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Permit 1723-1725 Ocean Grove Dr (vault) CITY OF Office of Building Official C, REQUEST FOR INSPECTION Date / _ Permit No. Time C A. Received District No. 7r , , Job A ss L.ocali Owner's Name C, Contractor < ti BUILDING qON ECTRICAL PLUMBING MECHANICAL Framing ❑ Rogh Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thur Friday P.M. Inspection Made Inspector ` ✓� Final Inspection❑ Certificate of Occupancy 1 Date CITY OF 4&4a&* Office of Building Official REQUEST FOR INSPECTION , Date Permit No. Time Received P.M. strict No. A rens tonality Owner's Name Contractor �— C BUILDING CO CRETE ELECTRICAL PLUMBI MECHANICAL Framing ❑ Foo ing ❑ Rough Wiring ❑ oug ❑ Air.Cond.& O Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire�� y Pre Fab READY a READY FOR INSPECTION A.M. Mon. Tues. Wed. ---- Friday P.M. action Made Inspector _ Final Inspection❑ tl Certificate of Occupancy Date CITY OF Office of Building Official ' �zG REQUEST FOR INSPECTION Date ` � ---""� Permit No. Time Received c� "— �'� District No._ a � Job Addr (` Locality Owner's ( !/ Name Contractor BUILDING CONCRE ELECTRICAL PLUMBIN y MECH NICA raming ❑ Footing ❑ Rough Wiring ❑ ug ❑ Cond.& Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ �5 P_ Fire Place 0 Pre Fab DY FOR INSPECTIVN A.M. Mon. Tues. Wed. Thur Friday P.M. A:M: Inspection Made Inspector �- Final lnspection GertificateofOocupa y Date CITY OF Ala 60 1�io�k Erparfmrnf of + nilaing �n� rrtton 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 `16`)4 _ Group _ Type Construction L`e1 ``�-_Firc District Owner of Building Address Builfding Address r d <... Bvildmg Official—�—� Date /OST IN A CON/►ICUOUS PLAC[ V.krrftftratr o C�1C stn 1 CITY OF �r�ttrfmrnf .uf �utl�in�g �n.��rrrftnn 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. ran Use Classification l�Y.E+� `` '°' Bldg.Permit Na_ "�'"� _ Group J, Type Construction t tl,l_t._t.'. .Fire District_ A Owner of Building ' t"t2. sl t,I'_ Address Building Address } :..7 i i C e 1;4 t. "C:'W`i.` D r o Locality �. y Building Official Date POSY IN A CONSPICUOUS PI-CS � CITY OF _ ____ r 4&a4s o Office of Building Official REQUEST FOR INSPECTION Date j l permit No. Time A.M. Received P.M. District No. �1-' f l?� Vie..- • r � � 0; z If(--/) '� Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.S ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION t.2ti.n Tues. Wed. Thurs. A.M.Made A �- P.M. ' Inspector nalInspeciwnx Certificate of Occupancy Date CITY OF k 4&44d2c Beach-1lwtu � f Office of Building Official V REQUEST FOR INSPECTION 1 , c Date Permit No. C9 Times A.M. Received P.M. Dis ict;No. Job AdAFeek li Owner's Name ✓C ��'� Contractor �C- BUILDING CONC EL�TRIC� PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ r` L�, Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. Tues. Wed. Thurs. p� Friday P.M. Inspection Made ( / Inspector ^� Final Inspection m/ Certificate of Occupancy Date CITY OF 17, 3 7 7 6 "X4 Office of Building Official 1?2 f— u-1 82 r f REQUEST FOR INSPECTION 7 �'�� �E 60Q Date 1- 30 Permit No. Time A.M. Received An. P.M. Dist lot No. -Q /�Job-Ajdress Owne N Contractor 7A�7 ING ? C C ETE � CTgtC+�L CHA AL Fr m ng ❑ F ting ❑ Rough Wiring p Rough p ❑ Re Roofing p Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday_ P.M. ` A.M. Inspection Made _ P.M. Inspector Final Inspection❑ Certificate of Occupancy ✓ Date CITY OF 4&4N& Bf� e404 T� Office of Building Official REQUEST FOR INSPECTION !,14 3 V Date Permit No. Time A.M. 1 Received .M� District �No. i. L-1 f..� Job Address Locality Owner's er's Name Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab (2 Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Nsp� 1?aa). Fire Place ❑ Pre Fab _ READY FOR INSPECTION A.M. Mon. Tues.> /t-, Wed. Thurs. Friday P.M. ((� C A.M. Inspection Made r —P.M. Inspector Final Inspection❑ Certificate of Occupancy Date AN Time A.M. Receive, � � P� District Job-Addrem �&-E Owner', tom/ Name �� Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating Lintel Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. � Wed. ? ToM. Friday P.M. Inspection Made ( P Inspector Final inspection❑ Certificate of Occupancy Date ��rr e CITY OF Office of Building Official _ REQUEST FOR INSPECTION Date Permit No. Time A.M. ReceivedP.M. District No qj�2-_- ee,,� - Job ddress L/bbc�a�—lity' Owner's Name . _ Contracto�- BUILDING CONCR E �L�CTRICAL­ LUMBING MECHANICAL Framing ❑ Footing ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. "� A.M. _ inspection Made .. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION 12 Date Permit No. � TimeA.M. Received `` 4 P.M. District No. s 0 6lress Locality Owner' Name -` Conf'ractoK BUILDING C CRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ ghrNfiring—fl Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Tem Pole Cr Top Out ❑ Heating Lintel ❑ / �,f Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. es. wed. Thu rs. Friday P.M. Inspection Made a ' A.M. Inspector K i �,..t E Final InspectioK Certificate of Occupancy Date i ADDRESS 7 - / �? C)C- /-?/lj BUILDING PERMIT NUMBER_ INSPECTIONS FOOTING___ SLAB -91 FRAMING COVER UP_---_ INSULATION___c _� 912- FINAL BUILT ING_l CERTIFICATE OCC j_� _- ELECTRICAL PERMIT INSPECTIONS ROUGH__f_,3-��LI:��_________ FINAL------------------------ MECHANICAL PERMIT #_____ - _ l PLUMBING PERMIT #t ` � NOTES: 1 J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ►} ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 h F Application Number . . . . . 09-00000078 Date 1/20/09 Property Address . . . . . . 1725 OCEAN GROVE DR Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace 1 condens . 1 a/h ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RUGGIERO, JOANN OCEAN STATE HEAT & AIR, INC. 1725 OCEAN GROVE DRIVE 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . REPLACE 1 CONDENS 1 A/H Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 7/19/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 01/20/2009 08:59 FAX 9042498949 OCEAN_STATE_A/C + ATLANTIC-BEACH la 001/001 r .. �•• CITY OF ATLANTIC REACH I l 800 SEMNOLE ROAD,ATLANTIC®EACH,FL 3tx33 07 1 1�M�•~• �- 1 OFFIM:MRjZ47-60 6 4 FAX ND,IIP04047•SMb �• SUILDINC-OEPTOCOAMUS MECHANICAL PERMIT APPLICATION DUVAL COUNTY if W oGea.^ ftNO 3_.33 aY 5 PERMIT 0: 114010 �� 4.NAME: S,ADDR966 IF DIMEMNT FROM JOB ADDRESS: 6.PHONE: �Nt�t 7.MIME OFCOMPANT, 8.ADDRESS.: ~ 4 61vd azzc 9.(TATE W FLOAIOA LICENe NG: 10.CELL PHONE 1.FAX Na _Clo*( O 1 7oY-2yr-Illy? it 41JNLAbOKU: 13,WWII!FMONe: ,,& 1 1� Application is hereby pride to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to fi•et the standards of M laws aguleting construction In this Jurisdiction. This pemlll becomes null and void IT work Is not oommanced within six(0) months.or ti Construction or work It suspended or abandoned for a period of six(6)months at any time Biter work is commenced. CONTPACTORS 5101-1- 0 NEW INSTALLATION 13 NE I W FLORIDA BUILDING COD - REPLACEMENT OF EXISTING SYSTBM IR EX IS NG D COMMER IAL MECHANICAL 0 ALTERATION I ADDITION TO EXIST SYSTEM 0 REPAIR d C)THER 1➢.HEAT: 13 SPACE 0 RECESSED CENTRAL D FLOOR BURNERS: 20,AIR CONDITIONING: O ROOM CENTRAL 21,DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: ofm 22.REFRIGERATION: MAX CAPACITY: drn 3.COOLING TOWER: CAPACITY: ppm ,FIRE SPRINKLER: NUMBER OF HEADS: 25,LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26.COMMERCIAL HOOD NUMBER: I'I.F1REPLACE.. PREFABRICATED: MASONRY: 28,IRRIGATION: O PUMP 0 WELL O PIPINGS V 20.GAS PIPING: M OF OUTLETS: O GAS AMU: D GAS WATER HEATER: 36.OTHER•SPECIFY: 90LAM H@AIM,20ILII1116.UNMR90 PRMLM VESSEL,HEAT EXCHMISIA CHI COIL INDUCTS ETC. VALUE FOR OTHER ITEMS: N •r +v Y' A C1FuWS DESCAOMON MOCEL# MANUFACTURER TONS AGENCY n Val. NLIMBER ow OF VIVTS DESCRIP ION MODEL N MANUFACTURER ttrrtJ A OF t ag p NUMBfiR CALLON9 MANUfA:TURQR SERIAL AG COAs ROAM 010004!XKVIAPJX DR302007 �\j y"4 .. may`°'" ' ✓ �` � CITY OF ATLANTIC BEACH r 800 SEMINOLE ROAD J =". ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 � 1I39 INSPECTION EMAIL REQUEST: Building-dept2coaKus Application Number . . . . . 07-00000945 Date 7/03/07 Property Address . . . . . . 1723 OCEAN GROVE DR Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc RE ROOF ---- ----------------------- ------------------------------------------------- Owner Contractor ------------------------ ------------------------ WANSTALL HARRISON CONSTRUCTION & 1723 OCEAN GROVE DRIVE REMODELING, INC. ATLANTIC BEACH FL 32233 917 1ST AVE. NEW SMYRNA BEACH FL 32169 (386) 689-0689 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 12/30/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. S Ly;yw BUILDING PERMIT APPLICATION r C CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 Office: (904)247-5826 • Fax: (904)247-5845 Job Address: / '72.3 d CgA442 �i�lsQ���, Permit Number: Legal Description Valuation of Work(Replacement Cost) $ ■ Class of Work(Circle one): New Addition Qlteratff_o_n.' Repair ■ Use of existing/proposed structure(ss Circle one): ercial esiden ' ■ If an existing structure, is a fire spr er system installed?(Circle one): es o � ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes C nz) Describe in detail the type of work to be performed: P'royerty Owner Information Name: Address: City 7- StateZip„;�-Phone Contractor Information: f �/ / 1 Name of Company: s.r/^/do✓�' j��i7'i i Qualifying Agent: 12_z "fl f p_gr &y Address: 19/�e� Vit" City �,,d,� ,�, StateA/, Zip Office Phone –b Job Site/Contact Number State Certificaio egistration# ee,6 1,2,;z ,-9 Office Fax# Architect Name &Phone# Engineer's Name &Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all workwill be erformed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void iftork is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six f6) months at any time meter work as commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air Conditioners, etc. WARNING TO OWNED: YOUR FAILURE TO RECORD A NOTICE OF CON vIENCEMENT 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. ihereb certify that lhave read and examined this application and know the same to be true and correct. Allprovisions o laws and ordinances governing this ty�pe of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authoriti, to violate or cancel the provisions of any other federal, state, or local law regulating construction or the erformance o nstruction. Signature of Property Owner. Signature of Contracto . 5wo n t�and subs i e eforwFe Sworn t�and scri ed efore me _ this`_Day of 2 tluss'1"'�-Day �— ARGADONNA ANN MARGADONNA MY Cor�nssION#D0536835 MY COMMISSION#DD536835 �6:Aprd 11.2D10 Notary Public FJOPIRES.April 11,2010 Notary Publi 1-RW-7 NOTARY FI.Notary Discount Assoc.Co. REVISED 03.05.07 r NOnCE OF COMMENCEMENT State of Tax Folio No. County of 4 a f 2,C1 To Whom It May Concern: The to dmoy)ed hereby info3ms YOU that improvements will be made to cmtEtin real property,and in accordance with Section 713 of the Florida Statutes,the following inf ruallm is stated in this NOTICE OF COM MgCBMENT. Legal Dation of property being improved: Address of property being improved: l 1 ( l _t a-t'�. � ',fix ,��t e, General dmmpbm of improvements: Ownei:x(L .����1�! � ,.. ,% Address: 13 � Owner's interest in site of the improvement Fee Simple Titleholder C¢other than owner): Name: COUtraGtOr: Address: r. Telephone .:69,61 k f-- Fax No: Surety Of any) Address: Amount of Bond S Telephone No: Fax No: Name and address of any person maldn a loan for the construction of the improvements Namie: Address: Phone No: Fax No: Name of person within the State of Florida,other than himse]A designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: FaxNo: In addition to himself owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name.- Address: ame:Address: Telephone No• Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THUS SPACE FOR RECORDER'S USE ONLY OWNER Ab— Doc#2007214108,OR BK 14063 Page 766, igoed: Date. Number Pages:1 efore medAyd State Filed&Recorded 07/0212007 at 09:13 AM, f Florida,has personally appeared JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY 'otaryPnbliaatLarge,g{ o OfFlorida, 00[� USSION#DDd36M RECORDING$10.00 ty commission expires:, ersonally Known: or roduced Identification: PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FL. ProjectName: r✓ S �1 tJ� tTUl � Permit# Project Address: As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and product approval number(s) for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed roducts. Information regarding statewide product app raval may be obtained at: www.floridabuilding.org. Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A. EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6. Other B.WINDOWS 1. Single hung 2.Horizontal slider 3. Casement 4.Double hung S.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion 10. Wind breaker 11.Dual action 12. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C.PANEL WALL 1. Siding 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7.Glass block 8.Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D.ROOFING PRODUCTS 1.Asphalt shingles , ' 2. Underlayments _ �lh, _4�I 3. Roofing fasteners toV Td 4.Nonstructural metal roof 5. Built-up roofing 6.Modified bitumen 7. Single ply roofing 8.Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1.Accordion 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up 6.Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 2. Truss plates 3. Engineered lumber 4. Railing 5. Coolers-freezers 6. Concrete admixtures 7. Material 8. Insulation forms 9. Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight `}z CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J = ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 rjryIl� ' INSPECTION EMAIL REQUEST: Buildin -dept2coab.us Application Number 07-00000946 Date 7/03/07 Property Address . . . . . . 1725 OCEAN GROVE DR Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5000 ---------------------------------------------------------------------------- Application desc RE ROOF ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ AUGGIERO, JOANN HARRISON CONSTRUCTION & 1725 OCEAN GROVE DRIVE REMODELING, INC. ATLANTIC BEACH FL 32233 917 IST AVE . NEW SMYRNA BEACH FL 32169 (386) 689-0689 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5000 Expiration Date . . 12/30/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Road,Atlantic Beach FL 32233 �l3I Office: (904)247-5826 • Fax: (904)247-5845 Job Address. / `7o?S' 464 fAn{ &ro j,&>, Permit Number: Legal Description Valuation of Work(Replacement Cost) $ r�dd< ■ Class of Work(Circle one): New Additionlterati Repair��ved e ■ Use of existing/proposed structure(s) Circle one): ommerc>al al ■ If an existing structure, is a fire sprier system mstalled?(Circle one): Yes No ■ Is approval of homeowner's association or other private entity required?(Circle one): Yes Describe in detail the type of work to be performed: N t Q Property Owner Information ,S�s�' 1 Name: 3-,oA,,- A&tect Fo Address: 1 '72 6• Ocet..l city � �� ,[ State Zip Phone Contractor Information: Name of Company: . o t Qualifying Agent: V- a Address: /!;,r City tate)r- Zip - -- Office Phone f pe.a Job Site/Contact Number tiegisraon# C /State Certifica , j S Office Fax# Architect Name&Phone# Engineer's Name&Phone# Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will beerformed to meet the standards of all laws regulating construction.in this jurisdiction, Thispermit becomes null and void if work is not commenced within six(6) months, or_f'construction or work is suspended or abandoned for a period of six_(6) months at any time ter work is commenced. I understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells,Pools, Furnaces,Boilers,Heaters, Tanks and Air 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. t hereby certify that Ihave read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gave authority to violate orcancel the provisions of any other federal; state, or local late regulating construction or the performance of construction. QSignature of Property Owner: Signature of Contractor: Sw�and subs ib befor Swo o and subsc ' ed b ore me thi Day of NN MARGADONNA ttii�i�Day of ?� MY COMMISSION 9 DDS36835 EXPIRES:April 11,2010 lip Notary Public: ' 00-3-NOTARY Fl.Notary D1006 tlt AWtV.Co. Notary Public: MY COMMISSION 4 DDS36835 p' EXPIRES;April 11,2010 I REVISED 03.05.07 NtlU.I•NpTARY PI.Nottry Ial®aowt A�e¢e O,; NO'nCE OF COMMENCENII' State of J61, Tax Folio No. County of To Whom It May Concern: The uadersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following infer nation is stated m this NOTICE OF COMMENCMAENT. Legal Description.of property being improved: Address of property being improved: - r Genal desuxiption of improvements: '' reew Owner: Q Alk A� �5�s L �-t Address: Z S" �C&t2 Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: �C�oatta3ctor. tt T Address: a -k'1Q VA Telephone FaxNo: Surety(if any) Address- Amount of Bond S Telephone No: FaxNo• Namur and address of any peasan making a logn for the construction of the improvements Name• Address: Phan No• Fax No: Name of person within the State of Florida,other than himself;dedg mated-by owner upon whom notices or other documents may be served: Name: Address: Telephone No: FaxNo: In addition to himself owner designates the following person to receive a copy of the Lienor's Noti0e as provided in Section 713 A6( AX Florida Statues. (Fillin at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Comnumoemenrt(the expiration date is one(1)year from the date of recording unless a different date is specified): C, TRIS SPACE FOR RECORDER'S USE ONLY OWNER • caned, (;� Data. / Doc#2007214109,OR BK 14063 Page 767, Q70re fij this day of in the County of Duval,State Number Pages:t ?f Florida,has nary ap +� JIM Recorded 07/0?12007 at COU T D +lotary Public-at LaMgr,', bft of Florida,County JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY MARGADONNA RECORDING$10.00 vfy commission expirbs; AONN ?ersonally Known: ?induced IdenAftation: r PRODUCT APPROVAL INFORMATION SHEET FOR THE CITY OF ATLANTIC BEACH,FL. ProjectName: 04!Cj`'QtZ' Permit# Project Address: '� eA , As required by Florida Statute 553.842 and Florida Administrative Code 9B-72,please provide the information and product approval number(s)for the building components listed below as applicable to the building construction project for the permit number listed above. You should contact your product supplier if you do not know the product approval number for any of the applicable listed roducts. Information regarding statewide Eoduct a royal may be obtained at: www.floridabuilding.org. " Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# A.EXTERIOR DOORS 1. Swinging 2. Sliding 3. Sectional 4.Roll up 5.Automatic 6. Other B.WINDOWS 1. Single hung 2.Horizontal slider 3. Casement 4.Double hung 5.Fixed 6.Awning 7.Pass-through 8.Projected 9.Mullion 14.Wind breaker I L Dual action 12. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# C.PANEL WALL 1. Siding 2. Soffits 3. EIFS 4. Storefronts 5. Curtain walls 6. Wall louvers 7. Glass block 8.Membrane 9. Greenhouse 10. Synthetic stucco 11. Other D.ROOFING PRODUCTS 1. Asphalt shingles C, ,� f304 2. Underlayments -�Il I7 3. Roofing fasteners i! 4.Nonstructural metal roof 5.Built-up roofing 6.Modified bitumen 7. Single ply roofing 8. Roofing tiles 9. Roofing insulation 10. Waterproofing 11. Wood shingles/shakes 12. Roofing slate 13. Liquid applied roofing 14. Cement-adhesive coats 15. Roof tile adhesive 16. Spray applied polyurethane roof 17. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# E. SHUTTERS 1. Accordion 2. Bahama 3. Storm panels 4. Colonial 5. Roll-up 6.Equipment 7. Other F. STRUCTURAL COMPONENTS 1. Wood connector/anchor 2. Truss plates 3.Engineered lumber 4.Railing 5. Coolers-freezers 6. Concrete admixtures 7.Material S. Insulation forms 9.Plastics 10. Deck-roof 11. Wall 12. Sheds 13. Other G. SKYLIGHTS 1. Skylight 2. Other Category/Subcategory Manufacturer Product Description Limitation of Use State# Local# H. NEW EXTERIOR ENVELOPE PRODUCTS 1. 2. In addition to completing the above list of manufacturers,product description and State approval number for the products used on this project, it is the Contractor's or Authorized Agent's responsibility to have a legible copy of each manufacturer's printed instructions, along with the list above, on the job site available to the inspector. The products listed below did not demonstrate product approval at time of plan review. I understand that before these products can be inspected,they must be submitted for review for code compliance and approved by a Plans Examiner. This form will be revised to include each new product in the categories listed above and will be highlighted to indicate the new products and required information. Authorized Project Agent: ,L& (Contractor or Design Professional) (Print Name) (Signature) Company Name: r w+t,. e Mailing Address: City: �le,�alr l•�, ,�E pQ - State: ��� Zip Code: Telephone Number: Fax Number: ( ) Cell Phone Number: (�jC3( ��'/— �` � E-mail Address: . Ss, CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031677 Date 11/22/05 Property Address . . . . . . 1723 OCEAN GROVE DR Tenant nbr, name . . . . . . 1 A/H Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ WANSTALL, DON OCEAN STATE HEAT & AIR 1723 OCEAN GROVE DRIVE 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILIYIIVG OFFICIAL Nov 22 05 03! 42p Ocean State A/C 904-249-8849 P. 1 CITY OF ATLANTIC BEACH ME' CHANICAL PERMIT APPLICATION Date: Property Address; /723 &�dokv' ok a"44 Owner: s telephone N: c2ql Qlc . - -��- a Telephone 4, Contraetor Address; _ Fax#: ID cousidCrafto Q Of permit gjv,=�Ibr doing the Work as dzwibcd 41 the1k im-'Accur(Wict: ,�bovo 11mTe.rAmt, we hereby agree to perform SAW lqo( with thjt attached plans and specificatioas which jLra a part hercufaed in accordant,[;with toe City afAtihntic Beach ordmnveS anti+t u�durds nE goot'jEactive lismd dicreill. Type o(Reating Fuel! iFother corstructiou is being done on dis building < ur aitc,tilt the,building pemuT mimbcr; e * Gas; —L? —Nutural1-Kentnil Utility * ull U.- Othm-Sify MECHANICAL EQUIPMENT TO BE iNs,rALLED NATURE OF WORK RellicatSpace _Recessed w6tnal Floor Air Conditioning -­•Room -ural 0 Duct Systein: Thickness Q Cowercial Cl Refrigeration Maximum capacity Gfin . - 0 New Building to c:001ing Tower-Capacity—. _gpm U E.-�szirkg,Building 0 Fire Sprinklers:Number of Heads 0 Elevator: Nlaujift Escalator (Number) placement ofExistingSys-tern Q Gnst.11ine _(Number) a Tanks (Number) C1 0 LPG Containers (Number) (No systcra I previously installed) Q Onfired Pressure Ves3el, 0 Extension or Add-on to Fv- !;Lag System Cl Boilers Cl Gas Piping 0 Othcr-Specify_ D Other-Specify LIST ALL EQULPMENT MR CUNDUMKIN(i,"WRAGERAXIONV QUIPMENT S,CONTWASOR'$ Approving Numlim Units De;Aixion Model N Manufacturer 1,0u,5 Agtlwy REATING-FURNACES,WiLERS,F(REPLACKS&AM 11APULFIVS Ap9mving Number Units Dcscripdoo mudtl ManulActurcr 8TITs Agency —1— kL— TIM.15% Noinillal Capacity 1'yrt Liquid Serol Approving How Rdauv &uiratnsinns culft.-Aimd DqunuLlrhv r Ny, ALmucy 800 Svtninule Anud - *tlamfir RoICT-- Florida 32233-$445 Phone: (904)247-5300- Fax- (.904)2477-JS45- h ttp:!1www.ci.a fla n tic-b eazh.fl,us L�05 °t CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: �� C) Property Address: 3 C Owner: 71 Telephone#: Contractor: o n 6551QL� C Q� Telephone #:F91Q- Z51 Contractor Address: 14� 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 or site,list the building permit number: e Electric ,:- ❑ Gas: LP Natural entral Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK �eat _Space _Recessed _ entral _Floor R, Kesidential ir Conditioning: —Room LKentral ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfin ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: __ Manlift Escalator (Number) Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT Ani CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description 1 el# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency TANKS Nominal Capacity Type Liquid Serial Approving How Manv &Dimensions Contained Manufacturer No. Agencv 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800 . Fax: (904) 247-5845 . http://www.ci.atiantic-beach.11.us MAP SHOWING SURVEY OF TPE SOUT N C)Qr-- 1 IAC. ( ' IZ) OF LOT ICO 777--- 0C1_-41,i G eove u i_1 fr 00 . 2- AS RECORDED IN PLAT BOOK Zo PAGES Z O OF THE CURRENT PUBLIC RECORDS OF 0-"44 COUNTY, FLORIDA. CERTIFIED TO 120,v4c.CI f'•, JQ. d C4e-OL W. tn/A&/57ALC, A/o,e wEsr A_40eTG.4GE /nC T-17-6Z5 Pd VCS COMPAi✓y OF k4/AJNE 5O7-A. Z5 PE[.KEY B u/4-OE,P5', /.VC:• 5 7 1[o '54.,E. GO. I I 112"�L.6..►3 I o 4 B� Z,.4f) J W VO VO V)W tv V) PATIO. 'PATIO 11./ir, i'ILL m ti 41C 3' �• 0 L OT 4/c `t N LOT ry p� ry /5 �� �v.nw ( QN a1 W 7 VV) �qlr� 3 7 V) .9�c � Nu z.e•� 4 r Nd r z.8 . Z.8• T o `4UJ � Qa WW V J Q3 3 V d N �v WM GAR 6 ZI'Q Nth N Fc.(/3.68) •' 18.9" .� 1/.l' •.: 18.9 mall./' C00C• CO AJC• N tJ Co 7.-7 'f2'(L.9.f} 1048� � r•�z_--`--=�_•_:-•.' --.•.•- ��2"CLlocnp) 3p 4�' 42" ►../ 6,0.0' C)CE.4kJ 0t/E DJ2 vE LEGEND DATE 27u- NOTES: • DENOTES CONCRETE MONUMENT SCALE /"-Zo' X x DENOTES FENCE JOB NO. /Z349 O DENOTES IRON PIPE SET g QECOQD f LQT 0 DENOTES IRON PIPE FOUND 11527-1Z$63 1.Bearings are based on x DENOTES CROSS CUT 2.This is a COUAIVA ey survey. 3. Elevations shown thus (15.0) refer to N.G.V.D. of 1929. Richard A. Miller & Associates, Inc. 4.Subject property lies within Zone "x" as shown on F.I.A.Flood Hazard Boundary Professional Land Surveyors Map 000'D , Communit No. /20075 11330-5 St.Johns Industrial Parkway North dated APRI6 17,19 9 �GYJrSiflE 500 YR FGao,2). Jacksonville,Florida 32216 5.Unless otherwise noted,any portion of the subject parcel that may be deemed as Wetlands (904)642-8337 by State or Governmental Agencies, has not been determined and any liability resulting 111ERED RTIFY THAT THE SURVEY SHOWN HEREON MEETS THE MINIMUM therefrom is not the responsibility of the undersigned. IE'HNI A STA ARDS SET FORTH BY THE FLORIDA BOARD OF LAND 6.There may be Restrictions or Easements of Record evidenced by title examination that have SURV S.Pu DANT To SE N4r FLO A sTATUTF not been shown hereon. (� NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL RI HARD A. MILLER, P.L.S. CERT. N0. 3848 CHK. By F.B. Z&3 PG /L a, MAP SHOWING SURVEY OF T,yE 1,/0R T/•-N dNE /ALF (//Z) OF777 LOT /Co OGE4 AJ G 20✓E C/.v/T- A,/0 . 2 AS RECORDED IN PLAT BOOK Z' PAGES 20 OF THE CURRENT PUBLIC RECORDS OF DuvaG COUNTY, FLORIDA. CERTIFIED TO PEG/CE Y 6U/z-VE.e5. 1.7, JoAnn Ruggiero NationsBank Mortgage Corporation of Georgia Z5C 4 CE pe.Zo First American Title Insurance Co. 51° I Co '54-"6 II2.(�.°S..d 1048 J K W 4 \� f J ° V)� o (n 0� o F-P. PATiOAT/D U� � 11•/in IB,g' 16.9' z 1r 1 IL 4C m 9' 3• t=3 3 v aIC' U to LOT 416 N N LO T �� /5 ��� 17 QN �' VV)y'J 7 �41� 3• T ccJ Vl o`0 r J °s° Z.8 Lo UJV) 3 N N 3 3 Will W 6.42 644 Y 11.1 .. 18.9 /B.9• 3'1!. L� � I— C o�ic Co uc• N N ' (e 7.-73' l2•((.9.}} 1049] 9Z'(Wo Cap) KJ 31> 4�' GCE4,J GA�' Ove Z );� vE LEGEND DATE UEC• "A /99/ NOTES: ■ DENOTES CONCRETE MONUMENT SCALE /'�LO' X X DENOTES FENCE JOB NO. IZ349 O DENOTES IRON PIPE SET 1.Bearings are based on PECOQD PLAT 0 DENOTES IRON PPE FOUND t 16Z7—TZ BG3 2.This is a -OCUn/04RV survey. x DENOTES CROSS CUT 3. Elevations shown thus (15.0) refer to N.G.V.D. of 1929. Richard A. Miller & Associates, Inc. 4.Subject property lies within Zone �x as shown on F.I.A.Flood Hazard Boundary Professional Land Survevors Map SID Communit No. /20075 11330.5 St.Johns industrial Parkway North dated .4Pe/G /7. /969 . 607540e 5CO ye. C•c-000) Jacksonville,ille,,7Florida 32216 5.Unless otherwise noted,any portion of the subject parcel that may be deemed as Wetlands by State or Governmental Agencies, has not been determined and any liability resulting I HEREBY TIFY THAT THE SURVEY SHOWN HEREON MEETS THE MINIMUM therefrom IS not the responsibility of the undersigned. IECHNI L STAN RDS SET FORTH BY 1HE FLORIDA BOARD OF LAND 6.There maybe Restrictions or Easements of Record evidenced by title examination that have Su.. 0 .Pu ANT To S ON 472027 FLORIDA S TATU ES not been shown hereon. xil NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL C ARD A. MILLS 14, P.L. ERT. NI!(. 3848 CHK, By F.B. Z(03 PG /� b DATE: •� PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: ------------------------------------------------- 1 1 ------ -------------------------------------------------- ------- ------------------------------------------------- 1 ------ ------------------------------------------------- SIHCER�LY, BUILDING INSPECTION DIVISION cc:FILE TRANSMITTAL DOCUMENT FOR JEA DATE: The following permits have passed "rough" inspection: Permit No. AddreAs c�'C1 3 44,� n 9 17.26- Enclosed 7.2SEnclosed are our (blue) copies of the permits. Please update your records accordingly. "Than you � ��`` Q, �// W' UIL -IN?Z0b4 C111j CITY OF ATLANTIC BEACH ' t /vcb r 0 1 ` 4782 DEPARTMENT OF BUILDING CITY OF ATLANTIC EEACH J --- PERMIT INFORMATION - -- �.��-�: LOCATION INFORMATION P r rmit Numbers 4782 A�#dr�����= �'� � 'OCEAN GROVE DRIVE P rmit `I`ype t mEcHARTCALr ATLANTIC BRACH, ,FLORIDA 32233 C' c� W r NEW --*-- �� LEGAL DESCRIPTION ---- on str. Ty0 t WOOD FRAME Lot,z Sectioxz z roposo d' -Uve t SINGLE FAMILY ; RN6 z O 1 -ings t 1 Code:z p' SubdiVjajon t OCEAN GROVE la t mtat d Value: 000`00 I mprbv« Total, ,m�. $47.00 47« tC1 �s• ATION a r� APPLICATION FEES -- PERMIT $47. 00 V EEsO.0Q Aild PEE P 4' 323 �. Wi «` t RADON GAS-H. R. S. $0.00 t T O RF ORMATt ' RADON GAS - 5% 0. C+0 dress t 1£94 ACH 9LVn, Slantcr TAP $0. 00 .TAlly. 221+6 HYDRAULIC SHARE 00 e t T p ►z Z RE�I1NSPECT` FEE' G `s ° OTHER z. S: v„ n NOTICE ALL CONCFAETE FORMS AND FOOTINGS MIJST 8E:tN$I�ECTED BEFORE POURING C PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE ILDING MATERIAL,RUBBISH AN,p`DI=SfO FROM THIS WORK MUST NQT BE PLAOEP IN PUBLIC SPACE,AND MUST BE EARED UP AND,HAULED AWAY BY MTHER*CONTRACTOR OR OiNNER g FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN HE PROPEIRtY OWNER PAYING TWICE F�3� �U��,a3� i � 43 iv�:�i SUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AIVD SU Tt?"REVOCA FOR r OLATION OFAPPLICABLE PROVISIONS OF LAW. 40 V � ■ -46-366 A , ANTIC BEACH BUILDING DEPARTMENT y BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, 11, 111, and IV.. (• Street Address: za 6k", LOPATION 8 ,ry OFA Intersecting Streets: Between And SUkDING t Sub-division II, IDENTIFICATION To be completed by all applicants ,'_in consideration of permit given for doing the work as described in the abcve 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 Jacksonville ordinances and standards of good-practice listed therein. No of Mechanical �^ Contractors Ce t". (Print) G IS Master A 1"2 A21 N46 of 0n Pr000rty Owner ca Si tore of Owner Signature of or thor'ised A9ent Architect or Engineer 11111 011NEM INFORMATION A' Type of heating W: B. IS OTHER CONSTRUCTION BEING DONE ON c THIS BUILDING OR SITE? f❑ Gas—❑ LF ❑ Natural ❑ Central Utility 0 on IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT (p c°- (3 ONlar — Speeifl' rv�'mcmmnAi EQUI►Msw To BE 1NSTALL11110 NATURE OF WORK (Provide complete list of components on back of this form) 4--„Residential or ❑ Commercial 13'L_ +set ❑ Span ❑ Retried a--Central O Floor kNew Building E3 Air Conditioning: ❑ Room ❑ Contra) / r, ❑ Existing Building �o.•z7 -4Wr System: Metairie 4hud Thick ❑ Replacement of existing system Z Mailiimum,eapacify, ❑ New Installation(No system previously Installed) i e.fm. Q Refrigeration ❑ Extension or add-on to exlstini system } ❑ Cooling tower: Capacity g p.m. -Other — Specify . Q Fire sprinkler 'Number of heap ❑ Boveter ❑ Monlift ❑ Escalator (number) THIS SIACE FOR OFFICE USE ONLY 0`baseline pump (number) (Recol"d) i : C) Tsnk• (number) Remarks ❑ LAG contain*K (number) Q Unfired pressure vessel i Permit Approved by Do C3 flelhent. E b Otlwr — Specify Permit�. i LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT C�p�d Number Units Deription Kodet Number Manufacturer (T�)� A� sc // HEATING - PURNACES, BOILERS, FIREPLACES liw1sa4ber ValteD"Ption 390"Number Yanufacltu+er ( T ) ASMW TANKS (Rbw Kany NanoW Capacity Ty" Ltgvid NAM at Serial Approving `. *Ad Dbneorfoos Contained No. 4776 'DEPARTMENT OF BUILDING: CITY QF ATLANTIC BEACH A . ,wtOiAi# N INFORMATION " - « . FER1IesINFORMATION I~' r eal t >xtab�r i 4776 e"i0 Ir 1"723. OCEAN GROVE DRIVE Permit it Typ s I~IEGHAI CAL ., ATL,AIl1TIG BEACH, ;FLORIDA 32� :� C Y ga � t ►aikx HE . �_ . .. ...._ LEGAL DESCRIPTION . -_-..-.__..w cx» tr. Typi+�a WOOD Lcat B cm 5Nctialrt: ria U e a SINGLE FAMILYTar i.P x HHCy s' O 1 >rs+ Code: U Su1, 1i c s �IC1��N CRONE t rated values: #t3.t C1 Improv,* Cants #CI.'t`1C1 Toial *47.00 A au $47.Ems+ [ rk AIT A.L. HEAT AND A I R AT 'ON - ��fia - r � � �,..,M APPLTCATIf�!i� ]FEES -_ .r` P£RM-L"T $49.00 GROVE DRIVE ;. WA I#PAC7` F'EI:0 1F $0.00 CH ,LORItFEi 2 RADON t1A5w-H. R. S. SO. 00 )IIPQR11A�t om -- Room is �ct�. at7 .. tB �3 R Nt � 5 INC� ...a,. .`. CATER 'TA D,9C sort # w�tL#I�D: WER TAIL $Q.CC? ' YDALXCSHARE $0.00 K. i .'- . JOR �!NEPV&, FER Type: O . t R N E$: `. NOTICE ALL CONCRETE F TAMS AND FOOTINGS MUST SE INSPECTED BEFORE POURING PERMIT-VOID SIX MONTHS AFTER DATE OF ISSUE . ILDING MATEAIAL,RUBBISH AN¢'DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE .EARED UP ANb HAULED AWAY BY TITHER CONTRACTOR OR OWNER.' 6 4+ F' COMPLY WITH THE MECHAN ILURE1rOICS' LIEN LAWCAN RESULT IN HE PROPERTYaW�ER PAYING TwrCE FOR �UIL1�1N� rnn IL WIL� ISE T� ' h ED ADCC! INC"TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBW&& REVOCA . OR OLATION`OF PLICABLE PRO BIONS OF LAW. Coo A >IfANTIC BEACH PUILDING DEPARTMENT Y: 11 1,,. a BUILDING AND ZONING INSPECTION DIVISIONS CITE( OF ATLANTIC BEACH ATLANTIC BEACH,FLORIDA 82238 F APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER Y IMPORTANT- Applicant to complete all items in sections I, II, 111, and IV. I. Street Address: LOCATION Stt� OF Intersecting Streets: Between PrC�l_�l�(��n � / —And_ �T MALDING 07- Sub-division 11. IDENTIFICATION - To be completed by all applicants . 3 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 r7-�—^- APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT - Applicant to complete all items in sections I, II, III, and IV. Street Address: 1 LOATION OFt intersecting Streets: Between ��1 _ S.G�ILAL 1& And Su"ING Sub-division 'XCY 11. IDENTIFICATION — To be completed by all applicants i In consideration of permit given for doing the work as described in the abcve 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 Jacksonville ordinances and standards of good.practice listed therein. Neof Mechanical Contractors . Co eetor (Print) ( ,I , Master Nas�ie of Pro rty Owner /F�jjl Sig "furs of Owner Signature of or thorixed Agent Architect or Engineer 111.fi GENERAL INFORMATION A, Type of heating fuel: B. f IS OTHER CONSTRUCTION BEING DONE 0 i .alectric THIS BUILDING OR SITE? ❑ bas--❑ LP C3Natural (3Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Oa PERMIT ❑ Other.— Speofy Ivil40*11 11WAL I QU1PMENT TO RE INSTALLI:O NATURE OF WORK X (Provide complete Mist of components on back of+his fon*) Residential or ❑ Commercial &—tfeat ❑ Spam 13Reconed &Xisntral O Floor ❑ New Building Q_,_Air Condrfroniig: E3Room IM Central El Existing Building fisCtrX,�btrA x• /rr ❑ Replacement of existing system (' t Dod System:`Material �s L. rekn••a 9j0 Maximum capacity, 1400 e f rn, ❑ New installation(No system previously installed) Refrigeration 0 Extension or add-on to existing system p3•. Other - Specify ❑ Cooling towed: Capacity ❑ Fire sprinklers, Number of haad. ❑ Ek water ❑ Moniift ❑ Esoelator (number) THIS SPACE FOR OFFICE USE ONLY 0 . Gesollina,purn ■ (numbed) (Raoelwdl ❑ Tanks (number) Remarks " 13 (number)LPG eonteine 0 Unfired pressure vessot 0 111eNen Permit Approved by da. Q Other -specify Permit .. UST ALL EQUIPMENT . AIR CONDITIO*ING AND REFRIGERATION EQUIPMENT , Ca wft Number Units Description Model Number Manufacturer (�ajy Appr (7i HEAMIG. - FURNACES, BOILERS, FIREPLACES aC�Tr �jp A��� � > a:N�bes 11o ;.TANKS ]tt[any N -ai Capacity Type Uquid Name of Serial Appr°v�ine l�lnsemriaoe Contained Manufactmw No. 7 q j.0 0 CITY OF elftlst&? &4d 574V�4 W SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 January 13, 1992 TO WHOM IT MAY CONCERN: Re: 1737 ;and 1739 Ocean Grove Drive Atlantic Beach Gentlemem; Please be advised that the City of Atlantic Beach maintains, the streets and right-of-ways at the above-referenced py opeT Ly. Please contact this office if you need any fuither information. SC(ex'e IC Don C. Ford Building Official DCF/pah cc,: City Manager ® CITY OF ATLANTIC BEACH, FLORIDA CApp,o"dby APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Ap of 19 11 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 ELECTRICAL REGULATI0 06�S At�II 1�Y ATLANTIC BEACH ORDINANCES. \ C. A. ELECTRICAL FIRM: IRE NAME er5 ADDRESS: PA6 RFD BOX BLDG.SIZE BETWEEN: RES.1, 1 APT.( 1 COMM.( 1 PUBLIC( 1 INDUS.I ► NEW OLD( ) REW.( 1 ADDITION( 1 TRAILER( 1 TEMP.(�) SIGNS ( 1 (_SO.FT. SERVICE: NEW( 1 INCREASE 1 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS O COPPER ALUM. SWITCH OR BREAKER U AMPS j PH 3w VOLT RACEWAY 0D 6o EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.80 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.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. A. MOTOR SIZE SWITCH FLASHER _ EACH SIGN FORWARDED S TOTAL FEES / _ CITY OF 'ROPERTY DESCRIPTION -�Js T 1&44�tC 9CCZ,-It - 57(d1reW4 NII 716 OCEAN BOULEVARD .ot N_l�___ 0J__Section I___..____ P.O.BOX 25 ATLANTIC BEACH.FLORIDA 32233 Subdivision:- _G-IhoV __.. TELEPHONE 16041249-2395 street Name l ® Ue, DESCRIPTION OF WORK :r Address s--------- � �' - V& �_ If in a FLOOD HAZARD %\ %I 'lood Zone:____-_-___area complete pope 3. Brief Description! _L. x___ Class of Works (Now/Remodel/Add ition) _ � _______ .OH1NG INFORMATION Type of /��'91n •+ Conatruot ion s 3� d (" ---------------- :oning Proposed listricts________Use:_____________________ Estimated Value :xceptidns or Materials ariances Granted: --- Solid or -------------r----------------------------- Filled // -- Ground s S % ------ s /rP1.�5P—S OWNER INFORMATION 7-ProMethod of Meetings p� ►C �U//� i��' G _ .�47- Property ertY Owners Mailing _ ----------- Phones =OQ Address__!"_Q_ _ p2_/7r� ------------------------------------------------- CONTRACTOR INFORMATION mow,. p Contractors_ ------ _-- Phone s p ¢LL_L� ,� Mailing �(' ) Addreas s_..1__til=- a-- -- ---------------- --- -- ' s ATIS-- -7-69 ---------------------------------- Zips ------------ Expiration LicenL' se Numbers„_, f0043 -------------------- Date:-_--{j� QaZ._ I NERNST CERTIFY TWAT I NAYS READ AND SXAMISCD THIS APPLICATION AND KNOW THC SAME TO BE TRUE AND CORRtCT. ALL PROVISIONS OF TNS LAMS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL 8E ^ COMPLIED WITH, WHETHER SPECIFIED HSREIN GR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO Ir GIVE AUTHORITY TO VIOLATE OR CANCEL THE ►ROYISIONS OF ANY FEDERAL. STATE OR LOCAL RULES, EOULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE Of CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THC ISSUANCE Or THIS PERMIT IS =i• y!,,,�. CONTINGENT UPON THE ASOVS INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING a�.• � '� DATA HAVE SEEN OR SHALL SE PROVIDED AS REQUIRED. 171 ..A �A ' Owner Signature Date Co _ntractor Signatur - - - __-- --Datep-1Z '� _ DEPARTMENT OF 60IIYDI -0 CITY&ATLANTIC BEACH F ► Nu> a ► AddarooS + r it: Ty e # '+' A"CL #T'IG ` .q t A�' :� 3 iPT of 140 NEW, of 'r 4k 'x'Y1 .WtC)1 > RA# Lai I Gi 1, 1 acid U��a SINGLE FAItt!LY St�b�d 4 Tbv iB t acrd s10 t *ad v x ►00 Vprov. �t.� t..t d a s . ' . 5000, Ai u 8 1.00 'w TION . .... A ftCAT' fl 4, FEE ,» i a FNS..00 . C RIVE CN Lam `M �XE W- 00 ya wr.i+Y.yn+n sr n3 F0Rl4T ON r ' R�1� 31 A' '+•. Oi i. WAT N. 00, 4O f kCY �'� ; T _. � E .�.``1► J ► KLL ,� `F'L� 32211 NY ►1EAtJ : SHAREHCl, Type C� ' i. TES: `41 fi Tl# E— 1� C4NG# E'er 1=+ BAND FOOTINGS MUST BE:#NIS�RI�CTRCl B��f� 1tRING t PERMIT VOIDSIX MONTHS AFTER QATE�,# UE Rl1BBISHANQ t 13RtS FROMTHIS 1AtpRK Mlt$T.tatOT$ Pl ACED IN°PU 3LIC SPACE,"AND t lt15T 8E tl. INCi MAT" 1AL, . LAft;l1P A E Iigl1L>+n"AWAY BY EITHER CONTRACTOR OR OWNSO Ltio ER; 74, uf � w E'ED AC t?ING TQ AP P` PLANS WHICH ARE PART OF,TIi1S PES MITA ,TC3 R TIOfit FOR LION OFpPLIC0FLAW. EMPT4 Ti.AAttIC B1EAG3Ui1,C}thJG DEPARTtiENT By " - s ATLANTIC BEACH •4 . CITY OF MIT " APPLICATION. FOR PLUMBING PER LOCATIONi �� t Ah , '•_ �;�;,•sst. CTOR PLUMBING CONTRAWZR . . '6 I !�I ; LICENSE NUMBERS }it�i(r OWNER 4 BUILDING CONTRACTOR ' l • ;.l;1}'} ,: . BUILDING �up�' :R ' ,`:: ;•f TYPE OF BU 7 '�• Vit;' (1�, 1 . . � • r .li,�t .. SII.OWERS SINKS WATER LAVATORY ` tDISHWASHERS BATH TUBS _,• . SALS DURINALS xsPo 1, !� �;. ✓ 'WASHING I'JACIIINE ?� CLOSETS --- „;�.ca• , OTHER ' t FLOOR DRAINS '� is •;,�;�{ NOTAL FIXTURE COUNT ::'': 'INSTALLA'TION OF PLUMBING AND. FIX'SURES r1UST', BE IN ACCORDANCE WI'Iti 1.;, tit •,•, i ',•_ ,.THE MOST RECENT-EDITION OF THE SOUT11ERN .STANDARD PLUMBING CODE is ;1. ! e `•! , laif '�. ! '�' 'l''�1.5 ''I'' •. �. •�' it �.,.. }`.t}'i t' ,1• `• i•;�1,�.7 L` • ' ' � ' Sri��I+'�..i ' OEPARTM NT ate �r Ia�Nc� CITY OF'ATLANTI ImACH LOCAT NF C3N mum 434 Addral sis x 1723 'M AI ,ROYR tJRT'�I A`14 � tIOA r' 'Cl. lit t' PT ON -- 1i IC Lot 1 1 S 4Ru U +`t oUPtrlkrs ,, God : CM' Ate l X40, s ' Cad a ` ubdivis .0i l ROYE *106669.00 va t �►I .d , 34, Al i / t 14 ift- D P110 PER PLAN ��Jr1.7ii w�..,!Wr`^fir+ "•. a M1J �' ' y • P 91 473('r SO �y y� �y� 1.00ACT 70 06, T "PLOAAZZ wlAT , y . 5 ` 6 Alf `" �' � �.�.,.- Tllo mi F TA ACli, 4 32233 N5 3 1��lJLIG, * ARE ��, OCA: SECS TPA " NS ES. 1 x NI�TIC --All.CONCI*STE FpS�iS AND FOOTINGS MUST BE tI�13PE�EE�;BEFU#tE PORING a " PERhIT VOID SIX MONTHS AFTER.DATE OF:LSSUE � i 1LD6 A7E 1AL;RVISSiSH Af 6{ 6Ei RiS ERQM THIS WC A14 Mt1S� NL"1, C3E.PLACi t}',ii�t PUBLIC SPACE,I ND MU, Bi=. LI AIF P A�3'HAULI t3 AWAY.BY,EIfiHER CONTRACTOR OR.OWNER, SLAMS Ir .. WITH THE n EC14AN! � ► ► r�r WN SAYING1WICE I.1E© AtvCOFi I+IG Tit;APF �f 63'PL,ANS WHICH ARE PART © THIS;PERMIT ANC) SU REVOC �G3R LATtC�N Ol=, k l.IGASL i* C?T1 i#t htS Of:LAW Wiwi A LANTIC 6irACH B ALD.ING DEPARTMENT' ,"3'" ..I ,. ..,-s.-..w ^.5' w �Yma" -:."x sSwr�`<•.'d, ..,r...._,._. ..,.:,.� .f Address ) c ^J c r_U Heated Square Footage @ $ per sq ft - $ �,�r 7C Garage/Shed �/ �� @ $ t,01C per sq ft - $ Carport/Porch @ $ r-- per sq ft = $ Deck @ $___.__ per' sq ft - $ Patio - -- ____per sq ft - $ TUTAL VALUATION: $ r ^ . Cc To-t-aT Valuation 1st Remainder Valuation _ . per thousand or portion thereof r ----- ..l Building }uiz (/ -..---r---rr----r----rr-r--rr , Total Fee $ J �" `5 ADDITIONAL PERMITS and/or FEES IUIRED + Ik Filing Fee Mechanical �, _ Fireplaces @ 15.00 $ J �" � BUIIDIlIG PF.tII�IIT FEE $ �� 7- Plumbing ElectricMm �--------------------------------------1'---------- Electric/Temp ` 1 t BUILDING PART $ '7 J '7 7 Septic Tank WOOER MEIER 01ARGE $� Well � �-- S,.dm % Pool sEw R II� cr FEE WATER IMPACT FEE Sign ' M[SC EU ANDOUS $ c J Water Connection Seger Caaiection Water Meter Elevation Certificate GRAND TOUL DUE �' ------r-- --r--------r--------------------------------r-------------------r------r---------- CALLLX TIONS and/or N71ES i r A h Address I)/C- - Heated )/C-- _ Heated Square Footage � @ $ S-3- per sq ft - $ -'7 7 C Garge edq @ $ l, .C%Q per sq ft - $ Ca`rpor 'orch> / ( ? @ $ - e C mer sq ft - $ Deck @ $ per sq ft - $ Patio @ $ `J per sq ft - $ TOTAL VALUATION: ota Valuation 1st ,.r Remainder Valuation , per thous or portion thereof �; t -------------------- Total Bnt.lding Fee ADDITIONAL PF�NQTS and/or FEES REQtJI�tID = + ]k Filim Fee $ � C Mechanical ✓ _ Fireplaces @ 15.00 y. ( _ Plumbing ; BUIIDING PEMW FEE $ "XS(,- + Electric/New V "------------------------------------------------ Electric/Tari Septic Tank BUIIDING $ Well WATER MOM CKA= $ S 0 C� Swmyds Pool SEWER DTACr FEE $ C 3 Sign WATER DTACT FEE u _ C Water Co �ection MISCQLANEOUS ru Sewer Connection Water Meter ' � $ a,,2f (F Elevation Certificate GRAND TOTAL DUE $ --------- ---------------------------------------------------------------------------------- CMMATIONS and/or NOW A i e CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (8) TUB OR SHOWER STALL (6) f" Z 1 WATER CLOSET WATER CLOSET, TANK OPERATED (4) '� VALVE OPERATED (8) O BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) i SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) , LAVATORY (1) ,__,,,,J,_COMBINATION SINK AND TRAY (�3J I WASHING MACHINE (3) - POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) � . DENTAL LAVATORY (1) _KITCHEN SINK WITH WASTE Z DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) __URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) _COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) C', _LAVATORY, SURGEONS (2) UZZI (2) --�=�—JAC �URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS �I �° _.� @ $20.00 EACH $ JOB INFORMATION r, C} 2 �_ t r2 . 3/4" WATER SERVICE. JIM PELKEY P.O. BOX 72 246-8659 1723 & 1725 OCEAN GROVE JOB COST RECORD •x,?'lUE5CRIPTIl7N ''r� QTY;' :IMATERIALSs , ..'LAUUR� ''ATOTAL 2"X1" Tapping Saddle 1 $8.00 1" CorpStop 1 $18.48 " Curb Stops 2 t16.nn 1" Male Adapters 1 $.77 1" PVC Pipe 15' $2.70 Meter Box/Lid 2 $42.001 3/41, Rubber 3/4" Meter Ends 4 .20 1 3/4" Male SUB TOTAL $97.27 10% O.H. $9.72 TOTAL $106.99 2 MEN ($27.45/HR) FOR 2 HR,( . $54 90 30% O.H. $16 .47 TOTAL $71 .37 MATERIALS LABOR TOTAL TOTAL $106.99 $71137 $198136 JiR MISG'IO�•EXPENSE5' ;rx,F f nh�9 OTIIF.R TOB EXPENSES $20100 1 TRUCK ($10,00/11R) TOTAL COST TOTAL SELLING PRICE LESS TOTAL COST GROSS PROFIT LESS OVERT IEAD COST _%OF SELLING PRICE TOTAL NET PROFIT 218 36 APPROVED NOV 2 1991 --_ n CITY OF ATLANTIC BEACH PUBLIC WORKS DEPARTMENT PRICE. QLkolm�e APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAI4E___ ----- MAILING ADDRESS �i'. � _J j�`� ----------------------- PHONE ______PHONE NUMBER % _ � DATE � ------ - - ------------- ------------ -------- SERVICE REQUESTED_ _� � � -�__-___ -------------------------------------�---------- SERVICE LOCATION__ ------------------------------------------------ DATE SENT TO DATE RETURNED PUBLIC WORKSI1_Z_= L L_____ TO BUILD. DPT. � �oz01_____ DATE OWNER NOTIFIED_______________ i , ......_ ..... C'`� �rri lei NOV 111991 Building and Zoning r CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. 2--BATHROOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET _WATER CLOSET, TANK OPERATED (4) Y VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) ? _ COMBINATION SINK AND TRAY (S) i WASHING MACHINE (3) 3 POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF KA6C- N�SINK (2) `�-- FAUCETS (Z) DENTAL LAVATORY (1) __Z_KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET �) DRINKING FOUNTAIN (1/2) BLOWOUT (2) ' LAVATORY, BARBER/BEAUTY + ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) C:) LAVATORY, SURGEONS (2) JACUZZI (2) C URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS @ $20.00 EACH $ S 70- DO JOB INFORMATION _� l.�C F_f- j_ ? � r t PIZICE Quossrs APPLICATION FOR WATER AND/OR SEWER TAP 1 r � ��, APPLICANT NAME--- ��ZL_,� � �_.�,..,C-i-�------------------------- HAILING ADDRESS ______________________ PHONE NUMBER_--2 ` '__s �_'`� --------- DATE--/--//- -------- SERVICE REQUESTED_,! C. ------ ----------------------------------------------- SERVICE ------------------------------------------------ DATE SENT TO �, DATE RETURNED PUBLIC WORKS-/-/-'- L_____ TO BUILD. DPT. ________________ DATE OWNER NOTIFIED--------------------- i oR NOV 111991 Building and Zoning "AS�< C$PARTMEWT OF OUIL ?# :' CITY t? T4AN "LOCATION INFOlt"ATION TIC BEACH.. INFCIRI A'T ©N "�..- -" - . Adclir. ,�s.''� i ,f C AH 3t �f ;I�1t"S ' Rum # A'I'l. TTC! BSA C �`l.�R�I)A ��� w rr i t U1101G ` �::: .» .LgOAL 0E, C) T PT I N 6?I UV L T +txz ' . _ UA1t [t : Q 3.oedUovs2 r: 3ubdvitDUPLEX ` �ltRt ' R UNIT , J*pro bat a $ '00 T *24 K , F .= :77 !rw, A'P,'P'LjiGATXJ3N MIS-' N $727. 50 'e a p.Ss�^.k { ; Inc. y1� IPA FES V1.00 PlAs s JPLORI ;. ''f.tfst r ya Cdr` c n e � r iQ . « r3t ,.: ..�. .. OR A 'I� .TSP . Rt oa 32233 .` � fill" t � aypo « o - t - H N, Est Y Y ;OTIC —:ALL CQNCfiETE FARMS ANE?FOQTING$MU$t`�It$RECTED>E3FQRE POUR!NG' r FERMtT VOID SIX MONTHS AFTEwR t)A7E C?F t5$UE kFDtNG NIATEI�tAL,RUBBISH AN 3 DE$RIS FROM THIS WORK MOST NOT 13E F.ACE.a IN"PtJBLIG SPACE,AND MUST BE (. kaED UPAP Di:HAULEO AWAY S-Y'E014'54 'CONTRACTOR OR OVVAkBR �s TQ OM-PL " yyTH IWO �Tj H E *E/1 wr E. t IC L11 N y,A1l AN LILT 11'� ,... I Eta-i41 COIRbING TG"APFI Q fI , .k�[�t� A1C1.1"ARE PART,OF THIS �tiRM�T A�+lb $U, ov i3�Vt?G ATt{3h QF RP1.iCAELE FRE V{SIUI�18._f .A1Ai. ; 4 LANTIC BEACF t BUIIDtN+a EEFARTt+AENT $ u.. RTMEN t`OF SUIT ` CITY 4F ATLANTIC SEACM z , •, r d F �. �'., ,. F ' fiRRAI � a AN ORVE DRIVEfdyyeili J PtUll N NEW du" SCR I i�`T I ON ..,..... Y1kiA"r 3'# s WOOD FRA3 Lpt RUG: 0 rop d Sl XGL. el x� a J a ►. ubdiv timatad V k u+ #•' ►C a ctea V C 0 €)4 #50 00 2" 7$7Rou m 7 jPPLICATIO# FEES .� RR $50.00 V'S 'DRIVEre "' ,s' }r A�• 3"LliA'"a: `' f u *'" y�y��y ak,,,. {�•A*' Ih;�° a'h R A *0R C 4 11, a I , 1 5% TAP 0 A R LLE , .F �SHAR Rt 1144 s , Jo fES• ✓ i e , T10E'_ALL C®NCRE fiE FQRi�tS AND FOOTIN(3 *U1ST flys li r E+ l` b BEf£1►flE PC�t1EiiNfi r 46 y E WEFN[tT Vt?ID SIX MQNTHS AFTER©ATE,C►P iSSU r ` } , UIL�lNG:i�IATER�AL,RUBBISW AND PE fj0M THIS 1NpRK MUaT NfJT BE Fel AGED 1N,PUBIIG SF's 3CLEAAED UP, AAUt ED AWAY, T", t stGONT14ACTOR Ofq:O vNER.. P. PE lSt1EE) ACG+f3PtDlNG T4 AFPR4Vt �?LANS Rii�T WHICH ARE`PART OF Tii15 PAN 00, � ' �" {,?LATtflN C�> PPLICASVLE PR�1�tSIC�NS dF LAW. y� Y f S TLANT{C gEA61 DING O PARTIulENT ;;';•' CI'�x 0k N �L�tMIro. $ ly ,`'4•: r� ,JOB LOCn /r1. f/� : • 1; I;t 1,� •�a,lt NUM j3UILD��C CpN }jt//'� - '�:�t { ►. r nUILD , 110WERS ,.,. ,.� xYk�E 0 S SINK.s f vj TZ slt��n •-'�"'.�-"""T3rD5 f sII �.��.ier,•. INGWn ' i•''i �Ji;? CLOSE VL • 1 ,,, 1 � l '.• • _ !t ,77777,.•• .• 4 {,.='tai:'. r•�r lrl{::{+'I' 1 d s , BE IN nC MICr S'r �,' . ' t:`;:A;�• . • . . ,-�' 1tES, �•iU , � '•' G D �III. , , •.:,Ay11it` 1' :...x'• 1''+'1i; r ' NCP PLUM,iiI ; , ;�� s1�I•lvnitD,• •.,1; �,;,,�, . 0 SCU' ,. ,• EN, E •,l ; }} '�, ; , �.: •,`;;'�1`11 :`: t •ty i•i PSR- DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH j PERMIT INFORMATION ------- LOCATION INFORMATION -_ } -unit Number': 33:422 Address, I7 $ OCEAN (33ROVE DRIB �ermlt T p'e* �IECHANI AL ATLA 'I'IC BE ti' 9 FLORIDA 31,23; ass OI~ Work!AL`�ERATI N - - �- LEGAL DESS RIPTION w + rs r . ` Type:MASONRY/BRICK 51 c > Lots 1 Twp. s sed I3S Section-, 0 ubd. R Lwellin Z : I Subdly skon: CAN GROVE Est . ' al L . UC pup rov . O 0.00 1 .Total"�. 217 00 r Amount t` a'. 7 C0 UNTT gr Agp�,m .- APPLICATION FEES27 , N PERMIT0 ' ' DRIVEb � 5 o FLORIDA �, ' �° o , � x i R.' I�S 'd : 455 9 , PUG AVENUE F'L0 ?. A � Exp, / "yv4, ,.w.ts.,`'YrsrY,S.9 1 Nt?TICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFOIR$ POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE WILDING MATERIAL,RUBBISH AND.DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE LEARED UP AND HAULED AWAY BY EITHER CONTRACTOROR OWNER FAILURE:TO COMPLY WIITH THE MECHANICS LIEN LAW CAN RESULT IN RE PROPERTY OWNER PAYING TWICE CE FOR SUI DING 111AEROVEMENTS.",. SUEIa ACCORD11+1G TO AP FLANS WHICH ARE PART OF THIS'PERMIT"AND SUSJEGT TO REVOCATION FOR ATION Or=APPLICABLE PROVISIONS OF LAW. CASH 14 l4NT►C E Ei BUl1.I IAIGDEPARTMENT �8189p�I�Fl �' f i BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION ICOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — App licant to ``l�complete all items in sections I, II, III, and IV. I� Street Address; / s7 7C� Or i� LOCATION OF Intersecting Streets: Between�� 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 accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical / /� Contractors Contractor (Print) r�di ! Master Name of Property Owner Signature of Owner Signature of or Authorised Agent Architect or Engineer 111. GENERAL INFORMATION A, Type of hosting fuel. B. IS OTHER CONSTRUCTION BEING DONE ON ❑ Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q Oil PERMIT ❑ Other -- Specify IV. MECHANICAL EQUIPMENT TO EE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) ❑ Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed O Central O Flow 0 New Building PC Air Conditioning: ❑ Room ❑ Central /at. Existing Building Duct System: Material Thickness ❑ Replacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously Installed) ❑ Refrigeration ❑ Extension or add-on to existing system ❑ Cooling tower: Capacity9•P.m. ElOther — Specify ❑ Fine sprinklers: Number of head Q Elevator ❑ Msnlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q Gasoline pumps (number) (Reeeiwd) Q Tanks (number) Remarks Q LAG containeK Inumber) Q Unfired pressure vasser Q toilers Permit Approved by DNS Q Other — Specify Permit No LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Unita Description Model Number Manufacturer (�jy A>�P l DATING - FURNACES, BOILERS, FIREPLACES Anrvftg Number Units Description Model Number Manufactures (NM) Agalay TANKS now X"y �� me Y Type Liquid NaOf Serial Ap roving Contained Manufacturer No. Acy k 8811 DEPARTMENT OF SUILDIN© M CITY OF ATLANTIC BEACH PERMIT 'INFORMAT QI+I -__... --- LOCATION INFORMATION P` Number: X811 Addres , 1725 OCEAN , GROVE DRIVE Fer*i ` YP a FENCE ATLANTIC BEACH, FLORIDA :32233 class of Work a NEW - LEGAL DESCRIPTION -,.- .- _-_-. one tr. Type a MASONRY/SRICK Lot:a 11� B1c�cI�a- � Septi arr a 6pos�ed Uses SINGLE' FAMILY ' ��ra»3ai p a'� E a O ti e13.inU a , '1 Cede% 0 Subdivision: OCEAN GROVE E Ci ted Velue a *1000.00 Improv. Cast I AO.,00 Total lees a $10. 00 AT#�3ruY4 t $10.UO W#k T MASONRY FENCE IN 'REAR OF PROPERTY .. FtI A'CIQN »�,- - ,, � ---- APPL.ICATIt3N FEES - ---� �NAr � CI u, PERMIT ' $10. 00 A i C ROVE DRIVE WATER IMPACT FEE $C.CO° ' FLORIDAa3 S "PA FEE $ #. Q w('► f1. a':. p b �W+""' "Pl�#,�! .:�h`ri" ,d'' x' ,'�x%e "^. 5d' NFORMAT ON RADON GAS 5% $0. 00 Name s HER ; IItATER TAIL $0.�4O 00 A dr+��e z - ��. , _ SOWER TAP �O. _., HYDRAULIC SHARE $0.00 L cent:: Types 1 RE-,INSP9;T FEE SEC. H IMPACT FEE *y r c 8. "JI �� NO S: r NOTICE,-ALL CONCRETE FORMS AND FOOTINGS MUST,SE.04PECTEG BEFORE POURING k PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE, { BALDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE C r.EARED UP ANI HAULED AWAY BY EitkER CONTRACTOR OR OWNER ILUR tCOMPLY,''WITH THE MECHANICS' LIEN LAW CAN I,ESULT IN HE PR�tt"ERTY OWNER PAYING TWICE FOR BUILDING 1M � 10.00 } „. UED ACCORDING`T© APPROVED PLANS WHICH ARE PART OF+THIS PERMIT AND SUB,! REVOCATI4 R - �LATION OF,AP"PLtCABLE PROVISIONS OF LAW. AT ANTtC BEACHBUILDING DEPARTMENT '14K A Z44 !717i t ..17117r..r,.. .... .. _ . 5�' i APPLICATION FOR FENCE PERMIT Owners name © A �f U�,C-, 1 Ido Phone 2 Job AddressE N L Z 2c,/E —Dp ' AT LAS-[l t L Lot---ICO--Block and/or Unit z.. Subdivision Contractor if different from owner__________ ----------------------------------------------------------------- (s) Valuation of fence $-I�U _____ Corner or interior lot r � E©2 Type construction M A-Sc'N 2 `%/ Show location and height of fence as well as location of street(s) . a i �'"' / I V �✓r�� ty.f Wil ���J3 � �� {V'JL �� Owner signature Date Contractor signature_____ Date A ! MAP SHOWING SURVEY OF T-,14,!5 &/O!? _rAq ONE 4-/.4,' Ar- ("11Z) OF L.O T /Co OGE.4 A-/ c,'e C) _ e_1AJ1 r A/O . Z AS RECORDED IN PLAT BOOK PAGES 20 017 THE CURRLNT PUBLIC RECORDS OF DuvgL COUNTY. FLORIDA CERTIFIED 10 PECKE y 5, 117C. JoAnn Ruggiero NationslRank Mortgage Corporation of First Airlerican Title Insurance Co. 66:3 ( f F"`• ^ � �:��L f Io4B) g2'(Cs.M 2t�47�`� K W I FF 5 o W O C 0 4. F.Con-:. .9 N o '. p •�Co,vc ',, E� Cn I:.- PATI.] PAT%D v� lLl� F 3 4 3 m �p AIG UJ UZ N W tl e V) h C O T 4e p� /5 t1u.n LOT /7 , U 9 73 c ty LL 0 2.6' Z.a. Lo vUJ D� L Y 0 �Q d h 4) w V v q3 3 a 2 � 3 N Wwt4 GQ,e Q' IL I' .'. 18.9' /a.�• 3' � C'Oc1G Co/Jc• 1)z'!No cnp� k 3'> 4(o' 4 Z„ w (aD (D LEGEND DATE IJEC '.3• 199/ NOTES: ■ DTNOTES CONCREIL MONUMENT SCALE l'<zo• xIt NCE 0 DENOTES IRON PIPE SFT JOB NO. 12349 1 Bearings are based on _ f6COQD Pe-AT • DENOIES IRON PIPE FOUND r l527-IZ BC3 x DINOIFSCROsCUT 2 This 0s a ACUn/I7q F'S/ survey. 3 Elevations shown thus (15.0) refer to N G.V D. of 1929. Richard A. Miller & Associates, Inc. 4 Subject property liap es itth n Zone ,x ' as shown on F.I.A.Flood Hazal d Boundar y Professional Land Survevors Comm-unit No. /Z 0075 113345 St Johns industrial Parkway North dated �4PQ/G /7, /909 (,y./75iDe 5oo ye. Fe-000) Jacksonville,Florida 32216 5 Unless otherwise noted,any portion of the subject parcel that may be deemed as Wetlands (�)642-8337 by State or Governmental Agencies, has not been determined and any liability resulting 11110H/1,1110 1MAI IuI SURVI'I SnuwN IIIRION hill u, IHT MNIMUM therefrom Is not the responsibility of the undersigned. EIIINI SInN IT1s SFI 111011 Toy ILII IIORIDA BOARD 1I TnNO 6 There may be Restrictions or Easements of Record evidenced by title examination that have suRv o .' Pill ,unNr T1 sr ' oN a;,'u:', 0I 1Rmn srn Iu111 s not been shown hereon. NOT VALID UNLESS EMBOSSED WITH A SURVEYOR'S SEAL ICI ARD A MIL LE . P L. f_HT N . 3848 CHK fly_- -- f (i _2(a3 —PG —/(o