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Permit 1536 Ocean Blvd (vault) CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: January 18, }t- 2000 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 ND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRIC REGULATION , CODES AND CITY OF ATLANTIC BEACH ORDINANCES. R & R ELECTRIC OF NORTH FLORIDA, INC. � J P. 0. BOX 62238 �A JACKSONVILLE FLORIDA 3221.9 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Don Campbell ADDRESS: 1536 Ocean Blvd. RFD BOX BLDG.SIZE BETWEEN: RES.Y) APT. ( ) COMM. ( ► PUBLIC ( 1 INDUS. ( 1 NEW( 1 OLD Vf"� REW. ( 1 ADDITION ( ) TRAILER ( 1 TEMP.l ) SIGNS ( ) SO. FT. SERVICE: NEW( ► INCREASE ( ► REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUMJ ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS l PH LJ3 W / OLT RACEWAY FEEDERS NO. SIZE NO. 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 i I I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP. 9TOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT a-iOVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax:247-5877 ELECTRICAL PERMIT F Permit Number: 19487 Address: 1536 OCEAN BOULEVARD Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: ER tN . ' ATfk Date Issued: 1/19/2000 Name: DON CAMPBELL Total Fees: 25.00 Address: 1536 OCEAN BOULEVARD Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 1118/2000 Phone: (904)249-5381 Work Desc: WIRE FOR.HVAC R & R ELECTRIC COMPANY PERMIT 25.00 FINAL ELECTRIC 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. $25.0014 r Date: 1/19/00 01 Receipt: 0028044 ATLANTIC BEACH UILDIN T. CHECKS 3445 00100003221000 CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 "PERMW INFORMAT10Nt LOCATIOf4 INFORMATION_ µ. Permit Number: 19473 Address: 1536 OCEAN BOULEVARD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: .'OWNER'INFORM/XTlt 1 Date Issued: 1/18/2000 Name: DON CAMPBELL Total Fees: 51.00 Address: 1536 OCEAN BOULEVARD Amount Paid: 51.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 1/18/2000 Phone: (904)249-5381 Work Desc: REPLACE HEAT PUMP AND AIR HANDLER . . . AP AIR ENGINEERS INC. PERMIT 51.00 i 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 REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $51.88 14 Date: 1/18/88 81 Receipt: 8827758 - CHECKS 29632 AT NTIC BEACH UILD DEPT. 88188883221888 1117 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ` ATLANTIC ORACM, FLORIDA ea238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV, OCA71ON Sbtel /lddress: l Iata►wsling Strasb: Mlr..n }�G r1�\�— w� And �' i iUt4DING s�b.Jivirra� I. IDENTIFICATION — To be completed by all applicants• Ih teniidarelton of psrrnit given for doing Ike work as described in the above slatemant we hereby agree to plrform said wort, in accordance rift, the 046th/d pians sod specifications which us a part hereof and in accordance with the City of Jacksonvilia ordinances and lttndardt el good praHita Bread thefsie. lama 61 Wthasksl C.ntrestors r :.wast.+ (101,10) Master Laos *I PoWiT Owho 5 Ira1rN i1 Ovtti, Signature of r A,r+Iwh6J Agtai IArehtlsof er Engtnssr 1. . IN<sORlrtATtON Typo of haNtng W: B• 1=OTHER OONfTIWCTION IoEINO GONE ON (q 8setric THIS 1111It.01N00R sITt1 1130w�� C) G;w-O V O Neiviel [] Control Wilily 11 Yp, GIVE NIIMoER 0r CON><tIWCT10N Q 09 PERMIT -13 Od►w SwA P, MwC1l1AMICJ►► 111WO 110 TO N IMTAU= NATURE OF WORK Ipovide coOP64 IM of comp~fs*0(tad of this"1 63" Assldentlal or C7 Commercial „Nast Q Sass! 0 RecesaW 12" G W O floor O New Building Q�A'r C itiMlw,: b Rftw f1'Conlyd O Existing Stillding { Orel, ,el«rtl ldaierLt F e RU Q T1:tCl•••• O Riplaeetnen!of Welling iyttem "Y fda.telrr»upcily 1.j DC) ...._.,eel nl. O New installation(No iysiem previously installed). G!"Extension or add•on to exletinp flystern o 17 Other—8pocifti. ..(� ,Peal,ng ,i .w..Caposill►._._.�.....�.�......,..�..�.. 9.g..r:s. Q rro sgwieUarts Ns:rnIt" of p no >MAa hoR ori uN ONLY Q `G+fwfi.e w ���_ les>,n`erl Ibels+�l d TvAs _(somber) Ros.slis O UG aa.Mtwra...._....-. lwln`er) O US&"Irrwwe tussal O ka" Pomil Appoved ►tl_..� Formlf■" U&T ALL SQWPIADM AM.COffDttlONING AND REFRIGM'nON FQU&ML'M Ihhlaletr Vdfa OtreelOtle• Irotlel Nualber >Yis rse 13�7 A� 1 127 IILAMG i PURNACUs BOILER11, FlUJ I.ACU � �flrwttridla Daes�tlea RfsMlMsbee Ka1w[eet> t t>ri'TT) AXE ot:a�aTt��NT o�suI'�c�NQ CITY OF ATLANTIC BEACH IT I 't RM 7cIflN ------ LOCATION INFORMATION keI kI,.;-`Nu� I�t` 144 A dress 155 SAM B4t31aEVAR ' ; e: 3IIVLAY AT BZACH. 'LOt23A 33 s + . > c wK CAL► DE CRIPTI�3N .:. : C rn t T bC D FRAME Block: Lot : 'I��• F'�`q��y{�v�s*d . M spy ectildn: ��O� subs ti d} Y�{Myy Rr c 0 15r/1^M'Kii in dtr iX� a.T Y i YYN ie'X AYirT V'i#Y JrA NII c 13iFiAC ^. t �'sl'ue H3 .0 T t. l Fres:-, 25.0!0 *punt Pai, .00 s e Fs` . 4,061, ON - APPL I CAT I CN IRR 215.00 44 � s ARD KV IbA, 5223, j x "� u k+ ' a ue " r � 6r �';� 1 1. CCN �T �r I RMAT`10 �Kp: ? yE F + , �NOTf 1 1 { NOTICE-INSPECTIONS M-$T BE REQUESTED AT LEAST 24'HOUR -PRIQR'TO INSPECTION 1 A BL LDINQ MATERIAL,RUBBISH AND DEBRIS FROM THI$WORK MUST NOT BE PLACEp IN PUBLIC.Sp CANQ„MUST:BE CL; ARED UP AND HAULE6AWAY.BY EtTHgR CONTRACTOR OR OWNER ' { `# AiLIl E TCS COMPLY WITH TH15 MECHANICS” L1E;N LAW AMV �ESt�LT 1N. � a TSE? PROPERTY CINWER PAYING TWICEF+ R` 3UiLQ M'+�M IM @Y I ISR Ts. 1$ EDACCORDING TO APPROVED•PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO R!~V�?CATIdt+�"FQR ATION.OF APPLICABLE;"PROVISIONS OF LAW, AT LAN EACH BU 6' EP TM ENTgw- 3 y, vxr" 3 CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DMfOLITIONS Owner(s) : D00ik'a R eesttlt47w-'r 6frn,Ox�e-LC- Address : � ©Cf�oou Phone: Lot #_J Block or Unit * Subdivision: IWAV AZtI) Contractor: d' 03 (fdeyCkEr'C State License # q go IS-- 0o© Ll Address :/ Is 10 Phone No: City fi7Lq/J r-C �/�# jtaLe .ode 3� Describe work to be done: ?-resent use of building: °V 9-i':TDcN7r Valuation of Proecsed Construction: Proposed use: .s this an addition? ,VD if yes, what are the dimensions of the added -pace: x ft. Wi11 tae added area be heated and coded? Alt) New electrical (or increase) ? //0 New clumbi.,.g fixtures? IVO New fireplace? New Heat/AC?N SUBMIT THREE (COMMERCT-U) TWO (RESIDENTzAL) COMPLETE SETS OF PLANS, INCLUDING SITZ PLAN, SURVEY, ENERGY CODE FORMS, NOT= OF COMbEZMCL' T, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature CWNER: 0Date: 0 gp Signature CONTRACTOR: Date: Sworn to and subscribed before me this day of i9 NOTARY PUBLIC STATE OF FLORIDA AT LARGE Patricia Amonette •: ..f MY COMMISSION N CC553881 EXPIRES August 27,2000 '+IRFIN' BDNDED iHRU TRDY FAIN INSURANCE,INC, 1, i I �f' i i i T � i Z/3/ ok 12742 2 DEMARTWNT OF BUILDING CITY CSF ATLANTIC BAH PERMIT I-NFOAHATIQN, ------- LOCA `IDN INPORM,ATIQN -- Pe mit Nra r= x.2742 Address. 1536 QC1 BUULEVARU ermit Type-.P`ENCE ATLAK IC BEACBj FLORIDA 32`233 Cl.ass of WorkNE'N "_..''"_" LEGAL DZSCR'IPTION C asstr. TyPe:NO' D IR'Ptls", Block: Litt : Tt�p; 0 kio oied Use°. Section' �0"" Subd: i Rnq* C? 1 r011ings, Subdivilsion.ATLANTIC BEACH Est. Val ' t 0.0,0 { I aprov, Cott, 12 .A0 Tt tsxl 'Fe io„Dt3' mc+untOfr 1 Q t 00 k 1114 q TI£I1LAPPLICATION PEES _�_ -_ 'IT- �r ULEV'ARD FLORIDA " P`ORMAT I �e k y� E w P +;€ t t -ALL CO NCR~`t'E FORMS AND FOOTINGS MUST BE INSPECI"EWBEFORE POURING ' PERMIT VOID SIX MONTHS AFTER DATE,OF JSSUI5 Bl #t31IdG MATER#AL,RUBBESt°I AIS OEBRtS FROM THIS WORK MUST`NOT BE PLACED iN PUBLIC SWE,AND MUST'BE +fit»�FtE�"UPS AND*00 AWAY SY EITHER CONTRACTOR OR OWNER ii AE -V, Com, . /"i�� G R HANK' ' IE LAN RESULT, 94 ` WIN T ATO WICE FO IS�ED ACCt3RDlIQ TQ "OveC PLANS WHICH ARE PART QF 1'HtS PERMtt ANt3 SUBJECT TQ REVQCATiQN31C3R V ttAt'lQN QF!t! Com: $IONIS OF LAW, iBP i1T. TDtiI Isst APPLICATION FOR FENCE PERMIT Owners name_ IN sZV � (I AMI 125 / 1 __ ___Phone Job Address -S3 k0 C)C-�-i0-r� 1 V,o Lot---19, --Block and/or Unit ts Subdivision Contractor if different from owner ----------------------------------------------------------------- Valuation of fence 5 � S-vG' _ Corner or interior lot Type construction__________ ----------------------- Show location and height of fence as well as location of street(s). AA ply0Z 71.4 V � T/� O Owner signature - L _ == � - ------- Date l�_(2_ib --Ex�= - Contractor - ---------------------Date-------- CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time t A.M. /J Raceived P. f/ J dress cality Owner's �. Name Contractor BUILDING ONCRETE ELECTRICA PLUMBWG MECHANICAL Framing _ Footing Rough Wiring ❑ Air Cond.& O # Re Roofing — Stab 13 Temp Pole 0 Top Out Heating insulation _ lintel 0 Final 0 Sewer Fire Place 0 READY FOR INSPECTION re Fab M. Mon, Tues. Wed. Thurs. Friday A. inspection Made r � __�_____ RM, � f F — Final Inspection inspector Y Certificate of Occupancy Ei I Date DEPARTMENT of BUIUANG 1 " CITY OF ATLANTIC BEACIONH lot,101POR"TION OC Air " Q Addres " 1534— A i BOULEVARD t ' 04 'ATLANTIC 11"CH� �Lt��ILIA w 3��3.3 o �atr. ' + �E?f}I1 � Lot:, 8 'e k; Sect on f ` Imposed `t-je't SINGLE, FAMILY code, Subdivisiowe ,:h" LAN inqs: TIC MCH, �t4 t Va ue. f' p� o ci t�. ' $0 , 00 ' Tool Amount- $25.00 N ,.PERI AIT OF . $ , d ,c � 3LzvA " *"l .IxPACT FEE TLOR I ISA 3223a rd l" T'AC'T PBE" tolo ph A A I Cit ;* - RADON CAR " so.60 . Name T P + - NG fxI I LE CA I A _ Qvl $6,0 Ad d ,+ i " ' A t SAF 0.0 0, stc x IPAGT 11x1 60.00 Ct I s T.SURCI ARfi E 0 AAt C �AT,L.BCH, � tI CI s , s F NQTICE=�-ALL CQN t `l�aRMS AND FOOL, II S Mum`B INSPECTED 1 EF4RE PE)t!RlNQ t k PERMIT V'Clb£1X MONTHS AFTER HATE 4F l3SUB, F�vxl4d MATEA)A Rl1B[I,SH ANd DEBRIS FROM THIS W©RK MUST i�J S�PI:ACEC?IN Pt16UC SPACE,ANfa MUST BE j UP AN�J MAuk. D AWAY Y" ETHER CO,NTAAC,�OR OA aW1WF,R k T-S " t . IUEty.ACG�R©iNG T4 APtRQ' �Cl PIANS WH1CH ARE FART C►F THIS PERMIT AND SUSJCT T4 RE'VOCATIQt FOR V' CATION OF AI�RI.ICABL E i�RC?1tISif31dS CQF LAW. F. Wi t � ACEfP [ PA1 t ME dT" f R# tl. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBSING PERMIT JOB LOCATION : OWNER OF PROPERTY : PLUMBING CONTRACTOR CONTRACTOR ' S ADDRESS: , 2 // STATE LICENSE NUMBER: CA06'0 -5'1 O __.,_TELEPHONE M 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 FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 CITY OF Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received I P.M. trict No. Job Address Local' Owner's Name Contractor SttQ BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ ` Fre Place ❑ Pre Fab REkOY FOR INSPECTION A.M. Mon. Tues. Ved.� Thurs. ridgy P.M. A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date _J BUILDING AND ZONING INSPECTION DIVISION Z CITY OF ATLANTIC BEACH, FLORIDA z "" ELECTRICAL PERMIT ate- Date U Fee $ * Permit No. 'NT 3 `' Wu Location 15% OMM 30axV= goG Between and Q This is to certify that a » ?vim W m. (Electrical Contractor) (Mosler Electrician) LL E has permission to install Electrical Construction as described herein in of W a. accordance with the provisions of the Electrical Code and regulations a °c of the City of Jacksonville, and subject to the information shown on the 2 e application, drawings and specifications which are made a part of this 3 permit. ,� for V W O Type of work: ' SERVICE: V= MR MAM PQLY 4 s y u Feeders: "' Outlets: v Receptacles: m Switches: _H Incandescent: _ t•- Fluorescent: Appliances: Air Conditioning: 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. CITY OF ATLANTIC BEACH, FLORIDA Approwd DY APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 6-10' 19 85 '`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 AREA PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. LECTRICAL FIRM: LE 1 !AME A11� Electric Inc. ADDRESS: 328 So. Third St. RFD . BOX *LDG.SIZE BETWEEN: y? RES.k 1 APT.( ) COMM.I ) PUBLIC 1 ? INDUS.1 I NEW( ) OLD(K) REW. ADDITION( 1 TRAILER( 1 TEMP.( I SIGNS ( ) SQ.FT. t, SERVICE: NEW( 1 INCREASE ( 1 REPAIR (`) (pool) FEE DUCTOR SIZE AMPS COPPER ALUM. u TCH OR BREAKER PH W VOLT RACEWAY f XIST.SERV.SIZE AMPS PH W VOLT RACEWAY SEDERS NO..._ .. SIZE NO. SIZE NO. SIZE 4 IGHTING OUTLETS CONCEALED OPEN TOTAL ( ECEPTACLES CONCEALED OPEN TOTAL 0.50 AMPS. 31.100 AMPS. *WITCHES CANDESCENT, FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AR H.P.RATING M.P.RATING NDITIONING COMP.MOTOR OTHER MOTORSAMPS CELL HEAT: KW-HEAT k 0.1 OVER _ TORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS RRLLANEOU TRANSFORMS S: UNDER 600 V. OVER 600 V. S►1ONS' UX XR+ON TRANSF. NO,. SPA. 10A..> ISR SIZE SWITCH FLASHER EACM SI1 INCANDESCENT LAWS TIME.'VVf1�TCH FLMftfSCEMT LAWS umP 1 poollite -un erwa _e cross streets h t WELDERS 'PRI. PR1, TRANSPORMER TYPE _100. A ,PHS W. PHB: 1Mti t H.P. MITPISAMP OEMK 1OLTE TR Rfi fVS: kINt ER BQ V. OVER` . �!:,� .. _w KV* UTILITIES: _ CITY W- FLA.LlQHT&PEER F '? . CLAY COOP.rt REAt ) 0KEFENCfKEE t t#TMER i VVORK'BEING PQRE-FOR Don QAMb2lj AQORESS OWNER=AGEUT-GENERAL CONTRACTOR The Batts Co. CITY OF ATL-ANTIC BEq iib OCEAN sg VQ, ATS ANI IC CVcR 2.5 N. FLA. 32233, CITY OF f4,�`�wstiC l�eac.fli-�f�iv�uc� jTt�C Office of Building Official ,I�EQUEST FOR INSPECTION Date �"� Permit No. Time A.M. Received ,` P,J D istrict No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing El Footing ❑ Rough Wiring C] Rough Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab R DY FOR INSPECTION A.M. Mon. Tues. ed /e Thurs. Friday P.M. A.M. Inspection Made P.M. L InspectorFinal inspection E-1 Certificate of Occupancy Date CITY OF ee nn/I Office of Building Official REQpUEST FOR INSPECTION Date, c � � D Permit No. � Time A.M. Received P.M. District No.. h a/L CP. Job Address Locality owner's " Jr Name Contractor V BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation ....C1 Wire ........_0 Rough Wiring ..WRough ❑ Rough Chimney ... El Lath g ........❑ Framing ..,....❑ Scratch . ....❑ Finish Wiring ,.❑ Final ........❑ Final ❑ Final •� •� ❑ Fixtures .......❑ Sewers ❑ Water Heater ..❑ Footing C1 Brown (] Motors ....... ❑ Gas g ❑ Finish .... Tem Pole ....❑ ❑ P- ..❑ Cesspool ......❑ Slab .......... ❑ Wallboard .....0 Final Inspection.❑ Top-out .......El Lintel Beam ...❑ Water .........C] READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Fri. P.M. Inspection Made P.M. Inspector 4 FOIA OFFICE USE ONLY Date.....-•...........................19 •--•-- Permit *........................Fee;........................ CITY OF ATLANTIC BEACH valuation $.......... FLORIDAHouse *........................................................... .•---•---------------•----...•--------.•---................................ APPLICATION FOR BUILDING PERMIT Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. / Date.........4 .......I............. ................................... 19..'?j Owner.........2Z:!n ...X:f4'.! c?./L...................................Address...../.5...3.x .....Telephone Architect.....---•--..."_.......................................•-----......------......................Address.----- .....................................................Telephone No............................ Contractor Builder...%h?.s........ Tf...-�..��,, .Ac{y...........Address...llo.Q.. ..., ....3s.c�-....5 .......Telephone No.1.5!6..ZYtT Lot No.-----..._..Z...................___.......Block No------....Gam............Sub Division... .-OV4.12.x11.9 . 9y......................................-. ..---Zone................. s4 ..... .........GS� .................Street.....-Cc/..c:S-f...Side Between......L�.............,.........................and...........lS.- S..............................Sts. Valuation $....I..C3.?$"Q..-.-:.•..For what purpose will building be used..... ...................Type of construction...................................... Dimensions of Building------------------ •-----..............Dimensions of Lot.................. ...............................Size of Footings..----.................................... Size of Piers..... .........Size of Sills.................. .............Greatest Sill Span in ft...........................Type Roof...................................... How will Building be Heated?_......................I-----.....I........I..................Will Building be on Solid or Filled Ground?......................... ............... Size of Ceiling Joists...-------... ........ _.. .......... Distance on Centers........... ................................. Greatest Span.---....-- ................................. to Size of Floor Joists.. ............................................ Distance on Centers. .. .. _ .............................. Greatest Span..................-................I........ to Size of Rafters.... ...........__........... . ..... ._.....-- -, Distance on Centers . . ..... ............................. Greatest Span............................................ to This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall y ¢� ��7't3c�P. be submitted with application. Inspections required. R to 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. a i a 3. When steel is in place and ready to pour beam. 4. When framing is completed. 7 s 5. When rough plumbing is completed,and ready to cover up. W 6. When septic tank drain field or sewer is laid but before it is covered. q ,..».----:�;._..__,...„„s.•nr;..-...-.Yrr-r��-•.r.�.:s::=`a,+.v+rw�=�c^"- C'41.',t, I r a �! r I -- rj r! � } el le r PPROVED DIVISION OF HEALTH DUVAL COUNTY CONSOLIDATED CITY OF JACKSONVILLE ! BY: rwwrrrri�l DATE: TI-1 ei I�` ,�rr- �v �' o � AA VA A N� t tt,+t SO4 ;t,41 - �,int t C X.lp APPROVED ALL 112_. c. _y.c, v� _ �, DIVISION OF HEALTH DUVAL COUNTY CONSOLIDATED Cl OF JACKSONVILLE BY: DATE: 7714E 1 r 1. : s i rod0' 0.L egCj? WQy q'' Gj '' �rarr Q /2 /r19YG'TZ T h�5 t �i i G f �{ iuc-�i0f1 _ V,?1✓f PPR VE SNL Y vc C YgVe ) Som j 'e e o 0 � i ! j G r-,q -- - ----- - -_ - - -- 30. /1/fl/Af� - - - — - _ - - - --- -- _ L,�GG'.E� s�E'�EJJ.2E�J � '• � � r. ��d+�•l���'/�/:%�'' Oiz"J`/G��E�.S Ti=�.4�;/ T6I.:= �� '�z!=�if�� G��� UNC ESS Y;4 7'1,::W 464- Af�Y�;Br=��Y 06? �� �N NG �'SE �/IAGG %7i'✓�/X001.>/<'ET�I�S/�r 1/��i57.cL� � ".i 7,1 17 Poop �• 1to • � � ' - : "- tip sem ' ff� t� OC..i l�-•`!if�/• �."„��:.� Y•�w:^rte 96550 TL 55• ftl a DEPARTMENT OF BUILDING (°� 'j 0 CITY OF ATLANTIC BEACH,FLORIDA PERF"NO.0 :14N,19, FBI PERMIT TO BUILD 10 12 �� THIS PERMIT MUST BE POSTED ON JOB Date eve 3, 19 85 Valuation$ 10.750.00 Fee$ 55.50 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 TM BATI'S WTA`� %02 No tree has permission to build �`" Pool AS Per Pis I I Classification reSidenti.S1 Zone Owned by Doti C.-mbe11 Lot 7 Block 64 S/D Yan&day House No. ]�36 OCs T IUREVAM According to approved plans which are part of this permit I NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IIS- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS n AFTER DATE OF ISSUE 4 01 4 01 O Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared an h ed away by either con- tract= r caner., _ Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER .AMR=. INSPECTION u LOG JOB ADDRESS CONTRACTOR OWNER �'- BUILDING PERMIT # k2 -3 2 ELECTRICAL PERMIT PLUMBING PERMIT fir` MECHANICAL PERMIT FLOOD ZONE � -'� DATE SURVEY FILED called in approved JEA Temp-pole Slab Footing Framing dumbing (R) _ Electrical F, 2 3 Mechanical Fire Place Top Out Other Electrical Final FINAL INSPECTION Certifiacte of Occupancy Issued s � COHIMENTS : CITY OF 4&oi& B1134" Office of Building Official REQUEST FOR INSPECTION Date �d" Permit No. Time A.M. Received P.M. District No. .r Job Address ? t> ��i�lity - Own ' " Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing 13 Footing ❑ Reag?r7l"ng tr"_ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab REAi FOR INSPECTION A.M. Mon. ues. Wed. Thurs. Friday P.M. Inspection Made A.M. P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF �6 D 4&4i9� B�- Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. �/���n _/ District No. -" 3 to e--Z .�v (.� I R Job Address ��- Locality Owner's Name Contractor BUILDING CONCRETE /ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing (p/ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTIONA.M. Mon. Tues. [�Wfe�d.J� Thurs. iday _P.M. A.M. Inspection Made P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OP - — " 4&4Atic AWCA- � Office of Building Official �f REQUEST FOR INSPECTION Date A Permit No. Time A.M. Received P,M. District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING / MECHANICAL Framing 13 Footing ❑ Rough Wiring ElRough yds Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. ues. 1` Wed/ Thurs. Friday P.M. Inspection Made , �J 0 A.M. P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF , -- 4&4K40 4&4K 0 lie 4-A;4 Office of Building Official REQUEST FOR INSPECTION 4Date Permit No. Time A.M. Received on P.M. strict No. Job AddressLocality Owner's J//���� Name Con tractor✓` 14-4 BUILDING CONCRETE ELECTRICAL LUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating _ C Lintel ❑ Fire Place ❑ a C--h M Pre Fab READY FOR INSPECTION Mon. Tues. yy )�j/ Thurs. Friday P.M. Inspection Made P.M. Inspector Final inspection❑ Certificate of Occupancy Date DEPARTMENT OF BUILDING CITY OF ATLANTIC-.9EACH,FLORIDA PERMIT NO. 6239 j , PERMIT TO BUILD 11 .7 THIS PERMIT MUST BE POSTED ON JOB 1 1 6 s 75CKT 510 1A 4/19/8 Date "ril f18 19_ 4 6239 •C} iCAG 25, 802.35 114. ?5 51[ 1 A 4/19/9 Valuation$ Fee$ 1 OW 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 DONALD CAMPBELL 1536 OCEAN BLVD i has permission to build CLOSE IN CARPORT AS"PER PLANS Classification RESIDENTIAL Zone Owned by DONALD CAMPBELL/JACQUELINE CAMPBELL Lot 2 Block S/D Mand&&ay_ _ 36 .N _. House No. 15 nCAF BUD 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 „ AFTER DATE OF ISSUE /--♦ 4— ► O Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared up auled away by either con- ct o �jn�er. Building Official. FOR OFFICE PERMIT D USE ONLY NUMBER ATE CONTRACTOR PLUMBING ELECTRICAL I �l SEWER WATER I I CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner j LAddress 1536 OCL--AN tt.20Phone r-qct'/.S LindCQkL�nJC r M - Crt -C Architec v 'L-Address Phone Contractor L ,. Address Phone License Number J Expiration Date Lot # a Block ��— =Subdivision MCtriQ Zoning StreeQ-S,3,� (f(LftrJ gL%)1D Between 15TH S and I 0-tH 5+—side Pur ose of Building1Li '� `5 o et oc I�o s' .LAa � Valuation $RQ�,.x /5,ay.)•vo P Dimensions : Building ot50 - /2 S Sz.Footin gs Sz.Piers K;r, NQ, Sz. Sills Greatest Span Sills Sz.Ceiling Joists Distance on Centers Greatest Span Sz.Floor Joists Distance on Centers Greatest Span Sz.Rafters Distance on Centers Greatest Span Heating Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical, rough plumbing and fire place is completed and ready to cover up. 5 . Rough electrical. 6. Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing- Rear Lot Line the work as described in the above statement , s we hereby agree to perform said work in accordance with the attached plans and FJ- specifications , which are a part hereof, and 0 a in accordance with the building regulations fDf of the City of Atlantic Beach. o rt r• w m m 300k ci-1 d' a- Cce l-h� Q l / Signature OWNER Signature BUILDER Front Lot Line A -ac MECIIAN)CAL: BUILDING PEI:-51T V10I.KSHEET � r' HE=ATED SQUARE FOOTAGE: ` / @ $ _ ��----` per sq. ft. -- GARAGE (PRIVATE/SHED) : — —_` @ $ —`_--__---�__ per sq. ft. CARPORT: @ $ _ per sq. ft. _ $_ PORCHES: @ $ per sq. ft. 1© @ o DECK: —_ $ � � —� per sq. ft. PATIO-. @ $ _ -- per sq. ft. TOTAL VALUATION: $ PERMIT FEES TOTAL VALI)ATIOA DATA Est $ rJ 4 ov Z) _ RE'.�;AINDER VALUATION @ $';� per thousand or porAon thereof 5� TOTAL BUILDING PEF,41T FEE. . . . . . . . �! PLUS 31 THE BUILDING PER*SIT FOR PLAN FILING FEE. . . . . . . . . . . TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ---------------------------------------------------------------------------------------------- PLU::BING PERMIT FEE: $ MEM-MNICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ ELECTRICAI TE-LPOR4RT: $ WATER METER SIZE: FEE: $ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE S WATER CONNECTION CHARGE: FIXTURE L'NITS $10.00 PER UNIT: $ ACCOUNT NO. : APPROVED BY: TOTAL BUILDING/PLAN FILING FEES: $ 11V 7S TOTAL ?TATER :'.E-1 R CHARGE: $ A TOTAL 1_ITER CO':`:ECTI01 C'r'_yRGE: �c; TOTAL SEWER CO'.�:ECTIO\ CPARGE: $ S�TM// sr '7J GP�':D TOTAL DUE: $ w 9 CITY OF 14r.tic ���,cLi - 71Pviida 716 OCEAN BOULEVARD P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 April 19 , 1984 I , Donald R. or Jacqueline M. Campbell , certify that our residence at 1536 Ocean Blvd. , will have two parking spaces behind the required 20' building setback line; after the existing carport is enclosed. ' f Witness : i i , 7 Sr7 r , �Z t CITY OF J Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. District No. Job Address c Locality Owner's �• L� .. _ Name_C. Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ fie Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. i�VVed��; Thurs. Friday P.M. A.M. Inspection Made /f P.M. Inspector Final Inspection `s L1�1 Certificate of Occupancy 6 Date CIT' OF ATLANTIC BEACH, FLORIDA App o"d by APPUCATION FOR `ELECTRICAL PERMIT it,�O THE CHIEF ELECTRICAL INSPECTOR:. DATE: 19 RTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FAR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE EREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, RICH ARE A PART HEREOF,AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF TEANTIC BEACH ORDINANCES. .LECTRIGAL FIRM: T f Joliglisymm to, ! N AME —ADCtRESS' 7 ✓ RFD___--__BQX-..,— LDG.SRE BETWEEN: #=ES.I APT. 1 ) COMM.t ) PUBLIC( ) INDUS. ) NEW ) OLD m� �ooffION VrTRAILER'( I TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEW ) INCREASE( ) REPAIR 1 ) FES_ OR SIZE AMPS COPPER I ALUM kWI TCH OR KE A PH W VO T R CE A XIST.SERV.SIVE PH W u VOLT RACEWAY EEDERS NO. SIZE NO. SIZE NO. SIZE GHTING OUTLETS .' CONCEALED OPEN TOTAL ECF.PTACL.ES Apul CONCEALED OPEN TOTAL O-a AMPS. 91.100 AMPS. WITCHES pESCENT .LUORESCENT&M.V. Fixio 0.100 AMPS. I OVER PPLIANCES BELL TRAN SF. R H.P.RATING H.P.RATING DITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER OPHNH,P. V4LT4GI l r ISCELUAN NUS RANSFORMERS: UNDER SW V. OVER 600 V. CITY OF ATLANTIC BEACH APPLICATION F R PLUMBING PERMIT OINTNER'S NAME___,D671L__,__ LOCATION 3 j.' MASTER PLUMBER STATE/COUNTY OCCUPATIONAL LICENSE CERTIFICATE NO.-- P— CONTRACTOR 60 TYPE OF BUILDING SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS --URINALS DISPOSALS --CLOSETS HASHING MACHINE FLOOR DRAINS OTHER 7--+effAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. s DEPARTMENT OF BUILDING 6 2'] jCITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 0 L ff PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date May 11, 19----34 Valuation$ PLUMBING Fee$ 17.00 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 CAWS PLUMBING, 17.00CKT has permission to INSTALL PLUMBING AS PLR`" S J tt 1194P,166 1A I Classification RESIDNNTIAL Zone 1 0001 Owned by DON CAMPBELL Lot Block S/D House No. 1536 OCEAN BLVD 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 AFTER DATE OF ISSUE 4-- 0 : 0 Building material, rubbish and debris 34 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tr r or owner. k Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER C PLUMBING ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date---•;7....,r............19 Permit �42/4ee$_.....1.!.............. 400 CITY OF ATLANTIC BE&�H Valuation $----- -- ........... 7-J�0............ FLORIDAHouse #-•-•---------•--.._............................. zr%.... APPLICATION FOR BUILDING PERMIT .....................................................--------------------- Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date Jo ......�/ ....... ----- ........----------------------- --- -------- ....... Owner _1� 157-5--------------------------.....Address-JAf If-—------- • Telephone No---—--------------- Architect.....-----------------12---------------------------------------------------------------Address............................................................Telephone No.---------_---_---...... Contractor Builder_.---- uilder_/----p ---------------Address__- An-------------Telephone No..�y I �----------- Loo.-------Z--------------•---•--------•---------Block No.____(42---Cl-------------Sub - Zone---------------- )(----------------- -------- ------------------_------Side Between-- .................. --------­-­---------------and---------------------------------------- ---------Sts. Valuation - -------- *xoc-�r.. 4-� -----For what purpose will building be used 4 4tof construction- 7- -------------- Dimensions of Building ......Dimensions of Lot__�� ......T......ype Size of Footings.._,. Size of Piers-----------------------------------Size of Sill's---------------- ------GTeatest Sill Span in ft------- ---------------Type Roof -------__--- How will Building be Heated?____._ e--------_------............................Will Building be on Solid or Filled Ground?.___. ....... Size of Ceiling Joists-----Z_- /,.- — ',:�--------------------- Distance on Centers-------/3- . .e................... Greatest Span-----Z -------------------------- Size of Floor Joists----------------------------------------------- Distance on Centers.........-- --------------------------------- Greatest Span-.--.-.-.-.----------------.-----------.-.-- 1'�7 Size of Rafters..-..---- ___7e_�o------------------------Distance on Centers- ..... . -------------------­----., Greatest Span.._._.!�--:2------�/-------- This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. 04 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. $ 6. When septic tank drain field or sewer is laid but before it is covered. Pq 7. Electrical inspection by City of Jacksonville. M 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 at4ached pla and specifications, which are a part hereof, and in accordance with the building regulations of the City of At e Bea Signature of Buil ---------- --- Address....._ --------_;�#w -------------------------_---- ...... ----------------------- Signatureof Owner----------....................................................................... Addreso/1' ----_------------..........................................._............................ CITY OF fOffice of Building ic al \ ti�D REQUEST FOR INSPE ION Date Permit No. t - 3 Time A.M. Received PM � 3G Job Address ocality I Owner's 0 0 Name -�� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING ECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made Inspector In ectio Certificate of Occupancy ❑ Q1� Q,(it / .i1J Date Per ewers"reebse,of eaAma •eM+. be- star be eesaratd along above fold, tltasle searsetetd alseota!seeds"is ortetnar eviler. Proposed Construction DESCRIPTION OF MATERIALS me. iTo be Ineem d by FHA w VA) L Under Construction Property address ...�.r: � ',,r...s.►7 a`- ------...-. city - ..__ State ......- y� .. --T- ,� . Mortgagor or Sponsor __ -�_ ' . .. !"-t Act- t~.}s iName) IAddrvwel Contractor or Builder _ - INSTRUCTIONS I, For additional information on how this form is to be submitted, number minimum re"irements cannot be considered unless speciicelly desc,,ued. of copies, etc., see the instructions-applicable to the FHA Application for e. Include as chsrrsates, "or equal' phrases, or contradictory items, ICon. Mortgage Insurance or VA Request for Deterrninatian of Reasonable Value, sideration of a request for acceptance of substitute moterials or equ,prnent as the case may be. is not thereby precluded.) 2. Describe all materials and equipment to be used. whether or not shown S. Incttada signatures re wrad of tfis end of oris form. on the drawings, by marking an X in each appropriate check-box and entering I req wired information called for in each space. If space is inodcquote, enter "Sae A TM eanstrsactian shall be completed in compliance with the related mise," and describe under item 21 or on an attached sheet, drawings and speeiieations, as amended during processing. The specifcot ons 1. Work not specifically described or shown will not ba considered unless include this Description of Materials and the applicable Minimum Cons'ructnon required, when the minimum acceptable will be assumed. Work exceeding Requirements. 1. EXCAVATION: Bearing soil, type ------ ----- .1., "` t=- t>.'v1 .------------- -- ----- -•--------- - - - ... - ----- L FOUNDATIONS: ^' Footings: Concrete mix . _ .rit -�.._ L '�r_-�_- _-_._-_--_. •--- Reinforcing----- -- <: r t__.__- --_-.• Foundation wall: Material.. { --.-_-- .:t:�w.`..sem.--- Reinforcing _- __ ------- .-----.---- Interior foundation wail: Material -------- _..., . -.. Party foundation wall ._. _ _ _ ---------- Columns: Material and size .._. ........ ------ .. -. _ .. - Piers: Material and reinforcing Girders: Material and sizes Sills: Material - Basement entrance areaway -_. _ Window areaways . .. Waterproofing Footing drains. Termite protection .-:41? -Ci;*t. Basementless space: Ground cover . - ._-- -•_- Insulation ------------------- _ Founr!atinn vents Special foundaivrns .. _ -------- - - ------ 3. CHIMNEYS: / 0 � Material ----- --------- ---- -------- ----------------- Prefabricated (make a-nd size) �7 -----K7--------------- Flue lining: ------------Flue"lining: Material _ Heater flue size _,_ Fireplace flue size __-- .__ - Vents (nutterial and si:e) :Gas or oil heater ....... .. . - -- -_ Water heater --------- ----------------- 4. FIREPLACES: Type: ❑ Solid fuel; O gas-burning; ❑ circulator (snake mid Iiia) __--------------------------- Ash dump and clean-out ---- -------- --- Fireplace: Facing - -------------- -----; lining -------- ------- _; hearth ---------------------------; mantel .. ---------- ------- E. EXTUIOR WALLS: Wood frame: Grade and species _ --------------- ------------ ... C1 Corner bracing. Building paper or felt. ----- ----_---.-__- Sheathing ------------ ... -.-- ; thickness ___ _-- ; width ............; ❑ solid; ❑ spaced ------- ._ o. e.; O diagonal; --------_-.---_- Siding . _. ----------- -------- __ grade ; tylrr ------- size ..------------ exposure _. ; fastening--.- Shingles---------------------------- ; grade .. ..... ; type -- --•.; size ------- ----- exposure ..........; fastening .. _.._. Stucco --------------------------- : thickness ". Lath - ----------------------------•-; weight --------------- lb. Masonry veneer ---- -- .._ . . ----- -------- Sills ------ ----------- -- --- Lintels ----------- -- . - ------------ Masonry: Facing C© '.1.1. backup ---- - ---- ------ - - thickness -.4S......... -- Window sills G. :f` ri-------------- Lintels_.._ .�►1i\._. .... Door sills r: u.._LL'.,:.{` ---. Interior surfaces: Dampproofing, coats of _-------- ------ ----------------_--------;rfurring ------------------------- Exterior painting: Materia} _ `cL't �y _.i '�'.l .mel___:...C<< S ____ +r .1r _______________ ; number of coats...` Gable wall construction:Ak3ame as main walls; p other -------------------------- --------------- ------------------------------- ------.-__ _____..___. L t tt. lOWU PLOONS AM WANSCOT: LeacaTwN NATwuaa. Coma. BOSOM SMIM BAaa. ETc. _ Teasawmat Due `UHnWrrwoa ------- .. y --- ----- Kitchen .1 w (.. ... . 1 ', � -. ----. ----------------------. .__.J�t:Y---- T - _ .-_ - .. .. ., Lemnos NATNINAIA.Cows.9010011.CAP.501M(lace.ZM UNGST Hamm?aT Tu• Hcgawr .. swewls Bath--; M__ y ...._. ----- - - ---- � t •--- - r . ...__ ---------------- --------------- -------------------------------------------------- --------_---------- -------------- ------------------- ------------- ---..- - -- ----------------......... ..........- .... --------------------------- - ............ --- _ . - Bathroom accessories: Recessed; material -. »���+___.�; number --.---,'gattached; material . K ___.__, number------ 11141lUBINB: _-------- 2L reruns Nyasa LocaT" Nass Nsar'a ltxrvl!as Iasmn"CanoN Na dw COLM Sink- .1_!+<�t 2�_ f1 mow..---- * ------1 {o -ham -- ---- 1-, -- lavatory------------ r4.-. .�``�Tq----- ------- ------------------ ---------'--4..J'..J' .----elz.+--- ----_---------------- ------11 -- F - Water closet----- -_` ---------! -- - ----- -- ------------------- - ---------- ------------------ --------------- ------- ---- Bsthtub. I---_. .--- -------------- --------- ------ -...__..... -- ' - �� ;! fc>- Gia G_ Showerover tub*- -------- •-i---------------------- -----------n -•-- -- --------- ----------------------- - - it Stallshower ----• ------------------------------ ------------------------_----- ------------------ ---•----------------• ----------- -- Laundrytrays---- ------------------------------ ------- -.----- --------------------------------------•-- -------------------- ------------- ---------- - _ .VIA- .--. 'c_� �,��- .._._��3Z _...`2_��5- �?�� ._CG v_�t.-!C-�htJ� -------------- Curtain rod -0 Door Curtain rod iter supply: Public; [3 co ity system;,Q individual (private) system. Sewage disposal: Public; ❑ community system; p individual (private) system. *Show and describe bxNvideeal system in «o mplete detail in separate drow6w and speciAmtiau acsovding to requirements. House drain (inside):Cad iron; Q tile; p other........._..... Morose sewer (outside):Cast iron; Q tile; p other-------- Water piping:Galvanized steel; Q capper tubing; Q other _------------------------- ---..___.._------ Sill cocks, number ._�_. Domestic water heater: Type ISel-T•Q?--- L. .t�. �_G__; aa�ke.and model — -!5 ..2'.-_•-------•-------------- -------------. recovery _---------_------ gph. 100' rise. Storage tank: Material ._�"C�S..��:_.����r.�r_---_----- -;capacity_._��� gallons Gas service: ❑ Utility company; 0 11q, pet.gas; d other.._---------------------------------------- Gas piping: ❑ Cooking; ❑ house heating. Footing drains connected to: Q Storm sewer; Q sanitary sewer; ❑ day well. Sump pump -------------------------- -----------__....._._....--- _L NIIATINti: Q Hot water. Q Steam. [I Vapor. Q One-pips system. Q Two-pipe system ❑ Radiators. ❑ Convectors. Q Baseboard radiation. Bake and model ............_-.__-.__.-_______________________________________________ Radiant panel: Q Floor; Q wall; ❑ ceiling. Panel coil: Material..--------------.---------------------------------._._--_._._._-__-------------------- ❑Circulator. Q Return pump. Make sad brodel----.-------—1...................--------------------------------------- capacity ----- Kpm. Boiler: Make and model --------------------_----------------------------------- Output ------ ----------- Btuh.; not rating --.------------... Btuh. Warm air: p Gravity. Q Forced. Type of system--------------------------------------•------------------::-------------------------- ---------- Duct material: Supply .................... return--------------------- Inmtlation •----.--.-.-.-•--_-thickness__.____. Q Outside air intake. Furnace: Make and miodel -.__--------------------------------.---_-.-__-__-_._. Input -------------------- Btuh.;output -- ------ .iBtuh. ------------------X Spae:s heater; p lfoor-lurnao+e; (�call irsstte. tat- y-- w- $t it►.;output_�.�f Q�t�.'?_8tuh.;number unite .--1- Make,model ..-------------- � ------------------------ -_•_---. ------------- -- ------ Controls: Make and type ------...•----------------------------------- ------------- ....-------------------------------------------------------------------- - Fuel: Q Coai; oil; (31M. 0 Uq. POL gas; CI s1ectm: ❑ other-_-.--_--.--- - ---------------• --; storage capacity _5-�-�-05!� -------------------------------------------------•- -•------ -- - Firing equipment furnished separately: L] Gas burner,conversion type. Stoker: 0 Hopper feed; ❑ bin feed. Oilburner: ❑ Pressure atomising; © vaporising ------------------------------------------------------------------------------------------- .......... Makeand model -•-------------- - ---------------- ..... . Control`---•----------------------------- ----- --------------- ---------------------------------•------------•-_----•----••---•---. ------------,-. -- --------.--_.--._--_----.----------------------------------- ------ ---- --- --- MARC WARE. (Make, materiel,and Fni:A( :1�Ar ------ SPECIAL EQUIPMENT: (Stole matcnol or make and model Venetian blinds --- -_.- - ----- Number _ _ _ Automatic washer ..._.__-. -.------------„-.---- ---- -- Kitchen range _.----- ------ ------------------------ ----- Clothes dru, Refrigerator -------- ...... Other Dishwasher Garbage disposal unit ...... -- - - -- ---------- -- _ -------- -------------- PORCHES: ----- ---PORCHES: TERRACES: t. - GARAGES: ---•--- WALKS AND DRIrEWAYSi Drivewav: Width _a-r'.-_ Base material ------ ._-----... ; thickness __". Surfacing material _C _ _ _ __ ; thickness ' Front walk: Width Alat� vial thickness - Service walk: Width ------ Material - thicl,;.­s Stell: M.,!erial _. treads risers _ _ Ch(,;, walls OTHER ONSITE IMPROVEMENTS: (Spr'eify ell erterior onsite improvements not described elsewhere, including items such os unasurtl grading, drainage structures, and w-ecssury structures.) —---------------------------------------------------------------------- -- LANDSCAPING. PLANTING. AND PINISN OUDlllst `��� �^~� jj t;_�_C: -c F ' fF-. Topsoil ___--_-----_" thick: C] Front yard; C7 side yards, D rear yard to feet behind main building. 1 Lawns: (seeded, sodded, or sprigged) Frant yard LF.[t+C;t _.; side yards '�._`_- ;'reser yard ..__ Planting: C] as specified and shown on drawings; ❑ as follows. ------_.--- Shade trees, deciduous, ._.___-___- caliper. Evergreen trees, to. ,B&R, Low flowering trees, deciduous, -----------to.--_..- Evergreen shrubs, to , ,B&B. High-growing shrubs, deciduous, .. .... -' to Vines, 2-year _ ----- Medium-growing ___&Tedium-growing shrubs, deciduous, to _ _...- - ---- 1,ow-grvvt ing shrugs, deciduous, to f t'�J rLa Q TDrNTIFICAlim.--This exbihit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the latter is known at the time of aT:ld cation. Date --------------- ------------ -- ------------------------------------------------------------------- Signature -- . . ... . .------- ------_-------------- Signature ------ --Signature