Loading...
Perit 273 Pine St (vault) r rw�rr r, + LSA p 1 ! t j E t � f f ( � t silo I C.7 y 9- 3`�S) BUILDING AND ZONING INSPECTION DIVISIOII` CITY OF ATLANTIC BEACH �� � ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. 1. � � LOCATION Street Address: S+. OL OF Intersecting Streets: Between L/S i V�J"[L/ And BUILDING -1fl t Sub-division �G _ 11. IDENTIFICATION — To be completed by all applicants , In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein. Noma of Mechanical Contractors Contractor (Print) V, 1��Q Master Cpo- o 39761 Name of - f✓ Property Owner 'ctyy\p CL Signature of Owner Signature of or Authorized Alton# Architect or Engineer Ill. GENERAL INFORMATION A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DON ON QIEl WC THIS BUILDING OR SITZ n/O Q Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 on PERMIT Q Other— Specify IV. MICHANICAL EQUI►MBNT TO RE INSTALLED NATE OF WORK Z41 de complete list of components on back o=trsl rm) esidential or ❑ Commercial eat Space ❑ Recessed O Noor ❑ ew Building ❑ Pa r Conditioning: 0 Room Centro) (sting Building System: Material Thickness placement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously Installed) ❑ Extension or add-on to existing system 0 Refrigeration ❑ Other — Specify 0 Cooling tows: Capacity 9-pill. 0 Fire sprinklers: Number of heads -- 0 Ekavater 0 Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY 0 'Gasoline pumps _(number) (Ilts 0. To (number) Remarks 0 LAG contoiffis (number) Q Uefired pressure vessel Permit Approved by Dafe 0 seikn (� Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Cgeelty wA9 M ms NtliNlr UnitsDeacrtption No"Number is[aesufaaiurer (TO=) i DEPARTMENT OF BUILDING 4101 1 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 7/9 19 79 . .Valuation#j 7 MMh n& Fee$13.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of lar. This is to certify that W Fair P1 in?, Co r; k has permission to build–` i*I�*a ' fsitt lac=ntfJri ea 1 hritFi tc+ham � $� t'f / 7/"'9/79 Classification i ' ti at 7.ene U r Owned 529 Block S/1) Salt Air IL IL+I Lo House No 973 24-- QtVQQt According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material, rubbish and debris Z from this work must not be placed in 'i public space, and const be clewed up and hauled away by either contractor or owner. Bill M. Davis Building Official. CONTRACTOR FOR OFFICE PERMIT DATE USE ONLY NUMBER PLUMBING i CTRICAL DEPARTMENT OF BUILDING 4099 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. t PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date July 10 1979 Valuation$ Fee$ 14 1.09 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. This is to certify tha+ Kar-Pin Ahmad Neoad RellaZi 4 Grfsnvil l e & Metre Const. Co. Z has permission to build s j f dwelling Classification Residential Zone Owned by K,Qst€ym Ahmsid Neoad Rehami Lot 529 Block S/D Salt A&t+ House No 273 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 SIR MONTHS tt AFTER DATE OF ISSUE O Building material, rubbish and debris Zfrom this work must not be placed in public space, and must be cleared up and hauled away by eithM Fl"lacte" or owner. g I�i .1XTU Bill M. '�yis I ,/09/75 iA 'G f y Builiq t!IJ 9 f a ii. FOR OFFICE PERMIT - ` g USE ONLY NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER pWATER FOR OFFICE USE ONLY fir* r�+ "FU'.1s.7s.. Date. 19 - Lnnli 1,j, 4 THE Wil"RTY WNU r,. Permit #.......... Fee$ �J .Ii.tMValuation $. ._., ..' ........... ............. .. FLORIDA a House * .�. .. ....-••............................... ... ..... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all prollsions of the Laws of the State of Florida, all ordinances of the City of Atlantic e Beach and all rules and regulations of the Buildiriig 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 jeubmizte d to this office so that licenses can be verified. Date-- ................................................. Owner_ y ...p_ /J! --------Address-� �f �i / �j JWTelephone No. ,� � /5� Architect--- = --•...... ... .. ......Address------.---.-----------------•-•-------------•- Telephone No... y.. 7 Contractor Builder_.''^' Y' ddress. Telephone No..... W --....•---•--------- --------•-•- / LotNo._. ---------------------------------Block No._ -----•......Sub Division... . .._l- --••------._._..__............--•-•---.Zone_------_------ Street. -----•-_------Street. ------Side.rBetween.....--,-p----•----•---•-•---- ...---.and-----•-•-•-------•--------------------••--•-----_.-._-Sts. Valuation $..3.j.- -e----.----For what purpose will building be used...K•�,..e,a� ......Type of construction.--lifJ -�.......••... Dimensions of Building-------------_--_--------------------Dimensions of Lot-._...5. •-•.--_-•---•---•-••---=Size of Footings._./.�-�-u......---------- Size of Piers---------- ----------------------_Size f Sills------ --..... .- --------Greatest Sill Span in ft.......................... Roof...................................... How will Building be Heated?_-_y`. 2- -OW.. Will Building be on Solid or Filled Ground?.... _ 4�/C.�� Size of Ceiling Joists��°�+�w--.rTV*.. ... stance on enters----......................................... Greatest Span--------------------------------------- -.... " �(•---•-•--•.............. Greatest Span.__,l.y -----•-• Distance on Centers._..... __.._. r Size of Floor Joists_..______ �0_5_____ _________ - Size of Rafters..-P � ---- ---,Distance on Centers.a. ---- Greatest Span---..-- 1.-•----•........................ This rectangle is to represent the lot Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall _ be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. JQ W 2. When steel is in place and ready to pour columns and/or lintel. / /',� ,,�,aW a 3. When steel is in place and ready to pour beam. U 4. When framing is completed. - r� 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. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, w ar part hereof, and in accordance with the building regulations of the City of Atlantic Beach. Signature of Builder...... �,�L.F,�..,4fhyt,gp/1 =p j .. Address.....i�-;�vd ---/�/ KsE/i'r9 -AX.F ,f�''� s•.. Signature of Owne 1�`A Zf m.• Aft ' /?Y� Address...'512.,p/..-- -i y7-I� �..._..{.A�c.-•-••- •.�!! •, r� CJTY OF AVANTIC BF-ACH 716 WFAN BOULEV"D ATTAMIC, BEACH, FLORIDA ADDENDUM TO BU-I—LDIN—GPLAN x°at ion- Z 4 f;- 2. Tna==x; a plan tor the I've buildi-nq Is approved subject to mmeting the, following ,pp1l,cable volistruction re-quireMO-f1tst Fcoot jLq-:1irj iokxall he continuoug mop olithic concrete under &yterior walls, reinforced wfth an these 5/91, deformed _formp �3 rpiptart.-ing rods for one-story' buildings d reiritorcing rods for two-story buildinqsReinforcing rods shall be placed in the log"t *no-thltd of tho footIngs, proporly placed and fastened on metal Saftles A above, xp wits wri ., rciotings shall bei sig inches wider on each side than the wal nhail bo at least eight inches thick and shall rest on firm 8011, at least twelve t uneAsturbedsKA1,1- b. tbe reinfor-ced with atzap, i��Ojlcm masonry unit construction, eaeb unit cell shall 0„p t7o. 4 baycornerspoured and tamped with concrete; such %t, ail , erly ti cx) nhall. be pr*p ,ad into the f ting and spandral beam. itAll W-LX>O tcUss t3*tOt'x ',CCK't F'0'lstrxictiony , aholl be accurely fastened to the w&llp v��jt'h approvsd AnchOrs Or Clips-- cl. r,%ao4tr�,-t.ton c;® reat:by t31141-faml)y dwt-IlingF, which are duplicates or intensely gi1allarity considers the external, coPfiguratiO” 0j1t,w,r wAll materials, window rizo and design, and )�n aacarj- with the, foregoing, similar Of 9;�L- O,r iiomes shall silt t>0 const ,acted w.jthin close Proximity` Of each and shall be at least 500 feet. APAxt it any one similar dwelling Is vis l tv�im any other almilar dwelling. rvicO Tb,� fIna l the bouae pla ing drain and the sewer so jort tat the px1-apory line) must be inspected by the City before being c1ty Manager �h tiltir be has read the above and undetat thisrstands detal.18 to the plans and specific-atiOns p; x .dsx> e ceraan to c-,r)Mp1y wa,(.h tj4t- _jnteAt of this addendum. 'k171 zP0 111141YI COX acto INSPECTION RECORD JOB ADDRESS c979 AlWe :�T.2Ef7- CONTRACTOR .0,Zfn OWNER X/q.g r» /. TYPE PATE IN:SrEt'TOR FOUNDATION SLAB PLUMBING (R) SEWER TEMPORARY POLE LINTEL/BEAM COLUMN ELECTRICAL (R) PLUMBI14-G (F) FRAMING ELECTRICAL (F) OTHER FINAL APVLic43,d.qb"J FOR FL3-i.6 d,.4.• G rz 0273 k�,,UMSING FIRM d'RC'ksEaX ER F"aA4A`'Y.eXSd.,YR �—M'•. .. rr_ _:...: .r,:.�:..=-a .T..�._..-�ss..-r_rrrr.,.._._.���+s_.._..r..rasc-uxrs.e-_-a. –+acs= n ,„ ,_''.%P"l'�'(,��iFi1i"VY �3CC ��.?��!!'`;�.GNz�.L aL�ICamiSL !() , E NO acv LDER OR C NTRAT O 9,p` ` 4.' ; PW .�ta8, i T)"ON OW, T s k', ;hc,.P-y{�v'[�Y? "..,,�i #>i.3, '3 ' �,.,,g 7t.,:r�'."4,4;T.�,..h{ ,Y �..-L rt�.?k..•.-, CP Crry op ATTANTICII REACH 2 WATZR COMEC"T ICON OATS ... �_. ... FTT4ml--.-l.-1--4- 311 T ID ER OR r-ONT RAt("IroR,,. /�z Eire .��/Ir,�+ �}!/>•4m i G E.vY�//e-_ /11E[!sG Tyriv. OF BUXt.aING S�� .GCc>E��.,/_l�' 5/.OE/t�T/�9.C. ZRATUROOM GROUP CORS T ST ING OF 9HOWER STALL, DOMEST F' wATER CLOSET, LAVATORY & BATHTUB OR 5110WER STALL (6 uni tri SHOWERS GROUP PER 11YAn nATHTUD (WIVH OR tnTY MOUT OVER µ ._ PLL St3LtGT;C�NR SINK TMAD SWAM) VIA SHTNG RIM a^%wj, ! ,i,i .............. lnr,T (I ursita) , SERVICE gTNKTRAr :3 my t xomaTNAT TON STNK AND TRAY (3 un i t n) tt�AG tFt+" TT OR '-I)SPrfX)R (3. {8 unit") �� x i 0I un 3 #•`<Y rLos2'rg -rANi� r"ter LAVATORY (! vg— LAVATORY, BARBER, BEAU'T'Y PARLOR (2 units) —".LAVfflDKX T RXjr LAVATORY. SUliGHMS (2 un f`_5) FORM J-1 Copyright by the Air Conditioning Plan No. , Contractors of America Date Formerly: National Environmental Systems Contractors Association Calculated by 1228 17th Street N.W. Washington,D.C.20036 Printed in U.S.A. January, 1968 WORKSHEET FOR MANUAL J LOAD CALCULATIONS FOR RESIDENTIAL AIR CONDITIONING For: Name aC Lsf''f rf�r Address-- City ddress—City and State or Province —By: Contractor — Address ` City — .���� +v,//� , Fla Winter Design Conditions Outside ' F Inside0--F Temperature Difference Degrees (Insert data below only after all heat loss calculations have been completed) Total Heat Loss (Btuh)-- —(From Line No. 15) Model No. — Serial No.--- — ---- — Manufactured by -- Rating Data: Input-------—_Btuh Output at Bonnet Btuh Description of Controls--_— — Summer Design Conditions Outside --F Inside--s� --F North Latitude— 44 Degrees Daily Range /71 (Insert data below only after all heat gain calculations have been completed) Total Heat Gain (Btuh) _44/ --(From Line No.20 or 21, if used) Equipment Capacity Multiplier ` ——————— —Model No. Serial No. Manufactured by— ---- Rating Data: Cooling Capacity---- -- —Btuh Air Volume --- --Cfm Description of Controls ----- --------- Winter Construction Data (See Table 2) Summer Construction Data (See Table 5 ) Walls and Partitions------ Direction House Faces- Windows and Doors M -- m Windows and Doors — — ---- -- _—_ Walls and Partitions Ceilings — — - — - Ceilings—_— _---- — Floors BUILDING AND ZONING INSPECTION DIVISION z CITY OF ATLANTIC BEACH, FLORIDA c tl. J ELECTRICAL TERMIT a t� -01 Date 2f24/U 020 Fee $ - Permit No. m Location f and a Between a This is to certify that , " (mo(Master Electrician) ;; � (Electrical Contractor) p� has permission to install Electrical Construction as described herein in W ode and regulations Z accordance with the provisions of the Electrical Cs of the City of Jacksonville, and subject to the information shown on the U+ application, 3: drawings and specifications which ore mode a port of this ` Y permit. tAIL !C for d Type of work:01d W_ SERVICE: Or WK 3 # 4 0 2 s%Wftg 20866" 30 IV Zeit game =*911111111*X a � N W Feeders: 0 U Outlets: W m Receptacles: vs Switches: _ t— incandescent: Fluorescent: Appliances: Air Conditioning: Motors: y Transformers: Signs: _ Miscellaneous: ------------- IF NO WORK IS DONE"UNDER ISSUED BY: THIS PERMIT,DURING ANY SIX Electrical-inspection supervisor` MONTHS PERIOD, PERMIT BECOMES VOID. r. CITY O F ATLANTIC BEACH, FLORIDA Q� Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE- 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 ACCOXWICE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. / tis Eli c ht� c;q ELECTRICAL FIRM: AST ELECTRICATU NAME? A/121) , �fLADDRESS: 211777 �`' M RFD BOX BLDG.SIZE BETWEEN: RES. APT.( 1 COMM.( 1 PUBLIC( 1 INDUS.1 1 NEW( ) OLD( REW. ( 1 ADDITION ( ) TRAILER ( ) TEMP.t ) SIGNS ( i SO. FT. SERVICE: NEW 1 1 INCREASE( 1 REPAIR ( 1 FEE CONDUCTOR SIZE \-I# 0 AMPS COPPERf ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 96D AMPS PH W23�tOLT 62kJRACEWAY FEEDERS NO. SIZE I NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT F=LUORESCENT&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 D(o f P 1297 0' fiTMENT OF SU L01W CITY F ATLANTIC BEACH, PI~F+ lll` IN) aICTIpAt ,... _� . � � W.. I<311IP`OITI Permit Ivr .aer: !' AddIH S'. PINE STPEET' Permit, Type. FLIM"IANC ATLANTIC BEACH, FLORIDA S22-,3 'Cl ass of Work* ALT lRATIAL DZSC:RII TION C onstr' Type:. WOOD 'FAAKE Lot: BIolck: Section Proposed U IP 0Lt F` II Y Township,: RNC , Dwe11 inose. 1 Cod4l! `05ubdivi-iii i ATLANTIC BEACH, EaI imated 'Va1ue`: WOO improv. - Cost " 66-00 Btu Total ` --$.00 Ami 925.00 13 11 'Work .PI PES . ONLY O TS -CIT", .,;., APPLICATION FEES . .. __ F. T ft I , CI STR9ST T IMPACT ARE $0.00 ' LC I 3 FEE P ►`, � A A , OASHRS. 0�-O Name: AR IIS 4 ANP S CHAP TAL IMPROVE. S4 a t3 QAC rL i, Ft 32:216 CRC) S CONNECTION Lice 5 TY0!e: 4 SEC R IMPACT FEE t? .00 CON T.,SURCHARGE; .,DO 'P+►dTI:S: AL L CONORF-Tv FORMS AND FOOTINGS MUST SE INSPIMTED BEFORE POUR F PERMIT VOID SIX MONTHS AFTER DATE;t) ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE LACED IN PUBLIC SPACE,AN MUST BE CLEARED UP AND'HAULED AWA*BY'EITHER'CONTRACTOR OR OWNER ` FAILUR '+ G �1 l.Y ' TH'THE .M A I C' t , . '�V,CAN Re ULT IN "� PR P� TY OWNER ERP ► INGTWIE� FORT1 PR ' IUIENT�v ' 77, ISSUED ACCORt3ING TO'APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO RSV1 OCATION FC VJOLATION,O1^APkICAgLE PROMS CANS OF LAW, 1111 s 01 r ,,'ATLANTIC BEACH BUILDING DEPARTMENT f�1a00IQdfM 3587 n CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: _, OWNER OF, PROPERTY:_ _ -� .k '------------------------ BUILDING CONTRACTOR: ----------------- ________________________ PLUMBING CONTRACTOR _ _ AHD ADDRESS: -- -------------------------------------------- TELEPHONE NUMBER: - STATE LICENSE N0: TYPE OF BUILDING: SINKS SHO�RS LAVATORY _____________WATER HEATERS BATH TUBS DISHWASHERS " URINALS _____________DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE ` -)UNT:__________ x 93. 50 + 915. 00 = 9__-_ ----------------------------------------- ----------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE HOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS (904) 297-5826 CITY OF Af4R& &04 Office of Building Official /� // REQUEST FOR INSPECTION Date `�"Y -7 Time AM. Permit No. iv Receed . District No. 7c -= ? Job Address 7 Locality Owner's /) —yy� Name-- '�' 7�'/�'/ � Contractor �LDIN PLASTERING ELECTRICAL - UMBING HEATING Foundation.......11Wire..................❑ Rough Wii'!',g`.❑ Rough...............❑ Rough............❑ Chimney...........❑ -Lath..................❑ Finish Wirin Framin ®/ 9..❑ Final................. ❑ Final............... 9•-••••••.... Scratch..............El Fixtures..........❑ Sewers...............❑ ❑ Final................. ❑ Brown...............❑ Motors............. Gas................ Water Heater.. ... ❑ Finish................C] Cesspool...........ElWallboard ........E] READY FOR INSPECTION sp Tues. � .dyed f/ Thurs. Fri. ` Inspection Made a M Inspector A /- &1.2 CITY OF Office of Building Official REQUEST FOR INSPECTION Date Time A.M. Permit No ,? n Received -------- _r' _P'M' District No. Job Address Owner's Locality Name BUILDING PLASTERING °niractor �. A F imnetion....... CTRICA PLUMBING HEATING ❑ Wire..................❑ Rough Wic.,9• Rough...............❑ Rough............❑ Chimney...........❑ Lath..................❑ Finish Wiring.. Framing............❑ Scratch .......❑ Fixtures.....9...❑ Sewers.............. ❑ Final...............❑ Final................. ❑ Brown...............❑ Motors............ Gas................... a Water Heater.. ❑ Finish................❑ Wallboard Cesspool...........❑ Mon. READY FOR INSPECTION Tues. Wed. A.M. Inspection Made Thurs. Fri.--- `�_p.M• Inspector —7-7 1%r �:�: B-1.2 CITY OF --' --__ aw.& Biel,_ %oda Office of Building Official Date 7- REQUEST FOR INSPECTION Time Permit No. Received- P District No _... Owne Namers Locality BU NG PLASTERING actor ,� e Foundation.......❑ Wire.................. ELECTRICAL PLUMBING Chimney ❑ Rough Wisia HEATING y...........❑ Lath..................❑ Finish Wiring.. Rough...............❑ Rough............❑ Framing............ Scratch..............C3 Fixtures.......... g..❑ Final................. ❑ Final...............Cl Final................. ❑ Brown....... ❑ Sewers...............❑ Water Heater.. ❑ ........❑ Motora.........-...e❑_ Gas................... ❑ Finish................❑❑ �-—.004:1 _ Wallboard Cesspool...........0 on READY FOR INSPECTION Tues. Wed. Inspection Made Thurs. Fri. q A p M se Inspector 8-1.2 CITY OF Aaft C haA- a Office of Building Official EQUEST FOR INSPECTION Date_ Time Permit No._ Received District Na Job Address OWner's Locality Name Contra BUILDING PLASTERING ELECTRICALtor Foundation.......❑ Wire,,, Mel HEATING ......••❑ Rough Wirin Chimney...........❑ Lath..................❑ Finish Wiring.❑ Rough...............L�1 Rough............❑ Framing 9••❑ Final................. ❑ Final...............❑ g••••-••-••••❑ Scratch..............❑ Fixtures.......... Sewers...............❑ Water Heater.. ❑ Final................. ❑ Brown...............❑ Motors.............❑ Gas................... ❑ Finish................❑ Wallboard Cesspool...........❑ READY FOR INSPECTION Mon. Tues. A.M. Wed. Thurs. VrD Inspectibn Made ') ..27 pMM Inspector t X P.M: B-1.2 CITY OF Office of Building Official REQUEST FOR INSPECTION Date 7 - :30- 71 Permit No, Time Received District No. d 73 /0/ti T _r Job Address Locality Owner's Name / Contractor DING PLASTERING ELECTRICAL PLUMBING HEATING Foundation.......❑ Wire..................❑ Rough Wiring.El ` Rough...............❑ Rough............❑ Chimney...........❑ Lath..................1:1 Finish Wirmg..❑ Final................. ❑ Final...............❑ Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............❑ Water Heater.. ❑ Final................. ❑ Brown...............❑ Motors.............❑ Gas................... ❑ SQA L3 Finish................❑ Cesspool...........❑ Wallboard ........❑ READY FOR INSPECTION -C Mon. ues. r-7 Wed. Thurs. N1 Fri. P.M. Inspection Made— Inspector ade Inspector B-1.2 CITY OF oftft& - Rai& J/ Office of Building Official Q REQUEST FOR INSPECTION Permit No. 'y�Q Time M. Received P District No. .?73 Job Address Locality Owner's Name Contractor. BUILDING PLASTERING ELECTRICAL MBI H E ATA G Foundation.......❑ Wire..................❑ Rough WhClug.❑ Rough...............❑ Rough............❑ Chimney...........❑ Lath..................11 Finish Wiririg..❑ Final................. ❑ Final...............❑ Framing............❑ Scratch..............11 Fixtures..........❑ Sewers...............❑ Water Heater..❑ Final................. ❑ Brown...............❑ Motors.............❑ Gas................... ❑ Finish................❑ Cesspool...........❑ Wallboard ........Elw..�f— READY FOR INSPECTION GKN- A.M. Mon. Tues. r I�Wed. Thurs. _ n � Inspection Made— Inspector ade Inspector 8-1.2 8 It LL cci c F U � co C14 • O 'ra m O N X c .................................. ---+ m Q —Z v LL O 'c CLh - i E \ I c o cr W ,A j o U , i W o _� i .0 IL � .__--.-_.. -.—tet.- --_.— —_-•_-__•.-- ___—_ ((�1 .— __1c_. x'31 0. 9 •a 1 � a � y > 0)-4 4-4 13 - ' O � Z . MAR ;1 2Gu r City of Atl6ntic Beaci; Bdildinp and ZQninp /iii' A` I AY11iS 1V "YP6f-H V i- Fi b.terlm c-- n1=PA PTA111=AIT OF RUILQ)NC - Roo SEMlINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 � i DFl?M1T INF RMATION.__ ._ L_OCATfON INFt�RMATION 1 Permit Number: 19771 i Adl�ress z r��-f-Imr- `Er-" pwFi ^ !�i:t Type- REMODFLING ' ATLANTIC BEACH, FLORIDA 32233 v Class of Work: REMODEL } Township: 0 Rarnge; 0 Proposed Use— Lot(s): 529 Block: Section:0 Square Feet: I Subdivision: SALTAIR #3 Est Value, _Parcel Number: -- -J _ _ Improv. Cost: 17,000.00 _ —�_ — OWNER INFORMATION _—.—; DateIssued: 3'21!2000 Name: FRANK. Total Fees: 142.50 4 Address: 273 PINE STREET Amouni Paid: I4L-rm ATLANTIC BEACH, FLORIDA 32233 Date Paid: —3/21/2000 _ __ _ Phone:—X904)641-4848 _ ork ®esc REdG3QC)EL PER {Q R S — ---- — -- __ CONTRAC- AF'Pt Ic��Tlc FEES __ -- PETE DOWLING _ PERMIT - 142.50 i 4 � � i h I -__—Ins _coons Re wired �— i FRAMING FINAL BUILDING 1 — — `i (� INSULATION i f 1 I NOTICE-INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,ANi D MUST pc Ct C 01=D ,IP AND>IAl1l,1=r)AWAY BY EITHER CONTRACTOR OR OWNER _ - "FAILURE To COMPLY WITH THE CONSTRUCT!0N 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 VIOLA ION OF APPLIOAi3i E PROVIS101i3S 01F'I 1 J _. Lt,•,—�n,.__`�_`�-- �__ _ _ Receipt: 045937 ATLANTIC BEACH I�UILDI DEPT. CHECKS 5 MIN. .RETURN Book '9570 Page 2215 PHONE# - �`3`3 NOTICE OF COMMENCEMENT To Whom it may concern: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statues, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property : Lot 529, Saltair Section No. 3, 273 Pine Street, Atlantic Beach, Duval County, Florida General description of improvements: Conversion of existing master closet to New Master Bath, conversion of existing master bath to New Master Closet, and General Renovation to Upper Hall Bath. Owner: Raymond and Stacy Frank Address: 273 Pine Street, Atlantic Beach, FL 32233 Owner's interest in site of the improvement: Fee simple W1. 0 + Pa e: 2215 ° Fee Simple Title holder(if other than owner): 1 Ited 03/17/00 10:55:26 AM HENRY W COOK Name: CLERK CIRCUIT COURT DUVAL COUNTY Address: 00 TRUST FUND $ .RECORDING $ 5,00 Contractor: Dowling Construction Company Address : 241 Atlantic Blvd. #5 Neptune Beach, FL 32266 Surety(if any): N/A Address Amount of bond Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name: N/A Address: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided i ectio 713. F), Florida Statues, (Fill in Owner's option). Name: �I� Cj Address• Y1C'_ I . J1 SC- e4C- THIS SPACE FOR RECORDER'S USE ONLY Owner _ _.. 5 MIN. RETURN Book 9570 Page 2215 PHONE# Ep r NOTICE OF COMMENCEMENT To Whom it may concern: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statues, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property : Lot 529, Saltair Section No. 3, 273 Pine Street, Atlantic Beach, Duval County, Florida General description of improvements: Conversion of existing master closet to New Master Bath, conversion of existing master bath to New Master Closet, and General Renovation to Upper Hall Bath. Owner: Raymond and Stacy Frank Address: 273 Pine Street, Atlantic Beach, FL 32233 APA Pe%rhAA59950 Owner's interest in site of the improvement: Fee simple O Me: 2215 ° Fee Simple Title holder(if other than owner): 03/17/00 10:55:26 AM HENRY N COOK Name: CLERK CIRCUIT COURT DUVAL COUNTY TRUST FUND hoo Address: RECORDING ; 5.00 Contractor: Dowling Construction Company Address : 241 Atlantic Blvd. #5 Neptune Beach, FL 32266 Surety(if any): N/A Address Amount of bond Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name: N/A Address: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided i ectio 713. F), Florida Statues, (Fill in at Owner's option). Name: Address: n �� h tiC— pp-0(1, THIS SPACE FOR RECORDER'S USE ONLY Owner e ,,� REC' ,r a 1+tl,R MA R 1 7 2000 CITY OF ATLANTIC BEACH 0ItY Of Azear.tic Beach PERMIT APPLICATION REMODEL, ADDITIONS, OR AL Agrzononing MOVING,DEMOLITIONS Owners) : ,�''t' C91`ib� Job Address: ?� ��"� S-t- -a-r Phone: - Id�> Z-70•p4-�Z Lot # Block or Unit # Subdivision: „�.L-r-p,►ci qc,. 3 Contractor: © /i-`�►41 r►� ��- State License Address:2�1 fJTIC� �i-��,'Swr= hone No: Q®4'.Z4(q.i� � CityQ-a7p-rL) �-brA4 State �r 21C�A Zip Code-5Z2133 Describe work to be done: GA-�S M-fi- 't-S3�rl l �s�`=IZ > �v arzs�•�1 � zx'r -t-r rloI �" V �es�-r-{ -tz7 'N a,� �iQs-r=-rL Gc �s '�,4►.tt� e=rsav��c5�1 cp ovp=iZ l AAW— I t4 Present use of building: Valuation: of Proposed Construction: "�� !� • Proposed use: X—> Is this an addition? If yes, what are the dimensions of the added space: ry n. ft. X N & ft. Will the added area be heated and cooled? !j� New electrical (or increase) ? New plumbing fixtures? iii New fireplace? W New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COIdpLETE SETS OF PLANS, INCLUDING SITE Pry, SURVEY, ENERGY CODE FORMS, NOTICE OF COMt.XNCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWVER IS CONTRACTOR. N 17 2-'0 0V Signature OWNER: Ck Dat Signature CONTRACTOR: Date: AS TO OWNER: �'�D Sworn to and subscribed before me this ' day of_,a- + r7 A �r JENNIFER J.SCOTT �. :? MY COMMISSION#CC 893554 A Y PUB C AS T f;S:December 8,2003 Rf„ Banded Thm NOWY PLO*undmvrNM Sworn to and su scri e lefore me this day of , 19_ NOTARY PUBLIC CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET C;•- r Address Date 3- 2 Heated Sauare Footage @ $ per sq ft = $ Garage/Shed _@ $ per sq ft = $ Carport/Porch ,� @ S per sq ft = $ Deck �@ $ per sq ft = $ Patio @ $ per sq ft = S p r� TOTAL VALUATION : 000 Total Valuation 1st $ /�'r'� /�tDi 00b K S Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( ) RADON (HRS) . 0050 S SECTION.. H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $ 1`712 J--Z) 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, FLORIDA Approved by — APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_, �0 IMPORTANT NOTICE: /� /� 7 7/ 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. RcoK5 0z- CU ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE �S7-S-- JOURNEYMAN NAME._L,L" ' ADDRESS: �� ���� J7-'-RFD-BOX BLDG.SIZE BETWEEN: RES.4 APT. ( ) COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD*V REW.( ) ADDITION ( ) TRAILER ( ) TEMP.( 1 SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE U AMPS PH 3 W 2 Y//OLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN J TOTAL 0.90 AMPS. 91.100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED I 0.100 AMPS. OVER APPLIANCES I -I I BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT ' 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS MISCELLANEOUS v/�C_Z L -- ti CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 I ELECTRICAL PERMIT ----- ------ -__ ---- — -- LOCATION INFORMATION _ PERMIT INFORMATION _—___ —Address: 273 PINE STREET 4 Permit Number: 19879 ATLANTIC BEACH, FLORIDA 32233 Permit Type: ELECTRICAL Class of Work. REMODEL '� Township: 0 Range: 0 Book: Proposed Use: I Lot(s); Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: __ — -- - Improv. Cost: ___ _ - OWNER INFORMATION Date Issued: 4/13/2000 Name: FRANK i Total Fees: 25.00 Address: 273 PINE STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/93/2000 Phone: (904)6414848 -- Work Desc: WIRE FOR REMODEL ----- -- - - -- -------- -_ - - ------- _ — -- ---- -� —_ _ _ APPLICATION FEES _— BROOKS & LIMBAUGHCTOR S�_ f—PERMIT 25.00 i i i i nspections Required__ R®UGH ELECTRIC -----__-_-_-�FINAL ELECTRIC -- ------ - I NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" f ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. . I I i - '-- t- --�`_- — -- s-5.E@ to I Date: 4/13/00 01 Receipt: 0@0032 ATLANTIC l3EAC QUILDINC; DEpT CHECKS 1�'8�7 -.---- —__-_ 00100003221000 CITY OF ,�J�_� Office of Building Officia REQUEST FOR INSPE ION L Date /–�— 3 Permit No. �(,2 7:7 f Time A.M. ReceivedP.M. J73 Locality Job Address Owner'sA /T A Name ���.JJJ �i_(dL—_ _ CONCRETE ELECTRICAL p[UMBING MECHANICAL U DING _ Footing ❑ ough Wiring Rough ❑ Air Cond. & 1-1 F Temp Pole ❑ Top Out 1Heating Re Roofing ❑ Slab ❑ Final [j Sewer ❑ Fire Place Insulation ❑ Lintel Pre Fab READY FOR INSPECTION A M. Mon. Tues. Wed. Thurs. Friday ! A.M. Inspection Made ©a --P.M. Final Inspection 1-1 Inspector Certificate of Occupancy ❑ Date nn //3CITY OF 4&4a& eacA-4&WA4 r. Office of Building Official n REQUEST FOR INS ECTI ` Date r 7„ D Permit No.� ( � / — Time M. Received 1P.M. Locality Job Address � Owner's - Contractor" f Name BUILDING CONCRETE ELECTRICAL PLUMBIN,�S� MECHANICAL �__. Framing ❑ Air tingCon & �. Footing ❑ Rough Wiring Ci Rough C Heating Re Roofing ❑ Slab ❑ Temp Pole ❑ Top gut 1:1 Fire Flace 0 Insulation ❑ Lintel Cl Final ❑ Se r ^ re ab READY FOR INSPECTION Yfl ;Mon. Tues. Wed. Thurs. Friday P. A.M. p on Made./ ., ( CTS P.M. Ins ecti Final Inspection Inspe�;tfor u ancy Ei s Date CITY OF ATLANTIC BEACH APPLICATION FOR PLU!MSING PERMIT JOB LOCATION: C C-?3 p�u- OWNER OF PROPERTY: T TELEPHONE NO.01-- M PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS : STATE LICENSE NUMBER: 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 SEWER (( WATER REPIPE e1�a��a1S t "LtTHER TOTAL FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT now 108NON r : Permit Number: 19859 Address: 273 PINE STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: Date Issued: 4/07/2000 Name: FRANK Total Fees: 39.50 Address: 273 PINE STREET Amount Paid: 39.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/07/2000 Phone: (904)641-4848 Work Desc: RELOCATE FIXTURES WILLIAM GOODLING PERMIT 39.50 NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING-MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAIN 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. $39.5614 Hate: 4/10?0�j 01 Receipt: oa4"i9609 CHECKS 19 ATLANTIC BEA BU NG DEPT. � ro:3F1r�S2 1 � CITY OF 4&w&Z Bea A � 4g 9 s '� Office of Buildin Off' ial C `��? n REQUEST FOR I S CTION 6 /n —� Permit No. `� 77 Date Time p . Received Qt ocality Job Address L Owner's 77,z— Contractor CT P G M HANICAL DING CONCRETE ❑ Air Cond. & o ring Ci Rou ❑ Footing ❑ ❑ To Out ❑ Heating ami Slab ❑ Temp Pole p ❑ Fire Place in oofing ❑ ❑ ❑ insulation Ll Lintel Final Sewer Lintel Pre Fab READY FOR INSPECTION A.M. Wed. Thurs. Friday Mon. Tues. A.M. v'^y PM Inspection Ma Final Inspectio Inspector upancy ❑ Date DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMI'T.NO. 3 i PERMIT ERM T B� BUILD VoDrHlsRuploB Pn,GC r :'%0 �rKT Ma Date rch 3 f�f3 f; r 3/03M19 b4,j •DGrA. rValuation$ Fee$ 20.00 `"80'6 � � 3/113/ ,_ IG�f?! 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. i This is to certify that Donoyim HeatAir CAC039761 has permission to + Classification ReS2 de*1t4a.1 Zone iOwned by Rayaiond Fra-1, Lot Block__._______S/D House No. 273 Plfl$ 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 --� —� 0 Building material, rubbish and debris z from this work must not bep laced in public space, and must be cleared i up and hauled away by either con- or owner. I ! Building official. FOR OFFICE PERMIT USE ONLY NUMBER DATE CONTRA OR I� PLUMBING ELECTRICAL SEWER WATER AW (-2,/9 BUILDING AND ZONING INSPECTION DIVISIO CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 82288 �� APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: �[ 7 — C . OF Intersecting Streets: Between o,f eA <,X--N-N✓C,%I i.1�' And BUILDING t+ Sub-division 11. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good-practice listed therein. Name of Mechanical Contractors / Contractor (Print) �(+T a Master " (] 39761 / Name of hoperty Owner VV\pV - esZ77 Signature of Owner Signature of or Authorised Agent Architect or Engineer Ill. GENERAL INFORMATION A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DON ON / QElectric THIS BUILDING OR SITZ Q Bat—❑ LP ❑ Natural ❑ Control Utility IF YES. GIVE NUMBER OF CONSTRUCTION Q Oil PERMIT Q Other — Specify IV. #MCHANICAL EQUIPMENT TO 1E INSTALLED NAT�LRE OF WORK Z41 e complete list of components on back of this rm) C—'7/ Residential or ❑ Commercial sat ❑ Space ❑ Recessed Centref O Row ❑ ew Building r Conditioning: ❑ Room PCentrel fisting,Building p' Duct System: Materia Thickn" ;/Replacement of existing system Maximum capacity 1j c.f.m. ❑ New installation(No system previously installed) Q Refrigeration 13Extension or add-on to existing system ❑ Other Specify ❑ Cooling tower: Capacity g.p m. ❑ Fire sprinklers: Number of heads -- C] Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY Q . Gasoline pumper (number) (Rea I Q To (number) Remarks Q LPG containers (number) ❑ Unfired pressure vessel Q 11111ollan; Permit /Approved by Dam Q Other — Specify Permit Fee LIST ALL EQUIPMENT AUL CONDITIONING AND REFRIGERATION EQUIPMENT tY wANt»nMr Units Description Model Number 1[snutsatttrer (Tons) INSPECTION RECORD JOB ADDRESS CONTRACTOR OWNER TYPE DATE REMA"IM XLISPECrOR FOUNDATION SLAB PLUMBING (R) 2-627-7] �� ✓ SEVw TEMPORARY POLE Zml- 79 L LINTEL/BEAM COLUMN ELECTRICAL (R) 7-7,,,� PLUMBING (F) _ FRAMING OL 11--7 ELECTRICAL (F) vow OTHER FINAL C1 °F ' co�;�;a �,oN � eUiAdifts Qert�`t No. Ear sT Foa °`w`i`t No. i .�_P j"' �oca1tt11 M �H�At►NG O Dat oto Q�VM Finai...Neeta�.. S{ 6d� C ou0h.......... •. W stet A N °b Pdd less WW" O Pinsi•.......... Q els......•• E ANG aou9h Wi,in9••0 sem^' .. p � S� R Finish GBS— S NNS s ►NG Wit Q Mot rs....... Q Gesso 6V► � `ath"... . � F dation• 0 �etch 0 �mnev•••.. Q aro sh Fsamin9 ....... pin aro Op, Fines �ai►t�wEADY FWD w � ¢"" c� �� Q'b p � a �r•sue .r Z O r. 11 N N ^ m ; l cp N N G+M M `r i.. .. ';.., %s"r. .t.&/L'd ISJ.4_��.'. i.e. v'. 1`�.�)U l:s t'6J / WATER a.��V E.`:•'�.ASf AT t.�Sa'r }'"✓;.� �id� '.'�`,I N`:�.a� .if f"a h a'� c•'a 5 ;Sst,��'�"' ��, ACCOUNT w MASTER 1PIA►MBER MATLING ADDRESS DATE MTER NO.� 7_y�� 7 � DATE INSTALI l ✓/� z L T ��� INC/ Q�� I �+ i i DEPARTMENT OF BUILDING 0 O �I CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. Us fjQ ,t � PERMIT TO BUILD F j U ,OUCA g THIS PERMIT MUST BE POSTED ON JOB 1 / 1P REF: 4099 Date APRIL 19 19 82 u0c I II Valuation$ RENEWAL PERMIT Fee$ 5.00 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 REYHANT INC. 214 ORANGE STREET, NEPTUNE BEACH, FLORIDA has permission to build COMP?FTF PRIVACY WATT IN FRONT GE HC M)? AS PER ORIGThTnT DT ahTcsAWRnVEI) TI1TY 10� 1979 Classification SINGLE FAMILY Zone RA Owned byRRY"ANT, INC 529 Block S/D SALT AIR Lot House No. 273 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 �r--0. 4---D O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared up and hauled away by eit con- tractor or owner. A. WILLIAM MOSSY Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL - SEWER WATER ' , 4 ' `SS CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 �.JiS19 Application Number . . . . . 09-00000294 Date 3/10/09 Property Address . . . . . . 273 PINE ST Application type description FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 4FT FENCE ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FRANK, STACEY OWNER 273 PINE STREET ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/06/09 ---------------------------------------------------------------------------- Special Notes and Comments *2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2004 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY CONSTRUCTED. *SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED. PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL INSPECTION. *EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. P. F CITY OF ATLANTIC BEACH 09- 800 MINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 a FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2,VALUATION OF WORK 13.SQ.FT.UNDER ROOF S doh i� o2I 4.LEGAL DESCRIPTION: 5.CLASS OF WORK 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES 11 N/A G 11MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: 1 ARCHITECT I ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17,STATE OF FLORIDA LICENSE NO.: 25. TE OF FLORIDA LICENSE NO he cv 18.ADDRESS: 2 D S: Or 11.OFFICE PHONE: 12.FAX NO.: Y� 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.F O.: 13.CELL PHONE 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDR 30.EMAIL ADDRESS: I U DU FEE SIMPLE TITLE HOLDER: BONDING COMP MORTGAGE LENDER: tip OTHER'iFWNOWNEW. �. .. . . . 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. **fir WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent Power of Attorney or Ag cy Letter Required) (Qualifier Only) Signed: Dater 7 Signed: Date: Before me this�_day of-)'h a/t C n ,2009 in the county of Before me this day of 2009 in the county of Duva to of Florida,has pe onally appeared Duval,State of Florida,has personally appeared / I / Ait�J herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of_ FL,County of VIZ� Notary Public at Large,State of County of 0 pe pally Known -Z 2 T ❑Personally Known Produced Identifl ion J V ❑Produced Identification- Notary Sig ur Notary Signature: RAHAM No ry Public to of Florida N' n My Commission x res Feb 14,2010 ovc�°:�o Commissi #DD 518533 BLDG01 Penn icalioo BId :Folded:�rlbatimal Notary Assn. MAP SHOWING SURVEY OF LOT 529, SALTAIR, SECTION N0. 3, AS RECORDED IN PLAT BOOK 10, PAGE 16 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. 0 Gity of Atlantic Beach Planning and Zoning Deperf„. This �pproval verifies com zoning, subdivision and aa�f Bev oert regulati n#1 land F�LlNQ 3 0 — flOt owaftft wilnrida �uiM!19 Cede and al focal, tate and Federal perp adw must verified by nature Beach quildin theme Buildi Perm t, t ai0rof a Appro q BY' .Date: omen __DoT" Lii 4 `2 ✓sR✓7 0 ty if 273 �O N m /3.3'1; B 9, 1 V" bE J. M FOu.✓o 3�4 %r�eia/""� FOsii,/O 314 iiZaN ..ti/oTC R�Ct/ECKEt7 �/OVE.v(r3c�2 Zr-, /979 R 0 � >lif�� City of Atlantic BeachA 2C} APPLICATION NUMBER ` s s� Building Department + z (To be assigned by the Building Department.) 800 Seminole Road - �� Atlantic Beach, Florida 32233-5445 _ V d 2_1 Phone(904)247-5826 • Fax(904)247-5845 E-mail: building-dept@coab.us Date routed: -3 U City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Building Property Address: 03 T li✓� �t f Planning &Zoning /, Tree Administrator Applicant: t�W !� Public Works i Public Utilities Project: Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. []Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied. Comments: Reviewed by: Date: P7CITY OF ATLANTIC BEACH 800 SEOSS ?y. MINOLE ROAD,ATLANTIC BEACH,FL 32233 } OFFICE:(904)247-5826 a FAX NO.:(904)247-5845 BUILDING-DEPT@ZCOAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: - 2-VALUATION OF WORK 13.SQ.FT.UNDER ROOF o? 73S dc,h 4.LEGAL DESCRIPTION: 5 CLASS OF WORK 6.USE OF STRUCTURE ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK- ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑NIA block alli M, ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR. ARCHITECT I ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: `a 18.ADDRESS: 26.ADDRESS: he 6Gl_ 11.OFFICE PHONE: 12.FAX NO.: t' 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13.ICE�PHONE 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: OF OTHER TWN OWNIM BONDING COMPANY: MORTGAGE LENDER: 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: r YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agenk Power of Atlomey or Ag#icy Letter Required) �+ (Qualifier Only) Signed: jja4Date: 6 y Signed: Date: Before me this 3-day of-;�7 4A C n ,2009 in the county of Before me this day of ,2009 in the county of Duva to of Florida,harpe,,onally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of_ County of N(Q-L Notary Public at Large,State of ,County of ❑ onally Known / (//y s,/2 T ❑Personally Known ced Identif ion Z o a/J V ❑Produced Identscation- Notary Sig r " Notary Signature: '"' RAHAN� ;2°'04-4. �,`�; No Public ida teofFiof _bfy Commissio x es Feb 14,2010 1! k ,roFG4 Commissi #DD 518533 BLDG01 Perm ' 'Yo"n Bld :FR*Adtd:14m atioeal Notary Assn. City of Atlantic Beach MAR 0 4 7003 APPLICATION NUMBER YJS Building Department (To be assigned by the Building Department.) 800 Seminole Road _.. 09_ a z9 r Atlantic Beach, Florida 32233-5445 ---- -- - v Phone(904)247-5826 - Fax(904)247-5845 4/ " !JIM" E-mail: building-dept@coab.us Date routed: .3 U City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: .- Building Planning &Zoning Tree Administrator Applicant: Public Works Project: Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: OApproved. ❑Denied. (Circle one.) Comments: BUILDING PLANNING &ZONING Reviewed by: Date: TREE ADMIN. e PUWWRKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBPU FIRE SERVICES Reviewed by: Date: Third Review: DApproved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH I , .7 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 oe- OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ' H BUILDING PERMIT APPLICATION DUVAL COUNTY 1,JOB ADDRESS: 2,VALUATION OF WORK 3.SQ.FT.UNDER ROOF 3 s / - 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE ❑NEW BUILDING ❑DEMOLITION ❑RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: ❑REPAIR ❑POOL/SPA ❑YES ❑WA ❑MOVE ❑OTHER ❑NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: 16.NAME: 24.LICENSEE NAME: 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: V V `U I']I 18.ADDRESS: 26.ADDRESS: al-5 Ci he 5 &h 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 13,CELL PHONE:-), HONE 21.CELL PHONE: 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMP.LE TITLE HOLDER; BONDING COMPANY: MORTGAGE LENDER: OF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (H Agent,Power of Attorney or Agfa Letter Required) (Quarfm Only) Signed: t Dater 6 7 Signed: Date: Before me this day of ASA C 2009 in the county of Before me this day of 2009 in the county of Duv4offtate of Florida,has pe onally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of County of vz L Notary Public at Large,State of ,County of ❑ -nally Known ,�/T, 11Personal) Known Produced Identif 'on `Z �3�,�2 v ❑Produced Identificabon- Notary Sig ur Notary Signature: RAHAM =an «ems` No ry Public to of Florida-'pU a =tity Commission x res Feb 14,2010 k Commissi #DD 518533 BLDG01 Penn fio Bld :Int M:4lil4atioaal Notary Assn. s! 'j; City of Atlantic Beach APPLICATION NUMBER YJS I, Building Department (To be assigned by the Building Department.) 800 Seminole Road �r Atlantic Beach, Florida 32233-5445 a�r 2- Phone Phone(904)247-5826 • Fax(904)247-5845 r ` !0;119% E-mail: building-dept@coab.us Date routed: .3A—) City web-site: http://www.coab.us APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address: Building (11J �� (j _ � Planning &Zoning l,�--�, Tree Administrator Applicant: rJ W l� Public Works Project: Public Utilities 9 Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida.Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATIP-N STATUS Reviewing Department f=irst Review: pproved. ❑Denied. (Circle one.) Comments: BUILDI OLANNG &ZONI Reviewed by: � � Date: TREE ADMIN. PUBLIC WORKS Second Review: ❑Approved as revised. ❑Denied. Comments: PUBLIC UTILITIES PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: ❑Approved as revised. ❑Denied.. Comments: Reviewed by: Date: City of Atlantic Beach APPLICATION NUMBER Building Department (To be assigned by the Building Department.) 800 Seminole Road Atlantic Beach, Florida 32233-5445 D/ 7— Phone(904)247-5826 • Fax(904)247-5845 jill E-mail: building-dept@coab.us City web-site: http://www.coab.us Date routed: APPLICATION REVIEW AND TRACKING FORM Department review required Yes No Property Address• p��� A[tF� f Building Planning &Zoning Tree Administrator Applicant:' Public Works Project: Public Utilities Public Safety Fire Services Other Agency Review or Permit Required Review or Receipt Date of Permit Verified B Florida Dept.of Environmental Protection Florida Dept.of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPLICATION STATUS Reviewing Department First Review: Approved. ❑Denied. (Circle one.) Comments: ( B�UILDIN PLANNING&ZONING TREE ADMIN. Reviewed by: 222 Date: ./ 3 O PUBLIC WORKS Second Review: Approved as revised. [--]Denied. PUBLIC UTILITIES Comments: PUBLIC SAFETY FIRE SERVICES Reviewed by: Date: Third Review: []Approved as revised. ❑Denied. Comments: Reviewed by: Date: CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD P, =�` ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 r1131:�!' Application Number . . . . . 09-00001846 Date 11/04/09 Property Address . . . . . . 273 PINE ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------- Application desc PANEL CHANGE ------------------------- ---------------------- -------- Owner Contractor ------------------------ ------------------- ---- FRANK, STACEY BEACHES ELECTRIC SERV CES IN 273 PINE STREET 214 COKESBURY CT. ATLANTIC BEACH FL 32233 GREEN COVE SPRINGS FL 3204 (9 04) 629-3182 ------------------------------- ------------------------- --- ----- Permit . . . . . . ELECTRICAL PER T Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . luation 0 Expiration Date . . 5/03/10 ---------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. w CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- I I I I > OFFICE:(904)247-5826•FAX NO.:(W4)247-5845 BUILDING-DEPTGCOAB.US ' ELECTRICAL PERMIT APPLICATION DUVAL COUNTY P1JOB!ADDRESS 2.IS THIS A SUB PERMIT:;r3:DATE❑YES PERMIT#: I �/ 0PROPERTY OWNER: 14.NAT: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 2� ELECTRICAL CONTRACTOR: 7�NA�1C MPANY: 8.ADDRESS.: 9.STATE OF FLORIDA LICENSE`: 10.CELL PHONE: ^^ I 11 ONO: ^ C/� 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time a CONTRACTORS SIGNATUR . 16.CLASS OF WORK: 17.SERVICE: 1 .METER NUMBER: 0 MULTI FAMILY-#OF UNITS: IDENTIAL l9NGLE FAMILY ❑TEMP SERVICE COMMERCIAL U ADDITION ❑TRAILOR 19.BUILDING: 1'9: URRENT CODE: ❑ALTERATION ❑SIGN D ❑NEW 8 NATIONAL ELECTRICAL CODE ❑REPAIR 0 POOL/SPA REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: VERHEAD 0 UNDERGROUND 0 UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: 0 POWER IS ON ❑POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER 0 ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: "(D RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH:���TTTt���� W: VOLT: RACEWAY SIZE: 25.FEEDERS: #of AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: BLDG02 Permit Application Elec:REVISED:0720/2009 14, CITY OF ATLANTIC=� is IC BEACH t J 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 -n lit INSPECTION PHONE LINE 247-5826 Application Number 09-00001903 Date 11 Property Address . . . . 273 PINE ST /19/09 Application type description RESIDENTIAL OTHER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2500 Application desc ------------------------------------------------------- REPLACE WINDOW ----------------------------- Owner Contractor ------------------------ ------------------------ FRANK, STACEY OWNER 273 PINE STREET ATLANTIC BEACH FL 32233 ----------------------------------------------- Permit . . . . . . BUILDING PERMIT Additional desc . . Permit Fee . . . . 65 . 00 Plan Check Fee 32 . 50 Issue Date Valuation 2500 Expiration Date . . 5/18/10 ----------------- ----------------------------- Special Notes and Comments *2007 FLORIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS . 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS ------------------------ Fee summary Charged Paid Credited Due - ---------- ---------- ------- Permit Fee Total 65 . 00 65 . 00 00 . 00 Plan Check Total 32 . 50 32 . 50 . 00 . 00 Grand Total 97 . 50 97 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. J CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- % OFFICE(904)247-5826•FAX NO.:(904)247-5845 r' BUILDING-DEPT(MCOAB.US —= BUILDING PERMIT APPLICATION I.aQB�DOREss: DWAL COUNTY n 2.VALUATION OF WORK 3.fiQ.FT.UNDER ROOF t 5'k � 4.LEGAL DESCRIPTION: c S.CLASS OF WOK 6 USE OF STRUCTURE: LOT_BLOCK_SUB DIVISION 0 NEW BUILDING E3 DEMOLITION 7.DESCRIPTION QF WORK: ❑ADDITION ❑CONVERTING USE D COMMENT AL ❑ALTERATION ❑ACCESSORY BLDG. &FIRE SPRINKLER: EPAIR ❑POOL/SPA 13 YES �/A PROPERTY OWNER: ❑MOVE Q OTHER 13NO 9.NAME: CONTRACTOR 5 L4 q rb 15.COMPANY NAME ARCHITECT/`ENGINEER: q� 23.COMPANY NAME: Rv rno� 0. Iran Y 14 16.NAME; 24.LICENSEE NAME 10.ADDRESS: 17. ^d \7:3' ?; � (�;M 5 1� STATE OF FLORIDA LICENSE NO.: Y" 7 25.STATE OF FLORIDA LICENSE NO.: I�� I o vi f f C I✓G � I - 3 O 33 78 ADDRESS: 26.ADDRESS: 11.OFFICE PHONE: I .FAX NO.: 19.OFFICE PHONE 0.FAX NO.: 27.OFFICE PHONE FAX NO.: 13 CP NE21.CELL PHONE 29.CELL PHONE-- 4 HONE4IL A RES 22.EMAIL ADDRES S ,r(A 30.EMAIL ADD SS: , FEE PLE 71TLE! OLDER: 31.NAME: (IF OTHER THAN oV4T M ONDING COMPANY. MORTGAGE LENDER: ;. 33.NAME 35.N E 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has jurisdiction. This permit becomes null and void if work is not commenced within six(6)months,Commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this or if constru abandoned for a period of six(6) months at any time after work is commenced. ction or work is suspended or I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc, OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. ARNING TO YOUR FAILURE TO RECORD A NOTICE OF COMMENNCEMENT MAY ER: PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY, A NOTICE OF IN YOUR COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR: li (If Agent Pawer of Attorney or Agency Letter Required) ' (Qualifier Only) Signed: Date: Signed:n ✓� Date: Before me this day of ,2009 in the county of Before me this day of Duval,Sta of Florida,has personally�appeared ,2009 in the county of Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. r true and accurate. EI Personally Known Notary Public at Large,State of / L County of �� Notary Public at Large,State of County of t iWf�aduced Id _ 13 Personally Known ❑Produced Identification- Notary S „ No No P tic •_My Commi ion Expires F 4,2010 Co ission#DD 18533 D FOR CODE COMPL Ci LANCE BLOG01 P t+QIIa6 „A, S OF ATLANTIC BEACH EE PERMITS FOR ADDITIONAL REQLJIREMENTS AND CONDITIONS. r FILE Copy REnI : DATE: � � t. r CITY OF ATLANTIC BEACH (OWNER / BUILDER AFFIDAVIT I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING"REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE PURCHASED. III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(1). AN"OCCUPATIONAL LICENSE" IS NOT ADEQUATE THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT(247-5826)IF IN DOUBT. V.ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. ADDRESS PHONE NUMBER 17 Ilebickc ('0111 z AME H � SIGNATURE � DATE Before me this / day of (/ J 20_0 iFt Q/the county of him Duval,State of Florida,has personally appeared herin by self/herself d affirms that all statements and declarations are true and accurate. Notary Public at Large,State of / G, County of ❑Pe onally Known / 7mduced Identification- (` SHIRLEY Lam, ice' Notary Signatu �-., 'roA�, _ N- B�IIC-S�t�p Florida f Y Commission Expires Feb 14,2010 Commission#DO 515533 F:BLDG/Owner-Builder Affadavit;REVISED:EVISED: 4/16/2 9 �,. ;;�' " Bonded By National Notary Assn. -Do remove ve until final ins action. Please retain for future reference, Cagada ' 1 800 387- �� enea'9yata '�...'':�'.))Y'. 1 888 782-7937 ever QUalifled/Admissible WINDOWS S. 'r...r �A DOOR iVFRC � tie , ` Casement Window N 138 ial Fenestration CPG'# AND-N-001 fistng Councit� Vinyl Clad Wood Frame pu Resistant GilazinglW th,fanArgonE Impact Product Type; Casement ENERGY PERFORN►A NCE U•Factor STINGS �, ■ 33 Solar Heat Gain Coefficient (U,S./1 I ■ 9 Metric/SI 0 . 31 ADDITIONAL PERF0RMA NG E Visible transmittance RATIN GS ME o ■ 53 ■, tla claret stipulates that these ratln s performance,NFA,ratings are detarminedgior affirm to applicable does iot taco nvi NPA"procedures Tor deteralning Whole mmentl any product and does not ant set of ahvlronmental contlitlons and manutacturar s literature for of warrant the sultaDlllTy of an Product her product performance Y Product for ane Speclilc product size,NFpg ln}ormatlon. Y apeolilc U". Consult ww,ntrc,or milli WINDOW ANDpQQR MANUFACTURERS ASSOCIATION 1b CCL# -- Andersen cop 29-H"775 __ oration: 400 Series C Manufacturer sti ulates conformance to the asement STANDARD . Window a licable stands ds, A"'40"SA 101/ISN440.08 Class L�q�tL PG50 Size Tested 56" x 71" /WLM4/CS4 10111S21A440.05 DP+5165 C- +50/-65 Size TE•Stetl.`,6° x 71 ASTM E1886.02 8 E1996.02 —501.65 'Nlndzone 4, Mi ssl 'vel D _OlreSSuWe+50'-65 FL 1086 Glazing: 2.2mm AN —_.. minator: oute W.6mm LG 72 mm AN12 7mm ANIiWIM 178 Cardinal Interlayer; ont Troapro�,ctfno Com fes DuP--ntrGlas (0.090 searse els�rexi nergy ®o��arm�n�, With NUD UM Bulletin No, 111 mot pis in 4ao�eheavy {`� saSh materials,paw d �R� and rAnstamer etlu�ation`�' mdtaarials, - et;or exceetls M,EC„ C,E,C 8 I,E.C,C Air Inriltration Aeg701'-�53 lirements wow Hallmark Certification Program P►(U 1 City of Atlantic Beach Building Department APPLICATION NUMBER 800 Seminole Road (To be assigned b -the Building Department-)' Atlantic Beach, Florida 32233-5445 (904)247-5826 Phone • Fax(904)247-5845 E-mail: building-dept@coab.us D City web-site: http://www.coab.us Date routed: Q APPLICATION REVIEW AND TRACKING FORM 'roperrty Address: �� :EdL 2��f nt review required Yes No Building ippdicant: 'YI Planning&Zoning Tree Administrator 'roject: J Public Works Public Utilities Public Safety Fire Services �� �[�,,�f0`'',°a�� �'�������'et �n.�,,.'i �� �r��¢,}'v, �'rg="r� *�`kr"' at`• �t�a"��i Other Agency Review or Permit Required Review or Receipt of Permit Verified B Date Florida Dept.of Environmental Protection Florida Dept of Transportation St.Johns River Water Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other. APPLd ATION STATUS Zevie rtment First Review: Approved. ❑Denied. (Circle o Comments: BUIL 'LANNING &ZONING Reviewed by: Date: -O TREE ADMIN. Second Review: []Approved as revised. ❑Denis . PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: []Approved as revised. 7Denied. Comments: Reviewed by: Date: vised MUM ■wn CITY OF ATLANTIC BEACH r� 800 SEMINOLE ROAD -. ATLANTIC BEACH, FLORIDA 32233 _ INSPECTION PHONE LINE 247-5826 �B71I�'' Application Number Property Address 03-00026715 Tenant nbr, name 273 PINE ST Date 8/21/03 Application description REPL HVAC Property Zoning MECHANICAL ONLY Application valuation TO BE UPDATED Owner ------------ Contractor FRANK, RAY ------------ ------------------------ 273 PINE STREET SNYDER HEATING & AIR ATLANTIC BEACHP•0• BOX 16826 FL 32233 JACKSONVILLE -----------------------------------MECHANICAL-- ----PERMI--T (904) 641-0600 FL 32245 Permit __--_ _--_ • ----' Additional desc . - Permit Fee Issue Date 87 ' 00 Plan Check Fee Valuation . 00 Fee summary Charged 0 _ g Paid -- Credited Due Permit Fee Total -----_---- -------- ---------- Plan Check Total 87 . 00 87 . 00 -- 00 . . 00 . 00 . 00 Grand Total • 00 • 00 . 00 87 . 00 87 . 00 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CL 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 V[OLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL BUILDING AND ZONING INSPECTION D CITY OF ATLANTIC BEACHATLANTIC B1EAC.H, FLOMA 32233 DIVISION APPLICATION FOR MECHANICAL PERMIT IMPORTANT—A licant to com fete all items in sections I' Street Address: I, II, III, and IV. LOCATION OF Intersecting Streets:Between . to BUILDING Sub-division And II. INDENTIFI CATION.To be com feted b all a licants. In consideration of permit given for doing the work as described in the above statement accordance with the attached plans and specifications which are a ordinances and standards of ood ractice listed therein. we hereby agree to perform said work in Pmt hereofand in accordance with the Cit,of Atlantic Beach Name of Mechanical Contractor Print) Contractors Name of Property V +z Master �� Owner PCI Tri Signature ofOvmer Or Authorized A eat Signature of III. GENER F Riti1A OArchitectON or En ineer A T of heating furs: Electric B. Gas: _L' _Natural IS OTHER CONSTRUCTION BEING DQN; 0 oil _Centra! Utility BUILDING OR SITE? 1l F ON THIS .0 Other—Specify IV. IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT MECHANICAL EQUIPMENT TO BE ATURE O:r WORK INS LED vtde complete list of co ,,/ �eAaal or P poaents o ck of this forrn) Ilding Commercial eat Space _Recessed Central Air Conditioning: Room Floor sting Building 0 Duct System: eaten 0 Replacement of existing system y Material New Installation Maximum capaaitj, -- com` Cl Extension or add-ono system to existing installed) 0 Refrigeration 0 g system - 0 Cooling tower. Capacity Other. Specify 0 Fire sprinklers: Number of heads m 0' Elevator: � Ivlanlift T P P _Escalator (Number) HIS SPACE FOR OFFICE 0 Gasoline um a ------ E USE OiYI,Y 0 Tanks (Number) (Received) 0 LPG containers (Number) 0 Unfired pressure vessel (Number) Remarks 0 Boilers 0 Other—Specify Permit Approved by--. Date LIST ALLE UIPINIENT Permit Fees AIR CONDITIONING AND REFRIGERATION Number Units E OUIPMENT Description Model Number Manufacturer Capacity Approving p K / ons A enc HEATING—FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer Capacity Approving TU) enc Yd rlamc o�c s r1 o. a ��''{I�(1\ \ �` •ty�Q�u�3 L.\anufaccvicec �nV11��y �V►��D�t�z�S�o�s JOB ADDRESS TYPE WORK s 46 PROPERT'T OW VER , EPHONE /- ,1glc1. 8 CONTRACTOR ?MEPHONE of�� _l g✓� PERWT NUAOF-R /9 7 7 / DAA INSPECTIONS.- FOOTING SLAB TIE BEAM LLVTEL NAHZVG1SIIEATM?VG FRA JMVGIC)VER STP •fs' 1'74 0 EVSULA17ON FINAL BUILDING CERTIFICATE OF OCCUPAN,CT ELECTRICAL PERM1� / `�'$ �� • INSPEC'T'IONS ROUGE' L41o FINAL MEC UANICAL PEBMDV 12VSPEC17ONS ROUGH FINAL PLIMMYGpERAfl3 r �g.5°� �07/m000e LVSPECI7ONS ROUG IUNDER TOPOUT a WA.T w.E FINAL NOTES.•