Permit 865 Ocean Blvd (vault) CITY OF
4&ak'c Beac;4-0;&sA&
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Rec * d RM
�;2 A,
Job Address Locality
Name )�-16*110
Owner's [---"'(, ary\A
Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 11 Rough Wiring Ej Rough C Air Cond. & D
Re Roofing 11 Slab 11 Temp Pole 11 Top Out 11 Heating
Insulation El Lintel D Final D Sewer 11 Fire Place 0
Pre Fab
READY FOR INSPECTION
A.K
Mon. Tues. Wed. Thurs. Friday-P.M,
A.M.
Inspection Made -P.M.
Inspector Final Inspection D
certiticat e of Occupancy Ej
4
Q6 CITY OF
Yq&4x,&-c BeacA-AM
Office of Building Official
.0� REQUEST FOR INSPECTION
<1 0
Date Permit No.
Time A.M.
Received P,M.
t73 U
n 4,�— 0 vd–,
Job Address Locality
Owner's (— 0 S I
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING ):�MECHANI
Framing 0 Footing El Rough Wiring 0 Rough
Re Roofing 0 Slab 0 Temp Pole F-1 Top Out
Insulation El Lintel P Final EJ Sewer F�re I'll El
F,b
READY FOR INSPECTION
Wed. Thurs. Friday RM.
A.M.
inspection Made - �, I P.M.
Inspector uK Final lnspeclio�<
Certificate of Occupancy
Date
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 02-00025062 Date 10/23/02
Property Address . . . . . . 865 OCEAN BLVD
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0 -
Owner Contra"ctor
------------------------ ------------------------
CLELAND, PATRICIA AIR ENGINEERS INC
865 OCEAN BLVD. 10947 BEACH BLVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 641-2333
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . REPLACE. EXISTING HVAC
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----- - ---- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total , . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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.
ink
BUILDING OFFICIAL
--RIC MUST NOT BE PEA=IN FLJB0C757AUh,
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WO
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.
Zoo..
7
BUIMING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date: 3 —,7, 1/
Property Address: 5�_ t5 6 Z-14 13 Z ,1,12 .
Owner: Zfq 7-,,L L!:�:. 4 C- Z Telephone#: -zlze
Contractor: /9 _5710 < Telephone#: 2'3 2,
,4
Contractor Address: 'Fax#: LteLo,,
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.
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,
o ,"e list the building permit number:
UK Re-Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
3 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 32233-5446
Phone: (904) 247-6800- Fax: (904)247-5845- http:ltwww.ci.atiantic-beach.fl.us
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
-7
Date Permit No.. ......
Time A.M.
Received PM. District No.
r
Job ress Locality
Owner's�,
Narr Contractor
BUILDI�G CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 1:1 Footing 1-1 Rough Wiring 0 Rough 0 Air.Cond.& El
Re Roofing E Stab E Temp Pole 0 Top Out E Heating
Lintel E Final Z---' Sewer Fire Place El
READY FOR INSPECTION Pre Fab A.M.
Mon. Tues Wed. Thurs. Friday-PM.
inspection Made /-) - 2 -?7 --69
Inspector 61 Final Inspection
Certificate of Occupancy
Date
CITY OF ATLANTIC BEACH, FLORIDA
-1 APPLICATION FOR ILICTRICAL PIRMIT
Approwd by
TO THE CHIEF ELECTRICAL INSPECTOR: DATE
IMPORTANT NOTICE: 7
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN T14E FOLLOWINGO 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: MASTiR EgECTRICIAN SIgNATURE JOURNEYMAN
NAME /Alf I"d-4—ADDRESS: N�W!Qfml" &,(I)RFD—BOX—
Raw
BLDG.SIZE BETWEEN:
REL%00#*'oAPT. COMM.( I PUBLIC( I INDUS.I I NEW 4#000� OLD( I REW.I I
ADDITION TRAILER ( TEMPA SIGNS ( SQ. FT.
SERVICE: NEW(0000"INCREASE REPAIR FEE
CONDUCTOR SIZE AMPS COPPER If ALUM.jfokg!!<
W LT
SWITCH OR BREAKER AMPS PH RACEWAY
T-
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
PEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMM 31-100 AM
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
OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
M19MLEXNEO'US
ZRANSFORMERS, V.
UNDER 600 V. OVER 600
NO. I KVA I I NO. lKVA
140.NEON TRANSF. VA. .[MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
$
TOTAL FEE]
CITY OF
4&aakc AeacA-0;&V-44
Office of Building Official
REQUEST FOR INSPECTION
" G--)D
0�7
Date— 91--v Permit No.
Time A.M.
Received P M District No.
0/-
WS- tra,
Job Address Locality
Owner's
Nam Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing 0 RoughWiring Rough Air.Cond.&
Re Roofing E) Stab 0 Temp Pole U, Top Out Heating
Untel 0 Final 0 Fire Piece 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. (FW,—rl,. P.M.
inspection Made
Inspector Final Inspection 0
Certl ficate of Occupancy
Date
CITY OF ATLANTIC BEACH, FLORIDA
!! -5
App owd by APPLICATION FOR ELECTRICAL PERMIT
(orl
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:n 1 .4 1 q..v-I
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR 60ING 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 ELEC rICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: -H ERELECTRICWN919'NATURE JOURNEYMAN
NAME-��I -L�---&-- /DDRESS--9�6 QCJQ��29AA±-RFD-Box-
BLDG.SIZE BETWEEN:
RES. APTA COMM.( PUBLIC INDUS. N E WA) OLD( REW.
ADDITION ( TRAILER ( TEMPA SIGNS ( I SO. FT.
SERVICE: NEW( INCREASE ( REPAIR ( FEE
CONDUCTOR SIZE AMPS )Ckj' COPPER f I ALUMAA
SINITCH OR BREAKER AMPS PH ?) W Z--�OVOLT ('QDWkRACEWAY jo-0
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE I NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN- TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
0.30 AM S. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT 6 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. I H.P. VOLTAGE PHS
MISCMXNEOUS
TRANSFORMERS: UNDER 600 V. OVER SW V.
NO. KVA NO. lKVA
NO.NEON TRANSF. VA. MOTOR SIZE SWITCH I FLASHER
EACH SIGN MA.
FORWARDED
$
TOTAL FEES
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
7
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028860 Date 8/16/04
Property Address . . . . . . 865 OCEAN BLVD
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 10300
Owner Contractor
------------------------ ------------------------
CLELAND, PATRICIA AlA ROOFING CO. , INC.
86S OCEAN BLVD. 48 W 6TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH, FL
ATLANTIC BEACH FL 32233
(904) 249-6999
----------------------------------------------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 128 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 10300
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 128 . 00 128 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 128 . 00 128 . 00 . 00 . 00
PERMT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
BUILDING OFFICIAL
Cc:
CITY OF ATLANTIC BEACH D. Ford
BUILDING / ZONING DEPARTMENT
S. Doerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application # (,:no
Cc C'A'
(2
Property Address.
Applicant:
Project:
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:JJ4- Date:
CITY OF ATLANTIC BEACH
PERMIT CALCULATION SHEET
Date
Address
Permit fee based on dollar evaluation as indicated on permit application.
Heated Square Footage @ $ per sq ft S
Garage/Shed @ S per sq ft
Carport Porch @ S per sq ft
Deck @ S per sq ft
Patio @ S per sq ft
TOTAL VALUATION:
$35.00 1,, $1000.00 S $35.00
Total Valuation
9 SG�D- " $ 5, $
Remaining Value Per thousand or
portion thereof-
CONSTRUCTION TYPE: TOTAL BUILDING FEE $
ZONING: + '/2 Filing Fee ' $ -
FLOOD ZONE: Fireplaces @ $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERI�GT FEE $
WATER 11"PACT FEE
SEWER EMPACT FEE
WATER MIETER/TAP S
CAPITAL E"PROVEMMNT S
SEWER TAP $
C ( )RADON HRS .0050 S
SECTION H PAVING $
CROSS CONNECTION $
ST ( ) SURCHARGE S
OTHER S
GRAND TOTAL DUE $ t-Z-9,.
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: /0—
Job Address: V iL
Owner of Property 4-4/t/
Address: T(:,, S- 0 C C—IqAj CV4 - Telephone: 1�61(/-c) 1-/ -7
Contractor: 41 0,,�) ft'11S State LicenseNumber: CCC_
. U
Contractor's Address:
`�qc
Telephone: , C�, Fax: S Ayv%(2
Scope of Work: z C
Deck Slope: Greater than 2:12 Less than 2:12.
Valuation of work: 10 -,2,00-0 o
Product Name(Example: Timberline):
Manufacturer(Example: GAF):
ASTM Designation(s): 0 - :3 16'_,;�-1 1 ------
Required Insptions: Sheat 'ng a)id Final L
Signature of 0 LtV —Date: 0_0
Signature of Contractor: Date:
AS TO OWNER:
Sworn to and subscribed before me this day of 0 20 e��
State of Florida,County of Duval /t Notary's Signature:
#0 N& HoWn R Wilson
W Commission DD142431 F-1 Personally known
Expkes August 15,2006 Produced identification
Type of identification produced F4,yt0(q_ ,N-t1;c6
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 20
State of Florida,County of Duval
Notary's Signature:
EMENNIFER SCHLUETER
C MW7
AS7
DO 121301 Personally known
6
772 6
my comwAISS�ON#DO 121301
XPIRES.may 2 W Produced identification
Thu N P�', ndrrer�]
EXPiRES:May 27,2006
d - 02
E1 Bwded Thru Notary PL&C Und—mars Type of identification produced W2-0
800 Seminole Road Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us
Page I Revised 2/21/03
v.1,rdif tratr of (Orrupattry
CITY OF
ma &4A- %Gi&
j9ppartmPut of Vid1bitto Atopprtion
This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building construction or use. For the following
Use Classification
-Bldg.Permit No
_2��� �(- I � i, il
Group--Type Construction Firc District—t, _4.�!�
T
T
Owner of Building —Address
Building Address- �0�J 1 r
L.C.1ity
By:
Building Official Date;
POST IN CONSPICUOUS P"C11
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTlC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested : December 3, 1987
Building Contractor: Carlson and Company
Building Permit Number: 8428
Address : 865 Ocean Boulevard
Legal Description : A Part of Hotel Reservation
Improvements to the above described property have been completed
in accordance with the terms of the permit and is certified to be
ready for occupancy as
Mu 1 t i E.�gEij y
Lowest Floor Elevation: XXXXX ---
required as built n/a
Sales Tax Certificate:
date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: 4BY
Fire Chief 12 7
Public Works 12L31 7
L
---- .......
Planning Director 12LVL7
Building Inspector /2/87
CIT Y OF ATLANTIC BEACH
800 SEARNOLE ROAD
ATLAT-MC BEACH,FL 32233
INSPEMON PHONE LWE 247-5826
Application Number . . . . . 06-00033990 Date 10/04/06
Property Address . . . . . . 865 OCEAN BLVD
Application type description RESIDENTIAL ADD/RENOVATE/ALTER
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 4770
----------------------------------------------------------------------------
Application desc
HURRICANE SHUTTERS
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
CLELAND HIGHTOWER GEOTECHNICAL SERVICE
865 OCEAN BLVD. ROBERT D. GAMMIE
ATLANTIC BEACH FL 32233 P. 0. BOX 330466
ATLANTIC BEACH FL 32233
(904) 246-9934
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT
Additional desc
Permit Fee . . . . 55. 00 Plan Check Fee 27 .50
Issue Date . . . . Valuation . . . . 4770
Expiration Date . . 4/02/07
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 55.00 55.00 .00 . 00
Plan Check Total 27.50 27.50 . 00 . 00
Grand Total 82 -50 82 .50 . 00 .00
PERMT IS"PROVED ONLY IN ACCORDANCE WrM ALL CYfY OF A71ANIIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES,
N011(Z OF COMMENCEMEW
Tax Folio No.
Stec Of
COUW of___Q U V A-
To Whom ft may Qwcv=
you dot bVwvwwn"vn-R be
Ila undersip"bareby bdi I ,=a&10 catda Md pwputy.&ad in mcmimm wfth Sectim 713 of
the Fladft StatIfts.*0 fDlbWft h&nmdm is Adod in 08 N011M OF COMAMNCEUMT-
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vocifilw.
TEUS SPACZ MR MXMM'S USK 014LY
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Doc#2W6336827,OR BK 13544 Page 3965, wpnn I '1 91-1 �0 1 - -
Number Pages:1 pft WONRY Kuoww S at
Filed&Remded OW2&WW at 03:47 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING$10.00 8"M,Ad 3110
CITY OF ATLANTIC BEACH
PLAN REVIEW SHEET �Rqu -
2--
.Mako
Mako
. iaoins
Building Department Public Works&Public Utilities Departments . iggins
800 Seminole Road 1200 Sandpiper Lane S. Doerr
Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 R. Carper
(904)247-5800 (904)247-5834 D. Kaluzniak
(904)247-5845 Fax (904)247-5843 Fax Public Safety
PLAN REVIEW CONMENTS
Permit Application# 6 6 - -'33�q D
Property Address: e
Applicant: A e-
Project: 11kro'L41�-P-9
This permit application has been:
Approved as noted by the Department.
Final application approval must come from the Building Department.
Reviewed and the following items need attention:
'4 i7 irt
Please re-submit your appligi0ion when these items have been completed.
Reviewed By: Date: Z—z xq 6
Date Contractor Notiried:
CITY OF ATLANTIC BEACH
WINDOWS,SKMGHTSs GARAGE DOORS,HURRICANE
Enill Date:
Please submit(2)wnplete seft of plans with application.
JobAddmss: f Cce,-,,.; --JIM,cl, N R:,!
ownw. (0 C4 le-k A".4
Addrem- A Gyj Phone:
IAGal Descriptiow. Block Number-. Lot Numbw. ZoningDishict
Coaftaw. ML 1LP-9-J0-- StafeL=mNumber
- � Ge-ot",4-i
Addrem- ':51r::) VA,-dL4 1f. Phone,
.
2.-L 13 2 04 -')-1 -5 7--4 4
Citr I L- P7e4-(.L Suft:-FL- ZhM -, FM q
Dcscn*be proposed use and work to be done: v f,r ' r-,*,v c St-A v-4e-p-,r
Present use of land or bufldi*s):
Valuation ofproposed constiuction.- 4,-+-+0
Is approval of Homeowner's Associationoroftrprivate andtyrequiied? A"' Ifyce,pkwm submit with this
app,ficadion.
Required Building Men:
bfiem Roof Bdgbt_(ft) Beading WIM -�—Mg Length.
Roof Slope whdowmight _(ft) WhK%w Width
Window Mevatiom bvm evr"e —(ft)
MMM �M -I ftvmm coruw of building to window
Number efwfedows being insinlied
Mem Roof Heigbt
E—
TAI 9:::
NO Senhwk Road -Aflanue Read�,p1wMa 3223,3,Ma
Paw I phowm MM�247-MO - Fa= V"247-SM - httPJ'/WwwxUdwd*4emdL&us Revised MM
Procedure: In ordw to eKpodhe ismance of pwmWb 219Aft at bdbrjmdm m Incomwete appacadous my
result In delay hk kswmft of pwadL
lu adM=to dw bWW"data,dke bbmfng bbrmdm h r"mke&.
L Product approval for mH (FW M4)
7. InstaUstim Procedures
3. wieftw Damwommy"
4L G*rmVDowDwn%W1owryW
& MWNgbb D&m*WmW1'yp*
6. H=Tk=w sbutter,Dow4doun-y"
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application b
Sig of 71'7j�. -nT Deft-
I bmvby cwdfy 69 1 bwe read and amminad 1his application and kww ft sow to be Um and owea. All pmvishm of the hm and
ordbumm gorveming Ithis type of wark will be complied wift wbclhw specified berain or not. The Smiling of a pamit does not prwoom to
give sudm*to vbhft or cancel do provisions ofmay fademi,soft or local WIM m*d1don%andinsoce4 or low in my unum,hwbxft to
someming ofoommuction at so I � fil I oficonsilrodioneffteproperIly. I undembod dutilbe immumm oft&pennitt oondognutupon ft
above inibrumdon being tm and coned and dw do plams and supporting doft bwa bem or shell be provk1ed as requhvd.
Dow-
F I
Address and canted infortnedw ofpersontoreceive A Um mFirdpi reprdingtbisappuedion(plempffit)-
Name:
Mailing Addrew
Tekpbme. Fax E-Mm&
AS TO OWNEP-
SWOM tD and SUbSM*ed befte Me WS dr
Yof eSsO��6z,
Staft of FWW County of Duval
Nows;s*wnm-.
FK)W D.QAMWE
MY COMMOM#DD 310OW
Type ofomfificdion S: 30 20DB
AS TO CONTRACTOR.
Swom to and subun-bodbefix uw#2is day of e—VIA," 20L(D(
Shft of Flodd%County of Duval
NOW$S*d C,
D1W MARIE LEBUWC
My COMMISSION 4 00 366335 g/lPawnay imown
EXPIRES-NovemDer 27,2008
9w4ed Thru'Poaro inswame Apicy 0 Produced 1daufficaIdwo,
I TYPO Of Weeffmadon,prodwed
M Seminole Road -Athude Bewk FWW M=65W
Pap 2 Pbone: (9"2C-SM - Fa= ("4)U7-5W - hftd1www-cLadwd*beadLfLus Rowimed 1127/03
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FILE COPY
P- OF ATLAft-bEAC11
t;1 y
BCIS Home I Log In Hot Topics
Submit Surcharge stats&
130fifins FBc staff
BCIS Site Map Un
ProduCt Approval OCT42006
USER: Public User
By:
17
PrOuCtAPPSompt Menu>Product or ApPlicatron Search >Applicatioq ation Deta
jjst>Applk 11
F
L #
FL6085
Application Type New
Code Version
2004
Application Status
Approved
dbwii�i4 Comments
i T Archived
r
Product Manufacturer
Town and Country Industries, Inc.
Address/Phone/Emall 400 West McNab Road
Ft. Lauderdale, Fl- 33309
(954) 970-7700
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A, "R-'�F -ARY Authorized Signature
OL -OWT
John W Knezevich
E-MkiL THE
Jwknezevichothettgroup.com
ERAL
Technical Representative
8 A".STAW-
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i=WAC.T US, Address/Phone/Emall
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Quality Assurance
Representative
Address/Phone/Email
Category Shutters
Subcategory Accordion
Compliance Method
Evaluation Report from a Florida Registered Archltec
Licensed Florida Professional Engineer
F-4' Evaluation Report- Hardcopy Received
Florida Engineer or Architect Name John W. Knezevlch
who developed the Evaluation Report
Florida License PE-41961
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Appnomd Dan 120&WW
CITY OF ATLANTIC BEACH
800 SEMINOLE RO"
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 06-00033596 Date 7/31/06
Property Address . . . . . . 865 OCEAN BLVD
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
CLELAND AIR ENGINEERS INC
865 OCEAN BLVD. 10947 BEACH BLVD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 641-2333
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 71 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 1/27/07
------------------------------- ---------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 71 . 00 71 . 00 . 00 .00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 71 . 00 71 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE wrfH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
Date:
Property Address: r c/ 0
Owner: C te/-,6 00 Telephone
Contracto rjku V icc Telephone V/ -,233,3
Contractor Address: /09!�2 Reif c-W 6�_V;o_, )A' & FL Fax 4: . ,90V-6 V1- /?Sk
j az*(..
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 ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
Yp Electric or site,list the building permit number:
0 Gas:- _LP —Natural —Central Utility
0 oil
0 Other—Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
U,,r Heat Space Recessed 6 Central —Floor �Ip Residential
Air Conditioning: Room (JCentral
Cor
Q Duct System: -Material Thickness Q Inmercial
Maximum capacity ......�__cfm
U Refrigeration Q �.. New Building
U Cooling Tower: Capacity gpm Q Existing Building
0 Fire Sprinklers:Number of Heads
C] Elevator: Manlift Escalator (Number) a Replacement of Existing System
0 Gasoline Fum7s (Number.)
El Tanks 0 New Installation
(Number)
Q LPG Containers (Number) (No SyStern previously install.6d
0 UnEred Pressure Vessel
0 Boilers Q Extension or Add-oh to Existing System.
El -Gas Piping El Other-Speci
fy.
0 Other
LIST ALL EQUIPMENT
AIR CONDITIONINGI REFRIGERATION E QWMINT,&CONDENSORTS Approving
Number Units Description Model# Manufacturer Ton's Agency
�3
1Z ��tyy4ec
HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving
Number Units Description Model 4 Manufacturer Agency
BTU's
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 Fax: (904)247-5845 http://www.ci.atlantic-beach.fl.us
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 05-00030710 Date 7/06/05
Property Address . . . . . . 865 OCEAN BLVD
Tenant nbr, name . . . . . . INSTALL FIXTURE
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
------------------------
CLELAND, PATRICIA ASAP PLUMBING CO
865 OCEAN BLVD. SD SERVICES OF JACKSONVILLE
ATLANTIC BEACH FL 32233 P. 0. BOX 16631
JACKSONVILLE FL 32245
(904) 994-6440
----------------------------------------------------------------------------
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
pERMIT IS AppROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND T14E FLORIDA BUILDING
CODES.
B Uj I 4LG Ot-Ft T I tC1 A L
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Property Address: t�"l
Owner: Telephone#: L
Contractor: Telephone#:
Contractor Address: 67, X�x
In consideration of perrrdt 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.
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,
[3 New list the building permit number:
0 Re-Pipe
Number of Fixtures:
Bath Tubs S wers
Closets Shower Pans- 4 I./loc
Dishwashers Sinks
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 32233-5445
Phone: (904)247-6800 Fax: (904) 247-5845- http:ltwww.ci.atiantic-boach.fl.us
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2395
December 3, 1987
Third Floor
Pre-Service Section
Jacksonville Electric Authority Building
233 West Duval Street
Jacksonville, Florida 32202
The following final inspections have been made and are satisfactory:
Permit # 5341----865 Ocean Boulevard
Permit # 5342----867 Ocean Boulevard
Permit # 5343----869 Ocean Boulevard
Permit # 5344----871 Ocean Boulevard
Permits issued to Bivins Electric Company.
Sili—ceyel y,
Ren�' Angers
Community Devel ple t Director
cc: file
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