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Permit 745 Plaza (vault) u`ss CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD � ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 O S',5 9'� Application Number . . . . 05-00031046 Date 8/23/05 Property Address . . . . . . 745 PLAZA Tenant nbr, name . . . . . 1 CU AND 1 AHU Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ OSTROWSKI, VALENTINA BEEHIVE HEATING AND AIR COND. 745 PLAZA 1729 DIBBLE CIRCLE EAST ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246 (904) 646-4308 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 63 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63 . 00 63 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 63 . 00 63 . 00 . 00 . 00 PERMI APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUIL ODES. BUILDING OFFICIAL 77 7777777 t}E11 ENT C)F BUILL3ING CITY`11: F ATLANTIC BEACH, I^'I m t '14 be,r a 1.1 +I Addy 145 PLAZA STREET, ; 1A Ia Type*, L3I!+�I l :" AT 1�, '' "' B "I LrC?It` 33A , of-,W cs�`k:-ALTXMTl Oi " al "4> Rnq �.P�c�P�►�e�d` Us���$It�C��E. �`AI��f Subdi�r .sf, Esq, 'Val,40. C3 . ." ' .apt,: r 0 .Q 0, '+ ►, , M PPLICATIC3W W PSI° IT Ad +C FLI RILA: 4Age4aftd4e ORKA F IEX'P* � sx E s V' NOTi z- ALI.:� E FC)1#Ii�B AM FOMNGS MIT T BE INS TE BE:��iE POUNNO. PERMI'f VC)f1�SIX MONTHS AFTER RATE 01:ISSUE Blllt�iNta AMTERIAL,F SBl I AND L ;tBRla"FROM THIS WORK.MUST,NCJl"Be LACEa IN PUB.IC'SPACE;AN©MI:IST BE CI IAREG?UP AND'HAt1L1~fl A1MA1�BY;EITHER.C;ONTRACTC)R OR OWNER IN T ULT WITH ANICY0 f U ©,ACC�INC".TC APR I~I `"NS WHICH ARE DART OF THIS PER IT AND SUBJECT TO'REV VIC ,4TIC)N OF AI KICaA 1:E.P VISI }NS OF LAVA# ATLANTIC BEACH BUILDING©EpA#, NT a ., CITY OF ATLANTIC BEACH iAtPPLICATION FOR PLUMBING PERMIT JOB LOCATION: �`4 S P rlQ Z-a F _ OWNER OF PROPERTY: PLUMBING CONTRACTOR CONTRACTOR'S ADDRESS: C STATE L I CENSE NUMBER:Qyc.. 13 "1 TELEPHONE: ©- I 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 &-" 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 8306 D4tl1p' MF. N?.f�T=T3tJILTyiNllt CITY Of'A',LAt�TTC S�AL�hi I . 2 .1 fl I N. .: 7th �ytc5VE Y LAA3yv t. �t�gYTt l y� ' scarL+t ,L�k ,w �a terra t � p tEdit SCTO ION ork Lot,: #Yl (T J �Tp.W+4�W "W '�ryG,(° ,tion L✓W, KT ':r "'�R. 1i �s, r� o tTh�'T"i .# Ga' .1. w� 1" ' ? TLt�ti+ d VAlu+ :: r prov �,0 Q0 f,.M LORI r� r y . . � sl I�x tw RADON t�AS°".HrtR.Si $0 Oro RADON r 1�D m 30. :n i O �... TAP. i o0 'a 'LTO SHARE L CRC ,OONNEC,T T.ON 4 O ! }"T' 5:: i f+IQTICE ASL CtT►t±IC�iT �FQRM3 AND EClOtiNtiS MUSt 8E tN PEC7 ©B�Ft3igE t�QC1RINli I77 PERMIT VOID SIX MONTHS AFTER MATE E ISSUE ;tt T It�tCa MATERIA LRUT BiSH aNT7 pEBRISIFROM THIS WORK MUST'NOT PLACED IN PUBLIC SPACE,AMD MUST BE Ea'UP AND£4*y ED AWAY'BY DITHER CONTRACTOR ESR OWNER .T C L"Y ITH T E MECHANI S' 'LIEN.' L�,A i i RES IN PAYING 'TWICE 00. 1.Lp NG= NPR YE�VtENT t�fl.AC ORI t1+�a Tp,APPROVE 1 PLANS WHICH ARE PART OF TW$S PE RMIT A1V.p SUBJECT TO REUQCATION FOR vt4t:AfiiEN pF`At?PLtCAi31t�"P# O�ft>a1liV.S OF LAW. EACH OWL T w 0 Ramipts omm T0441 T�a� Ilfq. �3aex 16 z� a� APPLICATION FOR FENCE PERMIT Omer• namePhone J----------- .� �=.C77�_ q 1+ JobAddress-- - -- r-- --- ---- ----- ---------------------- � ___ ' . Lot Z____Block and/or Unit • Subdivision Contractor if different from orner_ __ ___ _____________________ ------------------------------------------------------------------ Valuation of fence t------------ Corner or interior Type construction_ a, 4 __�__ Show location and height of fence as well as location of streetts). Owner signature_ .- Date _ � � ------------ - / Contractorsignature----------------------- --------Date-------- C Jill J r? i Office of Building Official REQUEST FOR INSPECTION permit No. District No. Time P.M. Received �ryLocality .�- Job Address (it y /l�- ^ t Contractor MECHANICAL oWner's J �' ) PLUMBING Cond.& Name ELECTRICA 0 Air. CONCRETE O Rough Heating BUILDING El Rough Wiring Top Out Fire Piece Footing Te p Pole Framing Stab 0 Pre Fab Re Roofing 0 Lintel ❑ A:M: READ FOR INSP Friday_—— Thurs. Wed. A.M. Tues. C Mon. P.M.© �7 InspectionMade Final Inspection❑ Inspector Certificate of Occupancy Date K DATE:Q� PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION ( S) HAVE: BEEN MALI: AND AkE: SATISFACTORY: ---------------------------- SINCERELY, BUILDING INSPECTION DIVISION cc:FILE s at: AR1"t1ABN6,040 77 T Of BUILD NO: CITY,E? ATLANTIC BEACH I D tt l 'iaN _.� .��. LOCATION M ) FCRMAT t H ' rNlnr <aC#CJr' AcLdr0oo t 750 PLAZA A, 3223 1 ; ri s' r ''YP -1Sil }ti F1LAI 1: Lot: llook a' secticin z OP ALE FA Y �`crrrnArhip a RAG: 0 gad : us t1 bdixia' ot ' t + 'ar. . 5 0,220 jy *220''50 yryy , _26/92 } Z APPLICATION FEES __w. .. P1 ' .5C} A m w 10RA F { .C1CI SACRA Lt�� 3 ' EST 43 ON GAS--H. R. S. . ,. ..._.. c AIFQRXA TO A r $0.00 Na � WA rEa TAF UQ St irk, TAP7, ' 'Ry)`RA,04lc SHARE,; $C?.40ja f -Li ,. �1YINSPECT F49 Ct.# '#�1f�'tEESf .NO CIE—A"CL'NC�BTE ORMB AND FOOTING&MUST BE INSPECTED BF.F0ft i gURINQx PERM#TV016 SIX;MONTHS AFTER DATE OF ISSUE SBaf ANJD£9R15F7tTk#S WORK MUSS N{ 1N PSL#CSRAESUiCGI ,AND MUST BE 1;E AI4 D,t1P 1 # 0 44AU' OR OWNER AWAY BY EITHER CONTRACTOR ;To WITH TH MEGNAN�CS' lEN �A� SAN RESU�T 1N �ro¢ (� f *• •'���PAWNO MI'C t�ORSUI 0ING IN�P�tV SITS}ri ked w � CORDING TCJ APPROVtO I?'LANS WHICH ARE DART ©F THIS PER f7 ANE) SUB" RE:VQCATI Ft 3°s H-CIF A 1*I AB1.Er PRC1�18#ChiS OF, LAW, ATLAPITIC. AGK—3U10iNCa DEPARTMENT ENT . n r..r CITY OF ATLANTIC 131:ACfi PERMIT APPLICATION ROOFING Owner(s) : Address; _—�T--5�_P•C.� Z � Phone: Lot # -- or r3locBlock -- #►._..--_..,.� -Subdivision Contractor: Address:`_ Phone: State License No. Describe work to be done:����� - 0 C5 a r Materials to be used: L S Signature OWNER: ,i Date: Signature CONTRACTOR: rValuation$ DEPARTMENT OF BUILDING �RPERMIT NO. �O "'CITY OF ATLANTIC BEACH,FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 7,5 IDate A��at:ct2x -19_$a. 7.51CKT 771 I �` �3/�' /SRE-ROOF Fee$ 7 Q 1 , *00CAC 7l s-t- 7 571 i This permit not valid until above fee has been paid to City Treasurer,and is 1 { subject to revocation for violation of applicable provisions of law. INTRACOASTAL ROOFING CO This is to certify that i 1281 W. Adams Street has permission to byik i Re-roof I residential Zone I� Classification Tina Ostrowski Owned by Block_-------S/D Lot House No. 745 IBLAZAA i According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS * AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �---► O Building material, rubbish and debris ---"� z from this work must not be placed space, and must be cleared in public up and hauled away by either con- owner. Building Official II i PERMIT DATE CONTRACTOR FOR OFFICE NUMBER USE ONLY ISI PLUMBING ELECTRICAL .SEWER WATER I A CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT Building Owner / �nG. �S '�'✓ � I{_�_ _Phone d_�/ _ST 9'7 Job Address41 Lot # , Block or Unit # _, Subdivision Contractor _Tw ✓o,c o oX s k�� , (�), .�_ p Phone_--3 98-6 G 75 1 v Address 1 a$1 LJ . A 0113-vtm3 License Expires�30� Valuation $ �� Sas,00 Materials to be used: Signature of Owner Date Signature of Contractor _ Date S' 83 JCITY OF r Office of Building Official /1/ REQUEST FOR INSPECTION Date </?Av Permit No. ` Time A.M. Received uC P.M. District No. �l J� Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Ho gh ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ op Out ❑ Heating Lintel ❑ ,�i�,��/ Fire Place ❑ 1-1-4 - Pre Fab- READY FOR INSPECTION A.M. Mon. Tues. ed. Thurs. Friday Inspection Made Inspector _ / Final Inspection❑ Certificate of Occupancy - Date C�r+r C MACH _- .. ..- Tom- "I AT, T' AtA r:a" ? ► A" L. %TIC j$EACH j. 1 rAddro 32Z t t A G1 � ► work A . ATYp AL rxWo rt tss4c ` rc� 0 '40*a �;I�tt�� Towit FAQ IBX 5ubd��ri�+icaxt:� a. 31 igsr�s Cade " 0 1 a ' cat ►' F 41.Ute :; .CD ` lar4c C CENTRAL HEAT AHS ,AIRS 3 :. GA Its *EES - --- F; .» , T C . -- q P P Z 47.00 I"PACT Aid �TI,EET ]`'.$E #C. 6 FLORIDA e' h *' "DoE° !CSA "* ��R. S. �y7 R }fl t CCAS 5% Ott?;doTAS' 'so 00 MVP it" 14 ] 2 :.Li gC. e IMPACT SEE o. Nt�"I'IS: l N©TIC,E`--ALSCpNCRETE 4It MS ANIS FOOTINGS MUST 8"'NSPECTEp 8 ER0RE POURING PERMITV I©SIX MONTHS'AFTER DATE 0 ISSUE gL14LptIwiG MATfrR1AL,RU.B$,,lSH;ANp D BRIS,FR4M THIS WORKyMUSTAOf, PLACED IN PUBLIC SPACE;AND MOS BE CLE!# EO'up A '6"HAtlLE AWAY BY EITHER CpNTFiACTdR ORO WNER. 'O':CO ' .' t`fH.THE MEGHAHI�'�" 1 l.�►W SAN RESULT 1N TO : fCP !" ' '19,111F 'PAY, TWE FSR �.1161111�IPt11E +1'�" , APPi £?1EC1.R4:ANS WHICH ARE ,PART OF THIS PE lu4IT ANd SU1 CT,TO FdR },ACCORpIFfiG"T4 1147.1 s APPLlpf MMR ICASL pF±tIS1QN$ OF LAW: 5 °,ilt C"BEACH UILI�INa pEPA FiTMENT f CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 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 I&ACCORDARInc WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. VI'" ELECTRICAL F RM: ," MASTE ECTRICI IG TU NAME+ l ADDRESS:..LZ . _RFD BOX BLDG.SIZE BETWEEN: RES.*-r'APT. ( ► -COMM'( ► PUBLIC 1 ► INDUS.I 1 NEW( ! OLD(-fi- REW.( 1 ADDITION ( 1 TRAILER ( ► TEMP.( 1 SIGNS ( ► SO. FT. SERVICE: NEW( ► INCREASE ( 1 REPAIR4--}- FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKERAMPS PH W VOLT RACEWAY .19X, I$T.SERV.SIZE AMPS PH W a'/0 VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN i TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. sr•too MPs. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TAANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL H AT: KW-HEAT I , 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 32233 APPLICATION FOR MECHANICAL- PERMIT CALL.IN NUMBER- IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV. - LOCATION s►►..► Address: OF Intersecting Streets: BetweenAnd WILDING subdivision 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 rerfo•m said work i^ with the attacltfd plans and specifications which are a pert hereof and in accordance with she City of Jecksonvil's ordinances a••o s•e^owes of good practice listed therein. Name of Mechanical Contractor Contractor (Print) CgAev Master Name of Property Ovrnor r $;gesture of OwnerM' ASignature of or Autlterise ant Architect or Engineer 1 111. Cpwet4 IN ON A. Type of heap fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS WILDING OR SITE? Goa—0 V 0 Natural ❑ Control Utility IF YES. GIVE NUMBER OF CONSTRUCTION O Oi PERMIT O Other — Specify1 150 IV. 6NCHANICAL, EQUIPUGHT TO M INSTALLED ATURE OF WORK (►te.:de complain(af d canposseoM on bed of �MA form) Residential or [] Commercial Heat 0 Space 0 Rack O t6ntnf O Floor New Building A:r Corsddiosing: (3 Room CaMre! Existing Building a / / prof Syeteotl Mat'414C(A uieLswReplacement of existing system Mosimum capacity_laaeo a f M, ❑ New Installation(No system previously!installed) 0 Rehigenffors O Extension or add-on to existing system 0 Cooling fearer Capacity ❑ Other -- Specify ap+�• (3 Fire sprinklon: Number of G..d. 0 Surfer 0 MionliA 0 Escalate.— —(number) 0 Ga�ee peM� (twlnbar) THIS SPACE FOR USE ONLY (ba1w1) El Took (lumber) Ratnaele 0 LPG coegi (number) O Unravel pressure trash" 0 Milos Permit Approved by Dos,. 0 Oilsa► -- Specify Permit Fee LIST ALL EQUIPMENT AIR CONDLTLONLNG AND REFRIGERATION EQUIPMENT ?IamOes Vnft DaBadpuon W&I Number X"Uracturtr caftsmjy A so !Me09 F CO CITY OF ATLANTIC BEACH, FLORIDA App►owd by APPLICATION FOR ELECTRICAL RERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:..,_.._ A 19�? 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, p WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 1711 I-Ld -S ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNA URE JOURNEY aN NAME, _r2. C S ren�,y_ k,^. ADDRESS: Cf S C ' .. S _ RFD WX BLDG.SIZE BETWEEN: RES. XA ( -- APT.( 1 COMM.( 1 PUBLIC i ) JNLt US.( ) NEW( ! OLD�4- REW.( 1 ADDITION ( ) TRAILER ► TEMP.( 1 SIGNS ( 1 SO.FT. SERVICE: NEW( ) INCREASE(>. REPAIR ( ) FEE CONDUCTOR SIZE l l AMP' G COPPER I ALUM.Y--) 0 SWITCH OR BREAKER P-66 APS PH W ;'y VO T S c RA WAY EXIST.SERV.SIZE 0 c AMPS / PH W. .2 VOLT f RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT Ll O.1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS Doi ,, ENT,Ot�BUiLDtNtA CITY QF ATLANTIC$fa4C' M /yam `j�� 7}��{ y�V/�� ��}y (y�� u, # "• w ew..M'N 4.r M+►..1w.w M Y ll�q I x Po4M', I V* Ti ► + 545 A4dre �« ''.4 Pte ` � `LC?RIDA` 3233 Cl sof T e k« ES IPT1 ..ww........ » ... 'opo S t�TILIT i t13 n 1 Cc►d :«. tS Subd�.v 8 on jRQY1,L PAL S UNIT p £- 0.00 ota ALAI# NON1FESS . .. _.. { $37 . 5U E TSA; IMpAGT oESC �ldc Tilti' pi ORIDr q✓i �� .K: vv4 O �� 3. 4 rv. ZVT 0 .00 SHARE tE ACT '101' ssc I'm .,�iJC�il POW N©tlC,tc*M-AU. CQft FORM$ANa 0001140 "UsT GTFs:tJ 9Et:QRtE FtlEJtiING 'PERMfT Qid 9#X`M�J"LATHS AFTER`DATE ISSUE t!►LC31Ni3r MATERIAL,R'kJB$ISE AND DEBRIS FROM TM IS WORK MUST NOT,8 PLACED'IN PUBLIC SPACE?,AND MUST BE #.EA QAJPANE)HAULED AWY BY`E ITHER CONTRACTOR OR OWNER �f tit �s �u 4� ► � Y � T00w CIO l9Sl3t+II AC�Ct7Rfl1N€�i TO APPREi/ D f?t.ANS'WHECN ARE PART"43F THES PE MIT,ANt 3UE3ELitMN TEt)A1- Ak#�.I+Ck� E f'# 1 # NR tC�AiAI: ATl:ANTIC LATI WSUILDIN4 DE04RTME NT QIP?tti = CITY OF ATLANTIC BEACH BUILDING PERMIT(9601 CALCULATION SHEET Address -4 Ys-.... Z A K a>V(T1o0J .S ff Date— 3 Heated Square Footage _@ $O per sq ft = $_ Garag She �'_(�, @ $ i41,0per sq ft = $ c�j 5 2— Carport/Porch @ $ per sq ft = $_________ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ _ TOTAL VALUATION: $q Total Valuation 1st 35 lC, _ S � 0 u4 Remaining Value $ 5- per thousand or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee ( ) Fireplaces @ $15 .00 $ —0 BUILDING PERMIT FEE $ 7_ BUILDING PERMIT $ S 7 WATER CONNECTION $ SEWER CONNECTION $ WATER METER/TAP $' CAPITAL IMPROVEMENT $ _ ( ) RADON (HRS) .0095 $ ( ) RADON (CAB) .0005 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ OTHER $ GRAND TOTAL DUE $ � ADDITIONAL PERMITS ORFEES: Mechanical_ ; Plumbing___ Electric/New Electric/Temp ;Swimmi.ngpool ___ Septic Tank Well _; Sign_._ Finish Floor Elevation^ SurveyOther_ Sign__._ CALCULATIONS and/or NOTES:--­-­---­--' ^ �----- MAR 191993 CITY OF ATLANTIC BEACH Building and Zoning PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : LE J`� S. ��/`6(u'5A:/ Address : -�,� f�ZA A&A/V7/'C / Phone : 7(7�� vZ� Lot #_aL_ Subdivision:Block or Unit # --- Contractor: Address : ,4Phone No: Describe work to be done: (.L- �1 Present use of building: Valuation of Proposed Construction: Proposed use: �t Is this an addition? A&C If yes , what are the dimensions of the added space: 0— ft . X ft . Will the added area b heat d and cooled? New electrical (or increase)?,`��� ew plumbing fixtures? 61-M(New fireplace?._ New Heat/AC?_�+-c SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , , NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: 3 f 9 Signature CONTRACTOR: Date: pP . 0 ovol �F�N �N N W,vtk\NG ? 'A/d y ,. it,. a MAP SHOWING SURVEY OF Lot ?l, Block 1, as shown on the Plat of ?loyal Pal-ms Unit 1, as recorded in i'Lat 1_ook 30, Pa(res 60 and 60A of the Current Nbl_:i c Records of Duval da. For: Virgil F. Corpuz .4c Rosita P. , his wife I i j l �cz;' f^ r 3 O.Z /jV 39.z iz.5 �✓ sToQy I ,J a0 N 41A 7V-5 N , m � I N ILI.z o. 'B �• 8 �37'Z�"�-✓. fid.X05' OWNER BUILDER PERMIT AFFIDAVIT STATE OF FLORIDA ) COUNTY OF DUVAL ) ss CITY OF ATLANTIC BEACH ) BEFORfM the undersigned authority , personally appeared before me (1r,�- J)'/N'4 S. , who being by me first dul y sworn, deposes and says : I , 5• C)Srke9wSk-i am the legal owner of the following property: Lot 3 � Block Subdivision k4i44 1A Z A y1 /_ Street Address P I am: apRlying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 489 . 103 . Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors . You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to act as your own contractor even though you do not have a license. You must supervise the construction yourself . You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25 ,000 . 00 or less . The building must be for your use and occupancy . It may not be built for sale or lease . If you sell or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is in violation of this exemption . Your construction must be done according to the building codes and zoning regulations . It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances . I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the issuance of an Owner-Builder permit . Further, affiant sayeth not . PROPERTY OWNER N • - •4 �° 1 ; WWW., �� �r 7;. r f • 1 y � i c �i4 , a; •a { f 1 1 � t ;� '�++w.._�.,.w� �q ate.. •'^m..+n..l I F f tr. ` • "✓ �r 6 �1 i�.st r c,) , Qy off° �, AC., �, I� k ; Y z �g z 4 m r 17 (� l fit ' a_T t , I i kr iii 0'w ' , pt i • �f ILA. 1947 LAWS ri 713.13 0A14C0 from#*40e ONVUre of eammPnrestwitt MggAlli IN OU•LICATi) TO fvhom it nwVran�ern: The undersigned hereby informs all concerned that improvements will be made to Property, and in accordance with section 713.13 of the Florida Statutes certain real is stated in this NOTICE OF COMMENCEMENT. the following information Description of property...« .... � ...... ... ». .................... ......... • :{....»/ .`..�:�:``. :: :�: .................................».......»....«............................... Generai description of improvements...... ti?....�........t'..a.�'...�.�.. ...............................................�........................... . -i- -- , . . .. i .... . ... .=. - «............... ..... ........»...................4 � .:.......!?�?: ..... C��z�/ pt�, 4, �� .. .rtA............. .....� �L,e� t �........ �Lz....... � -d' .............lti .. /� " .................................... ....1`7`x.: a :..;:.....,(} lel......... Address..74/, ....� r f.......... .......„ cfl. ... Owner's interest in site of tits inWovsm.�.............. ' C S �rJ P� �= Fe* Simple Tete holder (if other than owner) ........................«.......«..»........«........................ Name........d 14JjL)e:...I' Corer N' 'e actor....�?.�...».«....«........«.«.....................«:.................................... Addr*ss_........................... .«........................................ :.»«..................................................................................... «.««..«... Surety (if any).- .» y...............»................................................................................................... .. «..«.«.«....... «.«... Address.....1�..........««....«....».. ..,... .... .. .............�:........« ..„........«..............................................«...............«............................Ammo of b&W &..................._.......... Name of person within 16 Stat* of Florida dssipnated by owner upon whom naias or aper be served: doomtents may .................................................«...................«........«..«..........»»................». Address.. f. ....««.......«...„..........«.»...........«................................................................„...................................«».............................................. In addition to himself,owner designates the following perspn'to receive a co PY as provided in Section 719.13(1) (F), Florida Statutes. (Fill in at Owner's option).the L.tenor's Notice Nam..... :_.............«............................».....................„.......... Address..:�(�........................................ ................................................. . .........._..«..««........«..«.......«...................... THIS SPA”►on nsCoNosR•s Uss•oNLv......................................_......... ,.... ,� .......„.. ..«............ .....«...»......................«......... CITY OF ATLANTIC BEACH Sit 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000175 Date 2/22/07 Property Address . . . . . . 745 PLAZA Application type description ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2660 ---------------------------------------------------------------------------- Application desc re-roof - 25yr.Tamko Shngl . /2 ply-15 lb. felt ---------------------------------------------------------------------------- Owner Contractor ------------------------ -------------------=---- OSTROWSKI, VALENTINA SHORE ROOFING COMPANY 745 PLAZA 914 7TH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-8842 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 45 . 80 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 2660 Expiration Date . . 8/21/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 45 . 80 45 .80 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 45. 80 45 . 80 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CYIT OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. IS CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION Date:,2- PLEASE SUBMIT(2)COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: 74/5 /0/#-Z6 A4 tn4,L G.i,3-4 J l`t l 2-23 3 Owner of Property: Vkj-r, &e,,n- .5// eJ.S� Address: 13 � (- �k- Telephone: �fv 77 Contractor: �,. �,.tip State License Number: Contractor's Address: qj j �"�AyZ -� ��r3z4�t F1 6 2.-rO Telephone: 7 C `lS �/2 'Falx: Scope of Work: 15 4 C 4✓ 0 �� �`r f9, 2&t Deck Slope: Greater than 2:12 Less than 2:12 Valuation of work: �, D Product Name(Example:Timberline): Manufacturer(Example:GAF): ASTM Designation(s): Required Inspections: Sheathing and Final A Signature of Owner: &ja;t,,jd Date: c)-/L07 AS TO OWNER: Swom to and subscribed before me this I& day of be�a r� ,20 09 St �i 146 eAff" FiQR P�� u Notary's Signature: EXON t0=0WO comm s2U:nzotewwad awu(goo ,4Personally known i.....:'a':�`;,..�,�Fkfta..otw Y, . Produced identification ` Type of identification produced�1. Signature of Contractor: Date: AS TO CONTRACTOR: Swom to and subscribed before me this , day of� ua. sy ,20 Ot State of Florida,County of Duval Notary's Signature Personally known r Produced identification �c, e«aad uwu(WO)432-4254: Type of identification produced i,........... Fbli Notary Assn.,enc " 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fag: (904)247-5845 -http://www.cLatlantic-beach.fLas Page 1 Revised 2/21/03 �Ss, CITY OF ATLANTIC BEACH } 800 SEMINOLE RO" ATLANTIC BEACH,FL 32233 tt INSPECTION PHONE LINE 247-5826 Application Number . . . . . 07-00000173 Date 2/21/07 Property Address . . . . . . 341 9TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc re-pipe/10 fixtures ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ KEISER, JOHN ATLAS PLUMBING CONTRACTORS, INC 341 9TH STREET Q/A:RIKER, JOHNNY ATLANTIC BEACH FL 32233 3336 PEELER RD. JACKSONVILLE FL 32277 (904) 333-0729 ---------------------------------------------------------------------------- Permit . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/20/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PER1b r IS APPROVEDONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA , WELDING CODES. 4 CITY OF ATLANTIC BEACH t' PLUMBING PERMIT APPLICATION Date: 7441 Property Address: 5 Owner: J0�y / Telephone#• // 71-as &61 , lNcContractor: 1 !aS F ��-'��1 c o ti?ra 7a�' Telephone#: 5 3 3 Z `( Contractor Address: 3 3 d' X- V Fax#:(go4l) 3 .2 Contractor Signature: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, ❑ New list the building permit number: Re-Pipe Number of Fixtures: Z Bath Tubs Showers 2 Closets Shower Pans / Dishwashers �_ Sinks Disposals Urinals Floor Drains / Washing Machine z Lavatory Water Sewer f Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: /0 X$7.00 + $35.00 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800. Fax: (904) 247-5845. http:l/www.ci.atlantic-beach.fl.us Revised 9/06 k CITY OF ATLANTIC BEACH CROSS CONNECTION CONTROL BACKFLOW PREVENTER INSTALLATION REQUIREMENTS INSTALLATION: General installation instructions. 1. All devices larger than 2 inch must be installed on hard metal pipe. The metal piping must include all components up to and including the first upstream and down stream underground elbow joints. 2. Assemblies 2 inches and smaller may be installed on PVC pipe. Schedule 80 pipe must be used near trafficked areas. Support brackets and guard posts are recommended. 3. Device assemblies are to be installed a minimum of 12 inches above flood grade. Measurement is to be made from the lowest point of the device. The maximum height of a horizontally installed assembly is not to exceed 60 inches. No vaulted installations are allowed. 4. Vertical installation of DCAs is permitted on fire risers only and only if approved by USCFCCCHR. 5. All Devices are to be installed in a manner to facilitate testing. All valves must be fully operational. All test cocks must be easily accessible. 6. Freeze protection is required for Fire Suppression System Backflow Preventers and is recommended for all other Backflow Preventer installations. Such protection may not prevent the unit from operating or being tested. All Backflow Preventers must be inspected by a COJB representative prior to application of freeze protection. 7. Thermal expansion must be addressed in situations were a device application may restrict such expansion. 8. AVBs and PVBs must be installed a minimum of 12 inches above the highest outlet served.No valve may exist downstream from these devices. 9. CALL MALCOLM CLEMONS AT 247 5839 CITY OF ATLANTIC ANTIC BEACH ��:. . NIEC AL PE R 41T APPLICATION Propel Address: � A Date: $ 2.3 QS -- S NAZ Owner: • vA t_�tiT,,4 Contractor: STROws' ' 6EE HIVE u Telephone#: Tito-Z7� E RT 1 N 4 � G � Contractor ' ` Address: 172-5 Telephone#: Dig Telephone c� R _ '�y-�- 3o In consideration of ''--- with the attached Perr7ttt Ven for doin Fax #: 64, _ LI-76,2 Plans and specifications which are work as described in the a ood ractice listed therein. arc statement We Type of a Part hereof and in accordance hereby Heating Fuel. with the Y agree to perform City ofAtlantic Beach ordsaid work in accordance uutnceS and standards of GasD Electric Ii'other cxtnstruction is bele ' or site,list the buildln g done on this building D Oil _LP _Natuna! Central Utility g Permit number: D (?then-S ifv MECHANICAL EQUIPMENT TO BE INSTALLED 1� ALLED Heat SpaceNATURE OF R— Air Conditioning: Roo Recessed ✓Centra! D Ducts stem ✓Centra! —Floor M �, ym: Material Residential DMaximum capacity--- ----- Thickness Refrigeration ---- _ D Commercial D Cooling Tow `-------""--------cin' D er: Capaci Fire sprinklers: D New Building D Elevator: Number of Heads gPm D Gasoline Pimps Manlift _Escalator Existing Building D Tanks --,_(Number) O ----_.._(Number) Replacement ofEXLsting System LPG Containers (Number) D D Unfired Pressure Vesse! New Installation D Boilers (Number) (No system Y previous! installed) D Gas Piping D Extension or Add-on to Existing D Other- g System Specify D LIST ALL,E UIPMENT other-Specify AIR CONDITIONING,REF�GERATION EQUIPNumber Units Q MENT&CONDENSOR'S Descrtlrtion Model# Manufacturer Ton's Approving Agency NSER TWR10 0 TAANE 2,.5 UL- E; I &Y CITY OF ATLANTIC BEACH MECHANICAL PERMIT AP PLICATION Date: $ 23 O 5 Prctor:operI�ty Address: AZ A Owner: VALE NT1 t4 A urs 5TAO ' Telephone #: 24(,-2-7-75 Con tra : BEEHIVE HER,rtn,g 4- � G Telephone #: 2yl- 833p Contractor Address: -725 Dig Lr= C-1 A E Fax #: (ot-tb' y'7?2— !n consideration of permit given for doing the work as described in the above statemeut,we hereby agree to perform said work in accordance with the attached plans and specifications which are a ood ractice listed therein. Part hereof and in accordance with the City of Atlantic Beach ordinances and standards of Type of Heating Fuel: If other construction is being done on this building I� Electric or site,list the building permit number: ❑ Gas. —LP Natural Central Utility ❑ Oil — — ❑ Other—S ifv MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK X Heat —Space _Recessed y11Cennal Floor F1 Air Conditioning: Room ✓Central — 0 Residential ❑ Duct System: Material _ Thickness ❑ Commercial Maximum capacity cfin ❑ Refrigeration ❑ Cooling Tower: Capacity ❑ New Building ❑ Fire Sprinklers: Number of Heads gpm Existing Building ❑ Elevator: __ Manlift Escalator ❑ Gasoline Pumps (Number) (� Replacement of Existing System ❑ Tanks (Number) ❑ LPG Containers (Number) ❑ New Installation ❑ Unfired Pressure Vessel (Number) (No system previously installed) ❑ Boilers ❑ Extension or.Add-on to Existing System ❑ Gas Piping ❑ Other–Specify ❑ Other-Specify LIST ALL E UIPMENT AIR CONDITIONING,REFRIGERATION Number Units EQUIPMENT&CONDEIYSOR'S Description Model# Manufacturer Ton's Approving Agency � GONpENSc(t TwR►© O BANE 2.5 UL- HEATING LHEATING—FURNACES,BOLLERS,FIREPLACES die AIR HANDLER'S Number Units Description Model NManufacturer Approving BTU's Agency Abu w C'n AD TRAtu Z.5 UL- TAN" LTANKS Nominal Capacity T How Man &Dimensions yPe Liquid Serial Contained Manufacturer NApproving No. A enc ��//�����_ /CITY OF //�` .�A� 4ul+� B"CA-,qkU-C& Office of Building Official REQUEST FOR INSPECTION Date Time l Permit No. Received �- JL,� A.M. -.-- Job Adddreress ,/,L /� -- ---- loc G Owner's '' Name Cr Contractor BUILDING CONCRETE ELECTRICAL PLUMBING Framing � MECHANICAL Fr Roofing C Footing ng ❑ Rough Wiring ❑ Rough Air Cond. & ❑ Insulation ❑ Lintel ❑ Temp Pole t� Top Out 1� Heating ❑ Final 1- Sewer C' Fire Place ❑ READY FOR INSPECTION Pre Fab Mon. Tues_ Wed. Thurs. Friday-_ p Inspection Made ?,6 A.M. _ PM, Inspector Final Inspection f / J V /-C.C. Certificate of Occupancy I -Y/i�' /) Date .___ p. /n/ �����,,� //CITY OF tq&40i/(C /3�- Office of Building Official VEST FO 1 PECTIONDateTime Z'��E Permit No. Received A.M. s PM. Job Address Locality Owner's /? Name Contractor / J/� BUILDING CONCRETE ELECTRICAL PLUMBING Framing / MECHANICAL Re Rofing ❑ Slab ng ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ ❑ Temp Pole ❑ T Insulation ❑ Lintel ❑ Final �n rli't Heating ❑ fSewer Fire Place ❑ READY FOR INSPECTION Pre Fab Mon, Tues. Wed. Thur�s. ��i Friday �PM Inspection Made P.M. Inspector l Final Inspection ❑ Certificate of Occupancy G Date