110-112 Pine St (vault)CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 02-00025008 Date 10/15/02
Property Address . . . . . . 112 PINE ST
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
RUSSELL, TODD AIR SYSTEMS
2815 ST.JOHNS BLUFF
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 642-9700
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . . REPLACE EXISTING HVAC
Permit Fee . . . . 71.00 Plan Check Fee .00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
---------------------------------------------------------
Permit Fee Total 71.00 71.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 71.00 71.00 .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 ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
BUILD G OFFICIAL
1z
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT – Applicant to complete all items in sections I, II, III, and IV.
I.
Street Address: X 14,o
LOCATION OF
Intersecting Streets: Between
-Alga, f And 479a44,
BUILDING
Sub -division —
II. INDENTIFICATION – 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 Atlantic Beach
ordinances and standards of good practice listed therein.
Name of Mechanical
Contractor Print AIR SYSTEMS OF FL
Contractors
Master
Name of Property
Owner
CAC058757
KENNETH ERIC CAVEND
Signature of OwnerSignature
of
Or Authorized Agent
I Architect or Engineer
III. GENERAL I ORMATION
A. Type of heating fuel:
B.
Ems' Electric
IS OTHER CONSTRUCTION BEING DONE ON THIS
❑ Gas: _LP Natural _Central Utility
BUILDING OR SITE?
❑ Oil
❑ Other -Specify
IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
IV.
MECHANICAL EQUIPMENT TO BE
INSTALLED
(Provide complete list of components on)aek of this form)
Er- Heat_ Space _ Recessed entral _ Floor
Er' Air Conditioning: Room entre
❑ Duct System: Material Thickness
El Refrigeration Maximum capacity --efm
ATURE OF WORK
51 Residential or _ Commercial
❑ New Building
Rr"- Existing Building
�- Replacement of existing system
❑ New Installation (No system previously installed)
❑ Extension or add-on to existing system
13Other- Specify
❑ Cooling tower. Capacity anm
❑ Fire sprinklersi Number of heads
Cl Elevator : _ Manli@ _Escalator (Number)
El Gasoline pumps (Number)
THIS SPACE FOR OFFICE USE ONLY
(Received)
❑ Tanks (Number)
C3 LPG containers (Number)
Remarks
❑ Unfired pressure vessel
❑ Boilers
Permit Approved by Date
❑ Other- Specify
Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Descri ion Mpdel Number
nufacturer Capacity Approving
Tons Agency
HEATING - FURNACES, BOILERS, FIREPLACES
Number Units Description Model Number
Manufacturer Capacity Approving
Agency
TANKS
How Many Nominal Capacity Type Liquid Name of Serial Approving
And Dimensions Contained Manufacturer No. Agency
R
CITY 01= A(LANfIC ULACI-I, FLORIDA
.I by APPLICATION FOR ELECTRICAL PERMIT
I
fU 111E 1,1111F i.1 FUIIIICAL INSPECTOIt: DA IF:. _ 19
IM11011 I AN 1 rJO I Ir:E:
IN COH"31DI.RAl ON OF 11FItMIl GIVEN iOlt DOING 111E WORK AS UESCltIllfU IN Till IOIlOWItIG, WE
Ili NERY AGPIT 10 I1f RFOHM SAID WORK IN ACCORDANCE WII11 1111_ Al 1ACHYD PIANS A1R1 SPI CIVICA11ONS,
WHICH ARE A PARI III REOF, Atli) IN ACCORDANCE WIIII 1111: I -I I (;11tICAl. RF(jULAIIONS, COUPS ANI) CHY OI'
A 1 LAN T IC REACH ORDINANCES.
Lr -I-- I_r__
Dav)S
ELECTIIICAL FIRM: MASTER ELEG1111CIAN S1GNAILIHE
�{ ��o Pie s�
NAME .�Q 1L_ Cr-'fG� ADDRESS: ------------ -- - — RI'U--------BOX
t3 L U (3 .
---
RES. 4) APT. ( ) COMM, (
1 PUBLIC i 1 INUITS. ( 1
NEW ( I OLU ( IIEW. ( 1
AUDITION l I IRAILEII 1 )
TEMP. ( ) SIt;rJS ( I
_ SO. F1.
SETIVICE: NEW ( 1 INCREASE ( 1 IiEPAI)I (ql
FEE
CONUUCIUII SIZE - -- - _._
_ _ _ AMPS - CUPPEII 1_)
ALUM.( 1_ -
SWI TCHOil 13BEAKE1t _ __---
AMPS -I'11_ -_ W VOLT
- -__itAUEYVAY
EXIST`SEIIV_SIZE _� _-_--
AMPS_ (- 1111 > W 7-c(()VDI-1
Cttble� RACEWAY
FEEUE)tS NO. SIZE-- -
-_ I NO - SIZE , rJO.
- SIZE - -
L1GIIIING OUI LEIS
CONCEALED OPEN
10IAI_
IIECEPI ACLES
CONCEALED OVEN
10 TAI.
0.30 Alar 8.
it 100 At 11`6
INCANDESCENT
FLUOIIESCENT & M. V.
- -
----- --- - -- - -
rIXEC) 0.100 Atlr`B.
- - -
c�VEIi
I
Arrt_IAtICEq 1
[IFI -L 1IIANSF.
Alit 11.11. HATING
IIT. 11A1ING
CONUIiIONING COM11. M01(311
OIIIEII MOTOItS AMPS CEIL HEAT: KW DFAI
MOTOEIS It P. VOLTAGE
HIS NO 1 it P.
VULIAGE HIS
MIS CELLANEOU S R&[) �G �-- >�G1�1/t i✓- Yln - C YC - - - - --
CITY 01= ATLANTIC BEACH, FLORIDA
nntvowd by APPLICATION FOR ELECTRICAL. PERMIT
10 1111- CIIIEI E.1 ECTHICAl_ INSPFCTOH{ [)AIF:._,_ 19
IMI'OII i AN 1 W) 110E:
IN CONSIUI RA i lOH Of i'FI1MI l GIVEN fUlt RUING I IIL WORK AS UESCIt BVI) IN 1111 I (ll_I (MIM, WE
IIFREBY AG1111_ tU ITRYORM SAID WORK IN ACCORDANCE Willi Illi Al IACNfD 1'I -ANS Attu SPECIl ICAJIM6,
Wl1lt,ll Altf A PAltl 1111i1:017, Attu IN ACCORDANCE Willi 1111. 1-1_ECIRICAI. REGlll_AIIONS, CODUS Atli) CIlY Of
A I l_AN T IC HFACi I ORDIHANCES.
-
1,�t
ELEC1111CAL FIRM:
MAS IEll ELECIIII UIAN SIUNAIUIiE
NAME-Qti4�°-iG•---------AUU1tESS:-,2
1 Z -�{ We -
��-� -- ----�- 1l4"U-----E1OX------
D L U G . SIZE -- -- - - ----
-- ---- ---------- - HE E T WE UN-. ------
-- -- ----- - - ---------------
11ES. `p AP 1. 1 1 COMM. (
! PUBLIC 1 ► INDUS. ( 1 NEW
( ► (lLU q► IlLm.
ADDITION ( 1 111AII-Ell l 1
TEMP. 1 1 SIl3NS
SETIVICE: NEW ( l
INCTIEASE ( ) IIEPAlll (A
FEE
CONDUCTOR SIZE
AMPS - COPPER l j
--At_UM. ( -.
SWITCLI Ott 1311FAKEIt __--
AMPS
- 1'll -_W VOLT
RACEWAY
EXIST. SERV. SIZE �(�
AMPS
I'll 3w 740 VULi
Cjub(E' RACEWAY
FEEI)ETIS NU. SIZE
I
NO_ SIZE. tJU.
SIZE -
LIGIITING OUTLEIS
CONCEALED
OPEN
IUTAI_
IIECEPIACLES
CONCEALED
OPEN
101AL.
U JO A61r 9.
11 .100 AM'G.
SWITCII[5
_
.
INCANDESCENT
FLUUTIESCENT & M. V.
rIXED a. too j4i�q:
UVE11
,
APPLIA110E9 1
'
DELL
1 RANSF.
pill
11.1'. 11A"TING
ILP.11AIING
CONDI I1UNING
- --- - - t
COMP. MUIOil
- ..-------
0111E11 MO1011S
AMPS
CEiI-
IIEAT: KW IIEAT
Q-1
(Will
MOTU1lS
11.11.
VOLTAGE
1'llS
NO.
111.11.
VULIAGE
PIIS
MISCELLANEOUS—pc
- lacc �vvoa be4�<r. rv►efecaYl .
CITY OF
�4!'ri� eKt�c �t►'eack - �l v�ida
800 SEMINOLE ROAD
- �_ --- -- ATLANTIC BEACH, FLORIDA 32233-5445
TELEPHONE (904) 247.5800
FAX (904) 2475805
January 10, 1995
Don Muese
337 11th Street
Atlantic Beach, FL 32233
Re: 110 Pine Street Firewall Inspection
To Whom It May Concern,
The firewall at 110 Pine Street extends through the attic area to the sheathing
on the roof. The firewall is rated at one hour.
Lc)'e"-6-
� j
Don C. Ford
Building Official
cc: f ile
CITY OF
1*&aae Ve d - *;&ud4
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORM4 32233-5443
TELEPHONE (904) 249 -SSM
FAX (904) 247.5805
May 23,1994
To Whom It May Concern,
The firewall at 110 and 112 Fine St. meets the requirement for a
one hour rated firewall per Section 403.4 of the Standard Building Code
1991 Edition.
D n C. Ford
wilding ffcial
cc:Don Muese
City Manager
File
//���,'������ ��,,� //CITY OF /�/
4&6^ �C / e=4 — 071
Office of Building Officiat/ 7
REQUEST FOR INSPECTION
Date 2 S5 Pe�Z_
Time A.M. AReceived P.M.�-r�
nspection a e
Insp
Final Inspection
a
Date
MECHANICAL
❑ Air Gond. & ❑
❑ Heating
❑ Fire Place ❑
Pre Fab
A.M.
Friday P.M
JAAddss
Locality
Owner's
Name
Contracto
c
BUILDING
CONC E
ELECTRICAL
PLUMBING
Framing ❑
Footing
❑
ou btlirmg-�❑
Rough
Re Rooting ❑
Slab
C,7
Temp Pole ❑
Top Out
Insulation ❑
Lintel
❑
Final ❑
Sewer
READY FOR INSPECTION
Mon.
Tues.
Wed.
Thurs.
I M d
C -
/
(I
A.M.
nspection a e
Insp
Final Inspection
a
Date
MECHANICAL
❑ Air Gond. & ❑
❑ Heating
❑ Fire Place ❑
Pre Fab
A.M.
Friday P.M
DATE S '-�L -9 P
PRE -SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
X33 ',VEST DUVAL. STREET
JACKSONVILLE, FLORIDA 33L0
THE FOLLOWING FINAL !NSPECTION (S) HAVE: 3LEN MAIL AND ARE
SATISFACTORY:
Z9 , 2__------------------------------- _
r--- --
Enclosed are the blue copies of the permits.
E Y,
BUILDING INSPECTION DIVISION
cc: FILE
CITY OF
Office of Building Official
EQ EST FOR INSPECTION
Permit No.
Time
A.M.
Received
PV.
District No.
pL&
Job Address
Locality
`
Owner's
42 )4 � 'Contractor
Name
BUILeAr.
PLASTERING ELECTRICALUMBING
HEATING
Foundation
....... ❑ Wire .................. 11 Rough Wiring.❑
Rough ............... ❑
Rough ............ ❑
Chimney...........
❑ Lath ..................❑ Finish Wiring -0 •
Final................. ❑
Final............... ❑
Framing............
❑ Scratch ..............❑ Fixtures .......... ❑
Sewers............... ❑
Water Heater.. ❑
Final .................
❑ Brown ............... ❑ Motors ............ ❑
Gas ................... ❑
Finish ................ ❑
11 Wallboard ........
Czz.z
READY FOR INSPECTION
Mon.
ues. Wed. Thurs.
Fri.
P.M.
r
ade
Inspection Made--
Inspector
Inspector
e�
8.1.2
CITY OF
> 04MI& NaA •
Rod&
Office of Building Official
REQUEST FOR INSPECTION
Date �—
�" 00
Permit No. 07
Time
A.M.
Received P.M
District No.
Owner's•�Y1�1
Name
Job Address
�1
Locality
Q
for �/
BUILDI G
PLASTERINGLECTRICA�
PLUMBING HEATING
Foundation .......
❑ Wire .................. ❑ Rough Wiring. q 1wo ugh............... ❑ Rough ............ ❑
❑
Chimney...........
Framing............
Lath.................. CI Finish Wiring..
❑
Final................. ❑ Final............... ❑
Final
Scratch..............❑ Fixtures ..........
❑
❑ Sewers............... ❑ Water Beater.. ❑
.................
Brown ............... ❑ Motors. ............
Gas................... C1Finish
................ [3
Cesspool ........... ❑
Wallboard ........ ❑
Mon.
READY FOR INSPECTION
Tues. Wed.
A:M:
Thurs. Fri.
Inspection Made
Inspector{
8-1.2
CITY OF
oft t&
Office of Building Official
Date , (3� REQUEST FOR INSPECTION + 'j
Permit No. S2 ( I
Time qa��M�
Received a - �iaYr'1 District No.
Ana-% ���J�
Job Address ^((Locality ---{{r�--��
Name Owner's Contractor\ X_4I � COCIIIAP
BUILDING PLASTERING Ef6ECTRICAL /PLUMBING HEATING
Foundation ....... C1Wire .................. ❑ Rough Wiring. Rough............... ❑ Rough ............ C1Chimney...........❑ Lath ..................❑ Finish Wiring.. Final.................❑ Final ............... ❑
Framing............ ❑ Scratch ..............❑ Fixtures .......... ❑ Sewers............... ❑ Water Heater.. ❑
Final ................. ❑ Brown ............... ❑ Motors. ............ ❑ Gas ................... ❑
Finish ................❑ Cesspool ............ ❑
Wallboard ........ ❑
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Fri, P.M.
Inspection Made y -. / V a;0;
Inspector
B-1.2
Mon. Tues.
Inspection Made_
Inspector
B-1.2
READY FONSPECTION
Thurs. Fri,
00:
CITY OF
>I'BidfMI L s
Office of Building Official
REQUEST FOR INSPECTION
Date
"� �p
CITY OF
Permit No.
ftU4
Permit No.
Time
Received `3� P.M.
Time
Received
Office
of Building Official
District No.
Locality ,
REQUEST
FOR INSPECTION
/f Y1
01MRINf>,..,/ HEATING
Foundation ....... ❑ Wire ..................❑ Rough Wiring.❑
Permit No.
Date
Final................. ❑ Final............... ❑
/%IA,
Sewers............... C1Water Heater.. 1:3Final
Time
Received
� _�Lj
p „
•+ J,A
District No.
//d 9�
//�
f,
'D L�-
_
dress
Job Address
Locality
Owner's
Name.
Contractor
/ !
Contractor
PLASTERING
ELECTRICAL 'j PLUMBING HEATING
Foundation .......
❑
Wire ..................❑
Rough Wiring.❑ Rough ............... ❑ Rough ............ ❑
❑ Final............... ❑
Chimney ........... ❑
Lath .... .............. ❑
Finish Wiring..❑ Final.................
❑ Water Heater.. ❑
Framing............ ❑
Scratch ..............❑
Fixtures ......... .❑ Sewers...............
❑ ❑
Fincl .................
❑
Brown ............... ❑
Motors............. Gas ...................
❑
Chimney .............❑_,
/hath ..................
Finish ................ C1
Wallboard ........❑
cesspool ...........
Mon. Tues.
Inspection Made_
Inspector
B-1.2
READY FONSPECTION
Thurs. Fri,
00:
CITY OF
>I'BidfMI L s
Office of Building Official
REQUEST FOR INSPECTION
Date
"� �p
Office of Building Official
Permit No.
Date
Permit No.
Time
Received `3� P.M.
Time
Received
--
P A.
District No.
Locality ,
Owner' s• C `•
Name Contractor
t�
BUI ING PLASTERING ELECTRICAL
01MRINf>,..,/ HEATING
Foundation ....... ❑ Wire ..................❑ Rough Wiring.❑
Sough...............2 Rough .......... ..❑
Chimney........... ❑ Lath ..................❑ Finish Wiring..❑
Final................. ❑ Final............... ❑
/%IA,
Sewers............... C1Water Heater.. 1:3Final
................. ❑ Brown ............... ❑ Motors ............ ❑
Gas ................... ❑
Finish ................ ❑
Cesspool ........... ❑
Wallboard ........ ❑
Job Adddrreesss
Locality
�"
NNaamne,s
/ !
Contractor
PLASTERING
ELECTRICAL
PLUMBING
HEATING
Foundation ....... ❑ Wire ..................❑
Rough Wiring.❑
El
Rough ...............
❑
❑
Rough ............ ❑
Final
Chimney .............❑_,
/hath ..................
❑ Finish Wiring..
❑
Final.................
Sewers
❑
.............. .❑
Water Heater.. ❑
Fra ming ............
ILY Scratch ..............❑
Fixtures ..........
...............
Final .................
❑ Brown .......
Motors. ..... ......
❑
.......
Cesspool ...........
Wallboard ........ ❑
READY FOR INSPECTION
Tues..
Wed.
Thurs.
Fri,
►►" Mm
Inspection Made
Inspector
READY FOR INSPECTION a
Mon, ues Wed. Thurs. Fri. P.M.
Inspection Made s' 1i �a-z:E
Inspector
8.7.2
..
Office of Building Official
REQUEST FOR INSPECTION
Date
Permit No.
Time
Received `3� P.M.
District No.
Job Address
Locality ,
Owner' s• C `•
Name Contractor
t�
BUI ING PLASTERING ELECTRICAL
01MRINf>,..,/ HEATING
Foundation ....... ❑ Wire ..................❑ Rough Wiring.❑
Sough...............2 Rough .......... ..❑
Chimney........... ❑ Lath ..................❑ Finish Wiring..❑
Final................. ❑ Final............... ❑
Framing ............0 Scratch ..............❑ Fixtures .......... ❑
Sewers............... C1Water Heater.. 1:3Final
................. ❑ Brown ............... ❑ Motors ............ ❑
Gas ................... ❑
Finish ................ ❑
Cesspool ........... ❑
Wallboard ........ ❑
READY FOR INSPECTION a
Mon, ues Wed. Thurs. Fri. P.M.
Inspection Made s' 1i �a-z:E
Inspector
8.7.2
CITY OF
lft12-&4A - %Gua
Office of Building Official
REQUEST FOR INSPECTION y/�9
Date �� Permit No.
Time A.M.
Received Pv. District No.
12Job Address Locality
Owner
Name 's r
ILDING
? 7
Contractor—
ELECTRICAL
Rough Wiring. ❑
Finish Wiring.. El
Fixtures .......... ❑
Motors. ............ ❑
PLUMBING
Rough...............
Final.................
Sewers...............
Gas ...................
Cesspool ...........
❑
❑
❑
❑
HEATING
Rough ............ ❑
Final ............... ❑
Water Heater.. ❑
PLASTERING
wire ..................
Lath ..................❑
Scratch ..............❑
Brown ...............
Finish ................❑
Wallboard ........
❑
❑
❑
Foundation.......
Chimney ...........
Framing............
Final...................
`T
❑
❑
❑
❑
Mon.
Inspection
Inspector -
B -1.2
READY FOR INSPECTION
ues. ) Wed,, Thurs.
111
_C
Fri. P.M.
CITY 4F
Office of Building Official
REQUEST FOR INSPECTION
`��Date f -75? Permit No.Y
Time
Received p.lv1. District No.
Job Address
Owner's
Na 0 y %( ctor
Locality
BUILDAG
PLASTERING
LE�ALPLUMBING
HEATING
Foundation .......
❑
Wire .................. ❑
Rougough...............
❑
Rough ............ ❑
❑
Chimney...........
❑
Lath..................0
Finish Wiring.. Final.................
❑
Final...............
Framing............
❑
Scratch ..............❑
Fixtures ......... .❑ Sewers...............
0
Water Heater.. 0
.................
❑
Brown ............... ❑
motors. ..... ..r......❑ Gas ...................
❑
Finish ................ ❑
❑
%/ � Ceaspooi ...........
❑
yFinal
' _` df_
Wallboard ........
READY FOR
..
INSPECTION
Mon.
Tues. Wed.
Thurs.
Fri.
4'
�
10
lnspectidn Made
Inspector
< �
8-1.2
BUILDING PERMIT # 4193
PLUMBING PERMIT #A/ � 0=t -
ELECTRIC PERMIT # d (,/ 7
Mia I .= GR��I .& MUS
��a����_......,�.�._...�...,_......GR�,,F,�NVILLE..;�; MEQ..,C��,�.T....��s.,......._.�..,._..._.,w_....._.....,.,~......,,..a......._..�._...,._
YOM, D.A.TION
SEWAR.... .........� �........ ..... ,, .�.,. ......a..w ., ....,. ,.. a ,, ....., . .. ,_, ..__ .._..
'FEwrop.om
PMASING 01
lw
DEPARTMENT OF BUILDING 4202
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
10/26/79
Date 19
Valuation $ UUMUnlr Fee $ 18.00
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that F.W. Fair Plumbing Co_
has permission to build_ to install 2 sinka' 4 l aysatori eS e 2 bath *ubr, ,
closets,2 water heaters,2 dishwashers,2 washing machines.
_4
Classification residential 7.-ne
Owned by Geenmi lle & IeIrSe Const Cao
Lot 572 Bloc'- S/D Salt .Air
House No 110 & 112 Pine 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
,I AFTER DATE OF ISSUE
♦� ► O Building material, rubbish and debris
1 from this work must not be placed in
public space, and meat be cleared up
and hafiled away by either contractor
or owner.
Bili M. Davis
Building official.
FOR USE ONLY PERMIT NUMBER DATE CONTRACTOR I? gtld1
PLUMBING is
fFt"
i k: 12W79`
ELECTRICAL
SEWER
WATER
C-1171py Of ICVAJA1411',T�c! 3EAcli
APPLiCkfi0i'd FOR PLUMBEW(jr
-i-A, XATX
PLUMBINC., FIRM___
MASTER PLUMBER
Cl.�Y/COUNTY OCCUPATIONAL LICENSE
z
MATE CERTIFICATE
BUILDER OR CONTRACTOR__?
TYkE OF BUILDING
,r
IWI�PTAALS.Allclriko of PLUMBING "-D bk,, iW W TH,!`' ,%T
RJEC,FST EWT�CM' (IF THE SOkMHEM9 ��rANV,44W PfXXHTWG CODE,
CIT( OF ATLANTIC BEACH
WATER CONNECTION CHARGE
DATE
/:Z�;
LOCATION_
OWNER
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR -fze-)
z
TYPE OF BUILDING
BATHROOM GROUP CONSISTING OF
-WATER CLOSET LAVATORY & BATHTUB
BATHTUB (WITH OR WITHOUT OVER
—MEAS SHOWER) (2units)
BIDET (3 units)
COMBINATION SINK AND TRAY (3 units)
COMBINATION SINN AND TRAY W/FOOD DIS,
(4 units)
.DENTAL UNIT OR CUSPIDOR (I unit)
DENTAL LAVATORY (1 unit)
DRINKING FOUNTAIN N unit)
DISHWASHER (2 units)
FLOOR BRAINS (I unit)
FITCHEN SINK (2 units)
KITCHEN SINK WjFOOD WASTE GRINDER
(3 units)
LAVATORY (1 unit)
LAVATORY, BARBER, BEAUTY PARLOR
(2- urlits)
LAVATORY, SURGEONDS (2 units)
,SHOWER STALL, DOMESTIC (2 units)
SHOWERS GROUP PER HEAD (3 units)
SURGEONS SINK (3 units)
FLUSHING RIM SINK (8units)
SERVICE SINK TRAP STAND (3 units)
POT, SCALLER',61 SINK (4 units)
URINAL, PEDESTAL, SYPHON JET
BLOWOUT (8 units)
URINAL, WALL LIP (4 units)
...URINAL STALL, WASHOUT' (4 units)
URINAL TROUGH EACH ?-FT. SECTION
2 units
WASHING MACHINE RES.. (3 units)
WASH SINK EACH SET OF FAUCET
-'-2 uni is
WATER CLOSETS, TANK OP (4 units)
WATER CLOSETS, VALVE OP (8 units)
-v LAUNDRY TRAY (2 units)
COMPLY WITH THE MECHANIC'S
FAI
LIEN LA's CAN RBULT IN THE PROPERTY
OWNER PAS'TW'OFFOR ,Btu
ATLAN �f
jOV ,S. FLORID ..
6 VC T 81979
APPLICATION FOR BUICRWW N C BEACH
FOR OFFICE USE ONLY
Date...l4.^j/----------------- 19 ::Z�
Permit #.-.1&6_1 ....... Fee
Valuation
House
................................
i9`.............................................••--•------
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner -Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub -contractors be submitted to this office so that licenses can
be verified.
Date... 0 . S5..�r............................•--•---..........,
a -- ...... ...........Address- ..`� 71.tiH...�---�------ Telephone No�.. 4:ell).
Owner............. f'.J �! � �_ f-.�l
Architect................................... ...................................... •---••---_---..._..Address.-----.........----•-•----................. Telephone No .............................
ContractorBuilder .... .:'s------.------- ---------------..------........ _---•-••--•--Address._....................--•-----•--••--•--...........---------Telephone No.....-- -.----_-_------
Lot No -----------------------------_---- Block No. --•---------•--------•---...-..Sub Division ... S_C.�_.-T/ J'JR.--•---•----•---•--•-•-•-----•-•-- t ......... Zone -.-..-•--•-------
-./-..............................Street---------------------.. jSide Between ...................... .------------------------------ and ...................................................... Sts.
Valuation $�............ For what purpose will buildingbe used
.............Type of construction---L'ding 1_, -/_..._....._._.Dimensions of Lot...... -Dimensions of ......................... Size of Footings--- /i-- '`--�,A=e?,��...�..�r
771.
Size
...t
Size of Piers--.--. ... ---------------•-___---..:Size of Sills ------------------------_---....Greatest Sill Span in ft ........................... Type Roof ------ --------.....
How will Building be Heated? ... /�C. 4_44.AL.- ',M ..Will Building be on Solid or Filled Ground?...... .
Size of Ceiling Joists.. . r�! ._l. -i �.3., Distance on Centers.-----,f-.L.`(......................... Greatest Span ...2.1... ........................... "
Y
Size of Floor Joists... *_p__ 5 ........................ Distance on Centers....... .._. " ............................ Greatest Span.... / .-.._.-..._..------_--------- "
Size of Rafters.... �,f.�n , ,, .�._.., Distance on Centers .'............................ Greatest Span..,3..,/�................................ "
This rectangle is to represent the lot.
Locate the building or buildings in the
APPROVED right position. Give distance in feet from
CITY OF 1.i'L NTIC BEADI all lot -lines and existing buildings.
DutLnJ>� OFr="CE REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.Q l9
Inspections required.
1. When steel is in place and ready to pour foots
2. When steel is in place and ready to pour colum and/or p 0�1
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed, and ready to cover up. W
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection, re -inspection MUST be called for after
corrections are made.
FRONT OF LOT
A
07
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 building
regulations of the City o Atlantic 13pqch.
I
Signature of Builder...Address....................�----------- -c ----------------------------------
--
-��---------------
Signatureof Owner..--------_..................................................................-- Address ----------------------------------------------------------------------------------------------------
DEPARTMENT OF BUILDING 4189
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 10/11 1919--
9 79Valuation
Valuation$.59,206. 00 Fee $ 154.50
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that GRENVILLE & MEUS ' CONST • GO
has permission to build`Lduplex arrard-Ing to n anst submitted
Classification residential Zone
Owned by GRENVILLE & MEUSE CONSTCO.
Lot 672 Block S/D SALT AIR
House No 110 & I12 pine 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
► ► O Building material, rubbish and debris
from this work moat not be placed in
public space, and must be cleared up
and hauled away by either contractor
or owner.
BILL M. DAVISULaia;I IL
I_
Buildirff i4 i wf�.ia ti�
FOR OFFICE
USE ONLY
PERMIT
NUMBER
DATE
CONT,$iJiAC'1,'.QR s �+
PLUMBING
ELECTRICAL
SEWER
WATER
o o
1%,
TIC
Q'ITY 0),�" AT14W. DEA(M
.fit COLliff
DATE
wc&'i- 'Xom
wo
-2Z
%' 'P'.0, (ii` BUXWING
adWS'TER PLUMBER
7
CZTY OF ATIAM-71C SEACH
AcIzoullyf NO -
DATE
LocpzeloN
3-01'r r4o. NO.
T"',"PE. OF BUILDING
HAOrER PLUMBER
DATE
pCfl'JKo0jtA