426 Royal Palms Dr (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
r ATLANTIC BEACH,FL 32233
u., INSPECTION PHONE LINE 247-5826
W1
08-00001062 Date 10/08/08
Application Number . 426 ROYAL PALMS DR
Property Address . . . . .
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1268
---------------------------------
Application desc
reroof f13663-2
-----------------------------------
Owner Contractor
--------------
------------------------
----------
MEDRANO, BONIFACIO OWNER
426 ROYAL PALMS DRIVE
ATLANTIC BEACH FL 32233
-----------------------------------
Permit ROOF PERMIT
Additional desc Plan Check Fee . 00
Permit Fee . . . . 35 . 00 1268
Issue Date . . . Valuation
Expiration Date . . 4/06/09
-----------------------------------------------------
Fee summaryCharged Paid Credited Due
---
---------- -------
----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
p f - /d� Z-
CITY OF ATLANTIC BEACH 08, '
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
�i OFFICE:(904)247-5826•FAX NO.:(9D4)247-5845
BUILDING uPERMITcAPPLICATION DUVAL COUNTY
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L 3 NEW BUILDING ❑DEMOLITION RESIDENTIAL
LOT/ BLOCKZZ SUB DIVISION ` ADDITION ❑CONVERTING USE COMMERCIAL
3,.z,,.parr a dir,_ �,,. .,, ,• .a- �•�. •)` ❑ALTERATION [3 ACCESSORY BLDG.
WORRIM ,�. . ,�> ,,. . - .x
AREPAIR [3 POOL/SPA ❑YES [3 N/A
ti /�' -G S MOVE ❑OTHER ❑NO
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9.NAME: 15.COMPANY NAME: 23.COM ANY NAME:
v
" 16.NAME: 24.LI ENSEE NAME:
10.AD ESS: 17.STATE OF FLORIDA LIC SE NO.: 25.STATE OF FLORIDA LICENSE O.:
5i914�
18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PH 0.FAX NO.: 27.OFFICE PHONE: 28. Nb.:-_ •:
13.CELL PHONE: 21.CELL PHON : 29.CELL PHONE:
ro _ da - F7i
14.E AIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
35.NAME: �
33.NAME.
31 NAME: ry d ct C� N/
er b C (7�,+�
32.ADDRESS: 34.ADDRESS: 3 f.ADDRE S:
� �
Application is hereby made to obtain a permit to do the work and installations as indicated. rcertify that no work orfinstallation 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.
r 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.
.fir � .�" � �`w' ! �� fo 4 �• � °sem :nom :a�.i, ,.<ro �:"'rn,F,c.^'u ,:r�''.
---%� ! , Date:,� Y �r� _ � � te:- .�6-� Signed:
Slgnet�". �
Before me this .1 �day of 2&C' ,200 in the county of Before me this day of 2007 in the county of
Duval,State of Florida,has personally ap ared Duval,State of Florida,has personally appeared
M -C-A' VCy,
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. true and accurate.
Notary Public at Large,State of F_(l:1r tC1�1ACounty of ✓a Uf 4t 1' Notary Public at Large,State of ,County of
❑Personally Known ❑Personally Known
R.Produced Identification- �-( lilvl;i`� �`6 i:1..:, .` ❑Produced Identification-
Notary Signature: /dr "� '1 ti � l�f ("18 Notary Signature:
't te.6 Florida
COAB FORM BLDG01 IRE1�,S 110 00✓3�,� r �,,�'.{}�D0579225
II``
1-7
CITY OF ATLANTIC BEACH
OWNER / BUILDER AFFIDAVIT
1. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING'REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED
CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT
LAW. THE EXEMPTION ALLOWS YOU,AS THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE^^'T�TRUCTION YOURSELF, YOU MAY BUILD OR IMPROVE HONE-OR
♦.t A�V
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD O
IMPROVE A COMMERCIAL BUILDING AT A COST OF$25,000.00 OR LESS. THE
RiJILDTNG
MUST BE FOR YOLi1t USE AND OCCUPANCY• IT MAY NOT BE BUILT FOR SALE OR LEASE.
IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR
AFTER THE CONSTRUCTION IS COMPLETE,THE LAW WILL PRESUME THAT YOU BUII T
FOR SALE OR LEASE,WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
IT IT nF AN UNLICENSED WHIG AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO TILE BUILDING CODES AND ZONING REGULATIONS. IT IS
YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE PuPLOYED BY YOU HAVE
LICENSES REQUIRED BY STATE LAW AND BY C ni 1N TY OR MUNICIPAt LICENSING
ORDINANCES.
11. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE
OWNER.
Ili, IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV, PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER- ANY
CIRCIB+ASTANCES.OWNERS BEING SUBJECT TO$5,000 PENALTY UNDER FLORIDA STATUTE NO
455-228(1). AN PATIO"� LICENSE'IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY' OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826)IF IN DOUBT.
V. D THE
OVE
STATEMENT LEAND TMHAT I(HEREBY COMPLY WITH ALL THEETHAT I HAVE REQUIREMEN SE FOR THEE DISCLOSURE
ISSUANCE OF AN
OWNER-BUILDER PERMIT.
PHONE NUMBER
AODRESS
N.e
PRINT NAME CCS d
DATE .�
SIGNATU
�
�r
Before me this dayof / l tt 2967-in the county of
Duval,sudaof has personally a hetet by himself/herself and affirms that
all statements and declarations are true and accurate.
Notary Public at Large,State of i - ,County of
O Pah Known U a�, _,te of Florida
�Produ-d idenukation-
son DD579225
0 5/2010
Notary Signature:
COAG FORM BI DG07;REVISED:8/14/2007
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Proposed Construction DESCRIPTION OF MATERIALS Nm. - - ' -- --
.z"�inse**d by FRA=VA)
Construction
Property address ---- --------_--........................ Cify _ -------------- ....................... Stmfe ..................
Morfgagor
m* Sponsor ................................ ......... '.............. --- ......................... ....... ...... .........................
(Name) «A(Wr°ax` `
Contrallifor or Builder ---'-----------.. -. - . -___- ----------' ' -----'---^_'
'm"rn") .^u«t �.
INSTRUCTIONS
/ For addifional information am how this form is to be submitted. number minimum requirements """=* be ="°a"~a ""/"ss ip=mcaxraesc"uu. '
of '
4. Include no alternates, "or a°�s. (Can-
Mortgage Insurance-- - - '' Request- - for- Determination-- - of Reasonable Value,-case may be. ma"ra*=" of " request f", acceptance of substitute matv,uo^ or equipment
2. Desc4b* all materials and equipment to be used, whether or not shown isnot thereby pmckm*d.)
on the clr�,ings, by marking an X in s. /*a"ae sinma.w° ,"n"/,"J of the end ovthis form.
the The construction sholl be completed in compliance with the related
misc." ani,describe under item 27 or on an attached sheet. drawings and spe6fications, as amended during processing. The sl�ecificotions
3. Walli not s4ecificolly described or shown will not be considered unless include this Descriphon of Materials and the applicable Minimum Construcf;on
required, when , minimum acceptable will be assumed. Work exceeding Requirements.
1. EXCAVATION:
Bearing soil,type-------------- ----������'_���m��.--_----- ------ ---- ----- --------- -------------
-------------------------------------------------
----__--_--'__-_-_.__---_-____------_--.-_-_------.-'
2. FOUNDATIONS: �
��� 2500 P�I 2- 4� S����&L ROUSE
�
�"
'. X.b/f^ncing _ ' -- -- ------- ---'' .... ... -------------------- -
^ /
r°mo,n,n�
^ `
~' - � - ---Basement entrance areaw Window
ur,unu7a -_-_-_-__-�_-__'_'___
�8l��`omxdruinv - '-' '-`--- ' '
'-'-^'--~ - - ' - ---- �
' -- ' -� ------- --
Termite protection ---------------- - ...... -. ....... -------- ---_-------Basementless space: Ground cover ------------------------ Insulation `
P,uodauonvents - ----........'-_'-.
mnaqalxuunoxt'^nu -_----_--_----_----_---- ---------- -_ -_-'- ---- ----'-
`
-------------- _- ' -' '� ---------- -- - ----_'---'---_--.--
---'--'---- -- ' - -' ---' - -----'-------'-
j. Cwx
�~ 6K& AIB JET
Material ....'------ -' -_-_'-_--. Prefabricated (oah^ and size) -_ ------. -------- ------ ------- --------
Flue`lining: Material -------------- .'--- ------- Heater flue size --- _. -' Fireplace flue size -------- -----------
Vents (material and size) : Gas ^roil heater -� --__ - -, - ' ' ' - `vuz^rh,*u, -- __ __-__-
.--_^--'-_---------- '_' _-�� . - - ' '- ___ ' ' '-� , - _'__-_--'
4. FI
` Type Ll Solid fuel; gas-burning; C�circulator (make awl s�izo,) Ash dump and cl,�an-out - -----------------
S. EXTERIOR WALLS:
Wood frame; Grade and species - ----- ' Corner bracing. uviNingpaper^, f,n
width _� .� �� mdui; LJ x/*,ud , v. c.; ] diaxvoul; ......
t�p, mx -- - � ,x/"*un -- '' � fuuu,.iux -....... '
a/z, ,xrw"m ^� [ust°.ln« .. -__--_-'
/'uth - -_--- - ; weight .........lb.
Masonry veneer - 8iUr - .-.-�- _� Lints-Is ------ -
Facing ~°��� ._���^,kuv - d`"boc, _-��-' B^ .ding ------------- --- --------- _ -----'_'
Dovr�l� ..{����.._---- \r,mkx �)), �5 __- _ --' l.iouoo--_ I�����----
-_-..
lnto,ioruvryuoeo: Dampncoofing, - coatmof ��� '' - -' -' � y",,inu -_-.���..���������''------�
/ RD�f�Z� I�� �� XA�ONAR�� FAI�,� - -'-__-_---_-/ num�crv�co*�-��_ '
Gable wall construction: 0 Same anmain walls; 1"/u"' p/0[D CON 3T a UICT I Q L^ 'Jax TF."UQR �21^NC�u-------------
---------------------------_-_---------'__--- - - - - _- -- ---- --- _--__--_'
0~ FLOOR FRAMING.Joists: Wood,grade and speeies '
----- --------- - �� mxe/ _ _- _�� h"dxing _-_------------ anchors ---_----'-
olab: floor; 11 first floor; F� ground supported; O eJf-svnvvru^g; mix ,25-0. 251- thickness
DESCRIPTION OF MATERIALS
!. PARTITION FRAMING: # 2 3 YP 2x4} , 6 tr c.c.
Studs: Wood, grade and species ------------------------------------
------------ - ------__ Size and spacing ----------------------------•-- Other --------------------------------
----
---------- ----- ------------------------ --
10. CEDING FRAMING:
Joists: Wood, grade and species -------------- --- Other _ _ __. ._.-------------------------_ Bridging -------- ---•
11. ROOF FRAMING:
_._____.
Raters: Wood, grade and species ---------#---�----j�------------ - Roof trusses (see detail): Grade and species ------ ---------------
- -----•----
12. ROOFING:
Sheathing: Grade and species --------------Y --_---- --- -
_ - •-- ----; size type --a.X�'------- -; LA solid; ❑ spaced_------- - o.c.
Roofing ----------------------------------------------- grade __..-_---_______---__.; weight or thickness ....------; size ..__-___-; fastening ____---------__-_
Stain or paint _ Underlay ----- ------------------ _ .---------------------
Built-up
--- --- _Built-up roofing ----------- ' •--------- --------- number of Pli4- ,_._- ---; surfacing material _--- (xl VAL ___-_
F1a:allin Material I-_-._ ;,gage or weight __ J_____.._----.-_-; TXgravel stops; ❑ snow guards
u .
13. GUTTERS AND DOWNSPOUTS:
Gutters: Material----------------- ---------------------- Kage or weight_--_-_, size - .......;shape ..____ --------_--_------------------------ ----
Do*nspouts: Material -----------------_•------ ._._; gageorweight....-•_-- size __._ ._.____ _;shape _ _.--- -- --------; number _______
Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; i-,dry-well. F_ Splash blocks: Material and size __________ ___________________
._._-.
14. LATH AND PLASTER:
Lath ❑ walls, ❑ ceilings: Material __ _______ __________ weight or thickness - _ -.- _ Plaster: Coats __._;finish ----------
Dry-wall [walls, ❑ ceilings: Material __�T '��t i___--__-; thickness ;-_.; finish •_�'.E�SaV`�' . _...; joint treatment -_:_�',ci�_.------
1s. DECORATING: (Paint, wallpaper, etc.)
i Rooms --�_ WALL FINISH MATERIAL ASO APPI.ILo n,)N 1 CEILING FrvisH IIIATVRIAL ASD APPLICATION
Kitchen ` 7 .�iLa . `�' , ' ' +
n rt --
Bath ------ -----
- -------------------------
----- -------- - -i
----
N _
ALL CTH'S:I;�• !----- " -
----
--- -------------------------- ----- --
16. INTERIOR DOORS AND TRIM: 1
Dogra: Type -----------------x.LIJ,:iti- ------------- ------------------ material LMS__ I'"s�i$SXr1 ' '__ thickness '_.__
Door trim: Type -------------------;'iTOCK material _--- • -------- .--. Rase: Type _-, ZOCIL_ _ , mateclal ; size
Finish: Doors --------- ` 1�ii. `fZi - -- -; trim G :.4rdL';i .`il�Fil>Z:�" - _
Ottler trim (item, type and location) _.------- J.-k_QJ. _.AQS}& otL]a CLD, _r:X� l S__ r.`.%St'�C:i.ti`i;� - _----- -
-----------------
1T. WINDOWS: t;2
Windows: Tyles -�
make --_-+ � -- O�V�'SLil._. : mzstcr~ial ALCIM. . ___.._.-.__ .. sash thickness _._r�71__--
Glass: Grade ---------- ----- ------- ; ❑ sash weights; ❑ balances, type _. __...__.- head flashing - __
Trim: Type - -----; material -------- _ _.__ . _.___ Pau, _.-.. ; number coats ----
f ' "" , material X�. .- _ _-_--- `�tol•m sash, number
Weatherstripping: Type --------•)�L.BL.CA-_,3rdl- ._ . .._ - :JIi, -
Screens:M Full; [-J half; type .....ALla-_4-L,.a iti a-.----- . .; number ; screen cloth material _"llik'1.-- __ --.- __ -
_.-
Basement windows: Type ____; material =1 screens, number ____ ; El Storm sash, number---------
Special windows _- ------- ------.1� ...._3.L.1.'L� L- __ -.---- -------- --------- -----
18. ENTRANCES AND EXTERIOR DETAIL:
S'�--------------; width _. '�r� thickness-,1/'#4 Prame; Material _x"JR __; thickness
Main entrance door: Material-----_.____S�__ �` ,
Other entrance doors: Material ____-___._ .-------------- width . ; thickness ........... Frame: Material _........... thickness
Head flashing --- ------------------- -----•----- --- Weatherstrippin;;: Type _--- ----- __ -- ---------. __ _._; saddles - ----
Screen doors: Thickness. number_-. .__- ; screen cloth material ..' LUX. ._ Storm doors: Thickness______-_ `; number-------
Combination storm and screen doors: Thickness __.-._ "; number screen cloth material -__.-___ ----- - ___.-._ ___.-- ._.:__.--- --------
Shutters: ❑ Hinged; ❑ fixed. Railings ----- -------- --- _- --- .... Louvers --_ ------------ -----------
Exterior millwork: Grade and species -----__--- ------ __. _ . ._.-_.. __ Paint ---------- number coats
- = - - - - - -- - - i 7 -- ----•- --• --- ------y
It. CABINETS AND INTERIOR DETAIL: FACTORY MADE 73URCh
Kitchen cabinets,wall units: Mat rial ; lineal feet of shelves r 'A A ; shelf width _ _
,•% Base units: Material __FAC' CRY Nit DE _ _; countertop "Ok LICA __ edging F OH�IICA___
r� r --------
t,__,_ __a __a —1-1 r OAFi1C(i 1 II Finish of cabinets E'ACTC)k X 2'�:c_ ai� number Coats--------
21. SPECIAL FLOORS AND WAINSCOT:
ATION I MATERIAL,COLOR BORDER Sizes,GAGE Erc THRESHOLD BASE I UNDERtLOOR
iT ------------- ---- ----------
Bath-------
- ----Bath.--- - ----- �191IN._.TILE--------------..- -- - - - - - ------- ----------
AL
11 ------ -- -----
ALL _.Q_ HE ._Q._. 4__`r�Ir�. ---_- I�'���hL_.�XI'._._.�af��iT1_
1/ ----__ _ _ --------
LocATIoN I MATERIAL,COLOR,BORDER, CAP SIZES GAGE, ETC. I HEIGHT I -HEIGHT AT Tu■ HEIGHT AT SHOWER
ZBath---- �:ark �----TIL=--------------------- �+'011---------- - -�'Q ----- ---- -- --
1� -- -- ---__------- -- ------ - .............
Bathroom accessories: ❑ Recessed; material ---------------------------; number ------; ❑ attached; material --------------------- .; number ------
--------
-------•---•-------------------------------------------------- -------------- --- -------- ---------- -- --------- ----
22. PLUMBING:
FIXTURE iNuraER LOCATION MANE - � NfvR'S FIXTUR17. IDENTIPIr ATION No. - SIZE-
I
� tSink --------------- ------------------
I'av
sitory-----------------
-
Lsysitory---------------II tR.. ----5LLJ&BL---------------- ---- --------------------------------------- 19_U7_--------- - -------
Water closet - i -�---------------------- ----- ---1-----------------j - -- ._ --- -- - �1
Bathtub.- �.. g n _.: - ----_ .. a�ilr� :iz-
-------- -- •---------
Shower over tub __,_ I/
Stallshower"................ ------------------------
Laundrytrays--------- ------------------- ---------------
--------- ----•--------------
{ -
- ------ ---
- ---- ._.. - - -- _: _ --- -_
----_ ---- --- - -- _
Curtain rod ""❑ Door ❑ Curtain rod
Water supply: [%Public; ❑ community system; ❑ individual (private) system.*
Sewage disposal: & Public; ❑ community system; (� individual (private) system.
*$ w and describe individual system inromplete detail in seprirafe drntcings and specifications according to requirements.
House drain (inside): 5 Cast iron; ❑tile; ❑ other________________ House sewer (outside): X Cast iron; i_' tile; CJ other ............--..
Water piping: E3 Galvanized`steel; ❑ copper tubing, "?ether Sili cracks, number
Domestic water heater: Type ._AgPZ__,'E;eLr-LrM-C---.---; make and modci
recovery ._-_ - a ...._..__. gph. 100-tj ° rise. Storage tank: Material _...._ a.,x ._ . ___ .,__. _.________; capacity .___.%�f„2___:. gallons.
Gas service: ❑ Utility company; ❑ liq. pet. gas; L other ._~ ~�xhl�___. _ _-.._-. Gas piping: ❑ Cooking; ❑ house heating.
Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer; F,, dry well. Sunil, pump __ _.__ _._-------- __________-___
23. HEATING:
❑ got water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system.
❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model ._--._-_••.--____-_.•_-___•-•_-_----•_----•_•--_-._._-•-----_-------------
Radiant panel: ❑ Floor; ❑wall; ❑ceiling. Panel coil: Material .._._ _ _-___-__._ --- ._---------------_. _----.----------- _------
❑ Circulator. ❑ Return pump. Make and model .--- .- -.................................. ........_---.__-_--; capacity ._---------.... gpm.
Boiler: Make and model ------------......•-------------------------- _-_- ...... Output ------------------ Btuh.; net rating ------------------ Btuh.
Warm air: ❑ Gravity. ❑ Forced. Type of system - - ..-----:.._... ... --------•'------•---
Duct material: Supply -_•_________________-; return --------------- Insulation ----------------- thickness --------- ❑ Outside air intake.
Furnace: Make and model ----------_--------- - •-------- •--•---•- Input -------------------_ Btuh.; output --------------------- Btuh.
❑ Spam heater; ❑ floor furnace; ] wall heater. Input .___ ---------------- Btuh.; output ---- Btuh.;Btuh.; number units..........
Make,model --STE:Jt�:3T 4EHI. R C.R.*7 i__E� . - -----
Controls: Make and types----------------- ----------- ----- -•-----_--. ---------•--------------------------- ................
---- - - - -
Fuel: ❑ Coal; (i oil; ❑ gas; ❑ liq. pet. gas; ❑ electric; ❑ other---_-------------------------------. -_; storage capacity50._:Al_ _i.- -----
------- -- -
-- - -- -------
Firing equipment furnished separately: ❑ Gas burner, conversion type. Stoker: ❑ Hopper feed; ❑ bin feed.
Oil burner: ❑ Pressure atomizing; ❑ vaporizing .-_.............. -----------------=•----------X_-----------__----------------------------•---------
Makeand model --------------------__----- _ -__- - ---------------------- Control ---_---_------- ------------ -_--_-------------
--------------------------------------------- - ------ --------
Elestric heating system: Type--____-_- • ------------ - - -- - .-- --- - Input --- watts; @ ------------ volts; output-----------------Btuh.
----------------------- ----------- ------------------------------------------------ ---------------- -----------
Ventilating
-- ---
Ventilating equipment: Attic fan, make and model _ -------___- --------------- -------------------; capacity -------------_------cfm.
Kitchen exhaust fan, make and model ----------------
--
._••.............r -I,-- ____---___ ____________ ____._---___--__
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CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18694 Address: 426 ROYAL PALMS DRIVE
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYAL PALMS
Est.Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 8/19/1999 Name: MEDRANO, BONIFACIO
Total Fees: 37.00 Address: 426 ROYAL PALMS DRIVE
Amount Paid: 37.00 ATLANTIC BEACH, FL 32233
Date Paid: 8/19/1999 Phone: (000)000-0000
Work Desc: REPLACE CONDENSER AND AIR HANDLER
CONTRAC-TORS APPL#CATtON FEES
SERVICE EXPERTS OF O.P. PERMIT 37.00
Inspections Required
FINAL
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.
$37.88 14
ATLAN IC BEACH B LDING ID T- Date: 8/19/99 81 Receipt: 8881194
CHECKS 603998
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CITY OF
4&4^& Be4c 4-0i&w-4,
Office of Building Official
l REQUEST FOR INSPECTION
Date — �7 / �G �
Time Permit No.
Received M.
M.
Job Address
Owner's Locality
Name 41 n
BUILDING Contractor
CONCRETE ELECTRICAL
Framing PLUMBING MECHAN q�
Re Roofing Footing ❑ Rough Wiring
Fjj Insulation Slab C Temp Pole Rough 0
Lintel El Top Out
Final ❑ Sewer 0 Heating
Fire Place 7
READY FOR INSPECTION Pre Fab
Mon. Tues.
Wed. Th u rs. A.M.
Friday
Inspection M e _ � 7 11M.
A.M.
Inspector P. _
Final Inspection
Certi 1caTe of"'-cupancy ❑
Date
nn CITY OF
ri*4^l.c BW CA-0;&U-,4,
Office of Building Official
REQUEST FOR INSPECTION
Date ' cc)
Time1-0
Permit No.
Received _ A.M.
ate_
Job Address `-�' /J 7 L)-�,
Owner's Loca
Name 14e
BUILDINGtractor
CONCRETE <Edt-�E:�C:TRFraming ❑ Footing PLUMBING MECHANICAL
Re Roofing ❑ Slab ougng F) Rough
Insulation 0 C Lintel Temp Pole F" Top Out n Air Cond. &
❑ Final Heating
❑ Sewer ❑ Fire Place
READY FOR INSPECTION Pre Fab C
Mon. ETue ' -
Wed. Frid
Thurs. A.M.
ay
Inspection PM Made A.M.
Inspector izW,,
Final Inspection ❑
Certificate of Occupancy
Date
CITY OF
Office Of Building Official
REQUEST FOR INSPECTION
Date - o
Time
Received 7f�•c�v A.M. Permit C�)
Job Address
Owner's
Name Joca i y
CONCRETE Contractor C��1dt l3
raming ELECTRICAL PLUMBING
Re Roofing ❑ Footing MECHANICAL
Slab Rough Wiring ❑
Insulation C Temp pole Rough
Lintel D ❑ To ❑ Air Cond. &
Final P Out
E! Sewer Cl Heating
READ Fire Place ❑
Mon. Tu R INSSPPECCTION Pre Fab
Wed. 4, 'l.i
Thurs.
Inspection Made q M
Friday_
Inspector P M
_ Final Inspection ❑
�! CC) Date Certificate of Occup
T ncy❑
� � —'Q,
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 343133
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV.
I. P
LOCATION Street Address:_ �-�% l� }�G ►mS ( 4Q,
OF Infsrsacfing Streets: Between R I\ayx \C., &Q(C And C� PA
BUILDING Cant ' -
Sub-division_ t c'
II. IDENTIFICATION — To be completed by all applicanis.
In consideration of permit given for doing the work as described in the -shove 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 Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical Contractors
Contractor IPrint) I service Experts' of o.P. Master CACO 57147
Name of –
Property Owner � CI Y)0
Signature of Owner Signature of
or Authorised Agent Architect or Engineer
111. GENERAL RMATION
A. Type of hosting fuel: Et. -
�,j IS OTHER CONSTRUCTION 9E1 G
Electric DONE ON
CF THIS BUILDING OR SITE?
❑ 641—❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
13 Oil PERMIT
(3 Other — Specify
IV. MlCNANICAL EQUIPMENT TO 1E INSTALLED NATURE OF WORK
Provide complete lift of eomponenh on back of this form) Resldentlal or ❑ Commercial
,f,' Heat ❑ Space ❑ Recessed * Control O poor ❑ New Building
A Air Conditioning: ❑ Room 3ff Control Existing Building
❑ Duct Sr%m: Material Thiciness Replacement of existing system
Maeimuns capacity c(.m. ❑ New Installation(No system previously Installed)
❑ Refrigeration ❑ Extension or add-on to existing system
❑ Cooling lower: Capacity g pan, ❑ Other — Specify
❑ Fin sprinklers: Number of h•adL
❑ Elwafor ❑ Menlih ❑ Esabtor (number)
❑ .Gasoline pumps (number) THIS SPACE POR OFFICE USE ONLY
(Reeelved)
E]. Tanks (number)
Remarks
0 LPG contains (number)
O Unfirod pressure vessel
Q Boilers Permit Approved by Dos.
❑ Other — Specify. Permit Fee
L111T ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT .
Number Unita Deecrlption Model Number Manufacturer t7 AL�F��
!.rL`1rj
CITY OF ATLANTIC BEACH
zz�
-� 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00027999 Date 3/29/04
Property Address . . . . . . 426 ROYAL PALMS DR
Tenant nbr, name . . . . . 10 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
MEDRANO, BONIFACIO TERRY VEREEN PLUMBING
426 ROYAL PALMS DRIVE 2934 POST STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205
---------- -------- ----------------------------- -----------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- --- ------- ---------- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
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.
,Q)., ( , 1.,K,
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
l lr Date:
0A 1
Property Address: (`A(tel �, t �� -0e.
Owner: 4" 1 N Telephone#: �"�, czostQ
Contractor: E �� ��' .. -�L�QgTelephone #:
n $-422
Contractor Address: , 1(f�` �- fix, �_ 'Fax#:
In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in
accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
❑ /New list the building permit number:
V' Re-Pipe
Number of Fixtures:
Bath Tubs ' Showers
AClosets Shower Pans
Dishwashers ' Sinks
Disposals ! Urinals
Floor Drains 1 Washing Machine
Lavatory Water
Sewer I Water Heaters
Q6VAINUOther
Fees
Permit Issuing Fee: $35.00
Total Fixtures: ) Q X $7.00 + $35.00 =
800 Seminole Road -Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800- Fax: (904) 247-5845- http:itwww.ci.atlantic-beach.fl.us
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5626-FAX: 247-58"
PERMIT INFORMATION LOCATION INF RMATIOl1fi
Permit Number: 21884 Address: 426 ROYAL PALMS DRIVE
Permit Type: BUILDING ATLANTIC BEACH, FL 32233
Class of Work: ADDITION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYAL PALMS
Est. Value: Parcel Number: _
Improv. Cost: 1,500.00 OWNER INFORWIATI
Date Issued: 5/03/2001 Name: MEDRANO, BONIFACIO
Total Fees: 30.00 Address: 426 ROYAL PALMS DRIVE
Amount Paid: 30.00 ATLANTIC BEACH, FL 32233
Date Paid: 5/03/2001 ,,..,,.Phone: (000)000-0000
Work Desc: SHED
C4
us
PROPERTY
PLICATI hiFI=ES j
PROPERTY OWNER P. R, IT 30.00
wv
W;
4
%
�JRI WI-
f
FOOTING �I
I
£
NOTICE–'1NSPECTI � , sT.BE REQUESTEDAT'L£AST,24 HOURS PRj,6R TO INSPECTION
ECTION
BUILDING MATERIAL,NRUBBISH AIS DEBRIS FROM THIS WORK MUST NOT B LACED IN FfUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULS "` WAY BY EITHER CONTRACTOR OR ER far
"FAILURE TO COMPLY WITH T, CTION W fi RELT IN THE
PROPERTY OWNER PAYIR,' OR SIJ ' _ I PRO
ISSUED ACCORDING TO APPROVED R ' T G MIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISSI —
$38.00 14
ATLANTIC BEACH UILDIN .-
Date: 5f88l81 81 Receipt: 885`577
CHECKS 64V
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address /-/; Cy 9b Y/&L P L AI SH F_ O '
Date 3
Heated Square Footage 0 @ $ per sq ft = $
e
Garage/Shed �\ @ $ per sq ft = $
L
Carport/Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
,15
Patio v @ $ per sq ft = $
TOTAL VALUATION : $
/ SDa / ) $
Total Valuation 1st $ 0 6
,F o C) $ S
Remaining Value $ per thousand
o� portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ ib
( ) Fireplaces @ $15 . 00 $ cJ
BUILDING PERMIT FEE $ 3 6
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
( ) RADON (HRS) . 0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
( ) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric/Temp ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL,ADDITIONS, OR ALTERATIONS,
MOVING, DEMOLITIONS
Owner(s) � G/ o /��
Job Address �1.16 X0), ,4 �,4-�ir1� L- • Phone 9e I/-
Lot
-Lot# Block or Unit# /7 Subdivision
ContractorState License#
Address L� Phone o9 L j° -
City State Zip
Describe work to be done �f
Present use of building
Valuation of Proposed Construction Q"D 0
Proposed use >zI R i 0 m 1,j
Is this an addition? If yes, what are the dimensions of the added space: ft. x ft.
Will the added area be heated and cooled? M New electrical (or increase)
New plumbing fixtures?_�0 New fireplace? Al New Heat/AC?_�O
SUBMIT THREE (COMMERCIAL)TWO(RESIDENTIAL) COMPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature of OWNER d --�� Date: ��`3� �d�
Signature of CONTRACTOR Date
STATE OF FLORIDA
COUNTY OF DUY�j-G.
Sworn to(or affirmed)and subscribed before me this day of^A 200
AS TO OWNER: Notary's Signature
Personally known
* cmd"M kdow�� ❑ Produced Identification
�b Ex 'luq►!l2. Type of identification produced
Sworn to(or affirmed)and subscribed before me this day of , 200
AS AOR:4* r Notary's Signature
" ❑ Personally known
, Ur�1 ❑ Produced Identification
City of quantic beach
Type of identification produced
Building and Zuning
BACK
2X6 CEDAR BEAMS IK2 IEDAR
518"` CDX PLYWOOD DRIP EDGE 2K6 RIDGE FEY
$"_,,,.SHEATHING
0
NAILt#
24 EVERY 6" SPACING
2X6 CEDAR
24
POST'
2X4 CEDAR 2" K � � '1
MIDDLE POST SKYLIGHT TIES (2 ONLY)
309 �
SURE-B
WINDOW 54 K 080"
ITE EUILT
S
gnaw
FRONT
APpROV...,
ROVE
City pF ATLANo�icy "i F ATLANT C BEACH
BUILDING
PLANNING& ZONING OFFICLr
AY tl 2001 AY 03 001
S7Mf p MUJ T .81 S" FEET F0601
' � s
s
BACK
2X6 CEDAR BEAMS I X2CEDAR
50" CDX PLYWOOD RIP EDGE 2X6 RIDGE FLY
~~
SHEAT14ING
114 Pilo
1 ►"
�. .. . .
2 " NAILS 111`4 �D
walEVERY � SPACING
2X6 CEDAR
POST
ft^y 'T CRs •
2X4 EDAM ! X
MIDDLE POST SKYLIGHT TIES (2 ONLY)
VE'4!! ;
SLIDE-BY
,
s
WINDOW Vii" x Era""
SITE-BUILT
P�
1
1201111— V
APPROVSr` FR NT
C1TV�U�uATLANTIC
TLANTI ic� :,CH' ROVED
WINATLANTIC BEACH
PLANNING & ZONING OFFICE
MAY 03 2001
s MAY 0 3 2001
CITY OF
435� Office of Building Official
SA 4REQUEST FOR INSPECTION
Date_ ^ Permit No.
Time
Received
Job A dress Locality
Owner's
Name Contractor OLv /r��7
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ h-VVirtT-g—' Ci Rough ❑ Air Cond. & ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation 11 Lintel ❑ Final 1 Sewer n Fire Place ❑
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday P.M.
A.M.
Inspection Ma P.M.
Inspector_ Final Inspection ❑
Certificate of Occupancy ❑
Date
CITY OF
r�t�ya.�ttic i ea c� - ��viida
300 SEMINOLE ROAD
ATLANTIC BENCH, FLORIDA 33233-5445
TELEPHONE(904)247-5800
/\ FAX (904) 247-5305
SUNCOM 352-5800
DATE
JEA Construction & Maintenance
2325 Emerson Street
Jacksonville, FL 32207
Attention: Connie
Re: Final Electrical Inspections
Dear Connie: .
Final Inspections on the following locations have been completed and approved:
PERMIT NO. ADDRESS
Please call me at 904-247-5826 if you have any questions.
IY,
ATLANTIC BEACH BUILDING DEPARTMENT
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826- Fax:247-5877
ELECTRICAL PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 18635 Address: 426 ROYAL PALMS DRIVE
Permit Type: ELECTRICAL ATLANTIC BEACH, FL 32233
Class of Work: INCREASE Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYAL PALMS
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 8/11/1999 Name: SERVICE EXPERT
Total Fees: 55.00 Address: 426 ROYAL PALMS DRIVE
Amount Paid: 55.00 ATLANTIC BEACH, FL 32233
Date Paid: 8/11/1999 Phone: (000)000-0000
Work Desc: ESS125_AMPS -200AMPS 1PH 3W 240V SEURW.RIGID
CONTRIIiC R APPL1CAtiON FEES
DAWN ELECTRIC OF JAX., INC. PERMIT
55.00
PE
Inspections u'red
FINAL ELECTRIC
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.
C-nk 'e (—, -�j $55.0014
ATLANTIC BEACH UILD DEPT. mate: 8/12/9
01 Receipt; 007841;4
CHECKS 313:;1
CITY OF ATLANTIC BEACH, FLORIDA
Approvd by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_a. "' .L! 19�
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE 4- JOURNEYMAN
O�
NAME��r�'`�c e �X�er7� ADDRESS:'/ o 44 RFD-BOX-
BLDG.
FDBOXBLDG.SIZE BETWEEN:
RES. (Do APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD ( ) REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SO. FT.
SERVICE: NEW( ) INCREASE 1 REPAIR ( ) FEE
CONDUCTOR SIZE y c7 AMPS2o'J COPPER ( ) ALUMS"(� U
I?v��
SWITCH OR BREAKER a00 AMPS PH 3 W dy"'VOLT 9 i ACEWAY
EXIST.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 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
TO A cJ
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PNS
MISCELLANEOUS
OVER 600 V.
TRANSFORMERS: UNDER 600 V.
w
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
PERMIT NO . Date :. S - j - 72-
LOCATION Street
1
LOT NO. BLOCK NO.— Z S/D
OWNER � G.
MASTER PLUMBER �;-A,-/V/If
Bldg.
BUILDER OR CONTRACTORD -1 )21 0 f L ��--f Permit_.Iqo..
TYPE OF BUILDING S/ i✓C_E _,
SINKS_.,,/_LAVATORYBATH TUBS URINALS /.CLOSETS
FLOOR DRAINS SHOWERS__/WATER HEATERSDISH4ASHERS
DISPOSALS OTHERtj/X5*/,,vG
TOTAL FIXTURES1 . 00� -`-
NO WORK MUST BE DONE UNTIL A PERMIT HAS BEEN FROCURED
PLANS AND SPECIFICATIONS must show a plan and description of the
size .and location of all the soil and vent pipes, and the number and
location of all fixtures , (in accordance with Ordinance no. 188 of
the City cf Atlantic Beach, Florida) must be shown on back of appli-
cation and be approved by the Plumbing Inspector.
DRAW PLAN AND SFECIFICA.TION OF ABOVE PLUMBING ON BLCY.
t1pproved by
Plumbing Inspector
Date
(FOR OFFICE USE ONLY )
ROUGH-IN INSPECTED - 'IC 'L REI¢ARKS �
FINAL INSPECTION: �'� CERTIFICATE ISSUED:
FOR OFFICE//US P ONLY
Date.----..._.:�J ...........19 ......
�
ac.;o
Permit # /.`l`-/--.1 ....Fee$.... ..2..
CITY OF ATLANTIC BEACH Valuation $---- 7_poc)
.............�.....�...�
'......
1*
J4 .... .
FLORIDA House #
............................................................................
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 licenses can
be verified. Date. �/�...
. ........ ........ 1912...
V------------------------
Owner__69�_..---- ------------------_-------._.....AddressfTJYf4__VS1.. Telephone No,� — '0_70
""I wv�_ ----- --- ._#----6..........
Architect------------_--------------------------------- ......................Address.--•--.•---....------------------------....----•-----...---Telephone No.----•-----
Contractor Builder. /
......-------Addres'.'�wT� �r'r� ...Teleplique No
---_----_---
Lot No�_.._ --------------------------Block No.--•- Sub Division Zone
........Sts.
------'Side Between... -------------------------and............ ........
. ....... We -AV------------Street.
Va� __491? - ------------
uation $--------------------------------For what pupose will building be use Type of construction Zr.
Dimensions of BuildinaQ .
_�77�3-------Size of Footings.__...-
-4--- --.Dimensions of Lot.._- -------
Size of Piers--------------_- - ---------Size of Sills..... ---.._.--..Greatest Sill Span in ft.........................Type Roof---
How
oof---
How will Building be /Heated?.. ---------------------Will Building be on Solid or Filled Ground? .. . ..............--- ---
Size of Ceiling Joists.------------------_.-.-.-----......._.., Distance on Centers---_........---.....---...-----_........_.-, Greatest Span_-----------------------------------------
PP
Size of Floor Joists--------------------.........................Distance on Centers-- ...... --_----------------- Greatest Span---------_----_-------------------- PP
_2 ...... ---- It
Size of Rafters..--. ----------------1-1--------- Distance on Centers.......- ......... Greatest Span---------/_' ... ---..-.--•-
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
Z
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. E-4
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 is covered.
7. Electrical inspection by City of Jacksonville.
S. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONTO 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 o Atlant;q Beach yO
- ------------------------
Signature of Builde ...... ... .... ... •.............. Address— lovnvf--------111�
Signatureof Owner. .... .. ..... ..... ................ Address---_-------U-------------/................................................................
DEPARTMENT OF BUILDING
PEF041�-NO. ll"
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD 1 ! 1 tun
THIS PERMIT MUST BE POSTED ON JOB
Date 6/21 19 €13
Valuation$ 15,851.79 Fee$� 1
I
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 BAIT CONSTRUCTION I
2332 Western Clay, Jax
has permission to build NEW KITCHEN AS PER PLANS
'i
Classification SINGLE FA.rIILY Zone RS2
Owned by
BEN IFAC I0 MEDRANO
Lot 1 L Block--J-7-S/D ROYAL PALMS 2A
House No. 426 R()YAT PAIN DEIS&
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
--� 4---- 0 0 Building material, rubbish and debris
zq from this work must not be placed
in public space, and must be cleared
up 9 hauled away by either con-
-an
on- j
,tfac or owner.
'I
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
I
PLUMBING
ELECTRICAL
i
i
SEWER
WATER
I
I
, lea.
$
UUTAGE: ��7 f
@ $ per sq. ft. _ $
->r
@ S },cr q ft. _
CK
@ $ 1,cr sq. ft. _ $
PA i 10: - - -- -
'TOTAL VAiJ'A'11ON:
Y 1I _T YES
-_
1 A71
t�
DATA I S t
j/
n� ur LA'1 O1;
p
Cc $ -`o er tt,o._s�nd $ �
or j of t i on ti,creof
1 OTAL liILD1_':G i'r=r ii'T I FE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
r'LL'S ' THE BUI�,DI G i LP:?�IIT rOR PL-N FIS I':G SFE. . . . . . • . . . . $ �}
U_ i-t'F_E 1)CE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . J
.',IT FEE: $ r_( =? =.':I T rFE:
ri '�:CIRICAL
PATER '•1'FTFR SIZE:
SL.'ER CO`-':FCTION CF__-.RGE: SQUARE FOOTAGE: FEE S
:.A rR CO';`:EC IOC C '_'>RGE: ri:� URE CHITS 510. 00 pER V';IT: $
BY: T?1
APPROVED l UTAL '.;.A: EP
t,6 T , ;,Id T IC BlMe
f " _GiNG GrFiCE 'TOTAL '.:Ai rR CO::::1 CTIO� CrARGE: $ (jj°�
Ui" 2 1083 TOTAL Ste'. '.R CO':';EC-I 10y C?'ARGE:
✓ 4
PLUMBING WORKSHEET
SINKS SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY URINALS OTHER
APPROVED � Cn Sao
'1311TY OF A.TIAATIC BEACH TOTAL FIXTURE COUNT
BUILDING OFFICE
iLw
1 i
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (2 UNIT) URINAL, WALL LIP
(4 UNITS)
FLOOR DRAIN (1 UNIT)
WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (8 UNITS)
WATER CLOSETS, VALVE OPERATED
_ WATER CLOSETS, TANK-OPERATED (8 UNITS)
(4UNITS)
_ SHOWER STALL, DOMESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
_ KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS @ $10.00 EACH e _ d•co
FOR OFFICE USE ONLY
3g -�I
Date....................................19 ......
CITY OF ATLANTIC BEACH Permit *------------------------Fee$........................
FLORIDA
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 licenses can
be verified.
_ Date.------
/ . ................................ 19..
Owner... ..... ddress. .�� � 4V.t4.�P_2_';4. 07�.,'Telephone
No.............................
Architect.......................---•---••----......------.... ...........-------------•----------.....Address.-.......-----••----•............--•---...............--•--Telephone No......................
Contractor Builder... <J7�r`�`....C. w .-_------------------------Address.Za�5 ( G' ... _ ._...Telephone N r� 2� y�
Lot No.-.-I-ly-------------------------------------- NO.Z.77 !p
.•--- ------........Sub Division.. . � Y ....2' ,-•------Zone/-'G�Si(�
.......................------------••----•--......._-----Street---------------- -------.'Side Between-- �l�••••..and--••--.........---..................--p-�-•------•....Ste.
v�°
Valuation $....�Q(�...............For what purpose will building be used-----------------------------------......Type of construction........C..�.'.I.`�>....-..........-...
Dimensions of Building...._..................._.............Dimensions of Lot...-. .l ....................Size of Footings._/�1 .......e..6-
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?._..._57
Size of Ceiling Joists...!47X .......---------...... Distance on Centers..../4�1..�'....................... Greatest Span-------------------------------------------- "
r
Size of Floor Joists.........--•.. ............_-•-----.----, Distance on Centers- ....... ...............................-, Greatest Span........................................... "
Size of Rafters.........." ._ Distance on Centers .�._...� ` �
"
-e,
----- -------------_., Greatest Span.
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
BEACH' REAR LOT LINE
V�
Two copies of plans and specifications shall
be submitted with application. 161S
Inspections required.
1. When steel is in place and ready to pour footing. W 2 W
2. When steel is in place and ready to pour columns and/or tel. x ✓�' x
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. W W
6. When septic tank drain field or sewer is laid but before it is covered. q q
7. Electrical inspection by City of Jacksonville. M C
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after nI
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 t ntievReach.
Signature of Builder .... ...... ........ .......... ..... .. . . ........... Address.................. -
Signature of Owner..... . . .. .. . ... Address......1 ..................r
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
5871
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 6124 19 83 "
;)+a+hila` Ti.
Valuation$ PLLZIBING Fee$ 24.00 0V T ._
Ilt:si i c`1 U L4!3
This permit not valid until above fee has been paid to City Treasurer,and is 3 t!%i +[Ai CA r
subject to revocation for violation of applicable provisions of law. tafso C�
This is to certify that DON HARRIS PLUMBING CO j
has permission to I� s' T TAThiRT C R C
P i�iS E.T.L PL��T—A- PER PLAN �
I
Classification SF Zone RS
Owned by RENTFAC:TO MEDRANO
Lot 14 Block 17 S/D IT 2A
House No. 426 ROYAL PALTT DRIVE
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 AFTER DATE OF ISSUE
.4- 11111 - 00 O Building material, rubbish and debris
Z from this work must not be placed
in public space, and must be cleared
up a auled away by either con-
_ t erc r 'owner.
I
Building Official.
FOR OFFICE PERMIT D
USE ONLY NUMBER ATE CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
Cl TY OF ATLANTIC BEACH
A�I�CAT1011_�OR PLl>f�iB NG EEF441
DATE .hone 2:3, 1g83
LOCATION---- 426 Royal Palm Dr_
PLUMBING FIRM Don HArris Pl nbing Co... Inc.
MASTER PLU:3ER Don HArris
CITY/COUNTY OCCUPATIONAL LICENSE NO. 10387-000-6
STATE CERTIFICATE N0, CF C019194
BUILDER OR CONTRACTOR B.A.H. Construction
TYPE OF BUILDING House - Remodel
Permit # 5872
t SINKS SHOWERS
__LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DI SPOSALS
_CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
--!:—TOTAL FIXTURE COUNT
1 NSTALLATI ON OF PU.t•,BI NG AND F1 XTURES MUST BE I N ACCORDANCE WI TH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLMBING CODE.
Job #5690
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
19
TO THE CHIEF ELECTRICAL INSPECTOR. DATE: All 211s t
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.
EL RICAL F1 R ELECT 1 i TU
JOUSNE
NAMEUnited lectric ADDRESS:5716 St . A austine Rd . RFD BOX
BLDG.SIZE 12 x 18 _BETWEEN:
RES.1 Iq APT.( 1 COMM.( 1 PUBLIC( 1 INDUS. ( I NEW( 1 OLD 1 1 REW.1 1
ADDITION (x$ TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SO.FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR i 1 FEE
CONDUCTOR SIZE AMPS COPPER I I ALUM.
ITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 100 AMPS 1 PH 3 W 9 1 n VOLT Cs b I P RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.90 AMPS. 81•t00 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVtR
APPLIANCES BELL TRANSF.
,AIR H.P.RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
;MISCELLANEOUS `
Rnnm Addi ti nn wi rarl nar radgm
TRANSFnRMFRS: UNDER 600 V. OVER 600 V. __
CITY OF ATLANTIC BEACH
INSPECTIONS
BUILDING PERMIT N0. ELECTRICAL PERMIT NO. ______
PLUPIBING PERMIT NO._j-<
MECHANICAL PERMIT NO.
1
JOB ADDRESS
CONTRACTOR
OWNER
called in ins e ted
approve-dcisaproved reinspected JEA
FOUNDATION
FOOTING
SLABS
PLUMBING (R)
TOP OUT
4WWER
TEMP POLE
ELECTRICAL (R) e-1 7 ____ T
ELECTRICAL (F)
FRAMING
PLUMBING (F) — -- — — __--
LINTEL/BEAM
COLUMN
STEEL
SHOOT GRADES
LOT CLEARING
FINAL INSPECTION
CITY OF ATLANTIC BEACH
INSPECTIONS
BUILDING PERMIT NO. ELECTRICAL PERMIT NO.
PLUMBING PERMIT NO.
MECHANICAL PERMIT NO.
JOB ADDRESS
CONTRACTOR
OWNER
FOUNDATION
FOOTING
SLAB
PLUMBING (R)
TOP OUT
EWER
TEMP POLE
ELECTRICAL (R)
ELECTRICAL (F)
FRAMING
PLUMBING (F)
LINTEL/BEAM
COLUMN
STEEL
SHOOT GRADES
LOT CLEARING
FINAL INSPECTION
CITY •OF
Office of Building Official
REQUEST FOR INSPECTION
Date %'A
Permit No. �
Time ' ' ._
Received P.M. e1) District No.
Job Address _ Locality
Owner's �
Name '\ . .;`
Contractor �,
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough � Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top OutHeating
IQ
Lintel ❑ Fire Place ❑
t •, READY FOR INSPECTION Pre Fab
Mon. Tues. Wed, A.M.
,
� L.� A.M.
Thurs. Friday p.M.
Inspection Made P M
Inspector Final Inspection O
Certificate of Occupancy
Date
CITY OF
4&4"4.0 /�eacA-
Office of Building Official
c REQUEST FOR INSPECTION
Date_.Q� ��4,32 l /
Time Permit No.
Received a!r A.M.
District No.
Job Address
Owner's Localit
Name
xx
j/�� �eC ' G
Contractor_j(i•
BUILDING CONCRETE ELECTRICAL PLUMBING
Framing ❑ Footing ❑ ,/ MECHANICAL
Fie Roofing El Slab Rough Wiring Rough ❑ Air.Cond.& ❑
❑ Temp Pole ❑ To Out
Lintel ❑ p ❑ Heating
Fire Place ❑
,gEA�Q,Y FOR INSPECTION Pre Fab
Mon. Tues. Wed. A.M.
Thurs. Friday
�� �Inspection Made A.M. P.M.
P.M.
Inspector
Final Inspection❑
Certificate of Occupancy
Date
CITY- OF
Office of Building Official
Date
REQUEST FOR INSPECTION
'.���. ";_) _ � .
Time
Received ;A) t Permit No.
Ll District No.
Job Address
Owner's , F..
Name , Locality
BUILDING CONCRETE Contractor `/'
Framing ❑ ELECTRICAL
Re Roofing ❑ Footing ❑ Rough Wiring ❑ PLUMBING
Slab Rough MECHANICAL
Lintel Temp Pole ❑ Top Out ❑ Air'Cond. ❑
&
❑ Heating
Mon. READY FOR INSP Fire Place ❑
Wed.
Tues. ECTION Pre Fab
Inspection Mad
Thurs.
Made
(� A.M.
riday �
Inspector A.M. )�- P.M.
P M.
Final Inspection❑
Certificate of Occupancy
Date
CITY OF
sQ&4ft4c /3e,,,.�,_
Office of Building Official
REQUEST FOR INSPECTION
Date
Time 9
(Received / Permit No.
/ A M
District No.
Job Addr i
Owner's
Name
Locality
BUILDING Z;4
Framing p CONCRETE ELEC -- C� �
Re Roofing p Footing ❑ Rough Wiring p UMBING
Slab p Rough MECHANICAL
Lintel p TemP Pole p ❑ Air.Cond.&
Top Out p Heating
on. READY FOR INSPECTION Fire Place p
Tues. ECTION Pre Fab
Inspection MadeWed.�2 v Thurs.
Inspector A.M.
P.M.
Final Inspection
Certificate of Occupancy
Date
CITY OF 4
PQa4'0 B,,,4_ �
Office of Building Official
Date
REQUEST FOR INSPECTION
��—�
Time A.M.Received Permit No.
�!�
7 S� District No.
Job Address
Owner's
Name
Locality
BUILDING Contractor
Framing ❑ CONCRETE
Footing ❑ ELECTRICAL
Re Roofing ❑ Slab Rough Wiring ❑ PLUMBING
Rough MECHANICAL
Lintel �/ Temp Pole ❑ Top Out ❑ Air.Cond.& ❑
❑ Heating
Mon. rues. READWed. Y FOR INSPECTIONFire Place
Pre Fab ❑
Inspection Made p3 Thurs.
O Friday A.M.
Inspector A.M. P.M.
Final Inspection❑
Certificate of Occupancy
Date