Permit 891 Plaza (vault) DlePARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
... IERMITtl"It�TATC31 = - ._ �. L.CiCATIJIFfl3RATCIX
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° Tota P �� $45.00
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APPLICATION FEES
x P)SRR T. $45. 00
ATE
MPACTFEE ��� X80, 00
INIATQ _. _ RAICZN OAB0:OQ . }
jp ►3 P PIS, 0. .
WATER
`A .q CCS
SEWER TAS' #0 00
HYDRAULIC'SHARE Btu:00
RL-INSPECT. PEE B 00
t >^ Ma `
SECS;0 PACT 'EE_ �� 0�00 ,
t ;
3
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•
a
r NIDE--'A�L COMCi I T9 FORMS AND FOOTINGS MUST BE INSP OT D'BEFo"a POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
� t.DEB'RIS FROM THIS WORK MUST NOT BE PLAC!~C1,II IPU LIC SPACE;AN6 MUST!BE
A Y EITHER CONTRACTOk OR OWNER
rr rj`� ji,[/�,, LIE
-�rj /may
S
aI � QTQ WITS
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tlFIC.H ARE PART OF THIS PERMIT ANDSO9'ji. E1fOr AfI
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ATLANTkC E3EAHU
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner(s) :
Address: / Ph —
Lot # Block or Unit # Subdivision
Contractor:
r �
Address: Phone
State License No. lf�
Describe work to be done:
Materials to be used:
Signature OWNER: Date:-2,
Signature CONTRACTOR:
8217,
DEPARTMENT OF BUILDING
'CITY OF ATLANTIC BEACH
FE1 1I'Ti"t 'C?W "1`Q i- ..- _.._ -------- LOCAT ION I�t�"CtRMA'�I4N ---------
h�r "I* Number.-
r: 8%217
Address: 891 PLAZA DRIVE
Pe tit Type.. MECHANICAL' ATLANTIC BEACH,. FLORIDA 32233
C1 of 14ork: NSI - --
___ LEGAL DESCRIPTION
�
+ . n tr. ' Type: N I) FRAME �Lat:� � Block: $action.
rvp r ed Use: S NoLE "FAMILY TQwnship RNC : 0 '
1 I:3ingss: 1 Code. ? SubdivieioW ATLANTIC BEACH
Estilated Value: ' $0 .00
Improv. Cost: $E ,Qty
Total
` $86.00
me un $86.00
7-7
TION
APPLICATION FEES
Addreaa:' PENT
ISR I V> WAT °IMPACT FEE ,$0 OO
Af
Ph
H FLOR 11)
RADO .( AS H R.S. 0.{?0
PORMA t --------
RADON CAIS, 5% � �$� .t?0
N 'y YI7 ATINO & A? 1V ti.. CAPITAL'_.,IMPRQVE.
SJIWER TAP $0.00
JACKS +LE FLORIDA 1:245 HYDRAULIC SHARE
$0.00
dice Type: 3 CRaSS CC?NNECTIOND';"ESC?
a SEC H IMPACT' FEL $0 0
[xiC1TSS;. ..
WORK'CO)MMED SOME PULLING PERMIT. JOB STOPPED 4/21/94 KWG
PERMIT, Wft DOUBLED.
j
i
NOTICE— ALL CONCRI TE FC)AM;It AND FOOTINGS MUST BE INSPECTED BEFORE"POURING
i
PERMIT VOID SIX MONTHS AFTER DATE QF ISSUE
UILt9i+1"�a MATERIAL,RUBBISH"AND CIEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC,SPACE;AND MUST BE
CLEA W UP AND HAULED AWAYSY EITHER CONTRACTOROROWNER
l
"I~AURE TO COMPLY WITH THE INECNANICS' LIEN LAW CAN RESULT IN
"
Hr Rt i PER" f C WNEi PAYING TWICE FOR BUIL0INC3'fM# i�V��ItENTS "
IkOCQRDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJE TC9 REVl7CATIQ"N FOR
t
I+ OF APBLtCrABL E I�IwtQVtSJQNS OF LAW.
77
ATLANTIC BEACH BUitDING DEPARTMENT l OOOO41>tlii 00t 00* SO&Q4"14
Date: '4/21/% 01 i 004&77
OM {a 5f 43 1
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.
I.
LOCATION Street Address:-- 21
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 attacltied plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) Master
Name of
Property Owner o
Signature of Owner r Signature of
or Authorised Agent Architect or Engineer
III. GENERAL INFORMATION
A, Type heating fuel: B.
IS OTHER CONSTRUCTION BEINq 0,0NE ON l)�
Bectnc THIS BUILDING OR SITE?
❑ Gas—❑ LP ❑ Natural ❑ Central Utility
Q Oil.
IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Other — Specify
W. MICHANICAL EQUIPMENT TO EE INSTALLED N�ATT OF WORK
(Prov' complete list of components on back of
this h`+7l Residential or ❑ Commercial
:�:Condlfloninq:
at 13Space EIRecessed tl�" Cental O poor LlBuilding
E3Room tg Central rad' Existing Building
Duet System: Material Thick ❑ R lacement of existing system
Maximum capacity_ ZOO e,f•m• ue' New installation(No system previously installed) 0
Q Refrigeration ❑ Extension or add-on to existing system
❑ Cooling tower: Capacity g,p,m,
❑ Other — Specify
Q Fire sprinklers: Number of head-
0 Elevator ❑ Manlift ❑ Escalator (number)
Q Gasoline pumps (number) THIS SPACE FOR OFFICE USE ONLY
(Rot in
Q Taeke (number)
Remarks
Q LPG contains K (number)
❑ Unfired pressure vessel
❑ Boilers Permit Approved by pp.
Q Other — Specify Permit Few
LIST ALL EQUIPMENT
AIB CONDITIONING AND REFRIGERATION EQUIPMENT
Number Unit. Deecri tion Model Number Manufacturer jy �A g
p °' 822
tz,
DEPARTMENT OF BUILDING
„+ CITY OF ATLANTIC BEACH'
v`�-*"``�� OERMIT" INHE AT ICSH -�_-.,�... �--�»----` LOCATION IN RMATION --�-�:-�- -
rri" 'Iu + r» 8222 Address: 891; PLAZA DRIVE
erii Type: ELECTRICAL ATLANTIC BRACH., FLORIDA. 32233
Cia" 'aork» ADDITION - ;LZOAL= DESCRIPTION
Constr . Type» WOOD FRAME Lots Block: Section: '
Proposed Use: S1XGLZ FAMILY Township: RNO; 0
?a 1 1
dode, t Subdivision» ATLANTIC BEACH
EstiMated V al ue,.* 00
Improv. Cost,, $0.,00
Total Fees: $18 .50
Work De C AND HEAT
.... �. _ » FICIN . --- APPLICATI57N PEES
N t � 'PERMIT_ $18. 50
aI1►e.;
Addr, IVE WATER IMPACT .FEE $0100
ACH, FL,OR I DA 3 2 3 SEW IMPACT FEE $0 .00 �
ph. C> �a � JAALS X ,0
NFORMATIQN -- RADON CAB 5% $0.00
*me: RHODE WYL I E�_ `A? I TALI IMPROVB, $0.00
f5 E ALS UE
SEWER TAF $0.60
HYDRAULIC
L er se 'TI'Pe» 0 CROSS CONNECTION $0 .00
�. SBC,R IMPACT FES � X00
a q CONST. SURCHARGE 0
tITL
.t
t
k
1
NOTICE-ALL'CONCRETE FOAMS AND FOOtINf3S MUST BE IMSOECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
> EUILDING;MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE.PLACED IN PUBLIC SPACE,AND MUST BE
CLEAREt IJP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
J'F tLUR TCS I�GMRLY WITH THE MECHANICS' t1EN ;LAW CAN RESULT IN
THE PROPER'"I"'� t�WNER PAYING;TWICE FDR BUIL DI�+MG -IN1P 1 E ASNTS."
iS$f1ED ACCORDIMG TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT;AkD SUBJECT TO REVOCATION FOR
Yt4'LATION OFAPP0GA0Le PA6VISIONS OF LAW.
I :'' is u*ar— Ar A4-pitu *�.I�rD.FP'AFTa9FNZ $18.50 3
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: April 21 , 19 94
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 AREA PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
& R Electric of Jjorth Florida, Inc-
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE XMNEYMAN
NAME Pearl Bishop ADDRESS: 891 Plaza Rd.
RFD BOX
BLDG.SIZ BETWEEN:
RES. APT.( ) COMM. ( ) PUBLIC( ) INDUS. ( ) NEW( ! OLD ( ) REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( ) INCREASE ( I REPAIR ( ) FEE
CONDUCTOR SIZE AMPS COPPER ALUM.
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W DOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.90 AMPS, 91.100 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 Sd
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS ea
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING i
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826 - Fax: 247-5877
_ PLUMBING PERMIT
PERMIT INFORMATIONLOCATION INFORMATION -----,I
Permit Number: 24242 Address: 891 PLAZA DRIVE
Permit Type: PLUMBING. ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book: {
Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 1
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
LAmountPaid:
Cost: OWNER INFORMATION
ued: 6/11/2002 Name: DYJAK, LEWIS
ees: 25.00 Address: 891 PLAZA DRIVE
25.00 ATLANTIC BEACH, FL 32233
Paid: 6/11/2002 9U4)434-4236
Work Desc: REPAIR AND RUN
CONTRACTOR S CATION FEES
CHRISTY FIRST COAST PLU
25.00
b � r,
�j � -Ytr• � av,AeJ ,F :,
Iff' s� i' mw.. '`k. „$'. s xU0,11
ni
NOTICE I PE � � �Ql'!'j,' " ! t° PECTION
—
BUILDING MATERIAL Y AIIU ED IN PUBLIC
SPACE, AND MUST BC-q6-# � aAI R OR OWNER j
"FAILURE TO.COMPLY
�
PROPERTY OWNER PAYING ULT IN THE
ISSUED ACCORDING TO APPROVED PLANS
HI
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. S PERMIT AND SUBJECT TO REVOCATION
DBNITN h wr: 1
6/11/17 01 pt : 63%2
ATLANTIC BEACH ILDIN T. 1M]0vIMIMM10MULDING 1 g .Ip
-_-_ --- Q PLAZA
�8 7929 $75.10
Trans date: 6/11/02 Tine: 12:33:25
JOB LOCAT=ON: / ,uC_
OWNER OF PitopM :
.L. .....,.LJ�4.._�1.. �._._...._....1'SLEFHtNiE N4. f ,)3
PLUNSING
RrN•iVR �V[ Y/r oli
CONTRi1G`TOR•S AODRJ�SS: _ r3cak r0
STATE LICENSE W MAER: C"'t:�C y J, TELEPHONE: ;L V 7—
! OR '!1! iti101liNM !!A'ANtii1
SINKS SE OMM
LAVATORY MATER HEATERS
----BATH TUBS DISSHERS
—URINALS DISPOSALS
CLOSETS MASHING NACHINE
FLOOR DRAZH'S SMOKER PAYS
SENBRy;r,4 VATER
REPIPE OTHER
TOTAL FIXTURM: u $3.50 + $15.00
MINIMUM PERMIT FEE — $25.00
SIGNATURE OF OMM=:
SIGNATURE OF TRACTOR:
-----------
IN"J'J d,T2O" OF PI MBING AND FIXTURE3 jw3T BE IN ACCORDANCE HATH
THE MOST RECENT EDITION OF THE SOUTHERN STANORRD PLUMBING CODE.
CALL A DAY A"BAD TO SMOULE IMSPECTICIiS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PLIC WORKS FOR IiiSPFcTION
CITY OF
Office Of Building Official
Date fa �, REQUEST FOR INSPECTION
Time --------r �„�^
Received `.J Permit No.
P:IGt•� District No.
�o�Qddresa
Owner's/�>
Name Locality
B DING CONCRETE Contracto
Footing ❑ ELECTRICAL PLUMBING
Re Roofing Slab Rough Wiring ❑ MECHANICAL
Rough
Lintel O❑ Temp Pole ❑ op Out ❑ Air.Cond.& ❑
❑ Heating
READY FOR INSPECTION Fire Place ❑
ECTION
Mon. Pre Fab
- Wed. Th
Inspection Made Friday A.M.
f A.M. —�'1 _.P.M.
Inspector
Final Inspection❑
Carl of Occupancy
Date
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received District No.
Job A re Locality
Owner's
Name � �^-�
UY1� Contractor �(
BUILDI G CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Re Roofing Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
Pre Fab
AD INSPECTION
Mon. Tues. Wed. urs:""" 'R Friday P.M.
c / A.M.
Inspection Made ;N{;
Inspector Final Inspection❑
Certificate of Occupancy
Date
��//` �,/ /CITY OF /�/_ . A
-4�d 4'c l3 @aZ_"fL�l4ilQ
V//
Office Of Building Official
REQUEST FOR INSPECTION
Date � — 1 -7
1 -7
Time / A.M. Permit No.
Received — (�
Job Address -
--_—
Owner's Locality
Name or
BUILDING ----Contractor
CONCRETE ELECTRICAL '
Framing ❑ Footing PLUMBING ECHANICA
Re Roofing ❑ Slab Rough Wiring C_i Rough -
Insulation Lintel Temp Pole Top Out Air Cond. &
Final - Heating
Sewer Fire Place r
READY FOR INSPECTION Pre Fab
Mon. Tue
_-- Nled. Thurs. A.M.
/s. Friday
Inspection Made _ L �v i A.M.
inspector--- �Zz-()r -----_------- PM.
— _ Final Inspectio
Certificate of Occupa cy1/ �ys-7 /!� Date ---
~ CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date
Time Permit N
Received A.M.
P.M.
Job Address
Owner's Locality
Name
BUILDINGContractor
CONCRETE ELECTRICAL
Framing ❑ Footing ❑ 7��LUMBI MECHANICAL
Framing
❑ Slab Rough Wiring ❑ Rough
Insulation ❑ Temp Pole ❑ Air Cond. & 11❑ Lintel ❑ Final ❑ Top Out ❑
1:1 Sewer eating
Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues,
Wed. Thurs. A.M.
��I Friday—.___—PM.
Inspection Made � C� A.M.
Inspector P.M.
Final Inspection ❑
Certificate of Occupancy ❑
Date