Permit 323 Plaza (vault) • I 1
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CITY OF ATLANTIC BEACH, FLORIDA a'?- aqs3
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2 L0 20 O L
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING,WE HEREBY AGREE TO
PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,WHICH ARE A PART HEREOF,
AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: 7ELIECTRICIA7NSINAT
� L✓�'4� �-L �� �� of
OWNERS NAME: ADDRESS: 3� G9 BOrr�c ,bc. -
BLDG. SIZE a2 2 BETWEEN:
RES-44' APT.( ) COMM.( ) PUBLIC( ) INDUS.( ) NEW( ) OLD( ) REW.( )
0 C runt iygZ--
ADDITION(--y TRAILER( ) TEMP.( ) SIGNS( ) — fj SQ,FT,
SERVICE: NEW INCREASE REPAIR(
CONDUCTOR SIZE AMPS: COPPER( ALUM.( ) FEES
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
Zia
EXIST. SERV. SIZE AMPS PH 3 W VOLT RACEWAY
FEEDERS / NO. SIZE /V NO. SIZE NO. SIZE
LIGHTING OUTLETS ` CONCEALED OPEN TOTAL
L
RECEPTACLES 7 CONCEALED OPEN TOTAL
0.30AMPS 31.100 AMPS
SWITCHES
INCANDESCENT
FLOURESCENT&M.V. Z. Z
FIXED 1 0.100 AMPS. I OVER
APPLIANCES I I IBELL TRANSF.
AIR H.P.RATING H.P.RATING CEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
UNDER 600V OVER 600V
TRANSFORMERS:
NO. KVA NO. KVA
NO.NEON TRANSF. NO VA I MA I MOTOR SIZE SWITCH FLASHERS
EACH SIGN
Updated 5/20/2002
�S '
CITY OF Ll
4&64-cB�_;4.u Office Of Building Official
REQUEST FOR INSPECTION
Date �
Time 3 S
Received A.M Permit No.
Job Address A '
Owner's Wo } Locality
Name `/J7\
BUILDING CONCRETE Contractor c/J
Framing ELECTRICAL Cr
Re Roofing Footing PLUMBING
Insulation El Temp Slab ❑ Rough Wiring
/
Lintel ❑ F,al Pole Rough
❑ Top Out Air Cond. g ❑
❑ Sewer ❑ Heating
READY FOR INSPECTION ❑ Fire Place ❑
Mon.
Tues. Pre Fab
Wed. T /�-
Inspection Made Q hurs. Friday
F'M
A.M. �—
Inspector P.M.
Final Inspection ❑
Certificate of Occupancy❑
Date
CITY OF i)2 ?
Office of Building ficl
I
REQUEST FOR INSPE
Date f v C2
Time P rmit 6. c
Received A.M.
M.
Job Address
Owner's cality
Name �)
Contractor
BUIL CONCRET
LE RTL`�ICA4- PLUMBING
11 Footing 11MECHANICAL
Re Roofing ❑❑ Lintel Slab ough Wiring ❑ Rough ❑
Insulation ❑ Temp Pole ❑ Top Out Air Cond. & ❑
❑ Final ❑ Heating
❑ Sewer ❑ Fire Place El
READY FOR INSPECTION Pre Fab
Mon. Tues.
Wed. Friday
A.M:
n _ riday
Inspection Made A.M.
Inspector P.M. -- >1
Final Inspection
Certifi ccupancy Ej
Date
CITY OF �U t' -
y ci
Office of Building Official
REQUEST FOR INSPECTION
Date
Time Permit
Received A.M.
RM.
Job Address
Owner's f, Locality
Name
BUILDING Contractor -�
CONCRETE ELECTRICAL
Framing Footing 12 Rough
MECHANICAL
Re Roofing ❑ Slab Rough Wiring ❑ Rough ElInsulation ❑ Temp Pole ❑ Top Out Air Cond. & ❑
❑ Lintel ❑ Final ❑ Heating
❑ Sewer ❑ Fire Place Ej
READY FOR INSPECTION Pre Fab
Mon. Tues.
Wed. Thurs.
Friday M.
Inspection Made {<� C!� A.M.
Inspector P.M.
Final Inspection ❑
Certificate of Occupancy❑
Date
�–?l
JOB ADDRESS 4 Z r TYPE WORK e
PROPERTY OWNER-�am - S M. EpNONI(JLbf�
CO.NT�?ACTOR TF.7.F�ONE �4-Co- �.L�� .
PER3IIT N 3MER �3 g (o `f DATE
INSPECTIONS.• FOOTING
SLAB 5=2-
TIE BEAM
LINTEL
X 4.ILING/SZ*-4—T2MVG
FBAAING1COVER UP
12VSULA-UON
FINAL BUILDING
CER=CA-TE OF OCCUPANCY
ELECTRICAL PERM V
INSP.EMONS BOUGff
FINAL
MEMAMC4L PERM"
I2VSPEC77ONS ROUGE
FINAL
PLL?Aa ING PE&UM
INSPECTIONS ROUGuluNDFR SLAB
TOPOIUT
WATERISEWER
FINAL
NOTES•
X0'7- � � 53
z /n ���� /CITY OF
yQ40,410 /3 eacls-AMZfLtCs
Office of Building Official
(j �y �J REQUEST FOR INSPECTION
Date r Z O`V.L.._
Per o.
Time A.M.
Received p � �-
a
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE, ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑
Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel Final ❑ Sewer ❑ Fire Place ❑
READ R INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. Friday
\Q�
Inspection Made A.M.
P.M. _-Z�,j
Inspector Final Inspection ❑
Certificate of Occupancy ❑
Date
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
RMIT INFORMATION LOCATION INFORMATION
P::VjPE.
mber23864 Address: 323 PLAZA DRIVE
Type: STORAGE SHEDATLANTIC BEACH, FLORIDA 32233
ork: SHEDTownship: 0 Range: 0 Book:
pd Use: SINGLE FAMILY Lot(s):27 Block: 10 Section:0
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: 8,000.00 OWNER INFORMATION
Date Issued:
4/15/2002- Name: WOOD, JAMES AND DOROTHY
Total Fees: 75.00 Address: 323 PLAZA STREET
Amount Paid: 75.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/12/2002 Phone: 904)246-2648
Work Desc: 20 X 24 STORAGE SHED
CONTRACTOR S
PROPERTY OWNER APPLICATION FEES
75.00
tyw �
�p n Mb1a
` N�v' t�g{A^�
'3K' d..
1a;
sw,l1� r Y
'fie...:. N
�ss �
f 30
! yd
NOTICE II�FECXf X I Q I TEQ aT I.E'AA 1kJO1Jf PF EO
C 1NSF TION
BUILDING MATERIAL
MUST BE CLEARED U IC SPACE,AND
Atfl " � ttJ.t OfQ
"FAILURE TO COMP `S :1N THE
PROPERTY OWNER P "
ISSUED ACCORDING TO APPROt.A , T )g Ml D SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PR -
Oiler: CHERYL£ Type: QC Drawer: 1
Date. 4/15/62 01 Receipt no: 58161
"rLj
14 PERMITS-BUILDING 1 $75.88
Trans number:' 884826
TIC BLDING.DEPT. 323 PLAZA
CK CHECKS 715 $75.08
Trans date: 4/15/82 Time: 16:48:28
MAP SHOWING SURVEY OF
LOT 12, BLOCK 11, SUBDIVISION A, ATLANTIC BEACH AS RECORDED
IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS
DOF DUVAL COUNTY, FLORIDA. A
n� LOT 11
Iv I 1 4' CHAIN LINK LOT 9
Q g WOW FENCE FENC I�
LOT 13 1 L
1 49.82'I(FIELD) FOUND 5/9' REBAR
[�. 0.1'
50D 00' V 0.2' NO CAP
FOUND 1/2" IRON PIPE - -
NO CAP
0.1' b� 0.1'
FENCE ON
UNE CP
w $A
o
ALUMINUM SHED ON
WOOD DECK 10-o'
6.5 L
3.0' ROUND o i-
A.C. PAD O o
7.8' 24.0' --& o
(A i
W ""J WOOD PORCH O
N p= LOT 10
°D7.5' O P
LOT 14 -n O 10.6' !A "v
O O c ONE STORY 4' CHAIN LINK FENCE
7.4' LONG
CONCRETE BLOCK o END OF CONCRETE BLOCK WALL
RESIDENCE START CONCRETE FOOTER
No. 323
10.0'
90 2,3 7.6rn
' I
0.3' 4 0.6' A D
0.7' 7.8'
1
FINISHED WALK C ORT �
PLANTER o 1
A In
PE88LE
FINISHED CONCRETE I
PATIO PAD I N
p J rn ONp I
O
1 �
B -
"� • FOUND 5/6" REBAR
FOUND 1/2" IRON PIPE ����
50.0 ��'• NO CAP
No CAP 2'0 250.00'
- ' - - 0'
49.97' (FIELD) RECEIV,rr�%
THE PLAZA� ,h 7 �
80 RIGHT 0
City of A,tlantig @SCh
0 440ins and Zoning
NOTES:
THIS IS A BOUNDARY SURVEY.
NO BUILDING RESTRICTION UNE AS PER PUT.
ANGLES SHOWN ARE PER FIELD MEASURES THIS SURVEY WAS MADE FOR THE BENEFIT OF
NORTH PROTRACTED FROM PLAT. JAMES WOOD AND IS IN COMPLIANCE WITH THE
MINIMIIM TFrNtdurAi CTAklr%ADr%-
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 2c ft z�q- le" <:
Date
Heated Square Footage @ $ per sq ft = $
Garage/Shed �� @ $ per sq ft = $
Carport/Porch �� @ $
per sq ft = $
Deck @ $ per sq ft = $
Patio � ® @ $ per sq ft = $
TOTAL VALUATION: $ t
(Dmoo JJ $ � S
Total Valuation 1st $ ®O Cs
h O e3 -s $ 3 t'
Remaining Value $ --. ,::.t-per thousand
cif portion thereof
TOTAL BUILDING FEE $ ,S O
+ 1/2 Filing Fee $_ 2- 1
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $ 'T
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $4
( ) RADON (HRS) . 0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
( ) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $ _71-06
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
Boob 14268 Page 2117
'a00 :
ock j 0$2 8558
Pe e: 2117
Filed & Recorded
12/14/2001 11:34:19 AM
JIM FULLER
NOTICE OF CONIMENCErNIEDUQR CCIRCUIT COURT
TRUST FUND 3 1.00
RECORDING f 5.00
TO VVHONI IT MAY CONCERN:
The undersigned hereby informs all cancemed that improvements will be made to certain
real property, and in accordance with Section 713.13 of the Florida Statutes, the followin
information is stated in this NOTICE OF COMMENCEMENT. g
(Description of Property %/-tt 2LIZ
General (Description of Improvements �O'X 2
Owner
ddress: 32 73 Pt Az,gTGlfi✓r-� � �1 F�
`�22 ----------------
� �
Owner's interest in site of improvements:
Fee Simple Title older(if other than owner)
-Name
Address
Contractor �, L '� � n
Addresses _
J C
Surety (if any)
Address
Amount of Hand $
Name of person within the State of Florida designated by owner upon whom-notices or other
documents may be served:
Name
Address
In addition to himself; owner designates the following person to receive a copy of the Leincr's
Notice as provided in Section 713.13(1)(F), Florida Statutes. (Fill in at Owner's option).
Name
Address:
��� .•" is '• s �i
7
.��
Swam to and subscribed before me this C- M '\ 927 '*'
'moi��•• FerhMsu�• `-c'=1L
• ..•,
Jim .i,i:_
.. RE
REC71VED
s e:Y .sA
AN
PERMIT APPLICATIONjbt.MbqEPT ADbU iDgS, OR ALTERATIONS,Atlantic Beach
MOVING, DEMOLITIONS a t;ilA ang Zoning
Owners ��c� 1 �/
( ) r�i�<, ��'C�^`/7�rt�F�cr C''l't.,�=c,� crZC+� Zir_�, T�Gl �` r`t`>l� ��'acY (V✓.�-j
Job Address Phone`'
Lot# 2'7 Block or Unit# / Subdivision %�/} /'� J9 2-�
Contractor ,:X0/4 E- r State License#
Address Phone
City State Zip
De cribe work to be done tj 2 Q l .2-y
f G'
Present use of building
Valuation of Proposed Constructionv 'c
Proposed use -45711-1) {{
Is this an addition?
de it yes,twtiat are the dimensions of the added space: ft. x
Will the added area b heated and cooled?Ale) New electrical (or increase) '
New plumbing fixtures? New fireplace?4i, New Heat/AC. X,
SUBMIT THREE (COMMERCIAL�RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLP AI RVEY, OTICE OF COMMENCEMENT, ANDOWNER/
CONTRACTOR AFFI IT, OWNER IS CONTRAC OI —
Signature of OWNER -I- Date:
Signature of CONTRA OR Date
STATE OF FLO DA
COUNTY OF -7U U /q--
Sworn
4-Sworn to (or affirmed) and subscribed before me this---rk-i—day
AS TO OWNER: Notary's Signatu
❑ Persor
Patricia Amonette ❑ Produc
C CC947012 EXPIRES
*; MY COM. #
August 27,2004
BONDED THRU TROY FAIN INSURANCE,INC. Type of ide
Swom to (or affirmed) and subscribed before me this
AS TO CONTRACTOR: Notary's Ic
❑ Pers
❑ Prod
Type of i
CITY OF
�tla�ctc'a �eacl - 7�Pvti�
800 M iNOLE ROAD
ATI.AIMC BEACH,FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAPTER 489, FLORIDA STATUTES, PART I 'CONSTRUCTION CONTRACTING' REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR Sec-nom 489. 1 03(7), FLORIDA STATUTE_:
SPATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
UNDER AN EXEMPTION TO THAT LAW. THE EXEMPnON 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 SAIF* 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 EXEMPTON. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST SE DONE ACCORDING TO THE BUILDING CODES AMC ZONING REGULATIONS. IT IS YOUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED B7 YOU HAVE LICENSeS REQUIRED 8Y STATE LAW AND BY
COUNTY OR MUNICIPA ICENSING ORDINANCES
QROJNANCES ALSO ALLOW AN OWNER TO IMPROYC ThtE/R QwN PROPERTY WHEN !T IS FOR PERSONAL OR FAMILY
USE. AND LIKEWISE MCQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) SE UNDER A BUILDING PERMYT AND PSS
ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY MIRE
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DIRECT SUPERVISION OF TME OWNER, WHO MUST BE ON
THE JOB AT ALL TIMES WHILE WORK 15 IN PROGRESS BY UNLICENSED TRADES PEOPLE.' 71-IIS DOES NOT ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE OWNERS MAY 13E LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENY SUGGESTS
WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYZRS AND SHOULD ALSO OBSERVE IRS wTrmmOLDiNO TAX AND/OR
FORM I O99 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
TO $5,COO PENALTY UNDER FLORIDA STATLTTC NO, 455-228(1). AN 'OCCUPATIONAL LICENSe' IS NOT ADEQUATE.
THE OWNER SHOULD PHYSICALLY SEE THE COUNTY 'CER IFICATE OF COMPETENCY' OR THE FLORIDA *CONTRACTORS
CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247-
5826) IF IN DOUBT.
I HEREElY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER'$UILdER PERMIT.
ERTr OWN UILn
ADDRESS TeLEPHoNE �1
SWORN TO AND SUBSCRIBED BEFORE'ME THS/�/y/'/�0 OF
f
NOTARY PUBLIC
NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES:
ARE EMPHASIZED BY THE BUILDING
DEPARTMENT.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Jr3
Application Number . . . . . 08-00000638 Date 5/08/08
Property Address . . . . . . 323 PLAZA
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
1 ahu
----------------------------------------------------------------------------
Owner Contractor
------------------------ ----- -------------------
WOOD, JAMES L. OCEAN STATE HEAT & AIR, INC.
323 PLAZA 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
----------------------------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 55 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 11/04/08
----------------------------------------------------------------------------
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 CODES.
05/08/2000 08: 10 FAX 9042498949 OCEAN-STATE-A/C ► ATLANTIC-BEACH @001/001
L t/�v
r. CITY OF ATL ANTIC BE ACE
ti.
MECELANUCAL PERMIT APPLICATION
Air
Date: 5
Property Addr s. 3 CL
Owner. ,0v6L U Telephone :0 "off
T
ContmC4. ro, ""'�� 0 C Telephone#' 51P- 1
icontractar Addtre3s:1411":QT_, Gt � ydN.!?�_ Fax#:• �Q- —
JL cimdawan of pamir Oivm!or daptg work as daradbad in the sofa Ataw M wit beret~aurae m perform nd vift a am
vith the amu,had pinna sad Cosa*Ud ors a pm harmf tad in Oeeetdann with the City of Adantie Beach ordm w=ttnd m2odazdi of
00 ee tiered therain.
Type of SeshqW.Puck If otbv comauc6m is being dorsa tsar ibis bt iding
' of�list the ponmit aumbar.
>'r"Elecoic y '
0 am- 1.P Nmci rw r 4ctsl U liry
O OH
0 Odw—sueel$t
?OCZAMCAL RQUIPMRMT TO BE INSTALLED NATURE OP WORK
&I hest _Space _Rxcewed . 11-1 atral _Floor Ig/'pmWeseill
el-Air Conditicming: _Room T.-COrtral
Q' Duct SvRin: Material Thirlmess C] Commercial
Maximum capacity dm 0 Near Bmlding
0 Reirigin icm
CI Cooling Town Capacity 9m 1hiltlia
0 Fire Sp-hWers:Number of Heads
0 Elevator: _ mmlift Escalator (N=berj 200'Reolacavew amodsdng System
0 Gasoline Pumps (Number)
0 Tanks (Number) 0 New kwcatlsdatr
0 LPG Co:Rtairaers (Number) (N0�t Zv"ou*installed)
o L7�red Presstr<c V sisal 0Bmot=or,Add-an to F=asting Sysign
O Boilers '
p Gas piping -..__ ._� Li vUW_zip
_..`
p Other-spandy,
LIST ALL EQMP_MbNT
AMC0tQ1I'lI0"G,=WGnA7I0NZQ kWi 44CDNDWSOE'S ApArorio6
NumbarUai$ DumipWn Modal4 A mubsto a Tons Aeemty
i�27NG-1►0'BtPTilCBS,BOQ.�B.`+,PYls�l'LkCYS&A>m S�i3'R'9 Appt�g
Pl mber Uaco Daaiprdoa blodq i blanofaa<arar 27'U's Asp
15W Nawmicapaeisy .7*tliquid .3aral
How WMW A ani Coo No.
300 seoiiuole Road•Atlantic 3&=C ,Florid. P2233-5"-5
Pli+ne•(oAd•%'1.r1^_4AVA . tib r• MMA~9.r!?_49tli_ 1.r.,..�i_........ .�".«:. k--L A...
s L Asa
r
�a?5
CITY OF ATL_'7 N 1 IC BE ACE
2 Date: J
Property Address: 3�3
0,wner: & Telephone #:6?A -o?(9 p
Contractn - ocean `'-LL.tmTelephone;r:
_Contractor Address:_l` .� l.G t ��].l =C1..�1-���1.� : l 1a r:.��`-i-
In consideration of permir envea for doing the work as described in the above statement,wa hereby agree m perform said work in accoraaa=
with the attached plans and specincations which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of
good prac6cr listed therein.
Type of Heating Fuel: If other mus-miction is beim done on tLL building
C�'Eledtric _ +y,
or site,list the building permit number:
❑ Gas: LP Natmal wr_ al Utility
❑ Oil
❑ Other-Specify
MECEANICA-L EQUIPMENT TO DE LNSTALLED NATURE OF WORK
"Heat' _Space _Recessed 'Central -Floor 3? ^Residential
!Air Conditioning: Roomy'f`'entral
❑ Duct System: Material Thick ess ❑ Commercial
�'1 imam capa ltti cim
� ❑ >tieiiigerati on
❑ TSP.. Plnlaaig
Cooling Tower. Cai)aci ,� m r- �- ���ysang i3uii�
-. I
❑ Eirt Sprh2hc number o Beads
J Elct'atDr: TylanL$ Escalator Number) RePla 'me i 0I E'dsrinc SyaEcm
❑ Gasoline Pumps 1;_�iumber) v
Tau-L (Number) ❑ New Installation
❑ LPG Containers [dumber) (No system-previously installed)
❑ Boilersers i Pressure Vessel
ED Boilers IDEn,ension or_Add-on to Emsting System
❑ Gas Piping - ---- Uther_ peck--- --—-- -----
❑ Other-Specify
LIST ALL E Q UIPTNIENT
:IIIc C0NDITI0NIN G,RE,FPJGERA-n ON E QUIPIVU-a TT&CONDENSOR'S Approving
Numbm Units Description oriel R Manufacturer Ton's -Agency
-J,:,TING-FURNACE,S,BOILI'iRS,k'IT:ETLACES&AIR HANDLE Approving
Number Units Description Model it Manuiacrurer BTUs Agency
-- --- -
_
TAlNKS 111ominal.-Capacky Type Liquid Leria( - _3ppravzng.
How Manv &Dimensions Contained 'Manufacturer No. eencv
300 Seminole Rand • :atlantic Beach, Florida 32333-5445
Pbone- Mzi)'.a;-;snn . F+n�: (904)347-3,94:51 a httn-//viw-,A ri_atlantic-beach-fl_us
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: -'J p 41z.�t
OWNER OF PROPERTY:..,-- J,Qw+e
PLUMBING CONTRACTOR �;'ft �jll, (� .r hc.
t
CONTRACTOR'S ADDRESS:-- t>I ✓Pig... A
STATE LICENSE NUMBER:- C i`L'U .}, l TELEPHONE:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER�y '
TOTAL FIXTURES: x $3 . 50 + $15 .00
MINIMUM PERMIT FEE - $25 .00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: �
---------------------------
------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
PRIOR TO COVERING UP - ( 904) 247-5834
i
i
DEPARTMENT OF BUILDING L71.4
CITY OF ATLANTIC BEACH,FLORIDA
li
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB fit! T
9,TDate .7 /$r=ValuationFee /`"This permit not valid until above fee bas ban paid to City Treasurer,and is
1t��
'! subject to revocation for violation of applicable provisions of law.
I This is to certify that
�1 has permission to lri5t&]1 T6 2acem�n
I
Classification
Sid nti�i Zone
Owned by S/D
Lot
House No.
323 Plaz
t
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
._�♦ �--�T O Building material,rubbish and debris
z from this work must not be placed
L in public space, and must eared
up and hauled away by ei_ er. n-
* tractslr or owner. {f
Building official.
PERMIT DATE CONTRACTOR
FOR OFFICE
USE ONLY NUMBER
PLUMBING
,I ELECTRICAL
SEWER
WATER
,;
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 82238
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, 111, and IV.
LOCATION Street Address: Z3 PLAZA Z2
OF Intersecting Streets: Between And
BUILDING
Sub-division
II. 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 apart hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) MasterName of
Property Owner �� Woo
Signature of Owner Signature of
or Authorised Agen Architect or Engineer
111. OWERAL IN MpfON
A' Type of hooting fuel: 6. IS OTHER CONSTRUCTION BEING DONE ON \
XElectrilc THIS BUILDING OR SITE?
C) So—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
Q Oil PERMIT
Q Other- Specify
IV.'M@CK4kNICAL EQUIPMENT TO RE INSTALLED �N,A�TURE OF WORK
IPavide complete list ofcomponentson back of this form) ALL Residential or ❑ Commercial
Heat ❑ Space ❑ Recessed X Cental 0 Hoon /CJ`w New Building
Air Conditioning: ❑ Room X Control Ir X Existing Building
Duct System: MaterialThiukne>sa—l. X Replacement of existing system
Maximum capacity "�•e �_e.f•T.
El New installation(No system previously Installed)
❑ Extension or add-on to existing system
❑ Rofrigeretion
❑ Other Specify
Q Cooling tower: Capacity 9-pin.
Q fire sprinklers: Number of herd
Q Elevator 0 Manlift ❑ Esulalor _.._.(number) THIS SPACE POR OWXX US ONLY
Q 6e8080e pump - (number) IReeeir+dj
Q Tarr (number) Remarks
(3 PrP Iflf"04i (number)
Q Unfired pressure veswl
Permit Approved by Date
C) Nellen
Q
Other — Specify
Permit fie
LI8TALL EQUIPMENT
AUt CONDITIONING AND REFRIGERATION EQUIPMENT C"d7
APPMVIIng
Number UnffA DercriPOon Model Number Manutacturer (TO")
P983944
10 7
DEPARTMENT OF BUtLDINO
4 CITY OF ATLANTIC BEACH
PERMIT I MRM T I Ott -------- OCAT I ON X NPORMJ9T I C?Inst
Permit Number: 105V Address,* PI�A'LA Dlkiv I
Permit Type: PLUMBING, ATLAXT I C. BEACH, FLORIDA X2233
1r�s of Work: ALTERATION �.�.----- LEGAI DROCRIPTIe;II"
---------
Oonstr. Tyre: $fOpOD PRAXI Lot`: � Sl6ck. Sect�c�n
' Proposed Use: SINOLE FAMILYTounshlp» Rgot CI
Dwellings: I Cade: 0 Subdivision: ATL-AN BEACH
Est
iated vtklue $0 .00
Improv. Cost 84.00
Total fees $25`.W
Amo
D 6 8
Work. PER
TION . ..... I1FPI►ICX It VIEW .. .._
e
a PERM T . $25.,00
AAr es A`; .w b .A DRIVt �., T `IMPACT ` {t,4tl
' °x CII, FLORI �"� I� � z � .
� - RADON OAS-R. .S. Moo,
tl€l_.
NIPORMATI� Grit -- .., _ RADON CAB 5k S4.44
I~I,ame T � LU Ima CAPITAL Iri1 R0� fl.{?4
Atm «„- 64 .G .g - �
ATT: K BEACH' FLOI�TDA 322 CROSS CONNVCTltlrir r4.41I
_wvv
� C CONST.SURCRAROL d ,41?'
Nm
NOTES:
NOTICE---ALL CONCRETE FORMS AND FOOTINGS MUST"BE INSOECYED BI=�ORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUS8ISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE;AND MUST Bi*
CLEARED UP AND NAUCE,D AWAY BY EITHER CONTRACTOR OR OWNER
"PAL URE TO COMPLY WITH THE MECHANIC'S LEEN L.AW CAN RE UL.T IN
T1i
PROPERTYWNER PAYI TWICEE FORTH E �IJII.0 Lt PRO EMENTS! .r
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND"SUBJECT TO REVOCATION FOR
'VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT ' .
t3+: I CYa
_ ua _ �
CIV of:
O"icisl
Ottice of Boft,NSPE�1ON
REQUEST
permit No.
(`/ pistricl NO'
pate .,!
Gam= ' � =, HANICAL
Reeeived ,•, MEC ❑.
3 C°Mracto p�UNIg1N ❑ Cond•&
Job dress Heatm9 ❑
`y. E L Rough ❑ Fire Place
7 _ RICA
E� hWON ❑O se\get ❑
ETpre Feb A.M•
pame s CONCRE ❑ Roug pole sews
G Fooling ❑ -Temp P•
gU1LDIN ❑ slab ❑ READy FOR'"SpECV10% Friday
R8 RO�olin9 ❑ Lintel -Thurs.
CC,-
ad. p.M• ❑
Tues. Final Insp�}On
Mon. — Certificate 010 CouPan°Y
InsPec"on Made i pate
Inspeclor � � ..
CITY OF ATLANTIC BEACH, FLORIDA
App. 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 ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
r'e"'e� C, x AA Lija A�A'fel Ac r
ELECT ICACFIRM: MAS ER OLECTRICiAPYJ16NATURE
NAME Gly[9 D alp ADDRESS: -3 :;o -4z 19` ..O- RFD BOX
BLDG.SIZE BETWEEN:
RES.41' APT.( ! COMM.( ) PUBLIC( 1 INDUS. ( ) NEW( ) OLD(A+- REW.( 1
ADDITION'( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SO. FT.
SERVICE: NEW( ) 'INCREASE (1-r' REPAIR ( ) FEE
CONDUCTOR SIZE W10 AMPSOd COPPER ( I ALUM. . a 0
SWITCH OR BREAKER 2 0 AMPS PH '3 W 2-36VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH 3 W Q/OLT S RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.80 AMPS. 91.100 AMPS.
SWITCHES
INCANDESCENT
FIXED 0.100 AMPS. OVER
APPLIANCESBELL TRANSF.
AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
3 So
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 N.P. VOLTAGE PHS
MISCELLANEOUS
' DEPAIMAONT OF BUILDING � t
k CITY OF ATLANTIC BEACH
ERM I T ' I�II�ORMAT I ON
P Permit IVukar: I5 Address; LOCATION INFORMATION
Pesti t Type;RE-RO k 323 PLAZA STREET
til Work:NEW ATLANTIC BZACII,, FLORID� , ��
Constr. T ----�-_ - LEGAL DESCRIPTION . A 32233
'�� ,WI�OI? F'�tAM>w �Block:
I ick'; r _ .
PrOPOsed Use> 'INGLE . FAMILY Lots Twp:Dwellings: C Secti�an., D Subd:
L' t . Valu;ex Subdivision: Rn�x: �?
Improv. cost - 96o. 00
r TotalFe
.CU
t � � t
A run e
2 5:0C
..`TION
APL�ICATIOPi
.Add�r: PERMIT FEES
25
P �R C FOR I ItA � �� "a
w x
�4 "fi. �;-
R ORMATICSN, ------
Name':
ARLI�d T} EA HES
Add 'C
111
TERRACE
'ACK$0 V,1 FL
32211"r4 s � �M Exp" +
A�
NOTES:
i
{
NOTICE
—ALL CONCRETE FORMS AND FOOTINGS MUST SE INSPE+ TEG BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
i
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST 8E
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
� f
` f=AIL IJ�RE T4 Ct�fl PLY WITH THE MECHAf�f CS' LIEN t., ►
THE PROPERTY C�V�1fy R PAYING TWICE FOR BUILt3 W CAN `# E ULT IN a
,fNG ��fPRO'II�IWfEfV�f'S:"
$UED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO
YIC7LATIC?I+I OF APPLICABLE PROVISIONS OF LAW. REVOCATION FOR.
ATLANTIC BEACH BUILDI G DEPARTMENT
KS
lot 3281,E
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
1
Owner(s) :
Address: Phone:
Lot # Block or Unit # Subdivision:
Contractor: ARLINGTON BEACHES ROOFING, INC.
Address : 1441 CESERY TERRACE
City, State and Zip JACKSONVILLE, FL. 32211 Phone 744-8888
State License # RC0023962
Describe work to be performed: RE-ROOF:
Valuation of Proposed Construction:
Materials to be used:
Signature of Owner;
Signature ' of Contractor:
i'
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
t
Notice of Commencement
To Wham Is May Concern.•
The undersigned hereby informs all concerned that improvements will be made to certain real
�D property, and in accordance with Section 713.13 of the Florida Statutes, the following information is
N stated in the N(MCB OF COMM@ICBMBN'T.
Description of property . . . . . . . . . . . . .3.2.3. ,PLAZ4. STREET . . . . . . . . . . . . . . . . . . . . .. . . . . . . . .
,.i . . . . . . . . . . . . . . . . . . . . . . . . . . . ATJLMTZC.$EACH.,. FLORIDA. . . . . . . . . . . . . . . . . . . . . .
40
hi
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
04 Gomm description of improvements . . . . . TR . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Owner . . .17WP. WAR . . . . . . . . . . . . . . . . . . . . . . . . . .ilkt '651 . . . . . . . . . . . . . . . . . . .
P91 556
Address „32 _PLAZA STREET. . . . . . . . . . . . . . . . . . . . Rq1# ,9,7,06,7.468. . . . . . . . . . . . . . .
sled & Recorded
Owner's Wemd in site of improvement . . . . . . . . . . . . . . . . . . . . . 04F/01/97
•141261 f k fi•.tl:
HENRY W. COOK
Fee simple title holder(if other than owner): CLERK CIRCUIT COURT
DUVAL COUNTY, FL
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REC..*.6.00 . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Q�Contractor . .ARb��GTOTJ .$gA�1Vi p. JRAQF;INGt .Tpp:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
KK
Address
(if any) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . Amonnt of bond$ . . . . . . . . . . . . . .
Any person making a loan for the eowgracdon of the improvements:
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .•. . . . . . . . .
Person within the State of Florida designated by owner Mm whom notice@ of other docameota may be served:
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
In addition to himself,owner designates the following pwaon to receive a copy of the I.ienor's Notice as provides in Section
713.13(i)(h), Florida statntees. (Fill in at Owner's option).
Name . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ;
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The space far �/
OPK AIR*,
For accurate register of carbon copies,form Form approved.
FHA Form 2005 may be separated along above fold. Staple Budget Bureau No.68-31065.9.
VA Form 4-1852 completed sheets together in original order.
(Rev. 1-55)
44 Proposed Construction DESCRIPTION OF MATERIALS
(To be inserted by FHA or VA)
❑ Under Construction
.Property address _S,.at__12._B10_c�k__ll-----_------------------------- City ----------- State ------
Mortgagor or Sponsor ------B_i5bb*_Bel1W-1r_;_-C-Qr- t------------------------- Jaaksonv__ille,--:ale.-------------------------
(Name) (Address)
,:kAr- iaeks
Contractor or Builder Ct1t-
� --�a
----- ------- ---------------------------- �----- ---------oavill®- -- --- Bea----t3h-----,- rla------------
(Name)
(Address)
INSTRUCTIONS
I. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically described.
of copies, etc., see the instructions applicable to the FHA Application for 4. Include no alternates, "or equal' phrases, or contradictory items. (Con
Mortgage Insurance or VA Request for Determination of Reasonable Value, sideration of a request for acceptance of substitute materials or equipment
as the case may be. is not thereby precluded.)
2. Describe all materials and equipment to bE used, whether or not shown re S. Include signatures wired at the end of this form.
on the drawings, by marking an X in each appropriate check-box and entering g q
the information called for in each space. If spade is inadequate, enter "See 6. The construction shall be completed in compliance with the related
mise." and describe under item 27 or on an attached sheet. drawings and specifications, as amended during processing. The specifications
3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Construction
required, when the minimum acceptable will be assumed. Work exceeding Requirements.
1. EXCAVATION:
Bearing soil,type-----►�--Z ------------------------- - ------------------
--------------
------------------------
------------------------------------------------
----------------------------- on__-irm__vir,—in__-oil------------------------------------------------
2. FOUNDATIONS: /
Footings: Concrete mixJ#--baj&—TI1i11- ----------. Reinforcing----�''-�--F'�J-B- '{"Qd S--OQYI{''�---------------------------
A t3o110,___BlOmk------------- Reinforcing--------------------------------------------------------------------
Interior foundation wall: Material_________________________________________ Party foundation wall_____________________________-_________---------------------
Columns: Material and size___________________________________________________ Piers: Material and reinforcing___-__________________-________________________-
Girders: Material and sizes--------------------------------------------------- Sills: Material----------------------------------------------------------------------s ___________________________
Window areaways Basement entrance areaway__________________________________________________ y
--------------------------------------
Waterproofing-------------------------------------------------------------------- Footing drains------------------------------------------------------------------ ---
Termiteprotection----------------------------------------------------------------------------------------------------------------------------------------------------------
Basementless space: Ground cover______________________________ Insulation ------------------------------ Foundation vents _____-_______-________________
Specialfoundations -------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------- ------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------
$. CHIMNEYS:
Material------------------------------------------------------ Prefabricated (make and size) 0._!!J6--------------------------------------
Flue lining: Material------------------------------------- Heater flue size---------------------------------- Fireplace flue size_____________--------___------
Vents (material and size) : Gas or oil heater--------------------------------------------------------------- Water heater------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------
4. FIREPLACES:
Type: ❑ Solid fuel; ❑ gas-burning; ❑ circulator (make and size) ------------------------------- Ash dump and clean-out________________-_______
Fireplace: Facing ---------------------------- lining ---------------------------; hearth---------------------------; mantel ---------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------
5. EXTERIOR WALLS:
Wood frame: Grade and species -------------------------------------------------- ❑ Corner bracing. Building paper or felt-:_______________,______-__
Sheathing-------------------------- thickness ____________; width____________; ❑ solid; ❑ spaced -----------1,
o. c.; ❑ diagonal; ________________:_
Siding-------------------------------- grade ---------------; type ---------------; size --------------; exposure-----------;fastening---------------------
Shingles-----------------------------; grade ---------------; type ---------------; size ---------------; exposure-----------;fastening---------------------
Stucco-------------------------------- thickness ----------- Lath ---------------------------------------------------------------; weight---------------1b.
Masonryveneer ------------------------------------------------------- Sills------------------------------------ Lintels ------------------ --------------------
thickness_. 8 __". Bonding_____________________
Masonry: Facing(ei,-Q11Q.__$lk-.; backup ------------------------ ----- --- -------
Door sills --------------------------- Window sills _.Pr_4jQA1%_t-__ Qa- !_______ _____ Lintels axa.__R�`e__Yvh-tYl.__ ndb/
Interior surfaces: Dampproofing,___..__coats of--------------------------------------------; furringlY.2r__I&C&T'3i__tr_Q&tsf3.&__AlLot►
Exterior painting: Material -----waterproafi g------------------------------------------------------------------------_; number of coats
Gable wall construction: Z Same as main walls; ❑ other _________.-------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------
AMNON
21. SPECIAL FLOORS AND WAINSCOT:
LOCATION Ie�I,TERIAL, COLOR,BORDER, SIZES, GAGE, ETC. THRESHOuLa�De�4+h 7i7lO�R
to Clio a
A.
Kitchen---- -------- ------- -------------------- ------------------------
- ---------- -------
.L . ta$a .. Ir ------ 4L ------ ----- +3et • -----
Bath-------- ---- ---7---------------------------------
------- -------- ------ --------- -------- ----- -- -----
LOCATION MATERIAL.COLOR $QRDE�CAP,SILE9,GAGE,ETC.
HEIGHT HAIGTYT TUB HEIGHT AT SHOWER
.k.LA4A.iY'MY ,L +.i s'�.. 1i. 9 e.d 3✓ , G' `.A .P.'....L ♦-3S - ' W ,i.ss
Bath-------- ----------- --------------------------------------------------------- -------------- - - -- -- - ----
- -------- -------------------- ------------------- ------------------------
---------- ------------------- --
------ --------- - - - - - -- - - - - - -- - - _
Bathroom accessories: ❑ Recessed; material ___________________ -_ __; number ------ El attached; material ------------------------; number______
------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------
22. PLUMBING:
FIXTURE NUMB R I ►&RILI�t J rt- M QQg RE IDENTIFICATION NO. Nr y
fi• al
Sink------- - ------------------ --- ----- ---- - -- ---- -- - - - -
- - -- ------ --------- ----------sr *i .t,0 4
-----
-------
Lavatory
-------------------------- -. T" r- =s
Water closet---------------
5__________.-----------Pr---------------------- ,
Bath tub----- ---- ------------------ - -- --- - --------- ------ --- ------ -
--------- ----
------------r-------------
Showerover tub*- ---------- ---------------------------------------------- ----------------------- ------ -------
Stallshowers* ---------------------------------------------------------------------------- ----------------
Laundrytrays----------- ----- --------------------------------------------- ----------------------- ----------------
•-A--------------------• --------- -------------------- -----------------------------------I----------------------------------------------I----------------------- ----------------'
*M Curtain rod **❑ Doer ❑ Curtain rod
Water supply:❑ Public; ❑ 4ommunity system; ❑ individual(private) system.
Sewage disposal: ❑ Public; ❑ community system; ❑ individual (private) system.
*Show and describe iAividual system in complete detail in separate drawings and specifications according to requirements. '
House drain (imide): F-1 Cast iron;, le; ❑,other_________ _____ House sewer (outsid [J �asst iron 0 ' e; ❑other------------------
V4 Water piping: ❑ Galvanized steel copper wing; ❑ other ___-_____ ___ ____ ---------------------------
Domestic
____ ____ ____ _ Si Docks, ber ________-___
w *- ---
Domestic water heater: Type ---------------------------------------i make and model'----- ---------------------------------------------------------------------
recovery_____________________ gph. 100° rise. Storage tank: Material---------------------------------------------------;capacity--------------gallons.
Gas service: ❑ Utility company; ❑ liq.pet.gas; ❑other____________________________________________ Gas piping: ❑ Cooking; [],house heating.
Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump ______________________________________________________-
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
23. HEATING:
❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system.
❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model___________________________________________________________________________
Radiant panel: ❑ Floor; ❑ wall; ❑ ceiling. Panel coil: Material____________________________________________________________________________________-
❑ Circulator. ❑ Return pump. Make and model----------------------------------------------------------------------; capacity --------------- gpm.
Boiler: Make and model --------------------------------------------------------- Output -------------------- Btuh.; net rating ------------------ Btuh.
Warm air: ❑ Gravity. ❑ Forced. Type of system---------------------------------------------------------------------------------------------------------------
Duct material: Supply ______________________ return--------------------- Insulation -------------------thickness_________ ❑ Outside air intake.
Furnace: Make and model ------------------------------------------------------------ Input------------------- Btuh.; output--------------------Btuh.
----
❑ Space heater; ❑ floor furnace; ❑ wall heater. Input---------------------- Btuh.; output-------------------Btuh.; number units ____________
Make,model ---------------------------------------------------------------------------------------------------------------------------------------------------------------
•----------------------------------------------------------------------------------I---------------------------------------------------------------------------------------------
Controls: Make and types ----------------------------- --------------- ---- ------ ---- ----- --------- -- -------- --------------
-- ;i
Fuel: ❑ Coal; ❑ oil; ❑ gas; ❑ liq. pet. gas; ❑-electric; ❑ other---------------------------------------; storage capacity---------______----__ --_
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Firing equipment furnished separately: ❑ Gas burner,conversion type. Stoker: ❑ Hopper feed; ❑ bin feed.
Oil burner: ❑ Pressure atomizing; ❑ vaporizing ---------------------------------------------------------------------------------------------------------
Makeand model _------------------------------------------------------------------------ Control ----------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Electric heating system: Type __________________________________________ Input ------------ watts; q ------------ volts; output ------------------ Btuh.
FHA Form 2005 For accurate register of carbon copies, form Form approved.
VA Form 4-1852 may be separated along above fold. Staple Budget Bureau No.68-11055.9.(Rev. 1-55) completed sheets together in original order.
Proposed Construction DESCRIPTION OF MATERIALS
No. ---------------
E] Under Construction (To be inserted by FHA or VA)
Property address _____-------------------------- CitY---- ---s -- Lv----- ----" ----------- State -x--'-
1------------
Mortgagor
---•------Mortgagor or Sponsor ------ - ------------------------ - 11 0---- - -------- it------------
------------------------(Name)
(Address)
Contractor or Builder ------ _ - ------------------------------------------------------'-- " " . ,,Fa
I --------
---
(Name)
(Address)
INSTRUCTIONS
I. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically described.
of copies, etc., see the instructions applicable to the FHA Application for 4. Include no alternates, "ore equal" phrases, or contradictor terns. (Con-
Mortgage Insurance or VA Request for Determination of Reasonable Value, q y i
as the case may be. sideration of a request for acceptance of substitute materials or equipment
2. Describe all materials and equipment to be used, whether or not shown is not thereby precluded.)
on the drawings, by marking an X in each appropriate check-box and entering 5. Include signatures required of the end of this form.
the information called for in each space. If space is inadequate, enter "See 6. The construction shall be completed in compliance with the related
mise." and describe under item 27 or on an attached sheet. drawings and specifications, as amended during processing. The specifications
3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Construction
required, when the minimum acceptable will be assumed. Work exceeding Requirements.
1. EXCAVATION:
Bearing soil,type
a
______mac__ _________ _________ _ _________ ` -_
2. FOUNDATIONS:
Footings: Concrete mix____' . r.+ Grt C i is•
------- ----- ----------------. Reinforcing...... --- --------- ------ ----------------------------------
Foundation wall: Material ------�--------------------------------------------tdC�40• Reinforcing g------------------ ------------- ---------------------- ---------------
Interior foundation wall: Material_________________________________________ Party foundation wall__________--______________-_____---______-____-______-______
Columna: Material and size--------------------------------------------------- Piers: Material and reinforcing------------------------------------------------
Girders:
_____ _______-_ ___-_____ ___----__ _---_--_--
Girders: Material and sizes--------------------------------------------------- Sills: Material-- - --- -- - - - - - -
Basement entrance areaway-------------------------------------------------- Window areaways ----------------------------------------------------------------
Waterproofing-------------------------------------------------------------------- Footing drains----------------------------------------------------------------------
Termite protection- - - - - - - - - -- - - - - — - - - - - -- - - -- --
Basementless space: Ground cover______________________________ Insulation ------------------------------ Foundation vents -_-____-_____________________
Special foundations ---- - ---- - - - ---- - - - -- - - -- -- - - -- - - -- - - - - - - - ---
- ---------------------------------------------------------------------------------•-------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
2. CHIMNEYS:
Material------------------------------------------------------ Prefabricated (make and size) ----- iai~=-ls-- Qrt------------------------------------
Flue lining: Material------------------------------------- Heater flue size__________-_________-___-________- Fireplace flue size_____________--______--_______
Vents (material and size): Gas or oil heater-_______________________________________________________________ Water heater_________________-__-_______________
----------------------------------------------------------------------------------------•---------------------------------------------------------------------------------------------
4. FIREPLACES:
Type: ❑ Solid fuel; ❑ gas-burning; ❑ circulator (make and size) ------------------------------ Ash dump and clean-out___________________-____
Fireplace: Facing ---------------------------- lining ---------------------------; hearth ---------------------------; mantel ----------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
5. EXTERIOR WALLS:
Wood frame: Grade and species __________________________________________________ ❑ Corner bracing. Building paper or felt-__________________________
Sheathing--------------------------- thickness ------------; width ------------ ❑ solid; ❑ spaced ------------- o. c.; ❑ diagonal; ------------------
Siding
_______ ______-__Siding-------------------------------- grade ---------------; type ---------------; size --------------; exposure-------- , fastening' '' g
---------------------
Shingles---------------------------- - grade ---------------; type ---------------; size ---------------; exposure---------"; fastening--------------------
Stucco-------------------------------- thickness ------------". Lath ---------------------------------------------------------------; weight---------------lb.
Masonry veneer------------- - ---------- Sills-----------------------
- --------------------------- ------------ Lintels ---------------------------------------
Masonry: Facing(,'_:._zA___ backup _ ______________________ thickness __ ______". Bonding-----------------------------------------------------
Door
-____-____________ __ __Door sills--------------------------- Window sills 12LLt_ v-_i to&ts.-- ----- -- -- Lintels_ *,S'*v
Interior surfaces: Dampproofing,___coats of--------------------------------------------; furring _ __ L ', ►ti ___Qa i
Exterior painting: Material -:_1LA_.;T? )_,'ULi_ii __________________________ _; number of coats.._
-- --------------------------------------
Gable wall construction: Z Same as main walls; ❑ other _________._____________________________________________________________________________________________
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
A*%
21. SPECIAL FLOORS AND WAINSCOT:
LOCATION i `�1'I�TERIAL,COLOR,BORDER, SIZEs, GAGE, ETC. THRESHOLD
� a�elri0 ;�la - c ua. l Llo c.oMa.
Kitchen--- - --- --- - - ------ --- --------------------
-------------------- ------------- -- --
.11 i�tftlG:G' 3 t7t7 .a S . � 1 j► - -------------- ------;_Q d------ - ---
Bath - - ----------------------- --
- - - - -
---- ------------------ -------
-----------------
LOCATION
MATERIAL COLOR BORDER,CAP,SIZES,GAGE,ETC. HEIGHT HEIGHT HEIGHT A2 SHOWER
fns® sil xvU-UncS-
ed Glt=w�u
Bath-------- - - ------ -------- -- --- -- - - ----
--- --- --- -------------------- ---------------------
------- --------- --- -------------------
- - - -- - --
--------
$athroom accessories: F-1 Recessed; material ______________________
number------; ❑ attached; material------------------------; number _
22. PLUMBING:
FIXTURE 7r--
Y•tiii�' J„VII�yf�R 3y��RE IDENTIFICATION I`IO. --FL�—
�� �yE�tLt .t - 1''fir.ae7 � --- _ ---- ---- -----------------
Sink
-------------
Sink- - - . ---- -----
--------- !�OLith a +--- -a
-------if --------
Lavatory - -
�Vater closet--___-- tail i it �" '� ---__ --- - -')D
� -------------------------------------
$ath tub------------ -----i-------- ------ - ------------ ..x.i '
S}Iower over-tub*_ ------------
---- ---- --- ----------- ------ --- ---- ---
Stallshower ------------------------------------------------ -
Laundry trays--- ------------- ---------------------
---------------------
------ ------- -
----------------
*M
------ -----
*❑ Curtain rod **❑ Doh ❑ Curtain rod
Water supply- ❑ Public; ❑ IUmmunity system; ❑ individual (private) system.
Sewage disposal: ❑ Public; ❑ community system; ❑ individual (private) system.
*Show and describe Aividual system in complete detail in separate drawings and specifications according to rewire
House drain (irAde): ❑ Cast iron• ❑ tile; ❑ other_________________ House sewer (outside) [� Cast Iron• E 1r�t'le;
El other,_-_______ __-___
----- t3 t1 trC�il- S'i'�f docks, pupber ------------
Water piping: ❑ Galvanized steet! �lpex" ; ❑ other ___________ X77
Domestic water heater: Type ---------------------------------------; make and mode.lY•---- ------------------- ---------------------------------------
recovery--------------------- gph. 100° rise. Storage tank:Material---------------------------------------------------;capacity--------------gallons.
Gas service: ❑ Utility company;❑ liq,pet.gas; ❑ other-_______ ___ _____ ___________ ____ ______ Gas piping: ❑ Cooking; ❑ house heating.
Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump ______________________________________________________-
---------------------------------------------------------------------------------------------
23. HEATING:
❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system.
❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model___________________________________________________________________________
Radiant panel: ❑ Floor; ❑ wall; ❑ ceiling. Panel coil: Material_ ____ _____ _____________________________ ____ __ _________ ----- --------
❑Circulator. E] Return pump. Make and model____ __-_ __ ___ _ _____ __ __ ---------; capacity _ gpm.
Boiler: Make and model --------------------------------------------------------- Output ------------------ Btuh.; net rating ------------------ Btuh.
-------------------------------------------------------
-----------------------------------------------------------------------------------•---------------
Warm air: E] Gravity. ❑ Forced. Type of system------------------ ----- ---------- ---------------- --------- --------------- -- --- ---------
Duct material: Supply______________________ return--------------------- Insulation ____ ____ _______-thickness_________ ❑ Outside air intake.
- Btuh. p
Furnace: Make and model -------------------- --------------------------------------- Input -------------------- ; out ut---------------- -Btuh.
---------------- - - --- -V�.41 ,_GO-------------------------------------------
Space
-------- --- -------' ---------Space heater; ❑ floor furnace; E] wall heater. Input______________________ Btuh.; output ______________
____Btuh.; number units ____________
Make,model .---------------------------- - -------------------------------------------------------------------------------
•---------------------------------------------------------------------------------------------------------------
Controls: Make and types ------------------------------------------------------------------- - --- --- -------------------- --- - ----
-- _---- -- - - -- ---------- --------------------------- - -
Fuel: ❑ Coal; ❑ oil; ❑ gas; ❑ llq. pet. gas; ❑ electric; C] other-------------------------------- ___ storage capacity___ ________ _ _ __-____-
--------------------------------------=----------------------------------------------------------------------------
Firing equipment furnished separately: ❑ Gas burner,conversion type. Stoker: ❑ Hopper feed; ❑ bin feed.
Oil burner: ❑ Pressure atomizing; ❑ vaporizing --------------------------------------------------------------------------------------------------------
Makeand model --------------- --------------------------------------------------------- Control ----------------------------------------------------------------
--
FlPetrie heating system: Type ------------------------------------------ Input __---------- watts; @ ____________ volts; output ------------------ Btuh.
FOR OFFICE USE ONLY
Date,�
Permit t 4pJ
4
TOWN OF ATLANTIC BEACH
.. ...
FLORIDA Valuation $
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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic
Beach and all rules and regulations of the Building Department of the Town 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 Town of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can
be verified.
Date----------
---------- 19
---- i� 47�F
OwnerOwner -----------------------Address---------------------------------------------------------Telephone No.------ -------------
-----tom. - --- -------------------------
Architect---------- ------------------------------------------------------------Address-------------------------------------------------------Telephone No.------------- ------------
Contractor Builder
!�*_ _Mw-C---------------------------- ------Address.------------------------------------------------------Telephone No.-- ---------------------
Lot No.--.. / —V"
-------- ------_-Block No.-------- --I--------------Sub Division------------------------------------------------------------------------Zone----
- ----------CLI!Street---------- --- -- ---Side Between__----- ------- .......................and----------------- Sts.
----------------
Valuation ---For what purpose will building be used- --------------------Type of constructionAw-onry, -----
Dimensions of Building,_3yr100'1.# 9'v
u_---X-4V_Dimensions of LotJ �11_cl ✓
---------------Size of Footings-.0 ------- -----
Size of Piers._--____---_---._. - _.__:Size of Sills_-__--_-- ------_--_-Greatest Sill Span in ft------------- -------.-Type Roo
How will Building be, Heated?. CC's f�r _Will Building be on Solid or Filled Ground?
Size of Ceiling Joists_..___ _V_ Distance on Centers
------------------I Greatest Span------i--------------------
Size of Floor Joists_-------- y )p
Size of Rafters---------------01�? ...... Distance on Centers-----..-, -----------------__....... Greatest Span_-__--__---.-.--------------------------- "
- ---------- --------- Distance on Centers-... ------------------ Greatest Span-------- Of 1P
----------------------------
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.
Roof_
ttz /
X
Two copies of plans and specifications shall REAR LOT LINE
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection. co
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, 'which are a part hereof, and in accordance
regulations of the Town ntic Bea&, t.
with the building
Signature of Builder
................
--------------- Address..-/
-----------I------------------------------------------
------------------- ------
71" --------clh_
Signature of Owner----------------------------- 414,rl** , I
-------- ------ ----- -- Address.----------------
-------------------- --------------------
Instructions to Builders And Contractors building or working in the
Town of Atlantic Beach
1� No work on any building *hall be started without obtaining the
necessary permit.
2: No changes in the approved plan shall be made without the approval,
of the building IrAspector-,
3 Inspectioneg The following inspections shall be called for:
A,: Foundation, when steel in in place.
B. Plumbingo rouqh.
C. Lintle, whoa steel, is in place.
D. Framing, before any wall covering is placed.
R. Electrical, City of Jacksonville.
F. Septic Tank or So wer, before covering.
G. Plumbing, final.
H. Final, when all work is complete.
Any concrete poured or work covered without the necessary inspection
shall be removed or uncovered at the request of the Building Inspector.
4,, After the final inspection and upon submission of a drawing showing
the sire and location of completed building on lot to the Builling
Inspector a Ce rtificote of Occupancy shall be issued. No building
shall be occlupied t*fore said c*rtificate is issued.
5, Plumbing permit doas not cover sewer connection permit.
6, All contractors and sub-contractors shall have occupational license
issued by Town of Atlantic Beach before doing any work within the
Town Limits. Contractors shall furnish certificate of liability
insurance when obtaining license,
7. The penalty for violation of any provision of the Building Code or
of Ordinance #186, shall upon conviction thereof be punished by fine
not exceeding $500-00 or imprisonment fox, not exceeding 90 days, or
by both such fine and imprixonment.
8< Copies of The Southern Standard Building Code and Ordinance #186
are available at thea Town Hall for reference.
9a When a sidewalk exists across front of building lot, said sidewalk
shall be placed in first class condition before final inspection
is requested.
I have read and been furnished a copy ,f the above instructio4a
in connection with Building Permit No.
Date T1 Signed