BR
MATERIALI,AUBBISH AND Of OWNER
y BY11THER CONTRACTOR OR
b:Up ANq'HAULED AWA
AW CAN RESULTIN
V LIS K L
THEMECHANIC4
0 C PLYWITH,
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OW R -rW10E1:0fq SUILDIN
'E PAYING G ,
N
E ROPER
N FOR
CT To A OCATIO
EV
F THIS PERMIT AND SUB,E
kPPROVEor
T� PLANS WHICH ARE PART 0
1'jS$Qtb ACC NS OF LAW.
VIOLATI N �AP ABLE PR
0, Of OVISIO
TIW.-. 04 , ON
.50
T
YOH BUILDING DEPARTMEN
�,I_
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner( s ) :_Z2219-
--
Address: Phone:
Lot # Block or Unit # Subdivision
Contractor: (0 ojA)p r
Address:-Soo Z, "6, Phone:
State License No.
Describe work to be done:
Materials to be used:
7
Signature OWNER: Date:,-
Signature CONTRACTOR:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION
OWNER OF- PROPERTY-*-- J9 ------------------------
BUILDING CONTRACTORs-------------------------
-------------------
PLUMBiNd CONTRACTOR _16-PHY.-T.EAmmo C%r%rlr%
AND ADDRESS:
TELEPHONE NUMBERz -------
-------------
STATE LICENSE NO-. ---------------------------
TYPE OF BUILDING: ---- ----------- -------lk-------------
SINKS -------------SHOWERS
LAVATORY ----~--------WATER HEATERS
BATH TUBS ------------DISHWASHERS
URINALS -------------DISPOSALS
CLOSETS -------------WASHING MACHINE
FLOOR DRAINS -------------SNOWER PANS
------------
OTHER---------------
TOTAL FIXTURE %")UNT;--------- $3. 50 + $15. 00 -----------
---------------- ------------------------------------------------
INSTALLATION OF 'PLUMBIN(i 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
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number 02-00025364 Date 12/30/02
Property Address . . . . . . 1158 OCEAN BLVD
Tenant nbr, name . . . . . . REPLACE AIR HANDLER
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
CARRAWAY, CHRIS OCEAN STATE HEAT & AIR
1158 OCEAN BLVD. 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . valuation . . . . 0
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
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 AND 'ZONING NSPECTION DIYISION
CITY OF ATLANT1C BEACH
%TIAIMC 111ACH,nORIVA 39X33
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT—Applicant to complete al(items in sections 1, 11, 111, and IV.
LOCATION Street Addfo ist Sa rr-P 0'-n IN VH
OF Intersecting st,661, getwooRM ML USIA —Anj
BUILDING
-- I
11. IDENTIFICATION —To be completed by all applicants.
In consideration of pirmit given for doing the work as described In the 4isa,%0616mant we 1,oroby agree to perform wid work in accordant
with the atfachitcl plans 0,4 �pocificstioftt which are a port hereof and in accordance with 11,6 C;tY Of Jacksonviiie ordinances and stards7l
of goad.prectice listed th4mi..
Name,Of Mechanic ciarl
Cantreafer I Print)
61� 0& 'n
Name of
Property Owner 73
-TI-9--tare of Owner of
or Aviliethhad Agent 4 ArcWtact or Engineer
VRMV N'<-
III. crM9.11(l - tA�
I
A. Type of beet� 11-STRUCTION BEING DOME ON
Elect C THIS 9U`iLOINQ OR SITE?
Gas-0. Control Utility
oil IF YES, GIVE NUMBER OF CONSTRUCTICK
PERMIT
Other-Specify
IV. M*04�MMAL SPUIPIAINT TO 11 INSTAU10 NATURE OF WORK
(Provide complete 110 of compote ft on bed of this form) X Residenttall or 0 Commercial
)( "W 0 Spatte 0 K*Cftvw X Central a %W Now Building
C) Air ConWrIleming: C3 Room C Control Existing Building
Dv-� System. Materiel Thkinam.— Replacement of existing aystem
mazinmem capacity cj^ 0 Now Installation(No system previously Intstallr4)
C3 Itsid"re0cm 0 Extension or add-on to existing system
cawing a so c4paicity, Other-Specify
Fire spol"Mossa Number of healls
CI Ek"%t C3 M6811" C2 Iscasiew—friumber)
THIS SPACE FOR OMCS Un ONLY
Garsolline —(nvmb-I
Teak (Mo"bW) Remarks
LPG contielsors.—Iniambor)
Usliked psesm variant
Were Permit Apirtaveal by— Dote-------
Ott-W—Sixecifi, Permit Fee-
LIST ALL EQUIPMENT
AIR CONOITIONING A14D REFRIGERATION EQUWMENr
Q=ty A=
X11=111"Tialift Debarkruaft Ma"NUmber Xanusfassbuvr
MEATING-FURNACES, BOLLERS. P.MEPLACES A=
Nualber units Desearlpttan Xa4W NUmber XLnufaArtaw
(16 9)d'Rin C-!t I I f*7r) ILA)
TANKS
Bm many X=bjW X010114 at serw A vin
X=ty Types L40" P=
Corstestmeck mallat"17110,1141, No.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-0002-5393 Date 1/16/03
Property Address . . . . . . 1158 OCEAN BLVD
Tenant nbr, name . . . . . . REPAIR
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
CARRAWAY AMERICAN ELECTRICAL CTR
1158 OCEAN BLVD. 5065 ST.AUGUSTINE RD #3
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 737-7770
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total .00 . 00 . 00 . 00
Grand Total 70 . 00 70.00 . 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.
X
BIALDING OFFICIAL'
Building Department 904-247-5805 P. 1
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: a ry
IMPORTANT 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.
e- Z'
AM 6K1dqA- G-IECT00-11L OnA117. 92�
ELECTRICAL FIRM-, MASTER ELECTRICIAN SIGNATURE
NAME-f_�4 Q iA.)AJ ADDRESS; wr)p UI&-ta &Vn RFD_BOX_
SLOG.SIZE BETWEEN:
RES. (4 APT.I COMM. PUBLIC INDUS.( NEW OLD REW.j
ADDITION( ) TRAILER( TEMP.( 3 SIGNS ( ) —SCL FT.
SERVICrL NEW INCREASE( REPAIR(ef", FEE
CONDUCTOR SIZE AMPS COPPER f ALUMj
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZIE AMPS PH w VOLT RACEWAY
FEEDERS NO. SIZE 1140. size NO. -SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED a.100 AMPS.
APPLIA�
BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.,MOTOR OTHER MOTORS --AMPS CEIL HEAT-1 KW-HEAT
OVER
MOTORS H.P. f-, VOLTAGE pHs NO. I If-P- VOLTA7GS pHs
MISCELLANE0 JS
TRANSFORMER& UNDER 600 V. OVERGOOV.
NO. - -- I KVA NO-_ IKVA
NO.NEON TRANSF. NO. -eC--[ LASHER
EACH S;GNII MA. SWT H F
FORWARDED
S
T OTAL F
OTAL FEES
DEPARTMENT OF BUILDING
CITY
OF ATLANTIC BEACH
PERMIT INFORMATION ------
rnl, LOCATI Tin,,
It NUmber* 1,6320 ON INFOP)4A
Address .,
erml
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