Permit 765 Plaza (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00030519 Date 6/08/05
Property Address . . . . . . 765 PLAZA
Tenant nbr, name . . . . . . INSTALL HEAT PUMP/AH
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------
------------------------
FORNEY, RALPH J. DONOVAN HEATING & AIR
765 PLAZA 315 SIXTH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-3785
----------------------------------------------- -----------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc - -
Permit Fee . . . . 79 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PLI13LIC SPACE,AND MUST BE CLEARED
UP AND 14AULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
- ". s. r 1A
BUILDING OFFICfAL
CITY OF ATLANTIC 13EACH
L pERNIIT APPLICATION
MEC]aANICA
11117IF
111. �C'
owner of PropertY:
=4.IX,-
Job AddrW3:----
...........
..........
Contractor'. -L We b
aitrinam.-6 W!
W ob-I with the City Of
whi"a- poll 11'"ll"d in accOr"O"
trill llll�vllin I
allied PL..,Wid specilso""in
W.WJ&j die&US U
ord a"
r,0--XA—,TI0-9---1 B. B FINO DONE ON TM
GENE Ir 01-Wg CONSTRUCTION
is
-Ceou-�).Utility BVILDINO OR SrM?------------
IF YAS.0 1 Vr
NU,4BF
_LP _R OF CONSTRUCTION
0 OU
0 Otb"-specify RK
IV F 0 RMI
'QUIpr4ENT TO 13F- w uilding
liAjCaA.NICAL 0 I'll d'ors'- - 3
9611 1114111mils's",
;;-aigat a f Gx�sulls R!lg;;j.,Wy j"Wied)
INS-rA.LLED Jim of coropo cepural C) an
(Provids ocisplolo R90wed c n of'ddon to exiglas system
0 He" Spe" Roorn 0 U-40
(3 Air COZionlas: -cf, 0 OLhGr
pOR OFYICE USE ONLY
0 Rafrizerwoo TULS SPACE
C004"tower. Vvy (Rc4cgkvtd)
-Su,bor of bVI— (Ni4ow)
Piro�pdwcn- M..dift �,r.I
C) MCVSW'.PI -) KC'Wkj
0 O&Wlias '(NuWW(Numb") Apprgvcd by-_� Deli;--------
0 T&Akj Ptrialt
cl LPO talpars V It VCC----------
0 UM& PC ---- PCr%D
(3 Doll-
0 Odw-3po" IPMENT ON EQUIP C44-city A,.PPrQviA9
LIST LL E 0 0 RIO Model N%I W-L"Ac"c" C"
AIR C ND'T'O D0110I a
Number Units
Approving
CES NiaoubLCIUM Capacity
FUMACES-BOLL-E ion lAodcl Nuzabcy BT
N"Iba untu
Approving
Njulic of No.
Type Liquid m"lurs-Wr
TAN KS Capscity :oatlinod
HOW tAluly C
A.Ad 0ir0c-10W
rid-z 32 I114M3
�1 .7-c7iW;;ilu�322W-
.......... ...........iE;,d-AdAstic D'"' '
�'-MJ.Aok LI,(904)241-5345
rboug'(904)241-5600
CITY OF
4&44dic Bew-4,
Office of Buildin Off! 1
REQUEST FOR I P ION
Date ermit No.
Time
Received
Ue
767
Job Address Locality
Owner's
Name
BUILDING CONC E ECTRIC PLUMBING MECHA ICAL
Framing 11 Footi El Rough D Rough Air Cond. & 11
Re Roofing 11 Slab 51 Temp Pole D Top Out El Heating
Insulation I'] Lintel 0 Final El Sewer El Fire Place Ej
Pre Fab
READY FOR INSPECTION
�o 5n Tues. Wed. Thurs. Friday
1 01, A.M.
Inspection Made RM
Inspector Cal ln�spection
Occupancy
C cate of Occupancy EL,
0-� D7ate
3EACH
OF ATLANTIC f
DEPARTMENT OF BUILDING
Serninole Road- Atlantic Beach, FL 32233-Tel- 247-5826-Fax:247-5877
ELECTRICAL PERMIT
N INF ATION
j j—FdRM 7P��ZA DRIVL.
ATM—
-----VEkA IT- T
- --- - -2- LANTIC BEACH, FL 32233
Permit Number: 4486 AT Book:
CTRICAL Range:
Permit Type: ELE Township*
Class of Work: REPAIR caction,
Proposed Use: SINGLE FAMILY
Subdivision:
Square Feet: parcel Number:
Est. Value: C;W��tg I NF Q-R i41 A 10 N'
Improv. Cost: Name: FORNY
7/22/2002- 65 PLAZA DRIVE
Date issued: Address: 7
25.00 A"I-ii
Total Fees: 25.00 �!�17 C.S E-A CHI ,;
Amount Paid: 0 000-0000
Date Paid: 7/22t2002
7- i%-#1Wr%A,, 7-7.1.
Wor -P I 00AMPS
25.00
k Dej�c. R�-
At
10irl
CONTRACTOR S ��Xx-
'��: _opt
. .......
--'i -7
A
7
mw-
"P- r�
77
PECTION
),0-.LEA$TR-2- 4JiQWS:
NOTICE-
-NOT,"i IC SPACE, AND
CE L
MUST BE CLEARED
4
OR 0 R
IN THE
r4AIMME" TO CC,) "N-
PROPERTY OW
NER PAY
CATION
fTAN0S(.jI3jECTT0REV0
.307.!r-E)ACC-077-1,7\1C 7-1 1�1
Slo
FOR VIOLATION OF APPLICABLE PROVI 4--4-
0 T 0C kww: I
Me: MAM a wei*ipt no:
75943
ATLANTIC BEACH BUL644G
765 KW IR
Q cm
TTam dds.' MW Tj9K 10.112:10
CITY OF ATLANTIC BEACH9 FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR.- DATE: ��la Zg._20 6
IMPORTANT NOTICE: C7
IN CONSIDERATION OF PERNUT 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,WMCH ARE A PART HEREOF,
AND IN ACCORDANCE WrM THE ELECTRICAL REGULATIONS,CODES AND CITY OF ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTE ��TRICIAN SIGNATURE:
-OWNERS NAME: ADDRESS6//N�-'Q/'l 5m RFD—BOX—
BLDG. SIZE --- BETWEEN:
RES.f-1 APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( REW`-(
ADDITION( ) TRAILER( ) TEMP-( ) SIGNS( ) SQ.FT.
SERVICE: NEW( INCREASE( ) REPAIRj'K
CONDUCTOR SIZE AMPS: COPPER( AL FEES
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST. SERV. SIZE �'00 AMPS (PH W VOLT I RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30AMPS 31.100AMPS�
INCANDESCENT
FLOURESCENT&M.V.
FIXED 0.100AMPS. OVER
APPLIANCES BELL TRANSF.
AIR - H.P.RATING H.P.RATING I CEIL. KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS BEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS Ar-
UNDER 600V OVER 600V
TRANSFORMERS: NO. I KVA NO. IKVA
NO.NEON TRANSF. MA I MOTOR SIZE I SWITCH I FLASHERS
EACH SIGN
Updated 5/20/2002
1, "A'
low, -!'J
"TION DIVIS,-
qjNG iNSPEC
SUI'L�DING AND ZOI -LORIDA
1c,BEA16" r
NT
ry'61F ATLA.'
'Cli
MIT
CAL PER ,
E L
20.40 Permit NO-
Fee $
Pote
Location and------------------
Between certify that
This is to ilcion
1110 1111
1 111,01:11 1 0 �tcpd t ction as described he'rein in U
ec ' ical cons ru z
n to,install Electr icol Code and regulations
has permiss"O the Electr shown on the lu�
occordo I nce with the provisions of to the information Z'
jocksorwiUq, land subject h ore made 0 Part Of this 3�"
of the City Of I cificotions Whic
ings and sPe
applications draw
permit. SAM
for
Type Of work*-� >
SERVICE: 20 AV" 4 A
Feeders'
Outlets*
RecePtOcIss'
Switchev
Incandescent'-
ApPliOncOs'
A:,,CarAitioning:
'FronsfatmOrs:
Signs-
Miscellaneous*
DONE UNDER
tF No vqORK ISSUED superviW
THIS PERMIT DURING ANY SIX
MONTHS
BECOMES V(�'111
AIR
CITY OF ATLANTIC BEACH, ' 'FLORIDA
ApProvftf by APPLICATION FOR ILICTRICAL PIRMIT
J u ly 31 19
TO THE CHIEF ELECTRICAL INOEPTOR: 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 ACCOR ANCE WITH' HE 1LECTRICAL REGULATIONS, CODES AND CITY
ATLANTIC BEACkORDINANCES.
R R Electric C6.
I&ICTRIC M: MWER ELERMIGIABI j1gNMRE JOURNEXMM
AL FIR
NAME Ralph Forney ADDRESS., 765 Plaza atre�± RFD------BOX
BLDG.SIZE BETWEEN: Ocean Blvd, & Sherry Drive
RES.(W AFT.I COMM.( PUBLIC I INDUS. 14EW OLD I REW.
ADDITION( TRAILER TEMP.I SIGNS ( SO. FT.
SERVICE: NEW I INCREASE( REPAIR FEE
0_0NDIMOR SIZE AMPS COPPER ALUM.f
IMITCH gIt MAILER 'AMPS PH w VO�_T RACEWAY
EXIST.SERV.SIZE Je�b, AMPS I PH ag"LT RACEWAY
7
' FEEDERS NO. SIZE NO. SIZE NO. S]ZIE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
1 0.30 AMPS. 1-1 ,00, ""A"
SWITCHES
"IMMMOESCENT
FLUORESCENT&M.V.
I OoOcAmib. I OVER
APPLIANCES BELLTRANSF.
FIXED
AIR WP.RATING , M.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
"T
. ... .....
777�77
MOTORS M.P. —vmTA GE, -pHs No. I M.P. voLfAbE pHs
MORLEANE"O'US
TRANSFORMER UNDER 600 V. OVER SM V.
TIC BEACH
CITY OF ATLAN
DEPARTMENT OF BUILDING
47-5826- Fax: 247-5877
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 2
ELECTRICAL PERMIT
IT I F ION I LOCATION INFORMATION
----PGk2A—DRIVE
Address: 765
Permit Number: 24486 ATLANTIC BEACH, FL 32233
Permit Type: ELECTRICAL Township: Range: Book:
Class of Work: REPAIR Block: Section:
Proposed Use: SINGLE FAMILY Lot(s)-.
Square Feet: Subdivision:
Est. Value: Parcel Number:
WNER INFORMATION_
Improv. Cost: FORNY
Date Issued: 7/22/2002 Name:
Total Fees: 25.00 Address: 765 PLAZA DRIVE
Amount Paid: 25.00 ATLANTIC BEACH, FL 32233
Date Paid: 7/22/2002 0000-0000
TION FEES
Work Desc: REPAA PS —----------------------
C�10 0,' M
CokTP, QT I S
'j""" A"
25.6b7
CRAWFORD ELECT.
A
Ar",
A'L
A W I
A,IT ECTION
NOTKC�E - IN WOW
LIC SPACE,AND I
BUILDING MATERI L'
MUST BE CLEARED UP�
IN THE
FAILURE TO COMP
PROPERTY OWNER PAYI
IT AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPRO ED P
FOR VIOLATION OF APPLICABL P VISId
Type: 0C Dirmw: I
7MM 01 bb"PL go:
14 110MIS-1111111101%
$25.00
ATLANTIC BEACH RI klt��466�'
Q CAM $25.00
Tram date: 7/23/02 Tin: 19:12:10
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
-5826
INSPECTION PHONE LINE 247
Application Number . . . . . 04-00028722 Date 7/22/04
Property Address . . . . . . 765 PLAZA
Tenant nbr, name . . . . . . REPAIR METER CAN
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
FORNEY, RALPH J. CRAWFORD ELECTRIC
765 PLAZA P.O. BOX 51045
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 241-5591
------- ---------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fe6 . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 ' 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERNUT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
Btj7SD&R1@FF1CrAL
CITY OF ATLANTIC BEACH
IT APPLICATION
ELECTRICAL PERM
Date: -7 -1z
Property Address:
Owner: Fro A'4 Wf Telephone
Contractor: EJ�4(lkl'/ Telephone #:
Contractor Address: (4 5�— Fax#: JR 3
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. If other construction is
Building: Building Type: 0 Trailer Service: being done on this building
L3 New )�- Residence U Temp. U New Or site,list the building
u Old L3 Commercial U Signs Q Increase Permit number:
L3 Re-wire U Addition Sq.Ft. Repair
Conductor Size: AMPS: COPPER E] ALUMINUM
Switch or RACE
Breaker AMPS PH FW VOLT 2,Ltp WAY
Existing Service RACE
Size AMPS PH W VOLT WAY
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets CONCEALED OPEN
Receptacles CONCEALED OPEN
0 10 AMPS 31 100 AMPS
Switches
Incandescent
Fluorescent &
M.V.
Fixed 0.100 AMPS OVER BELL
Appliances TRANSFER.
Air H.P.RATING H.P.RATING CEILING KW-HEAT
Conditioning COMP.MOTOR OTBER MOTORS AMPS HEAT
Motors 0-1 H.P. VOLTAGE PH NO. OVER I H.P. PHS
UNDER600V OVER600V
Transformers NO. KVA NO. KVA
No.Neon—Transf
Ea._Sign
Miscellaneous [V'kQ_/'9 et.— ��Qo_t t
800 Seminole Road *Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800* Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us
oc,.L-� -� &M-PA �,
ar) CITYOF
Ale.�acA-
Office of Building Official ;1(�-o
REQUEST FOR INSPECTI N
-7
Date
Time Pe it No.
Received M.
M.
Owner's Job Address Locality
Name
BUILDING CON ETE
Framing ELECTIIZAL'�'. PLUMBING
11 Footi El iring E Rough 0 Air Cond. &
L MECHANICAL
Re Roofing D Slab Temp Pole D Top Out D Heating
insulation 11 Lintel Final 7�
< Sewer Ej- Fire Place
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed. Thurs. Friday
�RIMI )
Inspection Made A.M.
Inspector- P.M.
Final inspection 0
Certificate Of Occupancy [71
Date
CITY OF
&4d
$00 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 3=3-5445
TEL-EPHONE(W4)247-5800
PAX(W4)24-7-580,5
October 31, 1997 SUNCOM 852-5800
Ralph J. Forney
765 Plan Drive
AtlAntic Beach, Fl 32233
Dear Mr. Forney:
Our records indicate that you are the owner Of the f011Owi%Property in the City of Atjantic
Beach,Florida:
Re : 765 Plaza Dr.
A/VJA/ Lot 29,Blk 1, Royal Palms Unit I
RE. 171119-00oo
Investiption of this Property discloses that I have found and determined that you are in violation
Of City Of Atlantic Beach ordinance Chapter 12, Section 11.1-7.
Unregstered, Unidentifiable Owner, Abandoned Chevrolet
YOU are hereby notified that unless the conditions above described are remedied within 5 days
from the date of your receipt hereof this case will be turned Over to the Code Enforcement Board.
Under Florida State StatuteS 162.09, the Code Enforcement Board may impose fines ofup to
$250.00 per day for a firm violation and$500.00 per day fbr a repeat violation.
yLsiely,
W. Gnuinn"i d
Code Worcement Officer
KWO/gah
cc: Public Wety Director
Certified mad rOtum receipt requested
c.e.c. 6939
SENDE
wish to�eceive the
:=PP,1ateG items I and/or 2 for additional services. T_ s rvices fo
t item 3,4a,and 4b. I also wish to receive the
following services(for an
so ext a
41 Print your nam:and address on the reverse of this form so that we can return this
.0. card to you,
OAttach this form to the front of the mallplecq, I ck C. extra fee):
2 permit. or on the back it space does not 1 0
0 0 Write'Retu-Receipt R&quGsted'on the mallpiece below the article numbe 1. 0 Addressee's Address
6 mTh8 Return Receipt will show to whom the article was delivered and the datre. 2. 1:1 Restricted Delivery
C delivered.
0 ''1',,',',,,.............
3.Article ii, Consult Postmaster for fee
jl!jjG13SWE111j to:
9 4a.Article Nt.Ambqr
C,
4 C
b
- --Service ype
.__,�,J�PQJIPtered
7�9�5- tr Certified M
ail
0 Insured .5
Plum Receipt for Merchandise [3 Con 2
z te of�Ijvfary
5.Rec ad By:(Pint Name)
518 13 11:1 11,111k,lri�s 1:1 111 >
............. 71Y if requ8—sted W
6.Signatu 11 !�iiili jill,16111111 6 is paid)
X
orm 38 1, e r 1994 102595-97-8-0179 Domestic Retu lan
I Z
FOR OFFICE USE ONLY
DEPARTMENT OF BUILDING
Date
70
CITY OP ATXJWTIC- BEACH, FLORIDA
Permit # Fee $
Applicati Valuation cW 5
on for Permit for
HOUSE # 476_S'
Miscellaneous Alterations,
and, Repairs
DESCRIBt:
(State if to- repair, alter, add t, o or move building, erect auxings,
signs , e I tc. )
Building ons- , Lot 01 B.1k NO.'
Address 14!:r A77,
ua ionis Ho 0
Owner a N 0 A*
JI]WING9 'AND OCCUPANCY
t:0161
Building Use esidan at
What PlfimbiAg Wo�kl to, tet ,dohe� V_ �E
sixell Of PrIm"Aftht, BI SiteLof Extdnbio
0 fjft size
So. of' stot'61;16 n04....,77fter altered xatbr4l of"rook,
� titial est ding, 'Materiall of a
At of ok nt U,, Xt 8 1011
T
NECESSARY &8&S To pg SUBMI TED ITH
OIL BURNER OR GASOLINMZE, EQ
Name of, Oi1,'.B4rn4r�,or Gasoline Pump.Type or Model
Name and Aaiejis- 0
f, ftnufacturer
In connection, herewith, application is also i0i, to instill; '
gal. capacity, tax*(s) made meta
-7
gr (Name of' Manufaotur�;) ova)
(Under or Above)'
of bui Iding. For
W r$-1a_eT_
ame �F� M MaFer)
FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSS' SIDE OF
TjQ§ B&M
SIGNS
Size
(State whetffier gF 5-550, r 5 o f,' wall, �pr-53ectibg,BEEer)
Material of. Co
nStruct-i'on
I liuminated Type of, illumination J
t
(S ta ;�XETS;97 LWvs Neon)
Will signbe over public property?
.�B PtHOD OF,M&GINQ
.&T CONST
; S M G, MUCTION, or SiLa AND ME
WRITE ADDITIONAL INFOP.MATTON BELO
(For canvas awnings provide dimensioned. dt everse side)
r
INEORTANT .N TICst,
.0
In consider I ation of permit given for doing"! the work as described
' 'in the above' statement, we hereby, agree to perform said work in
accordance_ wi,th the attached plans and specifications, which, are, -a
* t hereof, and, in sccokdancg,�with the buildi regulat on
r ng
ity of Atlantic beach. d d Imli Cod
7.
'Signature of Builder or M_ j vva, -?.Js
n;i No. 4