Permits 871 Ocean Blvd (vault) CITY OF ATLANTIC BEACH
"P, 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
0)W;
Application Number . . . . . 04-00028741 Date 7/27/04
Property Address . . . . . . 871 OCEAN BLVD
Tenant nbr, name . . . . . . REPIPE 16 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
BOOTH, GEORGE A. KELLOWS RAPID RESPONSE PLUME.
871 OCEAN BLVD. 1015 ATLANTIC BLVD. BOX 29
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 247-6530
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 147 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 147 . 00 147 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 147 . 00 147 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
C
�D�.OFFICIAL
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: sil o(zoll SNuA
OWNER OF PROPERTY:—:ft I 3-MA TEL.
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS:-
STATE LICENSE NUMBER: 139 _TEL.
HOW MANY OF THE FOLLOWING FIXTURES
SINKS RE-PIPED OR NEW SHOWERS
qLAVATORY -WATER HEATERS
13ATH TUBS -DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWERPANS
SEWER WATER
L��_RE-PIPE (LIST FIXTURES BEING REPIPED)
OTHER
TOTAL FIXTURES:
MINIMUM PERMT FEE: $25.00
SIGNATURE OF OWNER: A
SIGNATURE OF CONTRACTOR: V,ke
Y _
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.
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'S MUST BE INSPECTED BEFORE POURING
IM 0 . 01' IS AFTER DATE OF ISSUE
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.
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"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By. , CASHIER COPY
DEPARTMENT OF,BUIWXNQ
CITY OF ATLANTIC,09ACH:
PERMIT 110'0W, TION
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�ATLANrtc sE L DEPARTMENT
ACH 8
DING
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT WcALL.N NUMBER
IMPORTANT Applicant to complete all items in sections 1, 11, 111, and IV.
LOCATION Street Address:
OF Intersecting Streets: Between L� t z) Q_ And
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants.
In consideration of,permit given for doing the work as described in the above statement we hereby agree to perform said work in accorciance
with the attacfWd plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good.practice listed therein.
Not" of Mechanical Contractors
contractor I print) z,V� t%_ k Master ZF/7
-b r
Nams, OF
1roperty Owner
Mtof Owner Signature of
Ind Agent A Architect or Engineer
Ill. GIN111RAL INFORMATION
A, Type of h"ting W-., B. IS OTHER CONSTRUCTIO DEMO."a ON
)a, sectric THIS BUILDING OR SITEN?
C3 Gas—0 LP E3 Natural 0 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
C) 00 PERMIT
a Other — specify
IV. MBCHMCAL IPOJIPMONT TO BE INSTALLED NATURE OF WORK
tpmvwo complete list of components on back of this form) XLI Residential or 11 Commercial
New Building
Hisat 0 space 13 Recisned t_�Icontmll 0 Roor
Air Conditioning': (3 Room Cl Centrell Existing Building
_-)<__RepIacement of existing system
0 Duct SY61141m: Material 171 New Installation(No system previously lns�*Hed)
Maltifflum capacity c.f... 11 Extension or add-on to existing system
13 RoMigeration
El Other — Specify
C) Cooling fewer: Capacity 9-pin.
(3 Fin sprinklers: Number of h"
C) Owsior 0 Mainlift 0 Escallato Inumber) THIS SPACE OOR OFFICE USE ONLY
C) Gesolifto pumps —(number)
13. Tanks .11number) Remarks
13 LPG containers -Inumber)
13 UrfrW pressure,vessel
permit Approved D*11116
Other specify permit
!jUiT ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
C*PadtY AIPPMvbw
Deftription Modall Number Manufacturer (TOM AEMW
.1111EATING - FURN ACES, BOILERS, F11REPLACES
NuMberUnita Deftriptim No"Number Wamdachaw
TANKS
now Xany Now*&I cail"11011ity Type Liquid N=4 of serial Approving
Wd Contained Wanufactull1w No.
7
CITY OF ATLANTIC BEACH, FLORIDA
ut?
Approwd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-QlAnl- jq '
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 ELE RICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: IdASTfR ELECTRICIANANATURE fJ7-7CXf_)7),77 JOURNEYMAN
I -p 'l I (o r Q(a'-�_
ADDRESS:
NAME 4X-AA On&_�
BLDG.SIZE BETWEEN:
RES. APT.( COMM.( I PUBLIC INDUS. NEWP'� OLDI REW.
ADDITION ( TRAILER I TEMP.( SIGNS ( SO. FT.
SERVICE: N INCREASE( REPAIR FEE
CONDUCTOR SIZE AMPS C_K.Z�COPPER f ALum.Ki
00
SWITCH OR BREAKER AMPS PH W c9_-�r�OL4� ACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT , -RACEWAY
FEEDERS NO. SIZE INO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN TOTAL
RECEPTACLES CONCEALEDI OPEN TOTAL
1 0.30 AMPS. 31-100 AMPS
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPUANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING :)R OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE P148
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. XVA I.I I NO. lKVA
[ I SWITCH FLASHE
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE
EACHSIGN
FORWARDED
$
L FEE:S
wrrtt*f iratr of Mrruvauru
CITY OF
owaftalc
ErvartmPtit of
This Certificate isAed 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.
Group--Type Construciion Fire District
I
Owner of Building 1%
J_AdJress
103 1
Building Address 'A
By:
c eml, r
Building Official Date:
POST IN A CONGPICUOUS PLACE
BUILDING, PLANNING AND ZONING INSPECTION DEPARTMENT
CITY OF ATLANTIC BEACH, FLORIDA
CERTIFICATE OF OCCUPANCY
WORK SHEET
Date Requested : December 3, 1987
Building Contractor: Carlson and Company
Building Permit Number: 8428
Address: 871 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
- Multi-FRL1,y .........
Lowest Floor Elevation: XXXXX
-r-e-qui-r-e-d- --a-s--b-u-H-t- n/a
Sales Tax Certificate:
date submitted
BEFORE ISSUING CERTIFICATE OF OCCUPANCY THE FOLLOWING MUST BE COMPLETE
DEPARTMENT DATE NOTIFIED: DATE APPROVED: BY
Fire Chief 12/3/87 IAI -
,-!�3 /
--------- ----7----r-
12/3/87
Public Works
Planning Director --12/3./87
Building Inspector ---. 12/2/87
CITY OF ATLANTIC BEACH
800 SENUNOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031185 Date 10/18/05
Property Address . . . . . . 871 OCEAN BLVD
Tenant nbr, name . . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 9125
Owner Contractor
------------------------ ------------------------
PATTERSON, KIMBERLY ROMANO ROOFING SERVICES
871 OCEAN BLVD. P.O. BOX 33037
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-5649
-----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 120 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 9125
Fee summary Charged Paid Credited Due
----------------- ----------- ---------- ---- ------ ----------
Permit Fee Total 120 . 00 120 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand 7otal 120 . 00 120 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING,CODES.
BUH,DING OFFICL&L
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address (ociffeA0,-) 8(yo.
Date -aig
Heated Square Footage _@ $ per sqft= $
Garage Shed @ s per sq ft $
Carport Porch @ s .,persqft= $
Deck @$ per sqft= $
Patio @$ per sq ft $
TOTAL VALUATION: $
Total Valuation 7
Remaining Value $<per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $ Q
ZONING: + 1/2 Filing Fee $-
FLOOD ZONE: )Fireplaces@ $35.00 $
IMPERVIOUS SURFACE:
BUILDING PERMIT FEE $
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( ) RADON .0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHER $
uj�
GRAND TOTAL DUE: s
CITY OF ATLANTIC BEACH Cc:
D. Ford
BUILDING / ZONING DEPARTMENT
(�- iggln�s
.�H
800 Seminole Road S. Doerr
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # 05- —:--5/ /
Property Address: ('�7 J (—) (2 f-d iN 0
Applicant:
Project: C)(D
T; ermit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
q Iq fo
Reviewed By: Date:
Date Contractor Notified:
FROM FAX NO. Aug. 25 2005 02:10PM P2
Jun as li s
CIL, me! �" VROMS47-1841
PA)OpfC*Ma CW AMLAIMC jaZACH
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1-8CK)-3-NOTARV Ff.Notary Dismmt A�oc.Co.
CITY OF
4&40A'C Ve4d-9&,%4*
Office of Building Official
REOUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received PM. istrict No..
�P7 da��
Job Address e-
Locality
Owner's
Name ----- - Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Fo.ting 11 Rough Wiring 4-- Rough El Air.Cond.&
Re Roofing 0 Slab Cl Temp Pole 0 Top Out E�- Heating
Lintel El Final D Sewer D Fire Place 11
READY FOR INSPECTION Pre Fab
A.M.
Tues. Wed. Thurs. Friday—PM.
Inspection Made— �*6
Inspector r-31 r,- --A /�� Final Inspection 0
'Illy
Certificate of Occupancy
Date
'7,
CITY OF
Office of Building Official
REOUEST FOR INSPECTION
C-�
Date Permit No
Time A.M,
Received PM District No.
sl'z�
Job Address Locality
owner's"
Name Contractor
BUILDING/ CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 11 Footing 0 Rough Wiring El Rough 0 Air.Cond.& E3
Re Roofing El Stab Ej Temp Pole 0 Top Out 0 Heating
Lintel D Final Ei�' sewer 0 Fire Place 0
READY FOR INSPECTION Pre Fab A.M.
Mon. Tues ad. Thurs. Friday-PM,
A.M.
Inspection Made (�ND
Inspector- Final Inspection 0
Certificate of Occupancy/--/
Date