185 Pine St (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030208 Date 7/19/05
Property Address . . . . . . 18S PINE ST
Tenant nbr, name . . . . . . REPL AIR HANDLER
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------- -----------
-------- ----------------
MITCHELSON, THEO THIGPEN HEATING & COOLING INC.
18S PINE STREET 2801 DAWN ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 448-1962
----------------------- -----------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 5S . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
------- --------- - ---------- ---------- -- -------- ----------
Permit Fee Total 55 . 00 55 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 55 . 00 55 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODE
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
------- MECHANICAL PERMIT APPLICATION
Date:L4 /Q,!5 105
Property Address: 1<3S P i 5frr A-�tary�i Q,_5Ch,
Owner Telephone
Contractor: Telephone#:44 — Iq(pc
-)Fax#:
Contractor Address:c21C)l
In-consideration of perinit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
0--E-ilectric or site,list the building permit number:
• Gas: —LP Natural —Central Utility
• oil
• Other—Specif
y,
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
a--neat —Space Recessed -odentral Floor g,--Residential
="'Air Conditioning: —Room ---Central —
0 Duct System: Material Thickness. Q Commercial
C3 Refrigeration Maximum capacity........cfm New Building
U Cooling Tower:Capacity - m Existing Building
C3 Fire Sprinklers:Number of Heads
C3 Elevator: —_ Manlift Escalator umber) Wo" Replacement of Existing System
Q Gasoline Pumps (Number)
Cl Tanks (Number) 0 New Installation
Ll LPG Containers —(Number) (No system previously installed)
• Unfired Pressure Vessel 0 Extension or Add-on to Existing System
• Boilers
C3 Gas Piping 0 Other-Specify.
0 Other–Specify
LIST ALL EqUIPMENT
AIR CONDITIONING,REFRIGERATION EQU11PMFNT&CONDtNSORIS Approving
Number Units Description Model# Manufacturer Ton's Agency
HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLEWS Approving
Number Units Description Model# Manufacturer BTU's Agency
-1-rar)r_
TANKS Nominal Capacity Type Liquid Serial Approving
How Many &Dimensions Contained Manufacturer No. Agency
900 Seminole Road*Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us
,Ooe,w.
IWSPECTTON RECORD
JOB ADDRESS zt���
CONTRACTOR ZXdd,!�� I
OWNER
TYPE DATE REMARM INISPECTOR
FOUNDATION
SLAB
PLUMBING (R)
S07ER
TEMPORARY POLE
LIVTEL/BWkM -.1:02
COLUMN
ELECTRICAL (R) io
PLUMBIN4G (F)
FRAMING
ELECTRICAL (F)
ell OTHER
FINAL
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax- 247-5877
PLUMBING PERMIT
PERMIT INFORMATION
Permit Number: 18626 Address: 185 PINE STREET
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0
Square Feet: Subdivision:
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 8/10/1999 Name:—TRI�6MI—CH E--L-S-0N
Total Fees: 25.00 Address: 185 PINE STREET
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 8/10/1999 Phone: (904)744-1433
Work Desc: REPIPE
CONTRACTOR(4t',-,,'
APPLICATION,FEES
--HTR-1STY FIRST COAST PLUMBING PER
Anspections Rewired-,
-r I-NAL
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 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.
wv
ISSUED AC
FOR VIOLA
$25.0014
Date: 8/11/99 01 Receipt: bb7bb��
1`4TIC BUIL�—DEPPT. CHECKS 48?7
00109003221000
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:
d=,5�
0 N ER OF PROPERTY:. 47�-
PLUMBING CONTRACTOR:
i-v Ao-
mdg:t ff4 A If A&--
CONTRACTOR'S ADDRESS: to�
STATE LICENSE NUMBER: TELEPHONE:
HOW MAW OF THE FOLLOWING FIXTURES INSTALLED
-SINKS SHOWERS
JAVATORIES WATER HEATERS
-BATH TUBS DISHWASHERS
-URINALS DISPOSALS
-CLOSETS WASHING MACHINES
-FLOOR DRAINS SHOWER PANS
OTHER 4APK=
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE - $25.00
SIGNATURE OF OWNER:
e7l)
SIGNATURE OF CONTRACTOR: f
--------- -------- -------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-S826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FI 32233 - Tel. (904) 247-5826
ROOFING PERMIT
INFORMATION
PERMIT INFORMATION LOCATION INFOR
-Permit Number: 18628 Address: 273 PINE STREET
Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: 2,950.00 OWNER INFOR IATION
Date Issued: 8/10/1999 Name: FRANK
Total Fees: 30.00 Address: 273 PINE STREET
Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 8/10/1999 Phone: (904)641-4848
----Work Desc: RE—ROOF
CONTRACTOR APPLICATION FEES
ARLINGTON BEACHES ROOFING PERMIT 30.00
�4nsoections-Required
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 LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FORBUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
Date- 8/11/99 61 Receipt; %%Ib%54
CHECKS 16331
__6_06--1'TYOF _'TT2ZT�C—B��G—H — 08190603221000
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
C�
JOB LOCATION: 7,3 x- IA-f c N5 j
OWNER OF PROPERTY:- (��S--A e 6-�
CONTRACTOR: ARLINGTON BEACHES ROOFING, INC.
CONTRACTOR'S ADDRESS: 1441 CESERY TERRACE
JACKSONVILLE, FLORIDA Zjp: 32211
STATE LICENSE NUMBER: RC0023962 TELEPHONE:744-8888
DESCRIBE WORK TO BE PERFORMED: RE-ROOF; Sc', IS/)
VALUATION OF PROPOSED CONSTRUCTION C>/'
MATERIALS TO BE USED:
SIGNATURE OF OWNER-
SIGNATURE OF CONTRACTOR:
SWORN TO AND SUBSCRIBED BEFORE ME THIS DAYOF jqg�F
NO3�ARY PUB
KIMBERLY H,GODWIN
3745
Liability Insurance Supplied
My COMMISSION#CC 713745
Workers Compensation Insurance Supplied or- EXPIRES:March 13,20021
1-6�TARY Fla NOWY SwvIc8&Bordrig Co
Contractor License Information Supplied
Occupational License Information Supplied
CITY OF
0040169 &4A- %Gi&
Office of Building Official
_,,p,PEOUEST FOR INSPECTION
Date "7"/—,-;?/ Permit No.
Time A.M.
Received P M. District No.
Job Address Locality
Owner's
Name. , /"211
BUILDING IV PLASTERING ALUJ_RI—C&L�>� PLUMBING HEATING
Foundation.......11 Wire..................D Rough Wiririg.r�4,oug;...............El Rough............11
F
Chimney...........0 Lath..................0 Finish Wiring.. Final................. El Final...............0
Framing............11 Scratch..............Q Fixtures..........0 Sewers...............0 Water Heater.. 0
Final................. D Brown...............El Motors.............0 Gas.................. C3
Finish................0 Cesspool...........El
Wallboard ........0
'EIADY FOR INSPECTION A M
Mon. ues. Thurs. Fri.
Inspection Me
Inspector
8-1.2
CITY OF
0048a h"k- %si&
Office of Building Official
REQUEST FOR INSPECTION
Permit No.– A/,/
Time A.M.
Received PV. District No.
Job Address Locallt��
Owner's
—Dntractor
PLASTERIN� ELEC-itAICAL PLUMBING HEATING
,-�,fUIL01-ilf
�4;u-Zavon.......0 wire..................0 Rough Wiring.0 Roudh...............0 Rough............0
Chimney...........0 Lath..................0 Finish Wiring..n Final................. 0 Final...............0
Framing............0 Scratch..............0 Fixtures..........0 sewers...............0 Water Heater.. 0
Final................. 0 Brown...............0 Motors............0 Gas................... 0
Fin!. ..........0 Cesspool...........0
J�A,?'� W.11b��;� ........0
READY FOR INSPECTION
Mon. fuess. Wed. Thurs. Fri. M.
lruswpewtion Made 1A
Inspector— 7
CITY OF
ow4fta &Uk-
Office of Building Official
EST FOR INSPECTION
Date REQU_ Permit No. 62
Time A.M.
Received PJA District No.
Job Address Locality
OW Is jol��
Nam )J'..d -
BUILDING PLASTER19 TRICAL —) PLUMBING HEATING
Foundation.......0 Wire..................0 ough Wiring. Rough..............0 Rough............0
Lhimney...........0 Loth..................0 Finish wiring..El Final................�0 Final...............0
uning............0 Scratch..............0 Fixtures..........0 Sewers...............0 Water Heater.. 0
Final.................0 Brown...............0 Motors,............0 Gas...................0
Finish................0 Cesspool...........0
Wallboard ........11 "'0.
READY FOR INSPECTION A.�M_
Mon. T Wed. Thurs. �Fri�
Inspection Made -IT—-_21 9_1 $A:
In.p.ct,r
%.iTY OF
&40k- Rai&
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Time A.M.
Received P-M. District No.
Job Address Locality
Owner's 12 M J,
Name -Contractor
HEATING
BUILDING PLASTERING ELECTRICAL �M.B I N�G:
Foundation.......0 Wire..................0 Rough Wiring.0 Rough............... Rough............0
Chimney...........0 Lath..............._0 Finish Wiring..CA F!net................. 0 Final...............0
Framing............0 Scratch..............0 Fixtures..........0 Sewers...............0 Water Heater.. 0
Final................. 0 Brown...............0 motorL............0 Gas...................0
Finish................0 Cesspool...........0
Wallboard ........0
READY FOR INSPECTION �M
Mon. Tues. Wed. Thurs. P.M.
Inspection Made A
Inspector
7
�.;ITY OF
00*604 NISA- %6i"
Office of Building Official
REOUEST FOR INSPECTION
Date 4EV/7 90 Permit No.
Time A.M.
Received PM. District No.
zzlr e4�eF
Job Address Locality
Owner's W 117 Xy Z,"
Name Contractor
BUILDING PLASTERING ELECTRICAL WING HEATING
Foundation.......13 Wire..................0 Rough Wiring.0 Rough........... 0 Rough...........0
Chimney...........0 Lath�.................0 Finish Wiring-El ' Final n Final ..........�0
Framing............0 Scratch..............0 Fixtures..........El- Sewers...............El Water Heater..0
Final.................13 Brown...............Q motors.............El Gas...................0
Finish................13 Cesspool......-...0
Wallboard ........0 i�
' READY FOR INSPECTION A.M-
Tues. Wed. Thurs. Fri.
6� 1 -k-
Inspection
Inspector
0-1.2
OF
oftfta &IM4-
Office of Building Official
REQUEST FOR INSPECTION
D Permit No.- _4 7,�
Time A.M.
Received PV. District No.
ss Locali'y
Owner's
Name zw�) _—Lantractor
BUILDING PLASTAING edtiaRLCAL—, PLUMBING HEATING
Foundation.......0 Wire.. ............0 Rough Wiring.0 �Rough...............0 Rough............0
Chimney...........0 Lath..............._0 Finish Wiring.. Final_............... El Final...............0
Framing............0 Scratch..............rl Fixtures r, -Sewers...............C1 Water Hester.. El
Final................. 0 Brown...............13 Motors.............0 Gas................... 0
Finish................0 Cesspool...........0
Wallboard ........0
READY FOR INSPECTION 4200-->
Mon. Tues. Wed. Thurs. P.M.
Inspection 10:
Inspector
DEPARTMENT OF BUILDING 4163
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Valuation S 41,090.00 Fee IF 114.00
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 Lewis Taylor
has permission to build sLf Dwelling
Classificati Roesidential zo P,
Owned Lewis Talor
Lot 676 Block--- ___S,/D qalt.-Air
HouseNo 185 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
x
4-111l- 0 Building material, rubbish and debris
zfrom this work must not be placed in
public space, and must be cleared up
and haifled away by either contractor
or owner. 114,0��' TL
Bill X- Davis
FOR OFFICE PERMIT DATE coor-p6QTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
'�5 —/C./ - a —
0-±�, 77 —
=NT
Data-------------
permit
CITY OF ATLANTIC BEACH Valuation ................
FLORIDA House
................
APPLICATION FOR BUILDING PERMIT
Application to hereby meAe 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 an duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarresment regard-
ing Intermediate or final inspections It Is suggested that a list of sub-contractors be submitted to this office so that lieww" can
be verified.
..........................
........................................... ...........Telephone NoY,35-Ze�-J-
............................................Address...........................................................veleylkone No............................
Contractor Builder-S4M. E.A.S......0.c-VA1.e&.............................Address............................................................Telephone No.............................
LotNo. tal 76. ..............................Block No.......... ..............Sub .................................................zons.................
....... Ae.e.................................street.... -------------Side Between-p4-v;---d............................and-Sia-441 V�&.T---------------Mo.
Valuation $...............................For what purpose will building be ..................Type of conztruction./.—�,--MMA�...............
Dimensions of ..........Dimensions of Lot...S.-jP... .......................Sin of Footings-...E�-��.................
Size of Piers....................................Size of SIN................................Greatest Sill Span in ft..........................,,
I ype
Now will Building be Heated?....... r........................................Will Building be on Solid or Filled Ground? -------..........
BUS of Coning Joists........................................... Distance on Centers............ .......................... Greatest Bps&.........................................
Size of Floor Joists.------.......................................Distance on Centers.......... ............................... Greatest Span............................................
Sin of Rafters................................................ Distance on Centers........ ................................. Greatest Span............................................
This rectangle Is to represent the lot.
P�P R 0 V E D Locate the buildinx or bitildings In the
Zfht position. Give distance In feet hmn
CITY ATLANTIC BEACH
13 DING OFFICE lot-lines and existing building&
RMRLMIMM
Two copies of plans and speciflowtions shall 2J 6 9
be submitted with Application.
Inspections required.
1. *When steel Is In pit"and ready to poor footing. KI
2. When sted is In plus and ready to pour columns -f
and/o
8. When steel is in place and ready to pour beam.
4. When framing Is complete&
5. When rough plumbing is completed,and raody to cover up.
S. When septic tank drain field or newer is laid but before it is covered.
7. Msctric:al Inspection by CIt7 of Jacksorville.
S. Final Inspection.
Note: In came of any rejection,re-inspection 3MBT be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work " described in the above statement, we hereby agres to perform said
work In accordance with the attached p and specifications, which an a part hersof, and in accordance,with the building
regulations of the City of
signature of B Addrssvjz/&.�.31..��.'... 3.z.Z.1-7................
SignatureOf ................ . ... . ..............................I..............- Address....................................................................................................
CITY OF AT%&NTIC BLAC71
716 W-VAN BOOLEVART)
AT'tARTt,'-' SEACR, FLOPICA
ADDENDUM Tri BUILDING PLAW
Riti I d I n 4 1(*Cat to" 7
Ct�IaC'hk'6 PlAn f0t thO AbovP buildtng Is aPPXOVOd Subject to mmi#* till the followIng
4ppiicmble con%trvcti-an r1equircm
,.
4. F�xitklnqr t0hall be. captinuous monolithi-c ir,.,oncrot." vnup.r oxtexfor walls, jr*tpfnrt:.Q-d with
two 5/8" dpforvied reinforcing rods for wo-stoty bulldiaqs "d thws�s 5/81' defotued
Vm*t11f'OtOiaq fOds fOr twO-8tOrY b0ildings, Rainiorcing rods shall be p1sced in tho
towolt ono-third of the foot,1,099, piroporly plac"d and fastenod op xr;#.,!taj u&441qo
wltb 41re. Footings ahall bo six tne:hou on eacb Sidp tbpm 1-ho Vall above,
�4'hall bo dt IeAst 019tit inchos thick nnd shall V*%mt on f1rm 4oil at los
tw4ew undieturbed f,4011.
0. in holkw evestryction, 4&all O-Pif, vqA1 aball be r.,�tin,reu.r�od witb at
"S bar ai.- POUVed 4nd tampOd with con",mpte; aucb
shall bc- propet-ly tiod 10-0 f�hl* fooLinq al�ld "Pandra),
1, All 14,r"d txuas O�Artots ()cm:'t be sncurei-y
d to �,t 0
or A OIpo.
of notrby om�-.taimliy dWf1Ltnqi,, Aro duplicatou or Intensely
wimljor, bp *votded, Such &111failarity thq- entemal confiqort4t ioll
ro0f, Outwr' 494411� Wind(M Otto 6nd dosiqn, And
of it) W--OZA WAt-11 the ti)rogoing, slmilh�,
bomes abbil not Proximity of, fk�%O,
�Ahex, and shall boo at, J,eaat 500 P"j� dp,4,,,t te S�Wxjg dwo. ng 18
1. , t
visible ftom any other g.j.mil.ar dwpjjjnq,
Thp tl,-tal �;oan#c�cAj.on fWtwep-0 tl)op p1mbog; dtair', and tb* wymor aervtoo,
c-'ont)er.,tion (at thsot PCOPOt"Y fil-Avt� UkWat t4m WIpe,�tkfl by the Cltv boforo bs,4itf4
City W%nan4pr
d�o4d tt�p
,%(0qpd1!m thkou pret�;P-Aerove Ovet any detesilm to tba� plan* and
aqxeo�,4 to r,,,owply v�th tbo lnti�iat ot chi,�4
C, Womtez
DEPARTMENT OF BUILDING 4175
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
D 9178 1979
Valuation$ PI itunhing Fee$ 10,00
This pertnit not valid until above fee has been paid to City Treasurer, and is
wabject to revocation for violation of applicable provisions of law.
This isto certify that Jim Nat
4 nzrum Plumbing Co.
has permission to build to i-natall I gink,2 layatnrl-gs,l hath tube
2 closets,l shower,1 water heater,l dishwasher, I wasling machine.
Classification residential P.- IV,QC; T)16
Owned by Lewis Taylor, Inc. 1 1 XJ4
Lot Block— S �a3r lir
67.6
House No- 185 Pine Street iA 9$; 5
According to approved plans which are part of this permit I otltu I
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 10 1111-10, 10 Building material, rubbish and debris
Z- from this work must not be placed in
public space, and must be cleared up
and haiiled away by either contractor
or owner.
Bill M. Davis
Building official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF AT-LANT1 C BEACH
APPLICWrION FOR PLUMBING PERMIT
DATE-Aulp,um—buzr -1-0.1h. 1979
wcmiom Lot 676 -, Salt Air Subdivision
pj,U"jjqC, pIRH JIM MANGRUM PLUMBING CO . , INC.
MASTER PLUMBER V. -James Mangrum
CYTY/COUNTY OCCUPATIONAL LICW.ST3 NO.- MP-065
ST
OATE CERTYFICATE
BVILDER OR (,
,�yATRAC,ron Lewis Taylor, Inc.
TYPE OF BU.TLDING Single Dwelling
-1 SHOWERS
2
y 1 WATER WATERS
1 BATH TUBS 1 Insw"sHms
----fJRIfLALS DISPOSALS
WKSHING MRCHINE
--FLOOR DRAINS
'10 TOZAL F1,XrURE, %-OUm-r
��NGWAIAIATION OF PLUMBiNG ANiu KU,,�T bE .N ACCORDAliCE WITIR
RECEM EDITION OF THE .60UTHERN STAND4W) plAimaING CODE,,
JIM MANGRUM PLUMBING CO., INC.
5543 VISTA VERDE AVENUE -
JACKSONVILLE, FLORIDA 32210
PHONE: 772-0428
CITY OF ATLANTIC BEACH
WATER CONNECTiON CHARGE
DATE '00
LOCATION
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR
TYPE CF BUILDINGL_::rl��
A BATHROOM GROUP CONSISTING OF _—SHOWERSTALL, DOMESTIC (2 units)
--WATER CLOSET LAVATORY A BATHTUB
BATHTUB (WITH OR WITHOUT OVER __SHOWERS GROUP PER HEAD (3 units)
HEAS SHOWER) (2units) ---SURGEONS SINK (3 units)
BIDET (3 units) _ FLUSHING RIM SINK (gunits)
COMBINATION SINK AND TRAY (3 units) SERVICE SINK TRAP STAND (3 units)
—COMBINATION SIND AND TRAY W/FOOD DlSr� POT, SCALLERV SINK (4 units)
(4 units)
DENTAL UNIT OR CUSPIDOR (I unit) URINAL, PEDESTAL, SYPHON JET
BLOWOUT (8 units)
—DENTAL LAVATORY (I unit) URINAL, WALL LIP (4 units)
DRINKING FOUNTAIN (-� unit) I
—.21NAL STALL, WASHOIR' (4 units)
DISHWASHER (2 units) URINAL TROUGH EACH 24T. SECTION
FLOOR DRAINS (I unit) 2 units
__F�TCHEN SINK (2 units) .,.,./WASHING MACHINE RES, (3 units)
WASH SINK EACH SET OF r-AUCET
KITCHEN SINK W/FOOD WASTE GRINDER 2 units
_(3 units)
---LAVATORY (I unit) WATER CLOSETS, TANK OP (4 units)
LAVATORY, BARBER, BEAtfTY PARI,OR WATER CLOSETS, VALVE OP (8 Units)
(2 units) TRAY (2 units)
—,---LAVATORY, SURGEONDS (2 units)
NFPWCAXP�
DAITZ
MASTER
CITY&OUNTY 0CCU2ATlQNWL LIC09SE NO
STAME CERTIFICATE
BVIllk'..R OR
TYNE CV
NXTE1 WATKV-�
Q�, �i ING AND vx�jvkbv wo"V
RECENT EDKTXCN OF THE wouTHCHN
05 ; Y7 IS-9 �
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner(s): t7
Address: 1Y.5 Phone: �2_3
Lot # Block or Unit # Subdivision
Contractor: 0 ,
Address:_.ja7j —Phone:
State License No. tej 6,.
Describe work to be done:
Materials to be used: le f
Signature OWNER: ' Date:
Signature CONTRACTOR:
---—------
�DEPAIRTMIENT OF BUILDING
CITY OF ATLANTIC BEACH
------ LOCATION INFORMATION
"PERMIT INFORMATION ------ Addresst 185 PINE STREET
it Number' 15543 ATLA14UIC BEACH,, FLORIDA 32233
ermit Type:RE-ROOF ------ LE L,,DESCRIPTION
in" �ss ,I of- Work-.NEW
Twp' 0 ,
Block: Lot'
nstr. Type.*WOOD FRAME
Sectiow .� o Subd*. Rug
P ,'oposed Use., SINGLE FA14ILY
subdivision"'.,
Dwe 1 n9t 0
4Est . Value: 0 .00
21100 .00
Tlhprov. Cost'.
5.00
fTotal F6e 2
wunt P a, 25.00
A.,
Date
0
It D
PLICATION
P
FEES
25.00
1014
N, 14il T
N
T
FLORIDA 3 2 71'3,,,,,
R
J." M
R
'ORMATION ------
00
UY
60-7
-3926
'1Ac OL 32211
i c "RCO 0 Exp*
ia�
,I
lz�
''N ES.
R PRIOR TO INSPECTION
NOTICE-INSPECTIONS :MUST BE REQUESTED AT LEAST 24,HOU S�
L,RUBBISH AND DEBRIS FROM THIS WORK MUST N BE PLAqF_D IN PVKIC SPACE,AND MUST BE
ILDtNG MATERIA PT
EARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER,
N RESULT,
�FAILURE TO COMPLY.WITH THE MECHANICS' LIEN LAW CAf
He PROPErRTY1OWN'ER PAYING TWICE FOR BUILDINGIMPROVEMENTWs '
BJECT I TO'REVOCATIO
UCD ACCORDING TO APPAOVEDt.fLAN, S WHICH ARE PART OF THIS PERMIT AND SU
E PROVISIONS OF LAW.
OLATION OF APPLICABL
P.PAIRTMENT OF,BUILDING
'ITY TL T CH
FA AN C SEA
4e
'I s
2 n
e
PON
ANTIPJ3EACH BUILDING PEPARTMENT
Al
-211 tle
IA
AN