Permit 182 - 184 Poinsettia St (vault) CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX 247.6877
Address: 182 POII
NSETT{A STREET
Permit Number: 22250 ATLANTIC BEACH, FL 32233
Permit Type: DEMOLITION Township: Range: Book:
Class of Work: REMOVPL Lot(s): Block: Section:
proposed Use: SINGLE FAMILY Subdivision:
Square Feet: parcel Number:
Est. Vattre: - 3
Improv.Cost: 6!28/2001 Name: L.F. EVERETT
Date issued: 100.00 Address: 182 POINSETTIA STREET
Total Fees. 100.00 ATLANTIC BEACH, FL 32233
Amount Paid: 904 223-4343
Date Ps&d: 6/28/2001 Phone:
- Work Desc: DEMOLITION NLY TIION
f
100.00
C E>
PERMIT
OMNI DEMOLITION
n[
s
Y
}
NOTICE-,INSPECST BE REQUESTED AT LEAST 24HOURS PRIOR TO INSPECTION
BUILDING MATERIAL�RUBBISHpA DEBRIS FROM THIS WORK MUST NOT BE EGED IN PUBLIG SPADE,AND
MUST BE CLEARED UP,AND HAUL AWAY BY EITHER CONTRACTOR OR O"ER
COMPLY!- TIS T STRUCTICIN LIEN CAN RESIT IN THE
"FAILURE TO . fill E1IES"
PROPERTY OWNER PAY#1G E 'O _..
6 AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPROVBDJ?L �IS,WHICH RE�PAR-r
FOR VIOLATION OF APPLICABLE PROVISIONS W
I
I
1
6100.88 14
Date: 7/83/01 01 Receipt: 0€#6991
AT NTIC CH BUIL ING DEPT. CHECKSP"
— _ 88180083221800
MAR-17-2000 10:43A FROM: 247-5845 TO:97640582 P:1/1
RECFp
viii 2 b C �J�
CITY OF ATLANTIC BEACH y ;f /�tla�� is Coach
PERMIT APPLICATION REMODEL, ADVXTIONS, OR`� :LF 4Xi&i s
MOVSZV•G, DEMOLITIONS
Cwner(s� : L F Everett
Job Address: 182 Poinsettia Street Phone: 904-223-4343
Lot # 685 Block or Unit # 16 Subdivision: Saltair
Contractor: Omni Demolition, Inc. State License # N/A
Address: 10334 Macon Road Phone NO; 904-764-5009
City Jacksonville State Florida zip Code 32219
Describe work to be done: Demolish 10 x 14 Garage
Present use of building: Storage
Valuation of Proposed Construction: $2,375.00
Proposed use: N/A `
Is this an addition? NO If yes, what are the dimensions of the added
space: ft. X ft- Will the added area be heated and
cooled? New electrical (or increase) ?
New plumbing fixtures? New fireplace? New Heat/AC?
SUMC7 TE= (CO)AMCIA.L) 1'rv0 (RESIZOMIA.L) COWZZTE SETS OF PLANS, INC VDING
SITE PLAN, SURVEY, MaMGY COD'ti: FORM, NOTICX OF COiD&NC;ZMCNT, AND
0WN=/C0NTRACT0R AFFIDAVIT, IF OWA'MR IS CONTRACTOR.
S=3e /
Signature 04JNER:�%' � Dat"e: -0
Signature CONTRACTOR: Date: 05/25/2001
AS TO OWNER:
Sworn to and A.t4bscribed before me this 3v0- day of 22900.
MAnn Cuc:�D
r MY COMMISSIOISSIO N#C.C7l502'i EXPIRES
7una 7, 2002 NOTARY PUBLIC
AS TO CONTR: BONDED THRU TROY FAIN INSURANCE,INC
RF+:CO
Sworn to and subscribed before me this 25th day of May ,2001.
40-�
NOTARY PUBLIC
,o`""�� Tamalynn R.Diotte -
coamdedon#EJC 866401
Expires Aug. 2.6.2003
Bonded Thra
'�' OF'w" Atlantic Bonding Co.,Inc.
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:_ 1powst-PLUMBING CONTRACTOR:
LICENSE NUMBER: C� Coj3�
OWNER: L ,
BUILDING CONTRACTOR:
TYPE OF BUILDING: S
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
6p 1pfi /�T 6AJL�
TOTAL FIXTURE COUNT: + $15.00 =
---------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
3662
DEPAiiTMENT'OF BUILDING
CITY OF ATLANTIC BEACH
loal w lip all -------
�,77 77-
IN TRFORKATIOm ---------- -
ilwit, 00*bler3562 , Ad #ra : 3 ICA1 ""t'ATIIw '
P 1 Types PL,UNBINO ATLART C BEACH, FLORIDA 32233
. Works REPAIR --_:.------ LEGAL` DESCRIPTION
Thr s "WOOD "FRAME Lot:
s i Slick s Section:
'Proposed USel SINGLE UI
FLY Tc��r,lock't RNGa p
All
3re ' rs00d pSubdivision:
s
�,Bt taa t d Values ' $0.00
2 ►pr.+ r. Coat s $0.00
A*out Paid:
$15. 000 WATER
n
ES
APPLICATI
PERM
FEES
IT $15. 00
$1 . 00
Addrr�► � 4 A arTREET .m WATER
IMPACT F"EE !. Off}
ACH FLORIDA 3223 EEWE . HF'ACT FEE: $0.
00
Q NFtIRMATItK RA@1 9lIIR, St3xgt
RADON' GAS
NBe1 .`j�,. ; x F*LUt4HIjIG WATER TAP *0. 00
Addrns X34 . NE ICIA ► SEWER. TAPO. 00
C . F' :,.3� C I�HAR . 00.00
'License,; Cr.CO 4 RE-I;4SP2CTr FEE $0. 00
SEC. H�i IMPACT FEE 1'r 00
z
a
TICE--ALLCt NCRIETE FORMS AND FOOTINGS MUST BE INSPECTED sEFORE POURING
PERMIT VOID SIX MONTHS AFTER'DATE OF ISSUE ,
BUILDING MATERIAL•RUBiSH AND I YEBRIS 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 MECHANICSLiIEIV LAW CAN RESULT' IN
E:PROPER" ,1498 PAYING TWICE FOR BU,I,6II4
0
`'
;RP
::ACCORDING TO APPROVED"PLANS WHICH ARE PART OF THIS PERMIT`AND SUBJEGt'C fwOj*p 1
C)1AI t�N OF APPLICABLE POOVISI4NS OF LAW.
63
R v
ATLANTIC BEACH,BUILDING DEPARTMENT #. "
*... y. IRT :.
e,Tq,r',„ Y `'�, .s=,•x 9`r,: t T' ,xufr.." ... r.�,�: '" t�dr:e...`";.,-=rr..sic-
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
71 Date Permit No.
Time A.M.
Received District No.
Job dr s „_. Locality
Owner's 1
Name -Contractor”
BUILDING CONCRETE ELECTRICAL PLU ING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
READY FOR INSPre Fab
I I
Mon. Tues. Wed_ \ A.M.
hurs. Fria y P.M.
Inspection Made
/ A.M.
Inspector ^^-- FlnaI I
tpe.c
Certificate of Occupancy XauI4
Date
CITY OF
-4&4 4C &4,,4.V
Office of Building Official
REQUEST FOR INSPECTION
Date__
Time Permit No.
Received
�'— A-JLI District No.
Job Address
Owner's / Locality
Name C �
Contractor �j'
BUILDING CONCRETE ELECTRICAL PLUMBING
Rough Framing ❑ Footing 1-11 Rough Wiring ❑ R �
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out H'eatin nd.&
Lintel Elg
Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. Tues. Wed A.M.
Thur Friday
Inspection Made A:M. GI�l Z 146_S 5;7 r/
actor z i /�GYlCp dGcrt/er
Final Inspection❑
Certificate of Occupancy
Date
000 `
Q€PARTMENTOF BUILDING7777
CITY OF ATLANTIC BEACH
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t'�Cat3t # Typel, Wpov jojrAf7f?!.r fit.: P1 f t K 2 ' at1[7rri
f v l xarn� 1 + c7C x +Ct ZuDcliw s io n%
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I"faprov. costt
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car.
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Work NOgi� #�!!f Ake I OfC'W "LAT
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gulp& {�i A#AMw.►#1A(' A
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NO
NOTES. .
{
a
1
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
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.
x
"FAILURE TO COMPLY .WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
MIDATI014 ffi 01/16/91
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ REVOCATI �. R
VIOLATION OF APPLICABLE PROVISIONS OF LAW. ;
"5
ATLANTIC BEACH BUILDING DEPARTMENT
By: ,
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. Z rl/SET� �T
. LOCATION Street Address: - �/ (�
OF Infersecfing Streets: Bs+ween S%L/4,0A 1111617- 157-. And 51`L-6",4r" '
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 attaciLed 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 /s �� / Contractors
Contractor (Print) (7 �/ t� �s Master O`fj�7/ LO-5
Name of
Property OwnerR1�/ � 7 l,
Siynatun ze Owner Signature of
or Authorized Agent Architect or Engineer
111. SEVERAL INFORMATIO
A' Type of boating fool: B. /5 ao
IS OTHER CONSTRUCTION BEING DONE ON
�Elec+ric THIS BUILDING OR SITE7 /f0d
Q Gas—❑ LP ❑ Natural ❑ Contral Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
Q Od PERMIT
Q Other — Specify
IV. IslKWANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK
ITU
(Provide complete lila of components on back of this form) Residential or ❑ Commercial
(Heat ❑ Space ❑ Recessed 12-l"Centrel O Floor ❑ Now Building
{/Air Conditioning: ElRoom sr"Centrel TExisting Building
Q Duct System: Material Thiekn*s• U!'/Replacement of existing system
Maximum capacity CAM. ❑ New installation(No system previously Instatled)
Q RefrigerationElExtension or add-on to existing system
❑ Other — Specify
Q Cooling tower: Capacity g.pan.
Q Fire sprinklers: Number of heads
Q Ellwator [3Menlift [3Escalator (number) THIS SPACE FOR OFFICE USE ONLY
Q, Gasoline pump{ (number) (Received)
❑. Tanks (number) Remarks
Q LPG contains (number)
Q Unfired pressure vessel
Permit Approved by Defe
� boilers
Q 00W — Specify Permit Fee
LIST ALL EQUIPMENT
AOL CONDITIONING AND REFRIGERATION EQUIPMENT
0
C�padty App a
NumberUnits Deaoription ![oda)Number ][anut!aatlirer (Kbns) A
ed e fe4 a Je Ir/ 7 li a i 3
7-
111M)A 143
CITY OF ATLANTIC BEACH
sx 800 SEMINOLE ROAD
N ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 08-00001115 Date 8/13/08
Property Address . . . . . . 184 POINSETTIA ST
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------------------------
Application desc
REPLACING AIR HANDLER & COND
----------------------------------------------
Owner Contractor
-
------------------------
-----------------------
HOUSER, JOANNA ARTIC AIR OF NE FLORIDA, LLC
184 POINSETTIA STREET P.O. BOX 50496
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-1816
-----Permit
. MECHANICAL PERMIT
Additional desc
Permit Fee 79 . 00 Plan Check Fee . 00
Issue Date . . . Valuation 0
Expiration Date 2/09/09
_____ _ --------------------------------
Fee summary Charged Paid Credited Due
P ---------- -------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
i
`
DEPARTMENT OF BUILDING 427
PERMIT NO.
4 i
CITY OF ATLANTIC BEACH, FLORIDA I
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 19. _ @
1 rtmi��_7[�st Fee 24.00
Valuation$
yi
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. I
'1'liis is to certify tha+
FW Fair Plumbin, Co.
eta
has permission todisos ori washing machines.
2 water heatars,2 dishwashers,2 p
i 7 _Zone
classification--
Owned by Fr
Bloc' -S/D
Lo
182 & 184 Poinsettia Street
House No
part of this
According to approved plans which are permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE
SP CTED BEFORE POURING. IN
PERMIT VOID SIR MONTHS
,I AFTER DATE OF ISSUE
7{I
O Buildinx material, rubbish a laced
Z fin
rom this work must not be'P
alic laway by either clearede, and must be
anacd alied contractor
or owner.
Bill X. Davis
Buildinn O Ctcia.
FOR OFFICE PDATE
r q
PERMIT
USE ONLY NUMBER d�+;�p�•� as§§J t.�4.�
PLUMBING
4 L
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
-APPLICATION FOR PLUMBING PERU=
Date
Location . . . r
Plumbing Finn
Master Plumber d
City/County Occupaticnal License No.
State Certificate No.
Builder or Contractor w
Type of BuildingL � � ��'' dr• �
SINKS' SHOWERS
LAVATORY %ATER HEATERS
aM TUBS ,� DISHRLEU3ERS
DISPOSALS
MOSETS WASHING MACHINE
FLOOR DRAINS
OTHER
'IC AL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FI .S MUST BE IN ACCORDANCE WITH THE MST
RECENT' EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
DEPARTMENT OF BUILDING 4639
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD 1
THIS PERMIT MUST BE POSTED ON JOB
Date parch 17 19 iil '
Valuation$ 927.6$ Fee $ 5.00 1: s
0/17/0
i:u a x.;';,";64
This permit not valid until above fee has been paid to City Treasurer, and is . , 7
subject to revocation for violation of applicable provisions of law.. i a s' i# a"« 1! �.`1
This is to certify that Arlington Fence Company
has permission to JIAIr install a 6' feet high cypress fence as plans
submitted.
Classification Residential 7.o►e
Owned by k4r. Frank Everett.
i
Lot Block—, s/D
House No 182 Poinsettia St. Atlantic Beach Fla. i
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUSTBE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS i
AFTER DATE OF ISSUE
—00. ► O 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.
BILL H. DAVIS
Building Official.
I
i
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
1
i
4403
PERMIT-DEPARTMENT OF BUILDING PERMIT NO. 4
CITY OF ATLANTIC BEACH. FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 6/23 19 80
-00 _
I
Valuation$ Fee
This permit not valid until above fee has been paid to City Treasurer, and is I
subject to revocation for violation of applicable provisions of Lw.
'1'}lis is to certify tha
?rare Q4L1son & ArmadilliO Inc.
I
has permission to buil
—Zone
Classificatio
'i is i al
Fred Carlson & Armadillio Inc.
Awned by , S/D Salt 'Air
Bloc k
Lot figs
182 & 184 Poinsettia Street
House No
According to approved plans which are part of this Peel NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFOREPOURING.
PERMIT AFTER DATE OF I SUE MONTHS
♦—► , Z Building material, rubbish and debris
� from this work mast not be placed in
public space, and must cleared
up
and hariled away bycontractor
or owner.
a
Bill M. Davis -
Builds
1 s5TCK
PERMIT DATE CON'TA�IOR
FOR OFFICE NUMBER
USE ONLY
PLUMBING
ELECTRICAL
SEWER
WATER
C -DEPARTMENT OF OF BUILDING 4423
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date_-- July— 25 19—$
Valuation$
11,811-60 Fee $ 11.00 I
This permit not valid until above fee has been paid to City Treasurer, and is
abject to revocation for violation of applicable provisions of Lw.
This is to certify that
an additioinal 3$6 S Feet of livin ares
has permission to buil { Revised Set Of, Plans
to the duplex original Permit# 4403• 1
t auu appy e
Residential-Zone
Classificatio------
Owned e
685 Bloclr,_._-----S/D Salt Air
Lo
House No
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUSTBE IN-
SPECTED
SECTED BEFORE POURING.
.n
PERMIT AFTER DATE OF I SUE MONTHS
X
�_► 0Building material, rubbish and debris
Z from this work must not be placed in
pubalic space, and haiiled away byeitherclearedst be contractor
and
or owner.
Bill "i. Davi S g —fir
anilaint Ii�� j f
fl
CONTRL'C'trOR lo /I 5/8r
FOR OFFICE PERMIT NUMBERDATE ^
USE ONLY
PLUMBING uux31
ELECTRICAL
SEWER
WATER
Date...__u,"-
permit �:'y���_._Fee j.��.L•�..�..
CITY OF ATLANTIC BEACH
Valuation =..�1_�..,'?."��...�?�'...._........._
FLORIDA
APPLICATION FOR BUILDING PERMIT
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for thi
building or other structure described. This application is made in compliance and conformity with the Building Ordinance cc
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlanti
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be compiled 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 car
be verified.
Date......— _ _ -...........:._...•--
R vavrf �3 - SE` S
..:.:?...Addreas__.`w ...........
Architect...,)�'?? 1... '.l..�s r ti10. :_ ...-----....................Addresa.A. Q!«<�f �;Ij_._.._ __ Takp one
t�Oti Cry -.��v� cx._G-�G T 7 ^O
Contractor Builder. .��ar:... �...----73 -•--•--- --=-•--•-- •---------•--•--Address. . ��_.�t�_i! ?-- •J--- 1.._t_..Talephoae Noc,.b- -- -'- --
Lot NO.............. �....-.........Block No--------------------------------Sub Division...... w' --..F.fiLLr..................................... one.......----
----------•--------- -•-••------•-•••-----•----------------Street........_•...............Side Between---------...........----•-----............----_........�d - --..._..............-_.--........Sts
Valuation j... � �_.....................For what pu�ose will building be useda�..L�?. Al P. s -�..
/ '77 Type of constraction..?�'k Y_i!! _
Dimensions of Building..'(sz.0.�.x.. /p b /�xdit�
��:: .......Dimensions of Lot_.....�Q_..?�..-.-•-------•-•.----•-_------...3ize of Footings./.�.,X/.4,-}}---aa---• --....._..
Size of Piers_Tl ,._ t' ..............Size of//Sills............................_..Greatest Sill Span In ft........_.................Type Roof....6- i L....
How will Building be Heated?... e T :. .. <1 .......Will Building be on Solid or Filled Ground?.....4::A
Sim of CallingJoiata._Rjr�X_.fit :_C .7 j.� bistance on Centers-..,-... 1� ...... Greatest 8 /�f—Ir "
Size of Floor a Joists...1. ....... �'......Distance on Centers......! .-o C.................... Greatest Span-./i�..........................__� "
r M
..,Distance on Centers.... . .Y.0
Size of Rafters..-- - -x��-•--------•--------------------- p�. ..------•-----•---... Greatest $pan�t�.........._....._......
_..._.
This rectangle
in mar brepresentinn lo
tldLocate the banding
all lct-seg on.G�distance in feet from
all ting buildings.
A ty i=' ;j $EAB LOT LINE
Two copies of plass and specifications shall CI"s" t^'j r
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. 3
L When steel is in place and ready to pour columns r
8. When steel is in place and ready to pour beam.
4. When framing b completed.
5. When rough plumbing is completed,and ready to cover up. i
6. When septic tank drain field or sewer is laid but before it is covered. eW W
7. Electrical inspection by City of Jacksonville. R r ?I
8. Final inspection.
Note: In case of any rejection,re-inspection BUST be called for atter
corrections are made.
FRONT OF LOT
work in accordance
In consideration permit given for doing the work as described in the above statement, we hereby agree to perform said
with the attached p and specifications, which an a part hereof, and in accordance,with the building
regulations of the City of ticCIL
k
Signature of Bnildar_
Signature of OwnS,... ............._-----------..._. _.._
Address..._._--_...._-........._.............................................................. _
CITY OF ATLANTIC BEACH
WATER CONNECTION CHARGE
DATE HYD
LOCATION
OWNER � r
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR `L-�� ��
TYPE OF BUILDING
o2 BATHROOM GROUP CONSISTING OF o.c� SHOWER STALL, DOMESTIC (2 units)
CATER CLOSET LAVATORY & BATH7U6,�
SHOWERS GR0UP PER HEAD (3 units)
BATHTUB (WITH OR WITHOUT OVER
HEAD SHOWER) (2units) —.,," SURGEONS RINK (3 units)
� �RIDET (3 units) � FLUSHING RIM SINK (8units)
COMBINATION SINK AND TRAY (3 units) SERVICE SINK TRAP STAND (3 units)
COMBINATION SINN AND TRAY W/FOOD DIS. POT, SCALLCR-1 SINK (4 units)
---(4units) ....
URINAL, PEDESTAL., SYPHON JET
DENTAL UNIT OR CUSPIDOR (1 unit) BLOWOUT (B units)
DENTAL LAVATORY (1 unit) URINAL, WALL LIP (4 units)
DRINKING FOUNTAIN (h unit) .URINAL STALL, WASHOUT` (4 units)
DISHWASHER (2 units) ND,°D URINAL TROUGH EACH Z-FT. SECTION
2 units
FLOOR DRAINS (1 unit)
WASHING MACHINE RES, (3 units) /od- oD
FITCHEN SINK (2 units)
WASH SINK EACH SET OF FAUCET
KITCHEN SINK W/FOOD WASTE GRINDER ----2 units
WATER CLOSETS, TANK OP (4 units)
..Z�LAVATORY (1 unit) -20,0C)
WATER CLOSETS, VALVE OP (8 units)
LAVATORY, BARBER, BEAUTY PARLOR
w(2 units) _ LAUNDRY TRAY (2 units)
LAVATORY, SURGEONDS (2 units)
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUT-IN
APPLICATIC N IS I�BY MADE FOR % =t't � C � AT
THE FOLLOWING ADDRESS FOR UNIT (S)
CUT-IN ClIARGE OF
STREET NO.
BLOCK SUBDIVISIONc�/
wr 3
ACCOUNT NO.
MASTER PLUMBER
MAILING ADDRESS
DATE -7-
METER No. 2 5 2 Sj DATE INSTN= 2`5- 3 -'y c-)
9eyid;vl6- - oU C)
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUMIN
APPLICATION IS HEREBY MADE FOR i �'� c!� WATER CUTIN AT
THE MLLCWING ADDRESS FOR UNIT (S)
CUT�-IN CHARGE OF
STREET NO. ,1-z4t
LOT CC' S BLOCK . . . . . . . . . SUBDIVISION
ACCOUNT NO.
MASTER PLUMBER
MAILING ADDRESS
DATE—{, `2� 3 "
METER NO.---f cl S X 12 `� !L rAm INSTALLED 7
Re P4 n6- -- v 0 ��en�1�e + 4�-
CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
ACCOUNT NO.
DATE
LOCATION
LOT NO. (Pc7 c� BLOCK NO. SUBDIVISION '
OWNER
TYPE OF BUILDING
MASTER PLUMBER
DATE
INSPECTED BY