Loading...
Permits 1759 Ocean Grove Dr (vault) / r .ADDRESS BUILDING PERMIT NUMBER_ INSPECTIONS: FOOTING UNDER SLAB PLUMBING "7�9� SLAB FRAMING ''T- -9G COVER-UP -7-/ ,�` 9 INSULATION ')-3,0 - 94 FINAL BUILDING CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # INSPECTIONS ROUGH FINAL MECHANICAL PERMIT # ` t�,� 64-s--s- - a�7� PLUMBING PERMIT # / NOTES : 7 1 Is /� ��P S, uL4 I C MAP SHOWING SURVEY OF The Westerly 75 feet of Lot 9 Ocean Grove Unit No. 2 Recorded in Plot Book— _ _ 20_ _ _ _Poge(s)_ _ _ _ _ 20_ _ _ _ _ _ _ _ _of CURRENT_ Public Records of Duval County, Fla. LEGEND for:_ _ _ _ _ _ _ _ _ _ _ Pelkey_ Builders, Inc_ _ _ _ _ _ _ _ _ _ _ . o Denotes an Iron Pipe R. L. CROASDELL COMPANY x—x—x— Denotes Fence CIVIL ENGINEERING & LAND SURVEYING Date:_ _ - - -94 P.R. I. Denotes Permanent ._ _ _ _Reference Monument 429 East Adams Street Jacksonville, Florida Scale: ? = _ _ _20' CERTIFICATION: This survey meets the minimum technical standards for a boundary survey as set forth by the Florida Board of Land Surveyors, pursuant to Section 472.027, Florida Statutes and I further certify that the property shown hereon lies within delineated on the U. S. Department of Housing and Urban Development Boundary Map No, 120075, Panel 0001 D, effective April 17, 1989. CERTIFIED TO: First American Title Insurance SIGNED: Company, Peoples First Community Bank, Florida Re istered Land Surveyor No. 3058 Watson & Osborne, P.A. and Pelkey Builders, Inc. REVISED January 31, 1995 to revise certification and legal description. 18TH (60' R/W) STREET W t L O T 8 X N 86'13'18" E 75.00' L—x _ 0 nXTH o � � o O ® �, o rn o � ` o l I- 0 + j 1.1.1 LL a \ V 0, V M r7 Q O C }q o ZzFENCE ON LINE � Q S 86'13'18" W 75.00' W L 0 T 1 0 1996 Building and Zoning BASIS OF BEARINGS: North 03'46'42" West for the Job Number: 61147-9R Easterly right of way line of Ocean Grove Drive (assumed). CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24270 Address: 1759 OCEAN GROVE DRIVE j Permit Type: -REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: Range: Book: i Proposed Use: .SINGLE FAMILY Lot(s):9 Block: Section: Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 6/13/2002 Name: LASSITER, SCOTT Total.Fees: 75.00 Address: 1759 OCEAN GROVE DRIVE Amount Paid: 75.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/13/2002 Phone: 000)000_-0000 - Work Desc: LOCATE H2O tNTRUSIO PAIRS CONTRACTORS ° LIGATION FEES ARMIDILLO CONSTRUCTION ' 75.00 50 47 ION 4 `. �• X19 - *�S� .y�'"� � iFV4'Y � �'4 �.�_�� fl. x}�i "�y� �yy„ ,^ - r m Y :`F ,W t u x't i.s�' T 't a � -�''wf''t�a �' ✓.L..F..4.-z�+��'� ��x..L �+. '�Y"' t ,i E°"��� �r".E�� Ck 3,45r$`'�;� :..� ; R.RpM OIyi'IE TION NOTI BUILDING MATERI ��v7Ci f 1 IC SPACE,AND MUST BE CLEARED` k �c ` Y, �#Tt-I�004111' � "FAILURE TO COM � � NHE PROPERTY OWNER P ISSUED ACCORDING TO APPRO �D SUBJECT TO REVOCATION � FOR VIOLATION OF APPLICABLE PR i T Open. CRERTLE OC Draw: 1 - Dice: 6/18/02 61 ftwipt ao: -._ _._.__ 144 PERETS-BDILDIK 1 A5 010 ATLANTIC BEACH B ILDIN EPT. 101103221000 -- - — 1759 C[ CUM 1539 M.00 Traaa date: 6/18/02 Ties: 15:09:27 CITY .OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address �1 EJC�e 67 ect(r= Date f 113 Heated Sauare Footage @ $ per sq .ft = $ Gara e Shed $ er s ft $ g / P q Carport/Porch @ $ per sq ft = $ Deck @ $ Per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ �. c0 r c� 0 13tom. Total Valuation 1st $ toy° Z 6�� ° Remaining Value $51 110 per thousand or portion thereof TOTAL BUILDING FEE $ �� .+ 1/2 Filing Fee $ �S• ( ) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE $ S. WATER. IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 005.0 $ OTHER $ GRAND TOTAL DUE $ SF ADDITIONAL PERMITS OR FEES : Kechanical Plumbing Electric/New Electric/Temp ; Swimmingpool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: �Y RECEIVED „UN 3 APPROVED . CITY OF ATLANTIC B BUILDING OFFIC u" '°°` city of Atlantic Beach Suilding and Zoning (JUN 13 2002 City of Atlantic Beach- �IOTeinnole Road Atlantic Beach,Florida 32233-5445 Phone: (904)W, r4nn• V"" (004) "47-5805- http://www/ci.atlantic-beach.fl.us APPRO CITY OF h '►' BUILDING PERMIT APPLICATION BU11 r FOR SINGLE-FAMILY OR TWO-FAMILY(DUPLEX) CONSTRUCT1 (INCLUDING NEW CONSTRUCTION, REMODEL, ADDITIONS AND ALTERATIONS, MOVING OR DEMOLITION) DATE JOB ADDRESS 1759 Ocean Grove Atlantic Beach F1 . APPLICANT amac N Rnwars - - ADDRESS 59 Coral Street, Atlantic Beach Fl . PHONE: 904-241-8274 LEGAL DESCRIPTION: BLOCKI UM3 Ocean GLQys U i�-� No. 2 WZ705NINGDIS�RICT CONTRACTOR James N Bowen, Armadillo Const STATE LICENSE NUMBER CB-C059051 ADDRESS 59 Coral STREET, Atlantic Beach, Fl . PHONE 904-241-8274 CITY =Atlanti c Raarh STATE €l . ZIP 32233 FAX 904-241-7071 DESCRIBE PROPOSED USE AND WORK TO BE DONE locate sourre wa .Pr inhruGion and seal ; leaks around bay window and cedar trim 2nd floor north wall; repair crack stucco finish under bay window; repair rotten exterior door jamb PRESENT USE OF LAND OR BUILDING(S) sPcnna 11 amp VALUATION OF PROPOSED CONSTRUCTION $7500 Is this an addition? no If yes, what are the dimensions of the added space: feet by feet Will the added area be heated and cooled? New electrical or increase in service? New plumbing fixtures? New fireplace? New heating/air conditioning? Is approval or Homeowner's Association or other private entity required? no If yes,please submit with this application. PROCEDURE: (In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.) STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information,please contact the Planning and Zoning Department at 904-247-5817. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)241-5834 02/28/02 • r STEP 3. Please submit Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four(4) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach,FL 32233 Telephone: (904) 247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. I. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. Existing and/or proposed driveways. 4. If required by the Department of Public Works, a pre-construction1opographical survey. 5. Any significant environmental features,including any jurisdictional wetlands, CCCL,natural water bodies. 6. Impervious Surface area calculations. (Swimming pools may be excluded from total Impervious Surface.) 7. Other information as may be appropriate for individual applications. I HEREBY CERTIFY THAT ALL INFORMATION PROVIDED WITH THIS APPLICATION IS CORRECT. SIGNATURE OF OWNER "I� DATE I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL,STATE OR LOCAL RULES, REGULATIONS,ORDINANCES,OR LAWS IN ANY MANNER,INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION. BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. SIGNATURE OF CONTRACTOR G.. DATEL- ADDRESS AND CONTACT INFORMATION OF PERSON TO RECEIVE ALL CORRESPONDENCE REGARDING THIS APPLICATION (PLEASE PRINT) NAMEJames N Bowen MAILINGADDRESS 59 Coral Street , Atlantic Beach, Fl . 32233 PHONE 904-241-8274 FAX 904-241-7071 E-MAIL SWORN AND SUBSCRIBED BEFORE ME THIS DAY OF 4 GLIrIP �O G'' Z STATE OF ,COUNTY OFFAL ' / RG/4- �INNOTARY'S SIGNATURE No ry � f4uton nty,Geoga ,ay commission) ices October 22,2004 AS TO OWNER: ❑ Personally known ❑ Produced identification Type of identification produced lz'lort GSA "Du vAl Oou vJ ` AS TO CONTRACTOR: ❑ Personally known Produced identification tim!'rr COW E L.MAOHURICK Type of identification produced MYCOMMISSION CC 925233 EXPIRES:June 18,20D4 02/28/02 « bonded Thru Notary Pum Undenxrhers 5 MIN. RETURN Book 10527 Page9227 PHONE NOTICE OF COMMENCEMENT (PREPARE W OUPUCA'tE) Permit No. Tax Folio No. State of F�eTi�- Countyof Duval To whom It may concem: The undersigned hereby Informs you that Improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following Information is stated in this NOTICE OF COMMENCEMENT. Legal description of property being improved: 20-20 09-75-2qE 10 3 ocean Grove Unit No. 2 W75FT Lot 9 �tA1lA l.. Address of property being improved: 1759 Ocean Grove Dr. , Atlantic Beach, Fl . General description of improvements: 1ps-a}P intruggion source and seal; repair stucco crack; replace rotten door jamb Owner Scott Lassiter, Cindy Rofer Address 1759 Ocean Grove Dr. ,Atlantic Beach, F1. 32233 Owner's interest in site of the improvement snrnn pa rV- residence Fee Simple Titleholder(if other than owner) Name Address Contractor_aamgs N. Bowen Address 59 Coral Street, Atlantic Beach, F1 . 32233 Phone No. 904-241-8274 FaxNo.904-241-7071 Surety(if any) Address Amount of bond S Phone No. Fax No. Name and address of any person making a loan for the construction of the imprpvements. Name Address Phone No. Fax No. Name of person within the State of Florida,other than himself, designated by owner upon whom notices or other ( i ) documents may be served: �J Name Address Phone No. Fax No. In addition to himself,owner designates the following person to receive a copy of the Llenor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name Address Phone 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): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed:pi.���^ �LG2 xrcv+rr:�Date: _ Before me this day of 7UyU . ?-00 Z in the County of§90 State of has personally appeared Fi1LM 6 6�Co7 Notary Public at Large.State yt 9k �%,0f-°n a :: 06AYM 0663113 0 My commission expires: '" �0fta►2z=4 - mos CMIIT COURT Personally Known or VA COIMTY Produced Identification yer j ' TRW IFi11111 f 1.60 CVY FEE IMi i 5.400 CITY OF - 6 /*i uft Tem4 - 07&9,ala. Buil n n ON SMONOLE ROAD ATLANTIC BEACH,FLOR M 3U33-SW PROPERTY DESCRIPTION TELEPHONE(904)24ILSM ' FAX(904)21'-SOS - Lot #_I, Block , Section �/}`1✓ � , Subdivision:nrnAtU (,_k0Vf1 Street NameDESCRIPTION OF WORK • or Address:— '�A�� T 1 DP- , If in a FLOOD HAZARD �- Flood Zone: ) area complete page 3. Brief Description /-J9 11 Class of Work: (New/ ZONING INFORMATION Type of Co truc ion: Rl Zoning Proposed District: Use: Estimated Value $ Exceptions or Variances > Materials: Grant d: V,? solidor Filled Ground hoof : �L��' Method of Heating: OWNER INFORMATION Property Owner: Phone: 15 `7 Mailing Address JG AC i Zip: a33 CONTRACTOR INFORMATION fJ Contractor: I ,fS Phone: Mailing �Q � x � • Address: z97- / Zip ., Expiration License Number: """6 Date: — I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES , REGULATIONS, ORDINANCES, OR LAWS IN ANY .MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature Date 5 Contractor Sign ure Date CITY OF rctic �ea� - �wiida • 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 wwpw SUNCOM 852-5800 November 21, 1996 Cindy S. Roser 1759 Ocean Grove Drive Atlantic Beach, FL 32233 Re: 1759 Ocean Grove Drive Dear Ms. Roser. Due to the fact that your house at 1759 Ocean Grove Drive has been occupied prior to our certificate of occupancy being issued for the structure and a final inspection completed, the City cannot issue a certificate of occupancy. This may affect your warranty period required under state law(period of one year from the date of certificate of occupancy). Also, many insurance companies now require proof of certificate of occupancy and final inspection. The City of Atlantic Beach assumes no responsibility or liability for future problems which may occur due to final inspection not being completed. If you have any questions concerning this matter please call me at(904) 247- 5826. Sincerely, Don C. Ford Building Official DCF/pah cc: Pelkey Builders City Manager CITYOF ATLANTIC BEACH N° 20086 FLORIDA 16 -1-79 195 NAME— ADDRESS CITY 17.5 g man leoV When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Peymeni $15.88 74 Date: le/lei% 81 Receipt CITY OF ATLANTIC BEACH, FLORIDA sT E&UP2 My DATE: -1 -- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY ?_33 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: /�19 , 75 9 OCC- 4,1J _ICO VE 7�r_ _ -- ----_----------------� ---------------- ------------------------------------------------------------------------------------------------f I ------------------------------------------------ f Enclosed are the blue copies of the permits. SINCERELY c;), BUILDING INSPECTION DIVISION (7,c;: FILE 4. TRANSMITTAL DOCUMENT FOR JEA DATE: -7- The following permits have passed "rough" inspection: Permit No. Address f 1 E�asaaesb� �xxx�x �bckatexx� .x�5cx�[exa� c. Please update your r?G7LERK ccordingly. r T BUILDI CITY OF ATLANTIC BEACH /vcb 12474 d 'AFTMENT OF BUIL #NQ CITY OF ATLANTIC BE ; ~ - PERMI ' INFORMATION LQGATIO fi INFORMATION A.ddr ss: OCZAN° GROVE DRIVE Pormit tyvsMECHAN I-CALeATLAXTIC' BEACH, FLORIDA 32233 rk,NALtBRATIONAL DESCRIPTION --- tr. : TI►P -WOOD, FR� Lot,-. 9 ♦ o . 9 •�_{-r_ V ose V*e SINGLE P'A LY S Ct 4I�: Q Subd s Rrig. 1)wellin s ' 1 Subdiv s$On OCR" GROVE UNIT 2 total Amount W,wlw Q, p .. 14FLICIION , EE " P1 N pi RMI + w w rrhy.r 2 .00 , i 'Tl N ' les FRC iS EDRF ..r � 1f _ ; K 0�1 FLORIDA 32236 ix h r l E- ALL ti NGRE'I"E Ato FC=fgoS MUST F+tS B 1 swoRepouRm F IriMIT Y010 SIX MONTHS AFTER DATE OF ISS " f� _ 1 MATERI . , , ,r I Bf I FRO1.M THIS WORK MUST NOT SE PIrACI�I�,1td Pt;1BLIC SPACE,AND MUSTIBE C. D UP AMID HAULEn AWAY 8Y I ITHEA CONTRACTOR OR OWNER >F LURE, ` " ' THE tCHAN . ►'IPII t,.fi!, 1 �W AYNG TWICE FDA THE,j3jc VE L PR ifi �: I► S £> CCORI INC"Ifl:APP'R IEC)PLANS WHICH ARE PART OF?HIS PER�u11T OF APPLICABLE PROUISi©NS..C?F i,AW. ` RE ON FOR r. >- BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC a[ACH, FLORIDA iasis APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections 1, li, III, and IV. 1.LOCATION Street Addrew 'S C DC- r `-�' 2 J ' t ' OF latersocti"I streets: Setween � �a � /� And WILDING SYtf-lnrisi.R 11. IDENTIFICATION --- To be completed by all applicants . t� consideration of pori";# given for doing the work as described in the above staterrment we hereby agree to perform said work in accordance wi►h the attachpd plans and spacif;cst;ons which aro a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of h4echaskal Cenhesi.n /J t/ Cogr Tact« (priat) Nowsa .f Mpw+y pwaar S:ro#nn .r ch-ase, Signature of a► A,r1►ariarl Ageaf L Archifocf or Engineer IN. GOAL 1NfORMA A. Type.f batino W. B. If OTNtR CONSTRUCTION stING t10N9 O soctt►c THIS WILDING ON SITE? �1:..a-A V O Nawntl O genie(Utilillr If YES, fi1V[ NINMN[R Or CONSTRUCTION Q Oi PCRMIT � O CM.r — somity IV. N CitA1UCAL 8"11110rNT TO K OWAUN NATURE OF WORK (INW,46«wplNe W 24 eemp"saft est lea of tine form) `� Residential or ❑ Commercial Q most O Sporn O Recsnr O Camas# O Flew . New building O Air +M: 0 Itsies, 0 Coofti1 ❑ Existing building O o.c+ $Yc'ean: Materiel— ❑ Riplacernont of existing system Maaiawens s(x~ New Installation(No System previously Installed). ❑ Extension Of add-on to existing System p ttaA:gaaati.n ❑ other— speclty O C094" leer Cep.sily tt O Foe sprinkler.: Nombor of t+ea�► ... O Eire.+« O trtaatiN Q IM gPACO FOR 011MCi 113E ONLY Q ta..rne �_.Irlwrlial IReseleed) (Q Taekr. lw rl Re"Al (3 tx...Ween ttlalaliw) O U.fr.d fir»went O twin# Fs"o4 Appewd W Bele` 13 0911w 114"alt Oft- usr ALL ZQMP>1t8Y+ItT AER tONDfT10MtiG AND REFRIGERATION lQUVSW-W ltlataMtr Usdta DeamlORle� Netlal NwaMtr (�M)` A4=6 a MATWG . FUUMACfs. BOtLFitS. FW."ACIIS , 1s'el�ler�1fAta Dsaer�tir me"Wallow 0M TAXES sow K"I ra■rtW��d da:talaf� xaw at aerw NO. z 12179 DEPARTMENT OF 13WLI NCX CITY OF ATLANTIC BEACH x PER IT INFORXATION '-.. OCATION IN `OSA ION P ' ir Ii t)r: 12179 , Addresm: 1759 OCEAN GROVS ARIVE~ 'P rmit T pe:MLCHANXCI 1, ATLANTIC BEA,CR; FL©RTI?A , 32233 s Rork t NSW LEGAL 'DRSCRIPTION TSP .R€ 31I ' -a---_--- eoposed O*osSI t;D9 'FAXILY Bl�ac €: Lo : Twp: w�I in+ 1 Secii0n. 4 Subd', Rng: 4 Subdivision:OCEAN GROVE UNIT' : , 3 ue' tt 11.00 o 1�a . b RA4 XEAT AN A R I N NEW RES I. RPiCE TION � _ APPLICATION 'FEES N ' P ,. A S PERMIT �71,t}Q FLORIDA f2r P6 -- 10§47 lis BLVD. t , M Exp: T a, d - W 1 NOTICE ALL,CONeftETE FORMS AND FOOTINGS MUST BE INSPECT D"SEFt?RE 0OURING PEAMIT VOID SIX MONTHS AFTER DATE OF ISSUE t BUI'" ING MATERIAL,RUBBISH ANIS DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CL RED UP ANIS HAULED AWAY BY EITHER CONTRACTOR OR OWNER t " WITH THE MECHANIC'S LIE LAW C�� u E LT �l� t S ,PE TY E "GTWICE ORTNE IMPROVEMENTS .S, I D AGCCIR©INfaO APPROVED PLAINS WHICH ARE PART OF THIS PERM I1 �7pp OF APP41CAM-E Pt�ESI�.OF"L.AW. � x� r*�� Z� ; r t "1 6UILDlNC�:�ANDI ZONING I'NSPE•CTION DiYISION CITY OF ATLANTIC BEACH ' ATLANTIC BEACH, FLORIDA 32233 APP IC . x„ . TIOWFOR MECHANICAL PERMIT CALL-IN NUMBER <;.. -,;IMPORTANT Appllc'ant to complete all items in sections I, il, III, and IV, LOCATION 5trset`Addis sst` g_ OF ' Intersecting Street+ Between And BUILDING” Sub•diviston ' 11."`IDENTIFICATION To'be compl'ated by all applicants. in consideration :of.permit given for.doipq the work as described in the above stotomont we hereby ogroo to perform said work In occordanco with the, attech9d•plons end specifications which are a port hereof and In accordance with the City of Jacksonville ordinancos and standords good.practice listed therein, Name`of Mechanical {firr Contractors 'CoAtraclor (Print) '.•'.. �'1IR., � a Master 7,77of Property Owner..: ft $Iynatvn of Owner Signature of of,Authorlsed!:Agent •r,j Architect or Engineer Ill, .`°6ENERAL INFORMATION - :;'•4. 40%kw A' Type of he inq !vets Il B. IS OTHER CONSTRUCTION OEING 09.ELE ON \ 8tcinc ii THIS BUILOINO OR SITE? ) Q' G4s [3 LP ,;, ❑ Nrrtvrel ' O Cental Utility IF YES, Give NU ADE F � HSTRUCTION ❑ oil y PERMIT \ � ,"❑,..Other Spedfy V. 1AMANICAL EQUII'MifIT TO`1E INSTA= NATU59VF.WORK (/ronde complete list of componeptt on back of this form) XJ R-0sidentlal or O Commercial � � , ark. ;r , ��e, ; 1 :::} ;• �`' , �.-•'� Hoat ❑ 5pau .�❑ Recessed .'O Cantel ❑ F; w �'J Now Building (1 ' rConditioninq:'"❑ .Rental O Existing Building Room ..d 'yet Systems Material Thickne« 13Ro Iacomont of existing system qy •; �* '`� _ . Now Installation(No system previously Installed) 1MxiMUM es"a Jt.y a- ❑.; Refr(g90ahon ""••' ❑. EAtonslon or udd•on to vxistinn system ,;. ❑ othor•- Spoclty ❑;;Cooling towers Capacity q•p.m. ❑ 'Fire sprinklers: Numbet of hof ' ❑ Eiwafoi ❑ 'Magilft ❑ to to (number] THIS SPACE FOR OFFICE USE ONLY Q .Gasoline pumps (number) (Reufred) ` ❑t oils; (number)::, i. Remarks q' _ 1pG contaln (number) ❑ ;',Unfired pressure vessel ❑ .klien r Peimti Approved by Dote ❑ Other .. Specify Permit F-0 LIST-ALL E4UIPMENT ' AIR CONDITIONING AND REFRIGERATION EQtjIPMENT ADppMint Numb+rVnit,.' `„ D"CrIptioa Uodel.Number ]dusutscturer (Tons) ,Axezoy IIEATINC, FURNACES! ItOIL,ER.Sj'FIREP,Y,ACE$ y;�71; ., '}t•'.'':}v;��,ik,L`MA•, Capacity Approrvi`i Number Vniti, � '••' botcriptlod Mc4al Number YAnul't otunr (BTU)71 777 T Y �' /„J fA— ,..;;, f . •.r:: ..� . rets-t'-C� ..ate', � ( r> Kt' Haw 3daay HC 'JIM01 Capliaikr ` `';TYPO LLquld '. Naas of Serial Approving usd Dim�eu lWa f•' °`•:'Coatatnod 3[anuiaeturer No. Agency CITY OF N° 19204 ATLANTIC BEACH FLORIDA 11-71 NAME— ADDRESS- AME ADDRESS C-j 4(-Q- CITY Date: 6/24/°5 81 Rcpt: 8064*1zi CHICKS 15478 6fl1dB8@�291�9 When Signed, Dated and Numbered, This Becomes an Official Receipt MAKE CHECKS PAYABLE TO Received Payment CITY OF ATLANTIC BEACH, FLORIDA TREASURER CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT qO TO THE CHIEF ELECTRICAL INSPECTOR: DATE: "' 19 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 REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. n - e ri C. ELECTRICAL FIRM: p' p STERELECTI REJOURNEYMAN NAME-Qe- tt: ADDRESS: 59 E)CCG"\ h E t RFD BOX BLDG.SIZE-- 5(4 -1 � F BETWEEN: RES.(.4ZEAPT.( 1 COMM.( I PUBLIC( 1 INDUS.( 1 NEW l w/OLD( 1 REW.( 1 ADDITION( ) TRAILER 1 )) TEMP.( ) SIGNS ( ) SO.FT. SERVICE: NEW(✓f INCREASE( 1 !1 REPAIR ( I FEE ` CONDUCTOR SIZE o AMPS O C> COPPER ALUM. SWITCH OR BREAKER AMPS PH 3 W dO VOLT (241,C-RACEWAY 3 5 O EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN I TOTAL RECEPTACLES CONCEALED _ OPEN TOTAL O•�O AMPS. J1.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. _ OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA UNO. KVA NO.NEON TRANSF. NO. VA. A. MOTOR SIZE SWITCH FLASHER EACH SIGN 1 5,o o FORWARDED a TOTAL FEES �O.O a $ K 1186 SufLD dllr C BEACH , PAW -Z P tutbor El a- Ad&6*t<: 1759. OCEAN ;GROVE D14VE ` ermit YPO«Bt ILDIN0 ATLANTIC 'BEAC , FLORiDA 3223 W4tkl. E ___� ... �,, Lffi At,.. b9SC TPTION C n 'tr: 7 r R� �: Block., � �� �` �, 'wp: 0 Picad 40BIRG P� S@Ctc� �StibE4 { IW+ 2 1k� t 1 SubdivisidtitOCEAI GROVE UNIT ' C) ;, it, �i .I .40 IV- uo .' .,'Dates 1 . loom W, x 8 + LE' AMILY 'HDME PER. L R 268 RADON :3�4�.� CITY • NIMPACT = `ESE 6 . .-0 PLQRIDA 3 2 3 3W FE T. `EE 1 256 .L OL ` q 4$ w RAIN S.�i'4 •' V ? / / SJUM, sxnwb%.aa(V:,Ea �� maMxmeaai�,a'' a • M." CROSS, COONZCTI3$.00 CCS 14 I / SEC He tliwj T `Pitt m 4 SCI RE71 a iFlf I 8r PAI AA y� �¢ ■svy i{ � $CIS: Or+r T ti NOy .. FOOTINGS,�� T OF.�# !�v!t� P44N{ � } Mt x ; PER It V£1D SOX NTHS�A�'ER DATB`C FROMTHIS WORK MUST NOT �L iN,PL tCiC SPA AN M S U, t; ND WAV By E m4 R `}NTRACTOR c oWN R �► r H -SHE ME ► Eur. IN 1HI!!r���"NQTWICEFORTHE, CH ARE PART QE THS PERM . h: N FOR . . . AP Ai ��V�S1C�N. E)F LAW. • i4 ,.., SACH BCIII,.[31Nf�E'I�PAF� �NT ; CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address � �� C F_A Aj co ►20V E Date 5-- Heated Square Footage @ per sq ft = $ 1z-17, 730 Garage/Shed (0 /10 (a $ /"S'_d U per sq ft = $ Carport/Porch (D @ $ 0 —per sq ft = $ Deck q�")(3 @ $ "�Q per sq ft = $ Patio C) @ $ per sq ft = $ TOTAL VALUATION: S /(o I S� y(0,00 Total �l Vuation 1st $ �O Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ b a + 1/2 Filing Fee $ -O (( ) Fireplaces @ $15 . 00 $ �C, / 0D _ BUILDING PERMIT FEE $ 9S)Y, "" WATER IMPACT FEE $_ _ `7 —^6 .06 SEWER IMPACT FEE $� / 0,o_ WATER METER/TAP $ _ CAPITAL IMPROVEMENT $ J'o� OC7 SEWER TAP $ .— (////l ) RADON (HRS) . 0050 $_� 1 SECTION H PAVING ( ) $ HYDRAULIC SHARES $ ' CROSS CONNECTION $ S (/Sr/lo) SURCHARGE . 0050 $_ l OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp : SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: 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) /JQ WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) _„L SHOWER GROUP PER HEAD (3) 3 FLOOR DRAIN (1) Q SHOWER STALL DOMESTIC (2) l LAUNDRY TRAY (2) _LAVATORY (1) f COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) .3 POT, SCULLERY SINK (4) DISHWASHER (2) 2. WASH SINK EACH SET OF FAUCETS (2) KITCHEN SINK (2) DENTAL LAVATORY (1) ______KITCHEN SINK WITH WASTE 3 DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET O 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 6 _ICE MAKER (I/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS �` 0 $20.00 EACH $ JOB INFORMATION C.Cf'a¢-IU O Un, t ' FLOODPLAIN DSVELOPULUT INFORMATION Type of Devolopmants....«.. 77 Flood Zonet ----w«Y Required Lowest !Floor Elevations.- „.,,,--,- It building is located within a flood hastard sone, a survey, .u"t be i►ade AFTER TNt SLAG NAS SE'SM POURED, aertifyinp that thO LOWEST FLOOR ELEVATION is equal to or above the base flood elevation establimbed tar that sore. No final inspection will be made and no certificate of occupancy will be issued until the surv0y is On file with the Suildinv Department. COMMENTSt Applicant AcknowleftOmentt Z understand that the issuance of this permit, is oonttnSent upon the above information bvInv correct and that the plater MW suppeetimy rata hsvo been or shall be provided as roquirod. Z sgrwe to comply with all applicable provisions of 43rdinanOe MO* Ss-y-li and all other laws or ordinances atteotinp the wopooed•dwolopment. Q Date � �5 f�-..Applioaat•s Sigmatwrt ___... --------- --------- --- -----------------------------------r---w-w Department Uwe Required Lowest Floor X2evetton -.,„.......,.w..-�....-««.. AO Built Lowest Rloor Slwatioa -wwww--- ---«-� Survey Filed with Building Department ----------.. 8u11dinD Ocpastwent Rrprtsentative page 3 i CITY OF ATLANTIC BEACH TREE REMOVAL APPLICATION All applications must be received by 5 P.M. on the MONDAY prior to the scheduled �getina in order to be placed on the agenda for consideration INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. 1. 1)�t //Z fes. JakI � � APPLICANT NAME ADDRESS TELEPHONE 2. 1A0 A/01 9 UW)7' 2 0Ce191L)e20 uC'i ADDRESS OR LEGAL DESCRIPTION OF PROPOSED TREE REMOVAL 3. DESCRIBE PURPOSE OF TREE REMOVAL: C. / je rinlll 0/!7 4. SPECIFY TREES PROPOSED FOR REMOVAL AS FOLLOWS: NUMBER SPECIES DIAMETER (DBH) CONDITION 5. TOTAL NUMBER OF TREES TO BE REMOVED: 6. TOTAL NUMBER OF INCHES OF TREES TO BE REMOVED: 7. SPECIFY PROPOSED REPLACEMENT TREES AS FOLLOWS: NUMBER SPECIES DIAMETER (DBH) O 8. ATTACH SITE PLAN INDICATING THE FOLLOWING: a) Site topography, including proposed grade changes b) Existing and proposed buildings and other improvements with dimensions and required setbacks c) Tree protection zones as applicable d) Location, DBH and species of all trees with a DBH of six inches or greater e) Location, DBH and species of all trees with DBH of less than six inches proposed to be used for mitigation f) Specify trees of unique or special character g) Each tree proposed for removal clearly marked with a "X" h) All existing and new trees proposed to be used for mitigation clearly marked with brackets "[ ]" 1) Location of utilities, easements and material storage areas 9. ALL TREES PROPOSED FOR REMOVAL MUST BE CLEARLY MARKED ON SITE BY RED SURVEYORS RIBBON. 10. ALL EXISTING TREES PROPOSED TO BE USED FOR MITIGATION MUST BE CLEARLY MARKED ON SITE BY BLUE SURVEYORS RIBBON. 11. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. I HEREBY AGREE TO COMPLY WITH ALL PROVISIONS OF CHAPTER 23, ARTICLE II, TREE PROTECTION, AND ALL OTHER APPLICABLE CODES AND ORDINANCES OF THE CITY OF ATLANTIC BEACH: &06:: A LICANTS SIGNATURE DTE OWNERS SIGNATURE DATE APPROVED : TREE CONSERVATION BOARD CHAIRMAN DATE DEPARTMENT OF BUILDING x. CITY OF ATLANTIC BEACH PON ;r�iit` N ba�rz I�.S28 Address: OCEAWC1sOVR DR.IV$ Permit TTpe;FOt NDAT1ON ONLY ATLANTIC BEACH, FLORIDA 322 C"f S of Wark:NEW -= tL O 129ES 'IPTTpN . _ w_ . . tr. Type:OD FRA" Block: hot : 9fivp: xOrosed 0e4: SlNaLE �I'��ILY Be�tion, C? Subd`: Rim: I e2lin9 Subdiviision:OCRANORM UNIT 2 Est. val"Aie: B 00 IT rov.. Coit : 0.60 Total F,64,s :: 25.pts writ ft*d: 2,5.flCI F Date P25/16 93 Ru W? CZAR 69buz 111fTj: I ----- AIERMIT _ t?U v , e' 1LOR'I'DA 913 T T ORKATION lt?N z Nic� 'toe P I . A 'd rt P. 0 72` I N I NOTICE---ALL CONCRCTE FORMS AND F001 INGS MUST BE INSP61C ED BEFORE POURING PERMIT VOID SIX MONTHS AFTER;DATE OF ISSUE BUI` I CIA MATERIAL,RU90ISH.AND DEBRIS FROM THIS WORK,MUST NOT BE PLACED IN.PUBLIC SPACE,AND MUSIC BE CL RED UP AND HAULED AWAY 6 EITHOR CONTRACTOR OR OWNER . 1LllRE T! COMPLY WITH THE MECHANIC'S ;�.� N LAW, CAN RESULT 1N i P1 'OWNER PAYINGTWICE FO THE 4*ON Ik�RovmJENg �'# I D ACCORIJINb TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AI+ SUBJECT t0 R, I ' to 14 OF APPOCABLE`PROVISIONS OF LAW: z. #IG tiQA TIG BEACH BUI DING DI ARTM NT 1..5. c-�- t Et � Vp CITY OF �, 6 C1' 0� µeQ0ning Buil H r'� +rtit �'eac�i - �Gs�ic�ct 0Ia i 6 199 800 SEMINOLE ROM ATLANTIC BEACH,FLORIDA 32233-5415 PROPERTY DESCR ON TELEPHONE W 2<'l�S800 FAX("4)247-5805 ----- . Lot #, (' , Bl:b_1 Sect on Subdivision; (nro Street NameDESCRIPTION OF WORK or Address: (`` 11,,2 o LED1.1P T , If in a FLOOD HAZARD � Flood Zone:,Varea complete page 3. Brief Description.,., I Class of Work: Remodel/Addition:New/A/-u ZONING INFORMATION Type of Co ruc ian: � _ f� I f i Zoning Proposed District: LLUse: Estimated Value $ Exceptions or Variances / Materials: Granted: -7/?Solid F' lled GroundL=f ^ Method of Heating: OWNER INFORMATION / Property Owner: Phone: �{�i Mailing Address -zip: 3�a-33 CONTRACTOR INFORMATION Contractor:— l' , I/ —Phone: Mailing �� X Address: .7:719,77 77A Zip: Expiration License Number: L i� _� � Date: I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE 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 GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES . REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROPERTY. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. Owner Signature �`� i/ Date_��r�� Contractor Sign lure Date APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME C MAILING ADDRESS PHONE NUMBER `�yz -86 1-19 SERVICE REQUESTED SERVICE LOCATION/�/-- 7 1 DATE SENT TO PUBLIC WORKS -5-) -4 DATE RETURNED TO BUILDING DEPARTMENT PUBLIC WORKS DEPARTMENT PRICE QUOTE RESPONSE WATER: SEWER: OTHER PRICE QUOTE PREPARED BY: Signature - Title DATE OWNER NOTIFIED 1 v. 1187 ©EPARTMENT OF BUIL'M CITY OFATLANTIC BEACH MERIT INFORMATION ----- -- LOCATION :INFORMATION -_ t Ntatler'z 11£I79 Address+ 175 OCEA> 43R�3VI 13RIVL_-_ itl't T Pe PLUMI N ATLANTIC BEACH FLORIDA 32233 " of Wozk.NEW LEGA DESCRIPTION - p OD FRAME BI ck* 'Lot 9 Oposed Use s S I Nt3I�E A I LY S e t i on Subd r Rn s' 4 ,. llw l n9s 1 SubdiVl is i:OCEAN GROVE UNIT ' 2 ft-t :Value. 16.1 '158.00 1' ov.. cost: Q»Otl 74, 50 74,60 ' HOME AL'PL.ICATION FEES - . .» . IT -74. 50 : ORI!4AT I XCItSON BEACH, "FL. 32254 �e r { NSE- ALL CONCRETEFORMS AND FOOTINGS MUST BE 3P [ a"OAE PQURIN PERMIT VOID SIX MONTHS AFTER©ATE OF ISE ISH AND DEBRIS FAOMTHIS WORK MUST NOTZE,PLAPER IN PUBLIC SPACE,AND MUST;BE AWY EITHER CONTRACTOR OR OWNER ` A�C 1. TN THE MECHANIC' l� � V�»AYV "ANR SUl.'[� 1N � Pet OWNE RA 'INGTWICE FOR THElJ l IN #Mi'RUVEMENT " Qi:TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT,' O Ai I iARL.E PROVISIONS OF LAW; 51+;1&19 Ai BPARTMENT F Y{ M CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: ....,., r�.:`L] , ' i„uwof OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR AND ADDRESS: 3 Lt 141-'N CAL" , TELEPHONE NUMBER: STATE LICENSE NO: c-- C- U 19 0_3 TYPE OF BUILDING: �..ys. S.Q..._. ryy k- � -- ---- TYPE OF WORK: V NOW MANY OF THE FOLLOWING FIXTURES INSTALLED e. -r)- SINKS SHOWERS - LAVATORY -.WATER HEATERS BATH TUBS DISBWASRERB URINALS __________!._,..DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x •$3.50 + $15.00 a $ ---------------------------------------------------------------- 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 BEFORE COVERING UP - (90 4) 247-5834 ��ll��� ����_ /CITY OF 4&44 t 4'c Bead•1G Office of Building Official REQUEST FOR INSPECTION Date Permit No. // S Time !�' A.M. 1 Received P.M. / 7� Job Address 2 ity Owner's f Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING CHANICAL Framing ❑ Footing 0 Rough Wiring Ci Rough ❑ Air Cond. & E Re Roofing ❑ Slab ❑ Temp Pole Ci Top Out ❑ Heating Insulation _ Lintel 171 Final C1 Sewer M Fire Place I I O Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made ✓ ` t?ivt. Inspector— Final Inspection ❑ Certificate of Occupancy CJ Date _ __ CITY OF Office of Building Official REQUEST FOR INSPECTION Date �y -- � Permit No. t 1_ Time Received Y ° P.M. Jo12 Address, Locality r•,•.""- f+5 Jit_ / ? � F,,.--. Owner's NarneA0.tL�ctor r r�' -- Wig— -- BUILDING CONCRETE" #°��xi„",LECTRICAL`, PLUMBING MECHANICAL Framing Footing Dough Wirmr Rough f Air Cond. & Re Roofing Stab Temp Pole Top Out Heating Insulation Lintel Final Sewer Fire Place E Pre Fab READY FOR INSPECTION A.M.^! Mon. Tues. Wed. Thurs. r'Friday 4 _P.M, (� A.M. Inspection MadePM 7 pertcr -_ _ �_ _ Final Inspectibn Certificate of Occupancy i;] Date -----_--- -- AA��// //!3CITY OF 4&4x4-c -&;kiZKt� Office of Building Official REQUEST FOR INSPECTION Permit No. .__.�! Ned P.M. Job ar.s e _Contractor _DING CONCRE ELECTRICAL PLUMBING MECHANIGAL --� Ing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ ❑ oofing ❑ Stab ❑ Temp Pole ❑ Top Out ❑ Heating ation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Tues. Wed. Thurs. Friday A.M. action Made _P.M. // rctor Final Inspection ❑ Certificate of Occupancy ❑ Date 11��__�n& // __ // CITY OF 7 / a Office of Building Official / / k G 9 �^/ / REQUEST FOR INSPECTION /at 90 �r Permit No. — r. .lob Add re _-,Colraciar_�__!5����� -- ------- CONCRETE ELECTRICAL PLUMBING ) MECHANICAL j Footing E Rough Wiring Rough Air Con . g 1-1Slab 7 Temp Pole Top Out Heating O Lintel CI Final i Sewer Fire Place Pre Fab READY FOR INSPECTION Tues. Wed. Gr� P. j r A.M. Made _ ( _ --PM. Final Inspection 1 Certificate of Occupancy Date ---- CITE` OF 4&4#94-C &44A-0;&W* #4 Office of Building Official REQUEST FOR INSPECTION s� Permit No. ��"'� A.M. Ss Loca y Contrac --.-- NG CONCR E ELECTRICAL ING MECHANICAL 0 Footing ED Rough Wiring C, it Cond.& 0 ng 0 Slab 0 Temp Pole 0 Top Out eating i 0 Lintel r_ Final C Sewer E, Fire Place 0 Pre Fab READY FOR INSPECTION .M. Tues, Wed, Thurs. Frid y— A.M.: n Made Final inspection -- CertHicate of Occup ncy F. Date _ //��jj//a#t��,,� // __ // CITYOF J .,J Office of Building Official REQUEST FOR INSPECTION ate Permit No. me A.M. eceivecl Job ss Locality wner's am'. m ZU14ICr1-N—G CONC ETE ELECTRICAL PLUMBING— MECHANICAL ❑ Footing Rough Wiring ❑ Rough Air Cond. & C7 e Roofing 17 Slab ❑ Temp Pole O Top Out Heating sulation < ❑ Lintel ❑ Final I_ Sewer _ Fire Place C' Pre Fab 17 9 READY FOR INSPECTION l on. Tues. Wed. Thurs. Friday_�_ ` .___.P.M. /' A.M. 1 �spection Made �.� C, Final Inspection spector- — Certificate of Occupancy ! Date ___�_----_-- /���//4 9��,,` //CITY OF tt/ Office of Building REQUEST FOR INSPECTION Date r Permit No. Time A.M. Received _. PM r JobZolr;soca"ty Owner's Name i�?'J�-�--�J` _ Contracto BUILDING C(JNCRET LECTRICAL PLUMBING MEC ANICAL Framing ❑ oo mg Rough Wiring Rough ❑ Air Cond. & ❑ Re Roofing El Slab Temp Pole Top Out C; Heating Insuiation C? Lintel ❑ Final _ Sewer ❑ Fire Place ❑ Pre Fab READY_ FOR INSPECTION d Thurs. Friday A.M. inspac n Mads >pec rf A Final Inspection Certificate of Occupancy Date 11jj nnCITY__O``F `�.��� 4&4^4c Be4c. t-A;&si T4 Office of Building Official REQUEST FOR INSPECTION ll 1900A110 47-"c.J Date Permit No. Time A.M. Received P.M. / Zsg JZ/ J dress L caallity Owner's ;� Name Contract BUILDINGETE `� ELECTRICAL PLUMBING MECHANICAL Framing �tiAg--- Rough Wiring 1-iRough 11 Air Cond. & ❑ Re Roofing O Slab Temp Pole ❑ Top Out 11 Heating Insulation ❑ Lintel ❑ Final E', Sewer [j' Fire Place ❑ Pre Fab' READY FOR INSPECTION Mon. Wed. Thurs. /S Friday P. XM, 6/ ---- Inspection Mae P.M. Inspector _ Final Inspection ❑ Certificate of Occupancy ❑ Date ,r� CITY OF �'�t a° Office of wilding Official REQUEST FOR INSPECTION 1 J _ _ — Permit No. , Date ----- � Time A M received Job Ad� Locality Owner's — Name _-Contractor {L -- BUILDING CONCRETE. ELECTRICAL PLUMBING MECHANICAL Fr ing 71 FootingSlab Rough Wiring ; Rough jAir Cond. & Roofing Temp PTop C Heating nsulation C Lintel i? Final C Sewer ;- Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. A.M. Inspection Made - � psctor Final Inspection Certificate of Occup Date y�=v CITY OF ,44t13I$-494vad4 Office of Building Official Q q/REQUEST FOR INSPECTION wry Date No.Time Received /•tom.!✓ P.M. Job Address Locality Owner's Name _— BUILDING CONCRETE ELECTRICAL_,' PLUMBING MECHANICAL Framing O Footing o---T zrgh--Wiring Rough Air Cond. & Fill Re Roofing O Slab n Temp Pole 0 Top Out Heating Insulation O Lintel ❑ Final sewer C Fire Place C] Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday A.M. Inspection Made Inspector --- Final Inspection Certificate of Occupancy 14c— F//L)1L Date --—— -- nn44���C //CITY O//F ��// 1&t"' // Office of Building Official r�REQUEEST FOR INSPECTION Date —q�+ Permit No. Time A.M. Received Job ress i Localit Owner's Name `Contractor BUILDING ONCR ELECTRICAL PLUMBING CHANICAL Framing 7 Rough Wiring G Rough - it Cond. & _—Re Roofing O Slab 0 Temp Pole 0 Top Out C: Heating InsulationLintel ❑ Fina! Fi Sewer FirePlace ❑ Pre Fab READY FOR INSPECTIO A. Mon, Tues. Wed. Thurs. Friday M. Inspection M ae ?` 3 —PM.Final Final Inspection Certificate of Occupancy Date k LANrjC FlOR1oP • OF --------------- J08 ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED, The following additions or corrections shall be made before the job will be accepted /v-0 us COULD /0 bb - rpr77�i1i✓F AJ S C 7'/8 _W. $15.00 REINSPECT FEE It is unlawful for any Carpenter, Contractor, Builder, or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time of approve the installation. After additions or corrections have been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 p.m. Monday through Friday. 81 1 J