Loading...
Permit 170 172 Poinsettia St (vault) 4 �� CITY OF ATLANTIC BEACH J � s 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 .. v INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000790 Date 6/04/09 Property Address . . . . . . 170 POINSETTIA ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1951 ----------------------------------------------------- Application desc re roof recover existing FL 479 . 13 -------------------------------------------------------- Owner Contractor - ------------------------ ------------- ---------- STELZMANN, ANDREW GRASTON ROOFING CO INC 170 POINSETTIA STREET 2680 FOX HUNT TRAIL ATLANTIC BEACH FL 32233 ST. JOHNS FL 32259 (904) 287-0298 ------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 1951 Expiration Date . . 12/01/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 40 . 00 40 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. NOTICE OF COMMENCEMENT PERMIT NO. TAX PARCEL NO. 170(o34-05SO STATE OF FLORIDA COUNTY OF Ale vOL The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. THIS SPACE FOR RECORDER'S DATA Legal description of property(include Street Address,if available) I(g,—S^,S - 14 E S A L-r 4)it S f-c— .3 1-OT (a&CEX PJ A.3-A f-7) 01/IQ, 8� GORY 1067 110 Potsista.-771A 37, A-TLAw'71c- afcACR General description of improvements REtzonf- uji-TH IoAaR C-.k"*- mo0ifigA R"F mgm6g,4Ax . Owner AtjAR*-LJ S-r6i-zmArjAJ Address mo Posoj3&-77jA s-7. I A-71.461-Tic. q..ra-Ac44 FL 3Astm Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Name Address Contractor AAr4ig:L IN. ro#%A37p^1 Address 11690 r-CM4m&/T ISAIL- 1, 54itq7 Zlomtjr- P-L 321M Surety Address Amount of $bond Any person making a loan for the construction of the improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7,Florida Statutes. Name Address In addition to himself,owner designates Of To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of Notice of Commencement(the expiration date is I year from the date of recording unless a different date is specified.) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF COMMENCEMENT. SIGNATURE Ac-11,We PRINTED NAME OF OWNER S RN TO AND SUBSCRIBED BEF MET S DAY OF 2 SIGNATURE MET MY COMMISION EXPIRES Ila W0*11 WrAii" Holm PW"-Skde of Flo Jan*C4mmwqn&0mjT,2012 Cain--n 0 DD 74MI NOTARY PUBLIC f rL`J. CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 J INSPECTION PHONE LINE 247-5826 DID Application Number . . . . . 04-00027686 Date 2/10/04 Property Address . . . . . . 170 POINSETTIA ST Tenant nbr, name . . . . . . INSTALL 11 FIXTURES Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ---- ---- - - ----- -- --- ---- - - - - - -- - -- -- - - - - - - --- - - - STELZMANN, ANDREW CHRISTY FIRST COAST PLUMBING 170 POINSETTIA STREET P . O . BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ---------- - --- - -- --- - -- - ---- - --- - - - - - - - - - -- -- - - -- -- - - - - - - - - - - --- - - - - - -- ----- Permit . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 112 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due --------------- -- - ----- - - -- -- - - --- - -- -- ----- --- -- ---- - - - - Permit Fee Total 112 . 00 112 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 112 . 00 112 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITH$R 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 CH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL -CITY OF Office of Building Official r` / �J REQUEST FOR INSPECTIO 1� Per Da M. Time M. Received / _ Lo lit Job Add s Owner's r Name BUILDING CO RETE ELECTRI AL PLUMBING MECHANIC i Air Cond. & Framing Fo ing Teming op Out n eating J Slab p PolePlace Re Roofing Insulation �� Lintel Chi Final Sewer Pr Fab READY FOR INSPECTION �• Mon. Tues. Wed. �FMCwo (9 A.M. Inspection Made ( Final Inspectio Inspector --- — j—, er i icate of ccupancy "7 ate — NN T/C v FLOR�OP ■ OF • • ' � • oA� .s r jos noEss ! 'j COMPLETED SNOT BEEN shall be made before HAS ections THIS SOB s or torr addition ob W►11 be accepted The following the j L r ee N'6 Lad f o� FEE $15 0� REINSPECT er Or they gupart of the Work ul for any Carp0 be CoNteaed,ra Y proper It is unlawf causematerial,une1►installat n. s to cover or or other m rove tile person , ►ath, time to aPP With flooring had ample been inspector has have corrections Dep p,,ter additions or 6 Building E,Ec k call 247-582 , Field Inspectors made, inspection. to 5:00 sL mentfor aoffice from 8:00 a.m• are in the through Friday ....MondaY CITY OF N 0- 28036 ATLANTIC BEACH FLORIDA �} g 9 19 NAME_ y ADDR g� / CITY / -7,A When Signed, Dated and Numbered, This Becomes an al R` c�ili iseteipt: 7E, Received' Pe�l3,�91®A® 7165MAKE CHECKS PAYABLE TO CITY OF ATLANTIC BEACH, FLORIDA TREASURER k t EpARTMENT OF BWL01N 1 4 CITY1P ATLANTIC BEACH PES "' I . toml 'OT �� , .. .. » ,ONAIOM �I �ddret PLO 32233 ATL TIO BEACH .. pe,,rmit Typ6': BUILDING 0 rk ADDITION .��.._,»����. OAL DESCRIPTION Or t k TypeWOOD PRAM E cit : E l ck Sec,(i on 41 Us PATIO/DECK Township; � I W : Cd D uldi'wsn m Implw cav . Coat : $0 .00 " lota Ft . Alun $75.00 i " ? STR`U TION PI►IOLTIOH FEES ---.. PERU '. ? TTA 1TRE,E�'gI�" �lpAC'S" EE $0 . 00 x , " ` AA 3 k $t P RADON GAII»R<. 0 .00 C A K OP14 TI - RADON GAS:, 5% S01.00 P I'E O I2 CAP ITLPROE (} A � t EEWEE ..TAP ,[I HYDRAULIC SHARE $0 .00 yp I CROSS C014NECTI6AIel a SES 4 H I1 PAC'1* C E�r $0 CCTr.,y ^ wt ,ner�. NOTICE -ALL CONCRETE FORMS AND FOOTINGS MIDST BES-INS ECTED BEFORE POURING PERMIT V611)SIX;MONTHS AFTER DATE O ISSUE fll Dl it MATERIA.,RUBBISH AND DEBRIS FRO THIS OT:BE,PLACED IN PUBLIC SPACE,AND MUST SE LEAFED UP AND RAVLED AWAY BY EITHER,CONTRACTOR OR OWNER- t SLI RE ro COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN WNER PAYING TWICE F0R BU LIKING IWOOVEMENTS,." 13u , GCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PEi tMIT:AND SUBJECT TO REVOCATION FOR >VEpk.ATIC7N OF/1PPL1CA8LIw PR03/ISI+t3t8 OF LAW. 1 °I.ANT, HI,SUILDING DEP RTMENI ay n i 3 1 4� # 121993 girding and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : � _.�Cj if_ ____ _ .— Address _� �11L1 Phone Na Lot # Block or Unit # Subdivision:. Contractor : 0-y1 Address : Phone No: Describe work to be done : _ Present use of building: �f 1\�j\e �G N ^� Valuation of Proposed Construction: k (8"C'Uo Proposed use: (", aec-L � Is this an addition? eS If yes , what are the dimensions of the added space: ft . X -ft . ! Will the added area be heated and cooled? fU� :) New electrical (or increase)? New plumbing fixtures? tUO New fireplace?_ _L�iew Heat/AC?-1-- - SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: _�%v� Date :_ Signature CONTRACTOR : Date : OWNER BUILDER PERMIT AFFIDAVIT tbta ui Florida ) City col Atlantic 8eoch ) BEFORE ME the undersigned authority, personally &Ppvarvd du n _ - �__„___,,, who upon first being duly a� sworn, deposes^and asay a --------------- and the legal owner�of the follovinu property s Subdivision Block _ Lots ^_ AKA I bm applying for a building permit pursuant Lo the Owner Builder exemption not forth in Florida Statute, Section 489. 10 . Florida lav requires that i have been providwd witlo thM following DISCLOSURE STATEMEUTt oiscLOSURE STATEMENT Mate lav 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 contractor even though o4Ct bar your own must supervise g you do not have a licdnse� You pervise the construction youroels, build or improve a ane - or two Tamil You May term outbuilding. You y residence cir a commercial buildingmay bloc build or imprc.v• The building must e =orb cost of s23,000. 00 or maY not be built for for Your use and less. occupancy. It leab& more than one building lease. It you sell within one g you have built or law will Year atter the construction is comp,Yourself which is presume that you built it for s01e orate, the construction muatrbeon of this exemption. lease, . and done according to buildingYour zoning regulations. IL is codes sake sure that people ew, Your responsibility, to required b Ployed by You have licenses licensing ordinances. law and by county or municipal I hereby deknowledge that .1 have read the above DISCLOSURE STATEMENT and that I comply with all the requirements for the Issuance of an Owner-Builder permit. Further, affiant ssyeth not. Property Ownor w� Srorn• to and sub ribed d bet '0 DEPARTMENT OR BUIL01"'a CITY E7P ATLANTIC BEACH PERMIT' INFORMATION - ---- = :LOCATION INPORMAO 'ON ri4 t Number: 161379 A drett, 172 POINSETTA, :STREET Permit Typ*:`ELECTRI'CAL ATLANTIC BEACH, FLORIDA 32233 of Work:ALTERATION _ »..� �,.� K L COAL DR SCRII�TI�N � .., _.. C rn it T,yp •>WflOD FRAME Block: Lot : Twp, , 4 P'Jeaposed <Use:'SINGLE FAMILY Section., 0; Subd Rng* } >9sael l rgs Subdiviso 41 Est . Value.., 0.00 Tmpr'cv.> Cost;* `0_00 Total Fees:; 25 ' 00 Amount ' a i o'`° � 2 5.0 Pa at 1 •ro ` 21998 `>rk Desks 60 �� TION` -���- APPLICATION FEES ----- - atr y £ ERI T.:, 25.00 ddr: - �s � �'` AT VAJjrLORIWk 32233 " ` 6, , CON TOO�y I If� MAT ION h' . & R LII'C� °is MPANY dcl .rc p.S . � j CEEONV ,,,rL2.1 r . �k { NOTES• � NOTICE-INSPECTIC?NS `MUST BE'REQUESTED AT LEAST 24 M URS PRIOR TO INSPECTION { SUILDiNG,MATERIAL,RUBBISH ANE)PEORIS FROM THIS WORK MUST NOT BE: PLACED IN PUBLIC SPACE,AND MUS1 BE CLEARED IJi�ANR•.HAULEP AWAY 3Y'jj ITHER;CONTRACTOR OR OWNER, ` FAILURE .Tt ,Ct3Mk.Y 1N1TH THE MECHANI�CS .IEN' LAW CANRESULT IN THE. RAPI*RT'Y + WISItR PAYING TWIG FOR BU � �31�tC� lI�PRL=II, TS�:" '. 'ISSUED ACCORDING TO APPROVED PLANS WHiCFi ARE PART QF THIS PE MIT ANb SUS.lECT TO REVOCATION FOR VIOLATION OF�AP'PLICABLE PROVISIONS OF LAS 10:14 ea. ., ;ka, i Jrp4 A3fa'i "'M } e:. .u ���f.S- F• yrs x+ ° n J CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 7-21-98 19 4 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 fi is of F1prlha 141. & R Exec orth r N ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Gywn May ADDRESS: 172 Poinsettia RFD BOX BLDG.SIZE BETWEEN: RES.Pl--' APT.( ) comm.( ) PUBLIC ( ) INDUS.( ) NEW( ! OLD e-- / REW.( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ') SQ. FT. SERVICE: NEW( INCREASE ( 1 REPAIR l ) FEF i.' £r 1064 13UI .w.+,.srr........�.. P . :qya }.{ ACtC `' ,��!}0 '�?k"�1�F" ��1'1`TA, TR, Z y'y 7 �y +� �Ar TIC �i47 l :A .�IL1 t; l'J1 .7 G' Lot . 16 k ' r `b: � ; A LAIRTI BEAD 1�1t ... TO"'AlHEAT; PUMA :$27 w 00' - 00 GOC M• AF r . . " AIR ' � IE3Va : t" A' :322 0 0005 CTIO -00 .. P FOOTINGS BEt31 'PGURtIi"' f9SIX Mi�4� rte+ ; ' SU 0311 fG IuIAT I A .,RI B I f$Atd 7E 1 t wrF THIS"111F RK MUST NOT L ► Ih1 PV, #.1 r C , i lf3 i#El C AS©ESP AN) HAl1L ?AWAY H E)PItRACT©R QR OWN>=fit MECH oRTHe Ro t I a" ®Rt?IM1IG TQ ,FFR lVlrfl, AlS V fHICH ARE F'ART"C)F THIS:PER I Mb' Int i Tp R� Io - {(�4}� #p ern C�yy�yt 7' A BEAC:tyf'BtltlIN. �w,�f" Y"Li,#Y{ IY v: R f Y e u BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT - A licant to complete all it msin sections I, II, Ill, and IV. t. LOCATION Street Address:1-'Ai').­­ V�- � _ OF Intersecting Streets: Between S/ '00w,'v,q ,JT And BUILDING Sub-division 11. IDENTIFICATION To be completed by all applicants In consideration of permit given for doing the work,as described in the above statementwe'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 Jacksonville ordinances and standards of good-..practice listed therein. Name of Mechanical Contractors ` Coafre.tor (Print) Master NOW of Property Owner --�. Sigssatun of Owner Signature of er AaMorInd Age Architect or Engineer IIL GINERAL INFORMATION A. Type of hosting W: B. IS OTHER CONSTRUCTION BEING DONE am '1 f84 sfe THIS BUILDING OR SITE1 O Gas O LP O Natural O Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Q OR PERMIT Q Other Specify IV. MNXF W CAL WUIPMINT TO tE INSTAUJD NATURE OF WORK (Provido complete kf of Campeenb on beck of th font ll /,Residential or ❑ Commercial 'mom Q Space Q R ntnl O now ❑ New Building Air Condstionings Q Room Conttal —isting Building Q Decf System: MMerilal Tkiekm" '-t 'Ylacernent of existing system Maximum capacity Cf.m. ❑ New installation(No system previously installed) ItobigNetion ❑ Extension or add-on to existing system Q Cooling tower: CapacityC1Other — Specify q,psn. Q Fire tprinklen: Number of hes C) Ehrrafcw Q Monlift Q Emalotor (nusmber) THIS SPACE IIOR OPFICE.USE ONLY Q Gasoline pumps (number) (R000lved) Q Teukt (number) Remarks Q LM conteinore (number) Q Ua$rod WMure vaiel 0 bum Permit Approv by a.a. Q Ofhw - Specify Permit LIgr ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Vaito Description Model Number Mmulachwer (lbeajY f r' CITY OF 716 OCEAN BOULEVARD x � - -- _ --- P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 \ Zr TELEPHONE(904)249-2395 December 28 , 1983 T. J . Parker 172 Poinsettia Street Atlantic Beach, FL 32233 Dear Mr. Parker, Enclosed is a copy of the Building Permit Application that you filled out in April . Please let us know the status of your plans for the patio extension, whether you still plan to make the addition or not , so that your building file can be put away. You can reach me at City Hall , 249-2395 . Thank you for your cooperation in closing this matter. Sin . cerely, , Rene, Angers Building And 'Zoriing Department Enclosure CC : file C/T', OF Date ottic '�j a°t BuildJn 9 official lC�C•- al/ed REQUEgT FOR 1NSPE CrION / A.M. P.M. Permit No. Name.Ow Job Address nOlstrict No. BUILDING Frarning C Re Rooting ❑ DNCRETE contr Locality p Footing actor Slab ❑ ELE'CTRICAL Lintel ❑ RoughWiring ❑ PLUMBING Mon. ❑ P Pole 8 ❑ Top out ❑ MECHANICAL Tues. READY p Air.cond inspection Made ❑ Heating •a p Wed. DRINSpECTIDN Fire Place Inspector Thurs, Pre Fab p A.M. Friday P.M. � A.M. P. P•M. Final inspection p �'rtilicate of Occupancy Da MY OF ATLANTIC BEACH., FLORIDA "ppr` APPLICATION FOR ILECTRICA PER �6 t MIT. TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 2- Z�-19.l IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AE DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONSO WHICH ARE A PART HEREOF,AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPS,ON ELECTRIC CO., INC. P. 0. BOX 50393 *CKS9,NVILLE BEACH, EL 32240-0393 Ir CTRICAL FIRM: -MASTER E E T ICI r , i NAME �� ADDRESS: f Ci '= G,r� +'� RFD BOX ell BLDG.SIZE BETWEEN: RFA-( 1 APT., COMM.I I, PUBLIC( } INDUS. ( } NEW I } OLD( 1 REW.( I ADDITION I 1 TRAILER I I TEMP.( 1 SIGNS ( I SO.FT. SERVICE: NEW I } INCREASE I 1 REPAIRAPI, FEE CONDUCT R SIZE AMPS COPPER A UM TCH OR EAK R AMPS PH W VOLT 'R C WAY X, T.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO, SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 A 31.100 AMPS. SWITCH ES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I cvg APPLIANCES BELL'tfiANSF. AIR H.P,RATING H.P.RATING CDI1101TIONING COMP.MOTOR OTHER MOTORS AMPS CEI,L HEAT: MHEAT 1 0.1 OVER tIRS x.:H.P,„ VOLTAGE PH$ NOS 1H.P. VO. TACE PHS ISCELLANEOUS. TRAR1totmim l sm.Q• !II►nam Amu n\/Co ann v � � 5 EPARTMENT dl:BUII.Qi�+Et�t .: CITY OF ATLANTIC B1=ACM . PE KA `1' � +w nw+r Mo w.+r .+++.t+.K w�.r +w jUi 'ATTO il. YF i : li!ryRa W .ti+N.,ihrA ip iw:+r 416 onr# . '''' > ' ate:�c Ulu Lot z � Subdivii 40 77, ti.: tPd `Voluo BCS4-00 00 'Ttr 3 # t� 022. 50 I ?+ ?II`'ED 8lTUnEX S'�BTt +.`Yk wp�✓ W+ .44 ra. T*; � M 2m* Mr:hx. ,� 0OLit d ml �`�"irl LYiiK "q TV IT, X22,50 d tET' JN .IMPACT" tf �YA. . _ � -4, I. f _ FOR it � t` _,Co "Y tA"'SRI "A WIT *` IZi. SHAAW TUSP f - �: � } $ .1 SS f � p* X' N TICI:--� 40 �►I.L #�KWE I"�I �iNC?FOOTINGrB M(�.9iT BEIN$P�CI� ,# pl;W ##T VOID$[X MONTHS AFTER t?ATE OF 4 illwt t fia tATEFi#k1L,I f$i-# Ni' # E3R# FRC?M TF##S WC7RK MUST#alt £!+f'L £ # I'PU 3 #GuF?"A htD#OtJ #''EF)UP A1+1t?HACJLEC .A{VYAYLAY E1{HI o'6 NTRACTOP 09 OWNER. 13&4flrtt ACOA© 3 TC;AP�I i! EI PLANS WH.#CH ARE'RART ©ly'T' IS.P!_RMlt ANA U . R CCA WICI,ATIC1`t 4F'API .(CA I*Phi® lC3N3:t LAW. ; Al%LANT-1C BEACH Stl l.l~i146 CEPARTM"EN f �� �4 •�,r r' ��wH,�,, j CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s): S �,/I^ C L Address: I a r' /,js r7A s-7 Phone: (Iy47 Lot #_ Block or Unit # Subdivision Contractor: Address: iso Y M r r,)-r `rr� :7.g x t L Phone: State License No. (2 c_._ 0 o 3 i Describe work to be done: 2( ,� Materials to be used: , 4,� . �,�j w �2 _ L a ,s A SIE Signature OWNER: D e: Signature CONTRACTOR: I HT; A11�I'H:,N 1 CAT.. E1.E(A R T CAI.: BUILDING PJAC-1IT t;OkKSHEET s HEATED SQUARE FOOTAGE: __---- @ $ _ _ ----- _-------------- per q' ft. = $ --------__ - CARAGE (PRIVATE/SHED): -- -___- @ $ .___-----------------_�- Per sq. ft. _ $--- - _- CARPORT: @ $ per sq. ft. _ $_- ---- - PORCHES: @ S per sq. ft. _ _----- DECK: @ $ per sq. ft. = $ PA'T'IO: @ $ per sq. ft. = $ TOTAL VALUATION: $-_ t-\ / , 4 PERMIT FEES TOTAL VALUATION DATA Ist 4 1 (000(91 REMAT'�DER VALUATION @ $ 3 . 00per thousand --- - ---- -- or portion thereof v TOTAL BUILDING PE% IIT FEE. . . . . . . . . . . . . . . . . . $ + -------- ---- - �,��1:79 PLUS 2 THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . $ l TOTAL FEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40. PLUMBING PERMIT FEE: $ NECHANICAL PERMIT FEE: $ ELECTRICAL RESIDENTIAL: $ ELECTRICAL TE!�IPO_�.ARY: $ NATER :METER SIZE: FEE: $ SEWER CONNECTION CHARGE: SQUARE FOOTAGE: FEE $ INIATER CONNECTION CRARGE: FIXTURE L'NITS @ $10.00 PER UNIT: $ ACCOUNT NO. : APPROVED BY: TOTAL BUILDI':G/PLAN FILING FEES: $ TOTAL WATER "ETER CHARGE: $ APPROVED: ------"--- CITY OF ATL=.NTIC BEACH TOTAL WATER CO':NECTION CHARGE; $ BUILDING OFFICE ------------___ TOTAL SEWER CO':NECTION CHARGE: $ . TOR J_ ------- -- GRAND TOTAL DUE: $ FOR OFFICE USE ONLY Date------------- ---------------------19 ------ permit #........................Fee$........................ CITY OF ATLANTIC BEACH Valuation $---------............................................ FLORIDAHouse #---.•....-•.-•.•..---•-••-•-------------------------------- 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 City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City 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] hat licenses-tan be verified. 6_1 —14 W Date........ -•...............................•-•---........._N 1 19............ M_1&_5J'.__.,..Teleph*ne No..-;�- Owner... ....... ...... .................Addressl o-YEA . .............. Architect. .......................I........................................Address,.... ...........Telephone No..-•-----------_---------- ContractorBuilder...................................................------..........---------Address.......--•--•---_........................................Telephone No---------------------------- Lot ------------ LotNo-_-----------_----------------................Block No.-.-.-...-------------------..Sub Division-------........................................................................Zone................. ...........................----Street------------..----------Side Between.. --------............. ...................and.-----------------------------------------------------Sts. Valuation $J%a?Zt................For what purpose will building be used.%V.A_T_(..................Type of construction... .............. Dimensions of Building.............I......-.......... .......Dimensions of Lot........................................................Size of Footings......---------------------_-------- Size of Piers--------------_-_-------------Size of Sills..--------------- --...--......Greatest Sill Span in ft.........---...............Type Roof.--.-----.._...._._..----------------. How will Building be Heated?..............................................................Will Building be on Solid or Filled Ground?........................................ Size of Ceiling Joists------------------------------------------, Distance on Centers............. ........-----­----------- Greatest Span..-.....----._....--------------------.----- ft Size of Floor Joists--------------------------•-------•-----....-, Distance on Centers.. ... .-- -........................ Greatest Span-------------------------------------------- VY Size of Rafters..--- ----------- ------............... ...--._-, Distance on Centers. .. ..... .......................... Greatest Span............................................ 19 E This rectangle is to represent the lot. This the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. EXf7_711tJ� TkAGL_L(A) (3o p lPROVED REAR LOT LINE ATI-NTICoriF Two copies of plans and specifications shall F-111ILDING OFBEACH FICE-' be submitted with application. Inspections required. 2 1. When steel is in place and ready to pour footing. 12 2. When steel is in place and ready to pour columns and/or lintel. Z 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 or sewer is laid but before it covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. 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 with the building regulations of the City of A ach. Signatureof Builder................. .................. ...... .......... Address.........................-...................................................................... Signatureer... ............. ..... ..... ................ Address.... ...... ......................... CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION` LOCATIONINFORMATION Permit Number: 18360 Address: 172 POINSETTA STREET Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: REPAIR Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued!" 6/10/1999 Name: GYWN MAY Total Fees: 42.00 Address: 172 POINSETTA STREET Amount Paid: 42.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 6/10/1999 Phone: 000)000-0000 Work Desc: 1 CU 38YKC036,CARR IER,3 TONS, UL; 1A/H, FK4CNF002,CARRIER,5 TON, UL CONTRA-C _0 S APPL.IC�kTtON FEES A C CENTRAL INC PERMIT 42.00 i i I Ins �tions!Re aired. ROUGH MECHANICAL FINAL i i I i NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i I C� $42.88 14 Date: 6/11/99 81 Receipt: 8863352 ATLANTIC BEACH UILDI DEPT. 8®1AKH7876 83221888 R E BUILDING AND ZONING INSPECTION DIVISION 1 0 1999 CITY OF ATLANTIC BEACH City (Di t,kdl n i- beach All- MIC BEACH, rLORlun 32233 Building and Zoning APPLICATION FOR MECHANICAL PERMIT CALL IN f4UMBER IMPORTANT --- APP"cani Io Complete all items in sections I, II, III, and IV, ---------------- Street nddrest: _- LOC/�T IOIJ lnlortocling Slreels: Bel�ren or BUILDING And Sub division II. IDENTIFICATION -- To be completed by all applicants In cons;doralion of prrmil q;.en for doing the wort at drtcril.nd in Ilse strive tin lrinnnl with the eflaclLrd plans and specif;calinnt whiclr wn hereby agree In perforin laid wort in accnrdancn are a purl hereof and in nrrnrdnnce will, the Cary of Jactson'ille ordinances and standards of good practice hsled Ihere;n. Name of Mechanical 4 C_ e_Z�77'_ Conlraclors Contractor (Print) Y! 4 6d $ 14{ C, ¢, P /L Maslar L Name of Iroperty Omer Sipnelvn of Owner T Signature of or Authorised Agent Architect or Engineer Ill. GENERAL INFORMATION A. Type of heeling fuel: B. IS 011111" CONSTRUCTION BEING DONE ON Elecinc 11115 BUILDING On SITE 7 ❑ Goo — ❑ LP ❑ Natural ❑ Control Utility ❑ Oil Ir YES, GIVE NUIABEn or CONST"UCTION f'EnMIT IJ Other — Specify IV. MECHANICAL EQUIPMH41 TO IF INSTALLED NATURE OF WOFIK (Frovide cornplele lit) of components on beck of this form) I flesiderrlIll Ur I.I Conunescial Qj-- Neal ❑ Space ❑ Recessed UL'tentral O Floor L) flowBulldhlg Air Conditioning: El Room ❑ Central �I_)�Exi9ling Building j El Duct System: Material thickness „VI Ileplacoment of oxlsting sysleln Maximum capacity S17 AJ C2 C.I.M. I.I flew Installation(No syslom prevlously inslallod) ❑ Refrigeration t i Exlenslon or add on to existing sysleln I_I❑ —Cooling lower. Capacity m. Other speclly ❑ Fire sprinkler: Plumber of heeds ❑ Elevator ❑ Mani'" ❑ Escalefor (number) _ ❑ Gasoline pumps (number) THIS SPACE FOR OFFICE USI (Recel.+d l , ❑ Tanks (number) i Remarks _ ❑ LPG conlainert (number) ❑ Unfired pressure vessel ❑ toiler Permit Approved by C Gi 0 ❑ Other — Specify Permit Fee LIST ALL EQUIM1Is'N'I' AIR CONI)ITIUNING AND RI:PRI(:BRAIION E(2UI1111--.N( -- Number UnRn — Description Model Number Manufacturer (Tons) A Pros'�t �ency k CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD !: :J ATLANTIC BEACH,FL 32233 � INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001167 Date 8/26/08 Property Address . . . . . . 172 POINSETTIA ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------- Application desc REPAIR BURNED U/G SERVICE WIRE ------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CLAPP, SUSAN BILL THOMPSON ELECTRIC CO, INC 172 POINSETTIA STREET 49 WEST 7TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/22/09 --------------------------------------------------------------------------- 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 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. rS'`' ' CITY OF ATLANTIC BEACH r -~ ,rris 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08— } OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-D E PT@COA B.U S all ELECTRICAL PERMIT APPLICATION AL COUNTY r 2 ISTHI ASUB'<PER MItIi J r� E❑ PERMIT#: ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: l r..�f ,x a lx .;. n 's+,t ELEG;TRI�SA'�.GpyTftCOR kt'2GG F•• q. 41'o , • 7. ME OF COMPA Y: 8.ADDRESS.: f , 9.STATEW FLORIDA LICENSE NO: 10.CELL PHONE: 11 FAX `D 12.EMAIL ADDRESS: 13.OFFICE PHON 14. 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is mmenced. CONTRACTORS SIGNATURE: 24�ALi4 S%O 11K RK ULTI FAMILY-#OF UNITS: FSIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 1 0) namlyme ❑ALTERATION ❑SIGN LD ❑NEW ❑'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: r 20.TYPE OF SERVICE: ❑OVERHEAD ❑ UNDERGROUND UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: W:_ VOLT:_Z�'gQ RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: tUMR: 30.RECEPTACLES: PS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: PS: 31-100 AMPS: OVER 100 AMPS: 1.,. � r� zx:,,... r. . ,. ��.,., , ., # ,�I<. .,E , gar,� .�,,,,.,as� ►II�C�NIT!R Ir �.. �6,��K� Fa .. � ,_ � � � ". #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: w.35_M1Sgr;LANEQU4„IZ7EP;#A t, ,.,�� �xi.�,��,x, •axa. i �F� �n �rr '":� DESCRIBE I DETAIL: COAB FORM BLDG02:REVISED:1/10/2008 HIR OfficeJet 7410 Log for Personal Printer/Fax/Copier/Scanner Information Systems 904-247-5845 Apr 13 2008 12:08PM Last_Transaction Date Time Tyne Identification Duration Panes Result Apr 13 12:06PM Fax Sent 96657372 1:25 2 OK LAN y Z3 OR CK#__-- NOTICE OF JOB ADDRESS OATE I a PVtkA5C_/ r14 :�r; Z6`ay THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted c� Pc.�.,�, ► u�P . - t� o �. cmc 1$ -00::RE INSPECT FEE It is unlawful for any Carpenter, Contractor, Builder or other persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 P.M. Monday through Friday; BLDG r CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000791 Date 6/04/09 Property Address . . . . . . 172 POINSETTIA ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 1951 ------------------------------------------ Application desc re roof re cover existing FL 479 . 13 --- ------------------------------------------------------ Owner Contractor ------------------------ ------------------------ Hubbard, Letitia GRASTON ROOFING CO INC 172 POINSETTIA STREET 2680 FOX HUNT TRAIL ATLANTIC BEACH FL 32233 ST. JOHNS FL 32259 (904) 287-0298 ------------------------------------------------------------------ Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 40 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 1951 Expiration Date . . 12/01/09 -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40 . 00 40 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 40 . 00 40 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH .ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH oe- LA / s 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 •7 ( I OFFICE(904)247-5826•FAX NO.:(904)247-5845 1 W 1. 3 BUILDING-DEPTGCOAB.US'L '1 ' -Uri BUILDING PERMIT APPLICATION DUVAL COUNTY 1^JOB"ADDRESS 2.VALUATIOtOFN/ORK .,. 3SO.FF:UNDERROOF, ('01N5f--17A S-f. II SSI . cru 7.S sips. 4SLEGAL''pESCRIPTION. &CLASS'OF WORK 'ii .,.. ., :;.,,. , . 6=U.SE OF STRUCTURE 10 -I t: I to-e1.S-ACF r- SAL'7AlR. SEc-3 13 NEW BUILDING -0 DEMOLITION OZESIDENTIAL LOT_BLOCK_SUB DIVISION 13 ADDITION ❑CONVERTING USE 13 COMMERCIAL ,.,.t DESCRIPTION OF.WORK 13 ALTERATION O ACCESS9RY BLDG. 8;FIRE SPRINKLER =_ 13 REPAIR I3 POOL/SPA ❑YES ❑NIA IRfc4a/E2>`x1S7/�C� R LoiTK 7o" GE Mogi Fly ❑MOVE XOTHER 13 NO c PROPERTY OWNER. CONTRACTOR '' °,, ARCHITECT/ENGINEER 9.NAME: 15.COMPANY NAME 23.COMPANY NAME G SZowJ ReoFWc-co /f4c-. 7t 7 l^ �g�Q� 16.NAME: 24.LICENSEE NAME I+ nM OANlF-L R GRAS7oA1 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: Pof*-ls*-r n,4 s7. us-dSea,.l 18.ADDRESS: 26.ADDRESS: ArT LA-&/-T(G 3�ACR FL. 3=93 a�8o F -T TRAIL r Sfl/nrT 7cutisun/S 11�'-L 311SLj 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NOS 7.OFCIGE2WQNE 26.FAX NO.: 94-©337 x r)-o'A98 1.2.37-1835 13.CELL PHONE: 21.CELL PHONE: 29. ONE: ')or>-.34V-c) 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: N. 30.EMAIL ADDRESS: r3r44 AEL-M 1 a ROI...CCH M SIP,LE :HOLDER aI TITLE. BONDING COMPANY ' TG LEN R {.,.,.?. .. 0;OhIFA7HAN01NNEFt) - 31.NAME: 33.NAME 35.ftme 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify t work or installatio as commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all lawg g construction in jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if constructio rk is Sr'I�d or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permi be Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in corn lic3 laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all ins i�4-n and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. * k WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CON TOR:` alfie - (If,Agerit,Power of�ttome o'Agency attx Required) �r_ Signed: \ Y ate: f: �r Signed: s Date: O J O� Before me this i day of 1 i tLt V 2009 in the unty of Before me this V day of_ A 2009 in a county of Duval,State of Florida,has perston)ally appeared Duv%�late of Florida,ha/s�a onall�p�earred A'i 4 11'01 herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. _ VOL,, rue and accurate. Notary Public at Large,State of 'rl(3n 6(4,County of �V I N;!P,,Public at large,State of �/A County of ❑Personally Known Personally Known Wroduced identification- FL. A- ❑Produced Identificaff Notary Signature: Notary Signatum " SMANNA L.THONIPSON Kc' ELIZABETH A.WILSON Notary Pabk-State of poNOa ;= MY COMMISSION#DD 791167 6LDG0i Permit Ap I *kf0l�6 Ewm jW 1,2012 'W.... : EXPIRES:September 22,2012 Camahalaa•00 U24Q Rf,tk Bonded TMu Notary Pwlc lkMinvriters n,t Iib ltlfggb MNNIIM NNtry AUL NOTICE OF COMMENCEMENT Z" PERMIT NO. TAX PARCEL NO._17o&38-ocDgo STATE OF FLORIDA COUNTY OF Q cAVAL The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. Legal description of property(include Street Address,if available) THIS SPACE FOR RECORDER'S DATA 0 16 16 !3,1111 111,11illA. skc-a IV Aa.afT 107 01 .-POIALS&-r7w S7 A7L4AJMc- Sf-404(. F-1— General description of improvements' R-r-- i- WOW -1094H "AAE Mc),0-1416A 0 Owner L.E7rnA I-WOMP-A Address 12�Aeu m1fi-271A ST r47L4ov7j-tSr--Af,". FL Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Name Address Contractor j4 I&L 9- Q Yv,\ Address 2-(Jo FayjAwAjr -rjtAl L., -SA 1 47 jopAje, cl Surety # -LL ---3-2aS Address Amount of S bond Any person making a loan for the construction of the improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(&)7,Florida Statutes. Name Address In addition to himself,owner designates Of To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of Notice of Commencement(the expiration date is I year from the date of recording unless a different date is specified.) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART 1,SECTION 713.13,FLORIDA STATUTES,AND CAN RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY.A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION.IF YOU INTEND TO OBTAIN FINANCING,CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE COMMENCING WORK OR RECORDING YO NOTICE OF COMMENCEMENT. �SIGNA OF OWNER Le�A - 0 Ltan r� PRINTED NAME OF OWNER X SWOMTO AND SUBSCIMED BE 0 E ME THIS DAY OF 20 $101101A L.THOW11011 Nott y Pvbk-StIft of FWW MY COMMISION EXPIRE My COM.Eqk"jVI 1.2012 Cmr&AuW*W U2490 \J NOTARY PUBLIC 11m*dMMV0 NOW%t1rY AM DEPARTMENT OF BUILDING 3832 � CITY OF ATLANTIC BEACH, FLORIDA -_ PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date_ 9111 j9 78 Valuation$ 60 106 a Fee$ 157.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Sunburst Can tructiOnInC 1 1 r i has permission to build a duel sass Classification_ family dwelling ��, ne Owned by Sunburst C n tru on Co., Inc Lot 6$6 Block c/D Salttir House No According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS I'll AFTER DATE OF ISSUE ~—� ► 0 Building material, rubbish and debris -i from this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. (a7 s TI. Builtlit*Of FOR OFFICE PERMIT f{ USE ONLY NUMBER DATE COlyt•fltf� OR 9&U y it PLUMBING 161U1 ELECTRICAL SEWER WATER FOR OFFICE USE ONLY Date............... .. `.......19 . j? ` nn Permit *...-3*?.2t-fee$••15%14 71 F ATLANTIC BEACH - /A Valuation $----- r,ki ll �� 8 FLORIDA �. [� l'�2— House #.7- D...-©.. .h. ....••••• -vgQ_-..0............... CITY. Of ATLANABPREMON FOR BUILDING PERMIT -,df.. ....... 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 City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City 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...................../..............................................1 19...... Owner..UA1502S7 Co. 1----- .._ : .. .. ¢ Architect.....--.........................................................................................Address...........................................................Telephone No............................. Contractor Builder._-�"'08_U�'L-..�-�-T.....Cd'�5T___�_.�w�:__Address._-.17 �....N:....�?.�-�T..�:...Telephone No._.2.'1-1-2�.7 . ..............................Block No.-----------------------------Sub Division----5'64-74'('1Z �&C7,'o Z1. ---lyle�g...Zone............. ...- Lot No.....__�c?. - _ 77!s---------------------Street..w 571111--Side Between.......P , ......................................................Sts. .......................•--•-•-•-•--..and..-•--•-----•-•-••----------...-----.._._....--•-•- Valuation $_.!S d°O-------------For what purpose will building be used....R.E7 -G Type of construction..... ........... F ". .. �.. `rx20 it Dimensions of Building-- .IS/XA.�_'..___.Dimensions of Lot_ 1.. . ..... . Size of Piers-----------------------------------Size of Sills....................._.--.......Greatest Sill Span in ft...._•--.----------.-------Type Roof...��`�1� 7.–.L) ....1111.............Will Buildin be on Solid or Filled Ground? ....... How will Building be Heated?.---�1-..a-7-------p-v-�±�t-P g 9---•---•..............................•- Jr m �_ Size of Ceiling Joists.--.2... .1.©................... Distance on Centers........._��-... _..._.lG..........., Greatest Span..... t?...li...__..._...._.... " Size of Floor Joists------- ---------------------Distance on Centers.........4.4!_!/.a./.G........... Greatest Span.......r 7. -d It " -•-•---•--•---•---.... Size of Rafters------------------------------------ -----------, Distance on Centers........ ... -------•--•--------••----- Greatest Span........................................... „ A P'PROVED This rectangle is to represent the lot. CITY OF Locate the building or buildings in the ANTIC BEACN right position. Give distance in feet from B U I G OFFICE all lot-linea and existing buildings. REAR LOT LINE Two copies of plans and specifications shall (� 1 be submitted with application. Inspections required. By 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. W 3. When steel is in place and ready to pour beam. ►a 7 9 7.5J A 4. When framing is completed. 4 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field or sewer is laid but before it is covered. q 0 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after p corrections are made. Jr�l FRONT OF LC 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 tache plans and s ecifications, which are a part hereof, and in accordance with the building regulations of the Cit o Atl ea Signature of Builder.. _ Address.....17/8............................................N. Fist ST 5.T. -J,6X) 6600 ` :..... ---------•---•---................_. .�1111. _ Signature of Owner.-- . .......fes............. .`:.. •-------..... .-•-•-- Address......�.Z� ...N.._..._t�/ZS 7 ..... �l oY.../� cr1 S w8uttsl 7. Gam. t",r tn&pai-© 5a 6762u.�, �Rfs�'pc.•�7 DEPARTMENT OF BUILDING ^K R ^1 CITY OF ATLANTIC BEACH, FLORIDA V 3 7 PERMIT TO BUILD PERMIT NO. 3 THIS PERMIT MUST BE POSTED ON JOB I Date 9/13/78 19 I Valuation g PLt3 11: Fee$- 18-00 Thu permit not valid until above fee has been paid to City Treasurer, and Is I subject to revocation for violation of applicable provisions of law. This is to certify that_ tI@C1 W j+'gj p PZ has permission to bui3 t-0 A2J-3tall 2 sinks, �.iV��© 1E�$ 2 bit Classification ty � ne Owned by Sunburst construction Lot 6$6 Block c/D— �.��lr House No 170 172 Poinsettia According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. i PERMIT VOID SIR MONTHS { AFTER DATE OF ISSUE F � O Building material, rubbish and debris Z from this work mast not '� >plpTt►Eed , Public space, and mast e and hauled away by ei g� or owner. 4 14 B `jM Iiv d /73 +. Bnlldin�Or$etd. FOR.OFFICE PERMIT USE ONLY NUMBER DATE CONTRACTOR �. ` PLUMBING ELECTRICAL SEWER I- WATER dam. CITY, i- AnAXTIC SEAMi W TY AXWON ., LKeff .1ODITE,cr`3TITOIG'! ill- ...,.....�...M.......w.,,......,...� ...«„. rWc- 4F 3*LDlw---p-q ZJWATMi -CM �I SPOSALS Z- HiNo wooijE LTOTAL • IXiM cow �'MM�vW4Y�w4�ewly�YWp�h�aY'4Yq�9pMY�a.+�,.�.al�� s I .. ON OF f pyI?ST"q�����pAp�ta"�rii�1y /(+��� OFW61 IM �U A a i q�3[�J&y]��'��y��(Fa IE A > 'x n '> ,af� r .4 C3 GFt F rSal- 77 F t , 70 .. n 7Z Carr OF a°IAWoc BEACH CAll 21 women =,'0W . LOCATION ^n SLOM "D Qn Y�OT swuw.+ . s,secs+^.as�rfwu.isr� �'.�:• yfP /F ate.. i 3 rumm. Q 4"UTY OF ru ctlasaing of the dTair ye.: system sn ",e a:evay drwveRped NN3 in Sa-Itais SdJs�lslej (se tion 3) is +✓.antjncgaOr, ars��aptb�.dti�,y�, loS.att-!?d on eahcl'3 Jd°& If t4T. S•w P-!?tS In aj3, r^.;.I^"bvi_3 t 'y°o."afiqurd- aa.j o Acca.Winq2y� an:�xDwin� �i�rg:af a�+ �;.f ra ,�sl. ra ura ��a ?as (r ez-fi' 'es acting as vo'tP.ac>:ors) wAo constFa ct 1 ings it the subdi vis..jan. ., cam as ,+ 1 "grrc� � ion phfv;e an t:e3eaC�'�sz:t��� of tt`ae bruildinp, .and p►".f�lr to !Mstof dprlverlays, the iVnt,a"y a.i'•ea p f3aph IMS pa8{6F''air's;vt and the lat ,Un6 sbkts U•.r . ;a a'r:twt ad Int Use' Of viand P,,7AYvk1r,Cga pierced Steed p''arr6c.ung, zsz Oth6p, srs .<.; '.�>� a + �a �,, dr., �m no-1 fYfsu 'F31. uQ-^t`I n'Ey) to the :r 64't-I n !,,V 4a'� sil m:9.4 aRa' a�� r7+a ,,POn$.i hJJ �V Of VILY t✓'�'i�ki 4`� � n .V�' ."a.f� `.Y�" s 63f3� °'E?§�.�kC?f� tv its rsd bus2t CcAditirin, of tr gty Rit Mates p h b. A1.� top elevetiaxil`Gr drlvev y:, ao.4nv�cars with, the- c-a ntrauz of the Swalee. The no't u:ply S.;r u Xv.,lui zws.d, d!u.T le r-t9'"r r'.:aux df«'.'G:d 9� f F>b �" Q:E3;r Sdgatei, ill-A&.,? ax? be i nst;i�,$ie,' •n.q sG'ci'l a� lfxc$B��t?i :3�1 Ls�,�_a �1`a•� ;?4af3Ev k` e2ev--Rw 1: 6aFa 35�� a t°.Tevc"'t iPrze P'S'?iv Cef 9' N 4-q .0 Nwnt -­ XO the int w,,'e.l W J��:1 8WId n Of1F.fe-fa l a;9'r8scnxech ens conditiow vary at individual lot sites. ds A21 dr-Newav 3e°oAstru tivin raysl. aJ,a Uspr:�r,kq•d and appre;ed by the nui.Yding OM cial p>:q;ar G ;aarrdneo �T) ,ospol City ye? Olt' .d&;,cactaa f MY OF Arl.,WM GEACM MrM CUM=ON CH�M �• PLUMPHO FIRM W,MOM OR Cm;��; id c;azin Naf.:F <.—SHM STALL, MVSTo i (2 ur WhFA CLOWTp LAMORY Z RaqM OR SMAR STS W mnl N) .„, 4 *KUM MW PER KM CS � ...�....—FLWHI Rim Siler tie emits) C� Units -�—S l CE SM—IMPSM-IMP ST :P VAI SINK-P 7W (2 t€nunits)_,..Y.CWONATION SPIV 4 IRAY P+1p1Cry OOD DI S &- ilNIT �4 its) f", SCULLERY 31W (4 units) •,,,-DWAL UNIT CR 0WITIMti =M URIML, POWAL. SYS JET, SLOVM (b units) .......a.,DWAL LAYR'1M t k tors!t) ,—..,,..URINAL. WALL LRP (4 unift) .—ORINKIM FUMMIN it un;+) a,,..yo`0l g*ASM (2 unift) ..........3 !ML, STALL, WASHOUT t4► a"i+l ...rr..�� � IMM (Er'H 8.- 0 a SEM !' KlTCMSM (2 unift) ?.. WHING IMMINE MS.: (3 unil _..;,.,,. KI VMEM SM WIFOOD KAM'!^ GRINDER a,...,.,,,.,VASN SINK, i SE' OF FAUMr. ikYtIts) 2 unl+*) 1!!�JIAVATMf i t €nit) -PYM GLOSIM, TAW WMTED (4 unift) (8 unift) ...... .. 'VAT`, StMU2 units) Cot • 6� 3 COY OF ATLANTIC BEACH 716 0" OLVD. ATL '1C Hsi, FLORIDA AMU= IM IN 0 BA 4. Ont Wing 2. The er"*d*d p l aana for the Own building Is subjict to rantei'i anp 'lint fol laying apps le l• eexsstruotion reqWramwvftj 0. Eggtjnas - tri 1 be caartl roue aw naaasnral i jb 1 c concrete under atciw,l or w a l Is, relstarced with two Ste" drtfor"A reinfcMing- raft fer esrte-yst�o r bul 141 arm aard t '! &fcrftd rol-s+forcl-ng•ev& fee a-story bul 1 di up. Rai nforcl a# r oft sheet l be p l aec�od i n dint i -ane-thlr d of fesati ly plecood and fated can aortal $addles wllts srle*. Faaotings steal 1 be,psi x S ncl a s wl der an such ul ds "ten flay► Moa#1 , "I be of bust *$gilf Inches 'chick herd stout rasat ;a firsi sM 1 at bast twelve -11nd wes below undi siur*w ami l. at l OW =0 90. 5 bw of 0.11 cwiws, poor" aers# VI+11 c+rsrMI-044wi; ads matl efa l we vial 1 be proper Iy +led i nto +tae fail reg and spandrel beers. c �I, 4 • aafal l be fastened fastd too ,"we i err na 1 s aril d burr' s ams aoraa hCrs W_ r 1 i pat. d. CvnStnctial Of nftw* eanet-fasi l y dam 1 l i rp, awh i eh wra dup l i eorNa or i of mel y aaIMI lw, 011 be rxvs►idad. Seeds s6161 lsowlty considers tto eadvrnal configan,01a IM s eat i.o., T=f, o0or wel 1 raeor6ri a 1 s, sri naii w size and design, and 1 i Gear ahwwtw9 sti c*) or in oc cwt# sti eta the :f=vgoi wi, Simi car air 1 BcaE`rat hafts shat t M* be . h%w+W erlthirr closet p"oeiasl+,f Of + s aitser, si 1 by art l 34d!'i tw+ qmr+ if arsy arae aa<lrri car #*aii l i ng Is ori sae b l e frown OW aaitsatr viral l ar *oi 1 i ng. e. Seararaer at+r w1 ce eaprsrsoOlons OW be pfvbW ,wlft alema-aut rola in the prrseerae of a CIty ,laspe0or f. 'bite finial ear tion boterea en the he userr plumbing drain and sawer service c�r�ruaeti an shatra ► 1 i ra) be 1 by tlnl i fy bbrfce'�s bei rep tomer ed. City '@'Mt undersigned hereby crti#lama Ott h ! n/aMd� tds tisaart thi s all-den dtes talcs parear� ere�ear ,any cantrery dente#is plaaans and SWI f lantl ens aid agram fma iY wl+b It i malt Of this aldeasa imL downers ul aar/Qnn er 171 tom' ' S � x j � { i } { CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09_ T OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPTGCOAB.US 4*l4. I-S F BUILDING PERMIT APPLICATION DUVAL COUNTY t',JOB ADDRESS 2.VALUATION'OF WORK, =? 3.SQ.FT.UNDER,ROOF .. I'70 PolA1S4�771A ST. 1,9SI.ofl '�,� SQS , "4;LEGAL DESCRIPTION ,' >: 5.CLASS`OEWORK:'€= fi'USE OF STRUGTUREi,• to-a$- .Z9E 5ALT4lk SEC-3 ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL 7.DESCRIPTION OF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8:FIRE SPRINKLER. �C01i �1C1371a16�.10Df w i W 70k�F4 r."k-MoAl f/E� 13 REPAIR ❑POOL/SPA 11YES 13N/A A 13 MOVE OTHER ❑NO a, PROPERTY OWNER. it` CONTRAC OR,z; ARCHITECT I ENGINEER:. sP ` NAME: 15.COMPANY NAME: 23.COMPANY NAME: GkAS7cA) RaofiNGc-o. In,t,. Pi'N tAE.W S-7fLZ mANlj 16.NAME: 24.LICENSEE NAME: 6M IE L R . CcA,4S?al 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 116 POI NSE?71A 577, C-CX-'058aa-I 18.ADDRE S: 28.ADDRESS: Pr-TLA,.-71C- Sfz.Ae,HI FL. 3a�.33 01-8o FoXKUA/j _7,e,4/,L SAfA17 7o14NS R- 3AA,0 11.OFFICE PHONE 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: 141- a87-D'Agis I a-87- 1835 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: - (,VIA,?-.2 ?O? - 3Lt:v 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: I3 M4iar.L7.44-?a Ao[,-Com FEE SIMPLE TITLEHOLDER: BONDING COMPANY �` MORTGAGE LENDER: y y',n•• r. r �.(IF Q' HAN OW I�iER TNER) •''' - 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 38.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)months, or if construction or work is suspended or abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning.I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT ONTRACTOR (IfA gent PowerofAttomeyorAgencytetterRequired) (Qualifie nly" Signed: Date: J ~22"-Zobq Signed: Date: Before me th/ievk7a day of' 2009 in the county of Before me this day of A 2009 i the my of Florid as a onally , a Duvalto of Florida,has personall eared /�.9w%� �• Tex herin by himself/herself and affi s that all statements an declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at rge, to of_ County of NotarjPublic at Large,State of L County of ❑❑❑ Ily K"n EllIlIersonally Known Produced Wentiffca' ❑Produced Identification- Notary Signature: o ry n ur 1 Nowy Public.6Ua of FloAds W C Expiry Jan 7,2012 EUMAOM A WUM Coram m"S DD 74MI � MY COMMI�S�SSI�IO��N,,,,t#���DO 791167 SOa�T 1rNd� BLDGuiPemitApplication Bldg:REVISED:12/18120u8 dikuN*"qublie CITY OF ATLANTIC BEACH .r PLUMBING PERMIT APPLICATION Date: qka Property Address: Owner: 'A- m fl Telephone Contractor. qifflff I= COAST PLU"",JNC. Telephone#: Ck Nw- Mi id Contractor Address: J� both* 6L 22230 'Fax#: 9 In consideration of permit given for doing the work as desc6bed 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, VNew list the building permit number: Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans _ Dishwashers �� Sinks Disposals Urinals Floor Drains Washing Machine — Lavatory Water Sewer Water Heaters Other L Fees _ Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845. http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 7-21-98 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 AREA PART HEREOF, AND IN'ACCORDANCE WITH'THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. R & R Electric of North FloricJa Int. .,,/,w/vc ? ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE AA NAME G.ywn May ADDRESS. 172 Poinsettia RFD BOX BLDG.SIZE BETWEEN: RES.P-r' APT.( ) comm. ( ) PUBLIC( ) INDUS. ( ) NEW( ) OLD V--� REW. ( ) ADDITION ( } TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W OLT 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 AM P6. I OVER APPLIANCES BE TRANSF: AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS N0. 1 H.P. VOLTAGE PHS MISCELLANEOUS