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500 Orchid St (vault) r MAP SHOWING SURVEY OF L4r3 5 no 6 NOM 127, SWTION -W ATL AMIC: LOCH AS FECORDED IN PLXP BOOK 18 PXZ 34 Cr i WEST .Olk STRtET LOT 4 LOT 4 ' w Rtrd. !IZ" 1.P. (Ne.2547) fad. I/2" 1.P. (No Cop) � (0.72'x, O.sa'EI (0.32'S. 0.60'wl N 890 02' 00" E 108.e4' " t0 207 LOT 5 / � LOT 5 8 T.7'✓CONC. lbORGN Q O n r,i ~ 10.3 b !-` -' w000 m ti tea/ N DECK 3 I-STORY FRAME _-- w- - V �. __ . - - - -DWELLING--'N O a Ca Res. No. S00 O w 4D -J O ry 4 i co LOT - S LOT 6 COva V o° �g � d► O rte/ Fnd. 3/4" 1.P. (No Cop) 'FIJI. t/2" l.P. s 89" 02' W' W m rso' (0.3Z*S. 0.12'M I (Na. 32") (0.84'00) 1 LOT i �� SLOCK 104 NOTE'S= 1 . BEAlMNSM AS PER PLAT. 2. NO B.R.L. AS PER PLAT. 3. THIS IS A BOUNDARY SURVEY. I IiMW CE MPY TMT THE PNXBEt'!'Y SWIMIN HEMaCON LIES IN MOW =4 'C' AS WNIN CSI TM FLOW WaW BO NOIR tY MAP MR ATLAWIC BEAM, FLORLI]A. I HWW CMMFY 'M 'i'C!! HAWN, CITICORP SIAVD= M) BUIMM TIMS THAT I HXVl3 SU WIM THB Lam. AS SMW M THE COVE CAPTICH AND TMT THIS HkP IS A 'PINE AND COMM TION OF THAT SURVEY AND THAT THE SURM FXMMMW MWO MMM THE MQlIM" 'IWHiIM aww"U 7G (w TIS PLORIDA AcmNISmTTVE cas CRAVM 21-HH-6 AND THE ruMDA t AHD TMA ASS(ICIATZM. Y NOT VALID UNLESS IISMAo WffH AN 8I1KOWD Sou. DOW W. 9)ATWRIQHT, L.S. OIC BtM Y'OR SKWD t1EFEt)N FLORIDA POW LAND SURVlY011 Ns. MM 1" _ PO;�,,�, *O*TW'HIG T L.A"D AJR11E1fORS, INC. DATE DRA1101 POWAN ROAD SUITE D WMET__I__O _.L.. FII.* w70 8647 JACKSONVILLE SEAC*I, FLORIDA 2414MM CITY OF 716 OCEAN BOULEVARD P.O.BOX 25 y ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 August 6, 1985 Pre-Service JEA 233 West Duval Street Jacksonville, Florida 32233 The following final inspections have been made and are satisfactory: Permit #4225 - 500 Orchid Street Permit issued to Allstate Electrical Contractors Permit #4281 - 1305 Rose Street Permit #4280 - 1309 Rose Street Permits issued to Early Electric Company Sincerely, i John M. Widdows ?:�� Building Inspection Supervisor JMW:ra INSPECTION LOG 41 JOB ADDRESS CONTRACTORL�'� OWNER �. BUILDING PERMIT ELECTRICAL PERMIT PLUMBING PERMIT TEMPORARY POLE PERMIT MECHANICAL PERMIT MISCELLANEOUS PERMIT FLOOD ZONE DATE SURVEY FILED Called-In Approved J .E.A. Temp Pole Footing S 1 ab "� low Framing Cn Y - V %� 7 Plumbing (R) J� /,/�/ Electrical (R) Mechanical Fireplace Top out Other Electrical (F) FINAL INSPECTION Certificate of Occupancy Issued COI'RIENTS : 0 CITE OF 4&6a� BWCA-&7&j Office of Building Official REQUEST FOR INSPECTION Date ✓ 1 5— Permit No. YDS Time Received ' M District No. 500 0/' G ha`- Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING ���aaa MECH ICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab BEALLY FOR INSPECTION i i��►-j� A:M. Mon. Tues. / Wed Thurs. Friday " . -.�.5' Inspection Made A.M.P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 77`"--5-,`r.3(�1 6 1�) . 4&a^4'c Beac4-O;k4da Office of Building Official REQUEST FOR INSPECTION Date o Permit No. Time 7 A.M. Received P.M. District No. 6T L' �, - JobA d ess Locality Owner's � f�C — Name ...GGG���"`����� .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. ed. Thurs. Friday—P.M. A.M. Inspection Made l� P.M. Inspector ' Final Inspection❑ Certificate of Occupancy Date CII�T/Y4 OF 446 !� Office of Building Official ✓ \\9 REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. District No. � z r o Address Owners ( k'/✓ � �r' ^ '. Nam k Contractor BUILDING / CO ETE ELECTRICAL PLUMBING MECHANICAL Framing iY Footing ❑ Rough Wiring 6� Rough ❑ Air.Cond.& L-®` " Re Roofing ❑ Stab ❑ 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 16 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION_ PLUMBING CONTRACTOR C�' w LICENSE NUMBERS " Tl��`,E C OWNER BUILDING CONTRACTOR �'D N TYPE OF BUILDING 1 SINKS SHOWERS _LAVATORY _WATER HEATERS BATH TUBS __DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER -/4TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. DEPARTMENT OF BUILDING �+ [ /I I CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. V J 4 I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 5 *DU T Date Dec. 31, 19 $4 r to 5900 «UICI,T . Valuation$ PLUMBING Fee$ I; i; ! 2476 .CCCAC This permit not valid until above fee has been paid to City Treasurer,and is ! subject to revocation for violationof applicable �provisions pooff+law. q� ��/^ Iryt�0 J1LhJ11 Pt.dJ.'1UING 00, tiC! This is to certify that has permission to bjl INSTALL PLUMBING Classification RE TD .NT AT. Zone RGIA Owned by Anton 0. Peres' - Guera —Block ock S/D 5&6 12Y Section 11 House No. 500 OR.DHID STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE --moi 0 Building material,rubbish and debris z from this work must not be placed in public space, and must be cleared d away by either con- tract o ner.. i Building Official. FOR OFFICE PERMIT DATE 67 CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER w , T 'fix;{w >'t' : A t3� . .!i -.. ,�•-r " E WILDING' AND ZONING ,(` "` SPECTION DIl�ISION ; . scITY '. } ;^ OF ATLANTIC BEACH ATLANTIC•,BEACH;..FL?RIDA 32233 - - �i APPLICATION FSR° ;.I OECHANICAL PERMIT CALL-IN NUMBER i i . IMPORTANT,=fippllcan't to ccmplefe all items in sections I, II; III, and IV. 4,� St eet Address ' 4 / � ,Interseetm' Streets: Between ` And �rV r. Sub=division.+ �1� 0` NTIFICATION To be completed'by all,applicants + rll erotton 'of'permit given for doing"the work as:'described m the above—statement we heeby'agree to perform said work in accordance ,vsf} tbe'ettaeM�ed plans'and'.specifications which are a.'part hereof and ;in accordance with the_City of Jacksonville ordinances octd_standards _ fit" ' s of.;go"od�practice-listed therein. t'� 'Na of l�ieb&niul / Contractors M S A 1 } �jC_:C�lt \ ~t. Master, ' 1 , 71 5` CiYtrscto` Print Y F.:Iii Xil'�i1M1 'JJ.. FrepaeirO�.ner4C. rte' °oOwder Signature of xor Arlkorisea-Agent Architect or Engineer tl.n GB1L IN 7ypoftmg foe! 8 IS OTHER CONSTRUCTION BEING DONE ON 21- " THIS BUILDING OR SITE r .� r,Q�rGea ❑: IP ❑ Natural Q Central Utility' s A s IF YES, GIVE NUMBER OF•CONSTRUCTION s PERMIT { �rICA1-BQUIPM6NT TO EE INSTALLED NATURE OF WORK , s `a {tsevsde cempiete let of components on kiack of thrs fornl} Residential or Commercial r� r riieat Q pace Q, Recessed Centel' O" Pbor New Building .- xExistin Bulldin t x `AitCondrtann►g Room ❑?'Centre) t� 9 9 Y ReplacemenYof existing system * 1 Drc! System metenal "CJ�OI�R� Th�ak -- + ' NewInstallat(on(No`system prevlously Installed r �' Maximum opacity �. of Extension or add-on to existing system h `� � .y •yr a• x. r ,. ..:r i t �.�;rr�t ❑ Other Specify - ionrer Capacity 9 pin ; `s' ►'eprsnilees Number of heade 9 : Efivaer ❑ ManGft Q Escalator (number} THIS SPACE FOR OFFICE USE ONLY '� 6aanTine pumps (number) (RKeiwd} A? ir � (number) Remarks 111_U6►oontaineK (number)' ax. Udf"red peiaesun wss.r Permit Approved by Da+• ti. Permit Fe. 81 .L EQWPMEN ,yy 'ODAIDI110NING'AND REFRIGERATION EQUIPMENT' ,"""' ` ig[medb�rVaib :' DeseriptioW Xodel Number ]Manufacturer` ( ons) ACSIX7 - w, _ ; T lATIIsIG 'FURNACES; BOILERS,FIREPLACES ;•1ibmSszVnits IUeecrtption Xodel'Number� Kanufaacturer. (BTU) 'K•• t vf�{ is °A• goW Yaay N0112110 l Capacity Type liquid Name of Serial Approving and DhnwAfoes Contained 11[anufactmer No. 7 4r I j DEPARTMENT OF BUILDINGS CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO._ 6 5 4 } PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date .Dec. 31, 19 842,rls"I T. Valuation$ MECHANICAL Fee$ 42'00 PSP•tlONT This permit not valid until above fee has been paid to City yTreasurer, ��arid risr 6641 900Cp�ACt� f subject to revocation for viol t' IF h ble visions of AA 0k111IM±bL7/1 1/u This is to certify that Llti� J11 has permission to bAW INSTALL MEAT 6, AIR COUDITIONING r Classification RESIDENTIAL Zone BOA Owned by ANTON 0 PRRR7.' –GIIF;RRA Lot 5&6 Block 127 S/D Sectt©n H House No. 500 ORCHID STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE '4---C --D 0 Building material,rubbish and debris - from this work must not be placed in public space, and must be cleared Ta"ailled away by either con- er. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC REACH, FLORIDA APP rr,vwdpY A PPLICA'I'ON FOR. EUtCYRICAL PERMIT T TO THE CHIcF ELECTRICAL INSPECTOR: DATE:__ —` )g " S t I 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 i ATLANTIC BEACH ORDINANCES. t ELECTRICAL FIRM: �S /� ROASTER ELECTRICIAN SIGNATURE ��. JOU$LE�(li�.Ai1 NAl,SE �iJ � •� ADDRESS: �J CC/�C��6� - RFD BOX---------- BLDG.SIZE BETWEEN: RES. (;l APT. ( ) COMIA. ( ) PUBLIC ( ) INDUS. ( ) NEW OLD ( ! REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE ^ _AMPS lSi� COPPER ( ) ALUM. (� fcro� SWITCH OR BREAKER 1150 _ AMPS I _ PH 3 w OLT &6 -RACEWAY - 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 _ 0.90 AMPS. - - - P.1-100 AMPS. i 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 - — -- _ s 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE _ PHS MISCELLANEOUS L - CI Com. TRANSFORMERS: UNDER 800 V. OVER 600 V. LNO. KVA No r IKVA h0.trECiN TRANSF. 'NO. VA_ "11,v i 410TC -� 11ZE S`h CCH FLASHER EACH SIGN � 1 FORVVARDIED IuTAL F::FS CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT Owner kN_To -V. L-� L' � �ddress .rj�� �� "-"v/�. Phone a'�C45- Architect-_w ��--- Address _Ili"t&6a�� Phone * 60- 3�TContractor ress „_Phone License N b ---y _ Expiration Date _ I__ Lot �� Block �� �1 ,Subdivision �Q Zoning '�� [(�.�, Street__o � `O „ _Between _ and side Valuation $ q�_____r_- Purpose of Building 056JQ%Mype Const.k g Dimensions : Building_ _ _Lot-.------- Sz .Footings1U '� Sz. Piers — Sz . Sills_ "'� _Greatest Span Sills__ _ Sz. Ceiling Joists Distance on Centers Greatest Span ___ Sz . Floor Joists ___,__Distance on Centers Greatest Span__ Sz . RaftersJhgance on Centers- -'`—Greatest Span •. Heating Solid-Filled Ground Roof SX&Y64.r.- . ` Flood Zone _ If located within a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2 . When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing and fire place is completed and ready to cover up . 5 . Rough electrical . 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made . In consideration of permit given for doing Rear Lot Line the work as described in the above statement, we hereby agree to perform said work in .S P accordance with the attached plans and H- ��'�,,,.,^ cn specifications , which are a part hereof, and 0 TT� 4� a in accordance with the building regulations m of the City of Atlantic Beach. or r 0 rt 17 r r �• w M Signature OWNERAS Signature BUILDER �� N V @� D — g CITY c ATtANfilc --WILDING oppICs Front Lot Line Y .o Oil r 2�i2r Vic, Y • . 3 zt o� u a a 910'7 p APPROVED +c CCTV ,jF AT�.ANT{C BEACH pj,Iti..plNG OFFICE a- DEC 3 1 1?..3 cc ------------- Y FLOODPLAIN DEVELOPMENT INFORMATION ' j pmE Type of Development :TM(p1 T1410' New Building Alterations to Existing Building Flood Zone C Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation" is equal to or a ove the base flood elevation established for that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed developemnt. Date Applicant 's Si nature ------------------------------------------------------------------------ Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative BUILDING PER?'IIT CHECK LIST Property Address Owner l, .c _ ,,yam. Contractor UTILITIES R approved City Water Available? ) by Water Meter Size �f approved Ascity Sewer Available? JY by Connection to sewer system performed by the: approved Owner by approved City by 3/4" meter @ $500 . 00 (in addition to $1, 035 . 00 impact fee) BUILDING & ZONING Property is Zoned �,'/i9 Type of Buildirp CSB. X X loo X Lot Size !6"1 .29 X Setbacks : Front 'Z. :� Rear 2- 6 � ,Q Side 2 Q•� & , � 'd 1 COMMENTS : I C DEPARTMENT OF BUILDING PERMIT NO. 0 CITY OF ATLANTIC BEACH,FLORIDA j , PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Dece4iber 31, 19 84 ?4l�"P5 T 42.d5CKT bu5w3 1 t° 1/3U/8 Valuations %4- 697- 30 Fee$ 242- 25 654 . 3CICA . This permit not valid until above fee has been paid to City Treasure[,and is 565 1I /30/3I��� subject to revocation for violation of applicable provisions of law. This is to certify that ANTON 0. PEREV,—GUERRA . 510 ORCHID STREET has permission to build 9T=T.F. FAAITT.Y ROMP. AS R Pj.AjIS i I Classification RESIDENTIAL Zone 9131A Owned by ANTON 0- P E .' TERRA Lot 5&6 Block 127 s/D Section H House No. 500 ORCHID STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE f �--� �---► O Building material,rubbish and debris ` I from this work must not be placed in public space, and must be cleared If Mauled away by eit conner., ilding Official. FOR OFFICE PERMIT DATE USE ONLY NUMBER CONTRACTOR � PLUMBING i ELECTRICAL SEWER WATER NICL ADDRESS '6�U ���� j7tt- -� _ LUMBINGAPERMIT # _ BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # TEMPORARY ELECT. # Heated Square Footage $ �` per sq ft = $ JY,S 3`57 Garage/Shed $_/ e'� per sq ft = $ / S�_ Cc Carport @ $ per sq ft = $ Porches @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION Total Valuation Data 1st $ K6 -� 7. '36 c-� $ /Q_ cmc Remainder Valuation @ $ g.c'0 per thousand or portion thereof s 2j TOTAL BUILDING FEE $ " + k FILING FEE $ [� . FIREPLACE @15 .00 $ TOTAL BUILDING PERMIT $ ---------------------------------------------------------------------------------- PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ TOTAL WATER METER CHARGE $ TOTAL SEWER IMPACT FEES $ TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ GRAND TOTAL DUE : $ MECHANICAL PERMITO ADDRESS PLUMBING PERMIT # BUILDING PERMIT WORKSHEET ELECTRIC PERMIT # TEMPORARY ELECT. # Heated Square Footage � per sq ft = $ jqT d Ap- 3� @ $ Garage/Shed __per sq ft _ Carport @ $ per sq ft = $ Porches L @ $ g 0� per sq ft = $ A 9?, Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION $ ' Total Valuation Data 1st $ 3 � Remainder Valuation @ $ d�'0"d per thousand or portion thereof TOTAL BUILDING FEE $_ + 2 FILING FEE $ 7� FIREPLACE @15 . 00 $ / b TOTAL BUILDING PERMIT $ z2 ----------------------------------------------------------------------- - PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$ ELECT. TEMPORARY $ ELECTRICAL PERMIT $ WATER METER SIZE $ ACCOUNT NUMBER SEWER IMPACT FEE $ WATER CONNECTION $ (@10 . 00 per fixture unit) APPROVED BY: , TOTAL BUILDING/PLAN FILING FEE $ ,Iq T1C B PO TOTAL WATER METER CHARGE $ Uk OING nFFICS TOTAL SEWER IMPACT FEES $ TOTAL WATER CONNECTION CHARGE $ MISCELLANEOUS CHARGES $ GRAND TOTAL DUE : $ `i'o�•`� 1 b pill I IS- U j f4i c7 d CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD - a ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029483 Date 1/07/05 Property Address . . . . . . 500 ORCHID ST Tenant nbr, name . . . . . . REROOF SHINGLES Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5600 Owner Contractor --------------------- --- ------ ------------------ HADDEN, BEVERLY WHITES ROOFING COMPANY INC 500 ORCHID STREET 14262 PLEASANT POINT LANE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225 (904) 249-2387 (904) 220-5546 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5600 Fee summary Charged Paid Credited Due ---- ------------- ------- --- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH AREjXjWT OF THIS PERMIT AND,SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 4QS. I BUILDING OFFICIAL CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET ',x:rJv Date cq Address S O'O O 2ek4 t o -S-1 Permit fee based on dollar evaluation as indicated on permit application. -Heated Square Footage @ S per sq ft Garage 1 Shed @ Sper sq ft= Carport /Porch @ per sq ft= S Deck @ S per sq ft = S Patio @ S per sq ft= S TOTAL VALUATION: is, $1000.00 S 535.00 Total Valuation Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE S Go. ZONING: + '/2 Filing Fee S �o . FLOOD ZONE: ( ) Fireplaces @ S35.00 S . IMPERVIOUS SURFACE; BUILDING PERINIIT FEE S q (� WATER MPACT FEE S SEWER LMTACT FEE $ WATER METER/TAP S CAPITAL EM[PROVElYIENT S SEWER TAP S C ( )RADON HRS .0050 S SECTION H PAVING S CROSS CONNECTION S ST ( ) SURCHARGE S Cc: i�,L�jrJv1 CITY OF ATLANTIC BEACH D. Ford L. Higgins BUILDING / ZONING DEPARTMENT r J 800 Seminole Road S. o j � Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax PLAN REVIEW COMMENTS Permit Application # 05 - 2 9�P Property Address: 500 ORCMID SMEI Applicant: \N WI S 5 4 M N G A M PPyY INC Project: 4E 00 S M N GL- 11; This permit application has been: Approved El Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: LA-± Date: G • ' O S mug e-b 03 1D: 24a Information Systems 247-5845 P• 1 r r ' CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date: Job Address: �IsCJ T\`La�� Owner of Property: V e � �. Address: F Telephone: Contractor: t N+, G. State Licese Number:i Contractor's Address: CtiStiti r^?� Telephone: Q ' Fax: Scope of Work: r Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example:Timberline): Manufacturer(Example:GAF): ASTM Designation(s): f)� At w Required Inspections: Sh t ng and Fi 1 Signature of Owner: Date: A' Signature of,Contractor: Date: AS TO OWNER: Sworn to and subscribed before me this_ day of �� U.`( � '20 State of Florida,County of Duval Notary's Si tore: Paula Drake Dean Personally known My Commisaon DD016022 Produced identification vr 4; Expires April 08,2005 Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road -Adande Beach,Florida 32233-5445 Telephone: (904)247-5800 Fax: (904)247-5845 -http://www.cL2tiantic-beach.f.us Page 1 Kwised 2/21/03 Doc#2005002220. OR BK 1''213 Faye 2163, Number Pages 1 Filed& Recorded 01/05;2005 at 10,30 APA JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 Permit number Tax Folio number NOTICE OF COMMENCEMENT STATE OF FLORIDA COUNTY OF DUVAL THE UNDERSIDED hereby gives notice that improvement will be made to certain real property, and in accordance with Chapter 713, Florida Statutes,the following information is provided in this Notice of Commencement, 1, Descri tion of pro 2 General descnpti n,of'Tprovemenl k�mov?— -c- W 3. Owner information: �--evtA a. Name and ZdI2: 1,_ —� b. Interest in ppaperty, �f Tcty c. Name and�address of fee simple titleholder(other than owner): Convac is n an addres ' T ,1 f 1 �� �� \L, 0, Phone number: b. Fax number: _Q Q'A -a 0 5. Surety information: a. Name and address: b. Phone number. c. Fax number: d. Amount of bond: 6, Lender's name and address: N a. Phone number: b. Fax number: 7, Person within the State of Florida designed by owner upon whom notices or other documents maybe served as provided by 713.12(1)(a), Florida Statues. Name and Address: a. Phone number: b. Fax numbed S. In addition to himself/herself, owner designates of to receive a copy of the Lienoes Notice as provided in Section 713.12(1)(b), Florida Statutes. 9. Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of Recording unless fferent is spe if ). f Signature of Owner. Sworn to and sVNcribed before me th s day of MLr, ,1 .20 _. Not G �Y n9� own personally/ID' hown: My commission expires: dor� Paula Drake Dean My Commission DD018022 ?or r� Expires April 08,2005 LI1Y Ur AIL.Au,lil; bt.AI;H APPLICATION FOR PLU`iBING PERMIT DATE NEW TYPE OF BUILDING OWNER'S NAME REPIPE RESIDENTIAL LOCATION ADDITION COMMERCIAL PLUMBING FIRM ADDRESS APPROVED MASTER PLUMBER CITY f ATLANTIC BEACH please print �" >_OING OFFICE CITY/COUNTY OCCUPATIONAL LICENSE NO. D '' 1 1933 STATE CERTIFICATE NO. BUILDER OR CONTRACTOR ---------------------------------------------------------- ----------------------------------- SINKS LAVATORY 1 BATH TUBS URINALS FLOOR DRAINS CLOSETS SHOWERS WATER HEATERS / DISHWASHERS `' DISPOSALS WASHING MACHINE OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST nn BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. SIGNATURE OF MASTER PLUMBER FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE EATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c) BATHROOM GROUP CONSISTING OF BATHTUB (W/OR W/O OVER SHOWER STALL, WATER CLOSET, LAVATORY & BATH HEAD SHOWER) (2 UNITS) DOMESTIC (2 UNI TUB OR SHOWER STALL (6 UNITS) BIDGET (3 UNITS) LAUNDRY TRAY COMBINATION SINK & TRAY (2 UNITS). (3 UNITS) DENTAL LAVATORY (1 UNIT) KITCHEN SINK CONBINATION SINK & TRAY W/ DENTAL UNIT OR CUSPI- (2 UNITS) FOOD DIS. (4 UNITS) DOR (1 UNIT) KITCHEN _SINK W/ �-- DRINKING FOUNTAIN (11 UNIT) , DISHWASH R (2 UNITS) WASTE GRINDER _ FLOOR DRAINS (1 UNIT) NATO �(1 UNIT) LAVATORY, BARBI LAVATORY, SURGEONS (2 UNITS) BEAUTY •PARLOR SHOWERS GROUP PER HEAD (2 UNITS) SURGEONS SINK (3 UNITS) (3 UNITS) ' FLUSHING RIM SINK (8 UNITS) SERVICE SINK TRAP POT, SCULLERY URINAL, PEDESTAL, SYPHON JET SINK (4 UNITS) STAND (3 UNITS) URINAL STALL, BLOWOUT (8 UNITS) URINAL, WALL LIP (4 UNITS) WASHOUT (4 UNI': URINAL TROUGH EACH 2' WASHING MACHINE RES. WASH SINK•EA St SECTION (2 UNITS) (3 UNITS) OF FAUCETS WATER CLOSETS, TANK- WATER CLOSETS, VALVE (2 UNITS) OPERATED (4 UNITS) OPERATED (8 UNITS) ob 00 TOTAL FIXTURE UNITS ` f Q ✓ L�` CITY OF, �l�a�v�r f�iZ Meted2 4&K4.0 beach-A;&U-44 Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A.M. Received P.M. District No Job wess Locality Owner's Name t ,��( Contractor . BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Rooting ❑ Stab ❑ 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 IZ Certificate of Occupancy Date C,rx#tftratr of (Orrupattrij CITY OF AN4huC &4A- R66 19ppartmpn# of 'Nnilding Jnopprtion 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 cumpliance with the various ordinances regulating building construction or use. For the following. Use Classification 2 fz dly Bldg.Permit No._ _)Lt 1 _ Group Type Construction "rrt rm Fire District I i —x�c7cx�— --c"4t-.>.�ai'a�.�t�ze OwnerofBuilding ZtfrlT t'a t .[ .__Address____ Building Address _)UL) OrIZu4 u l-rPet Locality__ CUP + _ By: Building Official Date; .1 11 'WT IN A coMericuous PlI#[ CITY OF ATLANTIC BEACH BUILDING DEPARTMENT INSPECTION REPORT Oa LOCATION 500 ORCHID STREET PERMIT# S10 ATLANTIC BEACH, FLORIDA 32233 SUSDIVISIONSECTION H OWNER NAMETHOM HADDEN PHONE (904)786-2610 _EGALDESC: L0I5-6 BLOCK SECTION H PERMIT TYPE BUILDING CLASS OF WORK ADDITION ;ONTRACTORPROPERTY OWNER PROPOSED USE UTILITY BUILDING WORK DESCRIPTION ADD STORAGE UNIT TO EXISTING RESIDENCE INSPECTION REQUIRED 13 FINAL BUILDING INSPECTOR AM ✓ B REJECTED DATE INSPECTED � BY�,�„ _r �i. APPROVED 1t COMMENTS R ilw t �x f r A x h u rt j ' t� lot 33 i "SCRIP JCrPW 01 w 0'000 " LTiti M1 t �yfji h t MeF 1�AI111e �k M(0.kP .� k tT y �" �'° ► 00166 42233 tILL- 41 1,114 # ,• "^9a b� u.R9 j S 1 :� ��y[ AM M 4i4 iu?!� ,5@' ,rwYv FXr,MIF lk ' V - , f h77 "17 .......... 'fir za. m 4,X", -, I�l �� "o, r 000*1 777 i A F ' PIt TIC ALL �N R 'f ' F �3 'ANO F O7lNG CAU" ' #9 Q'Ff P�?UF11N "a 1T�yhA�y C ��1 �yg tb'V,t'�tV$1)(1w O, r ( lJ hiG MATE iIAI.,F 418 CSri Af J p t S FR t TM1�v WORK ? 4 PLA Eb IN PUBLIC SPACE,AND MUST BE EARED P ANS Fl:AtlLE[7 AWk'f'8 Y1 CC?i�1TtPCTft +Qif1R F � gra + � THE + �� � N t�►w aN Esu T IN f E SUED AC Qi . ANG TQ.APPR 1/EC� FLA 1 ,IAIHICH ARS PART t TNfS PERM, JT AfiJ�. UBJ T TO REV( AT1QM FC}R - t . A�I014,"0 A,PUGA$L�Pi�G►VISd+C�tJ�i t?F LAW VIER IT r n, N 0 T I C E T O C O N T R A C T O R S S C H E D U L E O F I N S P E C T I O N S Requests for inspections Will be accepted from 8:00 AM until 4:00 PM. All inspections Will be made the following day between 8:00 AM and 4:00 PM. SCHEDULE OF INSPECTIONS: 1. Footing 2. Rough Plumbing 3. Slab 4. Framing, Rough Electrical, Mechanical, Top Out Plumbing, Fireplace 5. Final Inspection 6. Certificate of Occupancy Other inspections may be required in certain situations. Building Card MUST be posted or no inspection will be made. Pour no concrete or cover-up any work until building card is SIGNED by the inspector. You will be required to uncover any work that has not been inspected. In case of failed inspection, 810. 00 re-inspection fee must be paid prior to calling for re-inspection. BUILDING DEPARTMENT CITY OF ATLANTIC BEACH 249-2395 CITY OF ATLANTIC BEACH o2x APPLICATION FOR BUILDING PERMIT ' t Owner 9 z', '�d 'Address,,_40 �/�� j' 6� j' zip. ?)_3 5Phone Architect Address zip Phone Contractors// M V4)J Y4ddress zip Phone Contractor's License Number Expiration Date Copy on File Lot # ( Block or Section # Subdivision Zoning/�... // Street .- 5 �l' ,a� Between �'/9 and a�f r� '�' side _ Valuation $--J�0/4410 .me) Type of Construction 4¢ j�,2-2,y,� r Purpose of Building %' fi ' y'X/ Number of UnitsFireplaces Utility Service: Water .Y Sewer 4 If the City if providing water or sewer service, do we need to make taps? Dimensions: Building Lot Size Footings Sz. Piers^ 4/fes ^_Sz. Sills Greatest Span Sills Sz. Ceiling Joists , _Distance on Centers Greatest Span Sz. Floor Joists 4 - Distance on Centers Greatest Span Sz. Rafters ,2 X It Distance on Centers Greatest Span Method of Heating A//J Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD complete page 2 ` SUBMIT: Two complete sets of plans, including a detailed site plan. Florida Energy Efficiency Code Sheets Recent Survey Inspections Required: 1. When steel is in place and ready to pour footings. 2. When steel is in place and ready to pour columns/lintel. I When steel is in place and ready to pour beam. 4. When framing, mechanical, plumbing, electrical, fireplace, is completed and ready to cover up. 5. Final inspection. SETBACKS NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB. In case of rejection, reinspection rUST be called for after Rear Lot Line corrections are made. 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, S, which are a part hereof, and in accordance r rt with the building regulations of Atlantic Beach, Signature Owner �- Signature Contractor ron 1ne c ` FLOODPLAIN DEVELOPMENT INFORMATION Type of Development : New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation" is equal to or above the base flood elevatio established for that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement : l understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No . 25-7-11 and all other laws or ordinances effecting the proposed developemnt . Date Applicant ' s Signature ---------------------------- ------------------------------------------ Department ---- ---------------------------Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative aY9-a38 7 PLANS REVIEW CHECK LIST -----Owner-- - ----(6- - ---------- Address__�.ZSJ_/� - Contractor s� "------------- Legal Description_ _______________ )e,, � 1� Q�¢� -- ------ ------------ License Number1 --------- - --------- License o n File YES NO Section 24=101 * Zoning Regulations (S�y��, Zoning District__- /A_- Proposed L-- Required Lot Size_dLm--__ Actual Lot Size----_______ Setbacks Required Provided Section 24_17 front -------- -------- CORNER LOT I TERIOR LOT rear ----`�-,- ---`-��-`- � � Flood Zone_______ -------- side-1 _ ____ ------- - Required Elevation_ ----- side-2 -------- -------- Max. Height AllowedProposed Height___________ Section 24_82 * Minimum Lot Co_eragg Required Heated Area Proposed Area___ �p___ Section 24_161 * Offstreet Parking Number Spaces Required Spaces Provided___________ -- Section 24_82 * Duplicate Buildings Is there a similar building within 500' of 'propvsed .building?YES NO Utilities Water and sewer service is to be provided by: Buccaneer Utilities City of Atlantic Beach Utilities FFivate Source SEPTIC TANK WELL Plans Reviewed by:------------------------------Date Building Perm i #---------- ISSUED DENIED Address y" _ Heated Square Footage @ $ per sq ft = $ Garage/Shed °-' @ $ Z6. f per sq ft = $ 27C�i Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: Tot4l Vali-i-ation 1st $ 7 7 ,0 Remainder Valuation per thousand or portion thereof -------------------------------------------- Total Building Fee $ ADDITIONAL PERMITS and/or FEES REQUIRED + i Filing Fee Mechanical ; Fireplaces @ 15.00 $ Plumbing i BUILDING'PERMIT FEE $ Electric/New i ------------------------------------------------- Electric/Temp Septic Tank BUILDING PERMIT $ S Well WATER METER CHARGE $ Swimming Pool SEWER IMPACT FEE $ Sign WATER IMPACT FEE $ Water Connection MISCELLANEOUS $ Sewer Connection $ Water Meter $ Elevation Certificate GRAND TOTAL DUE - --------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES rS� L1f r f � CITY OF ATLANTIC BEACH ;` sa 800 SEMINOLE ROAD J ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00033567 Date 7/26/06 Property Address . . . . . . 500 ORCHID ST Tenant nbr, name . . . . . . 1 CU 1 AHU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor - ----- - - - -- - - - - -- --- ---- -- --- -- - - -- - - - - -- -- ---- - HADDEN, THOMAS E . OCEAN STATE HEAT & AIR 500 ORCHID STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ------ -- - - - - - - - -- - - -- - - - - - - -- - -- - -- - - - -- -- - - - - -- - - - - - - -- --- - ----- - -- -- ------ Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -- --- ----- -- -- -- - - ----- - - -- ---- -- - -- - - -- - - -- --- ---- --- --- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH -MECHANICAL PERMIT APPLICATION Date: l Property Address: 500 �✓� �� i I Owner_ Telephone#: Telephone 4k J. rt: ���-�2 Contractor Address: Fax *' i - in consideration )f permit _iveu for� doing the work asdescribed in:he above r;tarement. we uereby i:ree ro perform said work in accordance� with the attached plans and specifications which are a part hereof and In accordance with Che City of Arlan tic Beach ordinance,and standards )F good practice listed therein - Type of Resting Fuel: If other construction is bema done on this building or site,list the building permit number: Electric � Q Gas: LP Natural Central Utility Q Oil ❑ Other—Soecifv wLEECH NIC AL EQUIPMENT TO BE LNST ALLED NATURE OF N VORK ' Heat `Space _Recessed —Central _Floor esidentiai Air Conditioning: _Room central ❑ Duct System: Nlaterial Thickness ❑ Commercial Maximum capacity cfm ❑ Reiiigeration Q Nev 3uilding ❑ Caoliniz,Toter: Caoacl-tv wpm ❑ Q E:-,stint 3uiidina ti Fre Sprinklers: __Number of Heads Elevator: _ Manlift Escalator Number! ep.iace neat t :astr�S.ustem Gasoline Pumps [dumber; TanksNumber j I '❑ -New insiallation Q LPG Containers (Number} (No system previously nstailed) ❑ Lnfired Pressure'Vessel ❑ Extension or.�dd-on to E.asting System Q Boilers '❑ Gas Piping Q Gther-Speci%r I ❑ Other—Specify I LIST ALL EQUIRMENT _SIR COND[TIWNL G,REI+RIGER ATION EQaJIP_titENT&CON(DENSOR'S appsav ng `[umber Units Description Madei.r Manufacturer To Agency I FhG ATIi`(G RUR^[.AtJE5.30ILERS. U,TRGPL.ICES &_qR[JAN D LE R'S �c7 Approving `;umber I'nits Jesc prion [oderM acna es 3 i P0f7A V?-L3F374 r �ANKI _,lominai""apaciry T;rpe Liquid serial .a.ppmving m,, a nv :FDimensi,,)ns �ntained :"s anuiacmrer 300 ;eminole 'Ruud . Atlantic Reach. Florida 32233-34.1.- Phone-. (904) 347;-5 00 .ci.atfannc-be:ic!i.Fl.LIS " Jul 25 06 02: 56P Ocean State A/C 904-249-8948 P. 1 _T1C BE CITY 01 ATLA,-N NUCHANICAL PERMIT APPLICATION Date: Property .Lddress- -5-00, Owner-. :p Telephone #: Contractort- Telephone--. Contmefor Address: 8NCL —1—vo,rit—a acx:iheci.11 ft:AwL gacemcnc.wtimeby ugrct n,per-,nrm;aw-Rork im 'Vith tie"ImOked pi.1111..nrld Witic-h lCe t 1rat iturtur--itua in w.cord2oux vith ttic citw )tm(annc Brach ordiuun=and majurds of _-zn i jracii Elmmi a. .�)d 'Type 4 HV.-itingy jr1jr.1; ff tXher wnmaiom is briq dour-in t(IS building or.site,UtA dU-building PrwiiL IIU(.XtbW. Cras: _Lp Utility is Oil 0 Other-qp,.wifv -MECHAINICAL EQUIPIMNT TO 13 V (NSIALLED N, TURL OF W RK e.xt Space _Reuwsed Central Floor M- Air C'onditioning: —Roorrt —central — Duct`;vstem: L\,lalehal 'thickness :3 Cotumemal din 12 C,>o(jile T,)Wer:(:aD3C7,tyI firc S _' ' —_qm E:,!sxiag3ufi;iinz pr.wklers:XmnbeT of,Pwids _L:scalstpr fN- mlibcr.) Ii 14R Q Gkimilim:11wilp.m— _—.1-Numberi Z T auk.;i Q N"w futwiatioa Q L 1161 Containers 5"Mcm.pre'liou-sly installe(l) Q ('afice'd Prc4sure Vessel Q L-uta.siou or,-Wd-.ju to L.�,ibtiaz SN-nem C] (fats Yipirtg 0 Boiler.; Q* Othcr-5p=ffL Other-53peuiFv W-5 l'ALL E Q UIPMENT COMU110"ii-REVIUCLU.NTION r r)UIIPMn, T C0Kn&j-4S0R,$ appruvia j4UMher('nttg D&xriptiQa &Wact"i Ton*5 U/1 .1hkimcr N(okid J, Manuthmmr AL 4& duo LLL i r T.1p, I. :.;qulkl 0im"nsi-ma -:.moineti A RvAd I 'Walitiv Rvach. )TIorida 3=3.; 5.LA14 ?1vjnL: (')Ui Z47-5,11)1) . Fav 011A) CITY OF 4&Cedes 12 e44C4-q Office of Building Official REQUEST FOR INSPECTION Date _ Permit No. Time ! A.M. Received P.M. Job Address LLc�Owner's ��>> Name _ C eln Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing O Footing G Rough Wiring C� Rough Ci Air Cond. & _ Re Roofing CSlab C Temp Pole O Top Out 11, Heating i Insulation E Lintel L� Final Sewer G Fire Place � o^ Pre Fab READY FOR IN5PECTIOj�:Af� Mon. Tues. Wed. Thurs. Friday P.M A.M. Inspection Made _ (j, r RM. Inspecior.�_,___� � Final Inspection Certificate of Occupancy F . i✓�l � r�{ �1I� Date — { psi � to � 4t "gat" DEPARTtMAENT OF BUILD114G CITY QF ATLANTIC BEACH 77777 �= f p=r- ]RID I xromi 'x QSTLt C T CSN RI`C31 TI t?l�trr iJQ,41 S RE T Firmit TO,�%a II�'ItL�IT EI ;, l "MI IC SI c", 'L.OR I DAI 3 2 23 f DROCRIPTrON t Lot , secti on, ropvsed Up Sl IS OIit A-MILY b Subdi vi Ton m t ma t ed Vjk l 0:. 3 spy tT /y 0o t 4 0.0ty1J tC! to r Q0 n tr! yy** 4 € � �� � Appl,. fir # Q dre 'ET '° CL16 Q, 4R P W1T /TSF X85 00 RA I OA-S-11 'R S ' p.t1 ,.. ._ 10 Obi �,. ADO AI S A. ' tie►.': p # S ` �. CRO L► +� TYA0 TOtE . co « +~I GE NV 9, 2 NOTICE- .141.L CCl9 ORETE pORMB lANf3 Ft}C►TINCS MUST 6>*11+1$PI~CTEO I*p1~tE PCIURINO PERMr'T UOtD SIX MONTHS AFTER DATE OF,11t ING MATERIAk,1 UBBISKANn DEBRIS FROM THIS WORK MUST NOT BE I'LA��I1�I t�UI3LtC SPACE,AND MUS BE, 4 RED UP AND HAULEt�AuvAY:,By EtT�IER CONTRACTOR OR OWNER I ii 1Ll RE I MPLY w r MECHANIC' iE14Lit. .�� -ES 1N TWICE FORTHE IMPROV� N ' " EDACC4Rp1. TQ AIF'RCNlEC?PLANS WHICH ARE BART QF l FIIS PERMrT'AiL3CIBJECT TO REVOCATiQNQR TiQN OI=Ai�P IC�IBE'1?RtiSIQN OF LAW. , ,i A BEACH BUIiIING a8,PAR f MENS CITY OF ATLANTIC BEACH Fixture Unit Workthe*t for Water Ispact Fee FIXTURE UNITS ARE ESTABLISSED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HERESY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. c Z- SATNSOOM GROUP CONSISTING OF SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY 6 BATH (S) TUB OR SHOWER STALL (6) WATER CLOSET NATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) SATRUS/ (2) _URINAL WALL LIP (4) SHOWER GROUP PER READ (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMSBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASKER (2) / WASH SINK EACH SET OF FAUCETS (2) XITCUM SINK (2) 2 DENTAL LAVATORY (1) _ L_KITCNEN SINK WITS WASTE H/? DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) - SIDET ( ) URINAL STALL, WASHOUT (4) FLUSSING RIM SINK (a) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) —URINAL, (ZPEDESTAL, SYPHON JET DRINKG FOUNTAIN (1/2) S LAVATORY, BARBER/>EAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY. SURGEONS (2) JACUZZI (2) / URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS0 =20.00 EACH = � ° JOB INFORMATION Sof c �S C-0 {t IU mCc 7� L=Aj 1044 � OEPARTMEN"r OF BUILDING a n CITY OFATLANTIC BEACH _ . --- - ST I'NIIOVI TIOI -�..� ► } I t O1 TI�?lY .P �e Icluit Niiihberll .0 414- Addrea r s }{? OR"ID STREET IT I + rm t IMU st'N . "1" -EEC y FLORlb� 32233 I of isorK ADDITIONDEME, 'DESC IPT10 IFAXIL 'rsw�a�; i .` RNO: 0 ilia : Cade: 4} Sukaivsft ICTION R Imrov. :cost 0.00, Total, 251A 11 Amo Eiz wJO .,Lll C 1014 FEES _ I $25!1 0 ID e,44 Paz C t OAS .R.S» 0 T k6N I►ta�m S* ILu I G" m.W C ► '. � $IS 0" :,-wa.r4owmxu9Rbx,n vaficm'uc-smb ire* n ,�y ry + BtAdlt y A t xS * � RW¢F gM1w.'i•x tM. e>tim'2n..scryNV°#b q n E 13 } NOTICE T-ALL G�}N ETI4 FOOM��NI�FOOTINGS Mtf�T�E.t�iSt EI�1 I�EFC#�E P�#�Fik�1G I PER AIT UOIi SIX MONTHS AFTER OATS I INCA MATERIAL-AUE�BISH AND DEBRIS FROM THIS WORK MUST NO Be PLA�EO IN PUBLIC,SFACE;ANt?MU fi BE RE4 UP AAIU"HAIi�Eft A3�VA "S' EITHER �ACT�OR,C�(N( i RET 3 C 0mPLYVvlTH THE WCHA ' L IN 'elm E'TWICE © THE WNE AN E ' t t UEQ ACCokb NG TO APPROVE0 PLANS WHICH ARE PART OF THIS PERMIT AiNt]SUBJECT TO REVOCATI� IrQR 4y: 18G:I=PROVISIONS.OF LAW. 4. . .a T� Mx, CITY OF ATLANTIC BEACH APPLICATION ,1FOR l�PLUMBING PERMIT JOB LOCATION: `coni jvt'c'/! OWNER OF PROPERTY PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: Itli ,) f l? STATE LICENSE NUMBER: ��� �� 4'> TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS - �-- SHOWER PANS OTHER � uj l� TOTAL FIXTURES: x $3 . 50 + $15 .00 MINIMUM PERMIT FEE - $25 .00 SIGNATURE OF OWNER: r SIGNATURE OF CONTRACTOR: ,2% AIZ424 INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 i .w4d4n� Bear.4- Office of Building Official J� / REQUEST FOR INSPECTION l PermitNo. � 7 M. Diatrict No. / Locality Contractor CONCRETE ELECTRICAL PLUMBtN*— - MECHANICAL Footing ❑ Rough Wiring ❑ - Air.Cond.& ❑ Stab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab FOR INSPECTION "i! 1. Wed. Thurs. Friday P. A. 4 Id w Final lnapectiorylQ - - i \p Certificate of Occ P 14/ Date t DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ., Ai PERMIT INFORMAT1O ,-�-__- '" :_-»-� 'LOCATION INFORMATION Address i OCA,ORC�iTI� STREET P {% t umbos 578 'ATLANTIC ` HEAGHr fiLOR-DA 32233 LEGAL DESCRIPTION as of Work: ALTERATION Soct�Asn C ;»str.. TYt i WOOD FRAME Lot. E t :�r as ed UsI SINGLE FAMILY Ta�rn�o ' RHO: ' I�tte 12ing L Cade a O Su}advic�rx n . im tcd V*. U*i SIS.00 I pre+v. Cost: Y Total, F a 1 ' $18.50 11 '1 /10/92 i OWES PAN APPLICATION FEES z M PERMIT $3.8. 50 A « STREET" �' WAFER IMPACT' FEE e, E*0.0 PA PEE ,o 0. . .m o, AUCR .-R.. R. S. 00.0 RADC3H OAS .. 5%7-7 WATER TAP, Name I MOTH, ,TACK LL.E� FL, 32 5 H'Y�TRAULI, SHARE t31` ' F 3 RE=11! PSC FEE . � ► O FsEC R Z lFAC' ' FSE -00 01 t{ S 4 k } d h Nt T CE, ALL CONC FORMS ANI?FOO NCS MUST I�E�i�+tS Ct BEFt?�i�POURING Ve PEHMIT VOID SIX MONTHS AFTER LATE OF ISSVE fLp#htC„MATERIAL,RUBBISH,AND,DEBtIS FROM THIS WORK MUST NOTE PLACED IN-PUBLIC SPACE,ANC) MAST BE EARED UP AN,D HAUL> O AWAY BY'B THEI CONTRACTOR;OR OWNER. s L,t,�l� T`Q. J► ll�' 1l It TH T iE MECHANICS' I -AW CAN R SU 7 IN W'I�IEf(PAY#NG TWICE FOR ���I 6 11�LPROVEI�EN S." fi St ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND'SUBJ CT TO Rp +' C,N-FOR ', AtLICABLE PROVISION$OF LAW. N :1 0t r 1 #. # ARTMENT x t# eE � O Aj1IfifI « s. T- :a ..j ,f<.. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: PLUMBING CONTRACTOR: LICENSE NUMBER: D 191 C OWNER: a evt BUILDING CONTRACTOR: TYPE OF BUILDING: r5 1,7 SINKS �$KbWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER J TOTAL FIXTURE COUNT: + $15.00 d ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. i D