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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