450 Sailfish Dr (vault) CITY OF
Office of Building Official
REQUEST FOR INSF ECTION
Date Permit N IP 0
Time A.M,
Received P I
5- la-,�--�,(-//.&-,�
Job Address L,0)�Iity,
0 ner's
Nawme �Qonua'=r-�
BUILDING CONCRETE (- ELECTRICAL -7".-PLUMBING MECHANICAL
'---'Fro-u-g--h—Wi
Framing 0 Footing r] ring Ij Rough -L] Air Cond. & 11
Re Roofing 0 Slab El Temp Pole 7 Top Out El Heating
Insulation 0 Lintel 0 Final 17 Sewer F] Fire Place D
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday PM.
CAM
CFnd��y— PM
A.M.
Inspection Made —P.M.
Inspector Fina! Inspecti
Certificate of 2�.p—.ncy Ej
Date
DATE:
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL 1NSPECTlON(S ) HAVE BEEN MADE AND AkE
SATISFACTORY :
Lott:----------
�Czw_ ----- ---------------
----------------
-------------------------
120 ................ ..
Enclosed are the blue copies the permits.
SINC RE& /
BUILDING INSPECTION DIVISION
cc: FILE
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEAC FLORIDA 32233
INSPECTION PHONE LINE 247-5826
VIM
Application Number . . . . . 05-CO030783 Date 7/20/05
Property Address . . . . . . 450 E SAILFISH DR
Tenant nbr, name . . . . . . REROOF
Application description . . . ROO1
Property Zoning . . . . . . . TO 1E UPDATED
Application valuation . . . . 4750
Owner Contractor
----- ---------- --------- ------------------------
WINKLER, PETER JACK C. WILSON ROOFING CO.
450 SAILFISH DRIVE E . 4522 ST. AUGUSTINE RD.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-1546
--------------------------------------- ------------------------------------
Permit ROOF PERMIT
Additional desc . .
Permit Fee . . . . 166 . 00 Plan Check Fee . 00
Issue Date . . . . I valuation . . . . 4750
Fee summary Charged Paid Credited Due
----------------- ---------- --- ------- ---------- ----------
Permit Fee Total 166 . 00 166 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 166 . 00 166 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLV TIC BEACH ORDINANCES AND THE FLORIDA BUILDING
coo
BUILDING OFFICIAL
Cc:
CITY OF ATLANTIC BEACH
BUILDING / ZONING DEPAIRTMENT Higgins
I�oerr
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # D�5 - �5 D-7.8�5-
Property Address: Wfnr�,--)M6 \/c 6
Applicant: (J
Project:
This permit application has been: t-e
0 Approved
F7 Reviewed and the following items need
Please re-submit your application when these itei us have been completed.
Reviewed By: Date:
Date Contractor Notified:
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address 1360-
Date Ct
Heated Square Footage per sqft= $
Garage Shed
Ws persqft= $
Carport Porch 0,(e$ persqft= $
Deck @$ per sq ft
Patio @ per sqft= $
TOTAL VALUATION:
Total Valuation I' $ 100 Z)
$
Remaining Value $5-per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE
ZONING: + I/, Filing Fee
FLOOD ZONE: Fireplaces @$35.00
RAPERVIOUS §UOACE:
BUILDING PERMIT FEE
WtTER RVIPACT FEE
SE R WPACT FEE
W 1 TE
TER METER/TAP
C 11
ITAL IMPROVEMENT$
SEWER TAP $
C RADON .0050 $
SECTION H PAVING $
MDRAULIC SHARES $
CROSS CONNECTION $
ST,' ) SURCHARGE $
OTHER $
GRAND TOTAL DUE: $
C i�T�l
CITY OF ATLANTIC BEACH 19 2005
ROOFING PERMIT APPLICAT ON
sy� 41C
tLa V1 � :39 Coco bate:
Job Address: A so =33
Owner of Propel: Un . 7WRAc 4 V�,Lnk.Vw�_
z -53Telephone: -2qq
Address: q.
.eMIL At V4 *&ffi(ACjL..
&AC
Contractor:\�&& C-1 W%I%A �?�V\d_ State License Number:
Contractor's Address:
Telephone: Fax: gog scl(o - -7-7 00
Scope of Work: �9_rtovej eyckshv%d vm� N-1yo I m�I t Vadtim
a i a A `�' (.> I
22
Deck Slope: Greater than 2:12 Less than 2:12
Valuation of work: q -I so .G",
Product Name(Example: Timberline): ?,D',Ja SPAXeNIV)
Manufacturer (Example: GAF): GAr"
ASTM Designation(s): 13\101
Required Inspections: Sheathi nd Final
Signature of Owner: 7z Date: _ Zak lo, znqg
L/ ,
Signature of Contractor: Date: VL I ZXISK
tl
AS TO OWNER:
Sworn to and subscribed before me this day of
State of Florida, County of Duval
DELTA W.ON"A"70""s"" Notary's Signature
ca"W"s D00402108
EXPn*4MrJM
I F� PersonaII3 known
Saidal Un(W0)4324U4:
Produced dentification
4_9 Flow&Nowri Am..Me
i6so.........**........0..... Type of identification produced TA.01
AS TO CONTRACTOR:
Sworn to and subscribed before me this day of 200T—.
State of Florida, County of Duval Notary's Signi tur��k _k)A�
------ *fee*$ "I""
Oil LI!TAW.BRAY t Persona113 known
Como 00""109
I
expm4n 2MR, D Produced dentification
9WKW ftU(SW)432-4254 Type of ic entification produced
FW46 NWA*AM..In
800 Seminole Road - Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 - Fax: (904)2 47-5845 - http://www.ci.atiantic-beach.fl.us
Page I Revised 2/21/03
Licensing Portal - License Details Page I of I
I 41ft�e
Log on DBPR Home i Onl ne Services Home Help I Site Map
1:48:41 PA
Public Services
Search for a Licensee Licensee Details
Apply for a License Licensee Information
View Application Status Name: OSS, HAROLD KERTIS (Primary Name)
Apply to Retake Exam ACK C WILSON ROOFING COMPANY (DBA
Find Exam Information Main Address: 522 ST AUGUSTINE ROAD
File a Complaint 1,ACKSONVILLE Florida 32207-7242
AB&T Delinquent Invoice County: UVAL
& Activity List Search
0 user services License Mailing:
Renew a License
Change License Status
Maintain Account Lice nsel-ocation: tS22 ST AUGUSTINE ROAD
Change My Address 1ACKSONVILLE Fl. 32207-7242
View Messages County: :)UVAL
Change My PIN
View Continuing Ed License Information
License Type: :ertified Roofing Contractor
L Rank: :ert Roofing
r-_qg Term Glossary License Number: :CC0493S8
LE-J,
Status: Current,Active
Online Help Licensure Date: 11/18/1989
Expires: 08/31/2006
Special Qualification Effective
Qualifications
Bldg Code Core
Course Credit
Qualified Business 02/20/2004
License Required
View Related Licens(I Information
View License Complaint
L I '-errns of Use I I Privacy Statement I
https://www.myfloridalicense.com/LicenseDetail.asp?S'D=&id=776160 7/19/2005
City of Jacksonville Page I of I
coj t net
Cr.jc,a!.1,'ebsAj(j r.1t1tiC,1yC1jaCksom0e Fzct�da
Duval County Tax Collector
Occupational License Summary
Business Information
License No. 0534160000 Issue Date 01/24/1990
Business Name VOSS, HAROLD KERTIS
JACK C WILSON ROOFING COMPANY
Business Location 4522 ST AUGUSTINE RD
JACKSONVILLE, FL 32207 - 7242
Mailing Address 4522 ST AUGUSTINE RD
JACKSONVILLE, FL 32207 - 7242
License Information
County Code 000005 QUALIFYING AGENT, CONTRACTORS
District JACKSONVILLE
Exemption New But iness;
Appraiser Control No. 0000000000 Last Activity Date 12/30/2004
Payment Information
City Tax 100.00 Cou ity Tax .00
Pay Status PAID Palt Date 08/26/2004
Validation No 001T000356 Valli Jation Date 08/23/2004
f I
Home
While the Duval County Tax Collector's office has attempted to ensure I hat the data contained in this file is accurate and reflects th
property's characteristics,the Duval County Tax Collector's Office makes no warranties, expressed or implied, concerning the accur
completeness, reliability, or suitability of this data.The Duval County Tax Collector's Office does not assume any liability associatec
the use or misuse of this data.
Mayor- City Council -Jobs - About Jax - I wan:to... - I am... - Services- Departments
630-CITY(2489) - Site Policies - WebmEster- (() 2002 City of Jacksonville
http://tc.coj.net/occlicense/FinalData.asp?License=05341 0000 7/19/2005
Xotice ofCommewement
To Whom It May Concern:
The undersigned hereby informs you that improvements will )e made to certain real property,and in
accordance with section 713.13 of Florida Statues,the follow ng information is stated in this NOTICE OF
COMMENCEMENT.
Description of Property:
31-16 25— Z's — 2-51 3 Kip 0, Pt 0
il � . � a 10
Wt
General description of improvements: Re-Roof
-7
Owner: JF�� IA.//,/X I-9�ez-
7
Address: -fj�o -541ii::1514 -PsE I
Owner's interest in site of improvement: -33
Fee Simple Title holder(if other than owner):
Name:
Address:
ontractor:Jack C. Wilson Roorine Company
Address: 4522 St. Auizustine Road Jacksonville Florida 32207
Surety(if any):
Address:
Name and address of any person making a loan for the constriction of improvements.
Name:
Address:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or
other documents may be served.
Name:
Address:
In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06 [2] [b],Florida Statutes.(Fill in al Owner's option).
Name:
Address:
y
71 Owner
Doc#2005264515,OR B K 12624 Page 1480, S and su=bscbefore me thiss
Number Pages:I
Filed&Recorded 07/20/2005 at 09:23 AM, da oi
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING$10.00
NA6 Public
OELTA W.BRAY
Z all
C "DC440210s
ExprOA 4/1,20,
emded thrpj(800)432-42S41
Nots
CITY OF
13 e444- ficial
RF office of Building Of - /1 -20
QUEST FOR 'NSPECTIO
-7 permit N
Date— M
Time
Received opalitY
'jb Address ont actor PljumsiNG MECHANICAL 0
Owner's V --' E Air Cond. &
Name CONCRETE ELE Rough o Heating 0
BUILDING Roug ol iring TOP Out 0 Fire piece
Footing Temp a Se\Ner Pre Fab
_J
Framing Stab Final
Re Pooling Lintel %;MP
insulation READY FOR INSPECTION Thu's, Friday P.
Wed.
Tues (f-D A.M.
Mon P.M.Finai Inspect
cate ojoKVancY
tjiad, Certiti
Date
DATE:
-------------
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
o
-- ----- -------------------
jJJ� G_
-----------------
-q_ �p �%— ---------------------
--------------------------------------------------
--------------------------------------------------
Enclosed are the blue copies of the permits
111111EIY
BUILDING INSPECTION DIVISION
cc:FI LE
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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 WIrH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
lz�ylo-t' Ncd f I C-1
ELECTRICAL FTftM: MASTER ELE ICIA-N il INATURE JOURNEYMAbI
NAME - ADDREd----(16�6 so.,,'/.(/,g A L, RFD—BOX
BLDG.SIZE-1000�06 54 �Y ' BETWEEN:
RES.(txx APT. ( comm.( PUBLIC INDUS. NEW( OLD ( REW.
ADDITION ( ) TRAILER ( TEMP. ( SIGNS ( ) — SQ. FT.
SERVICE: NEW( ) INCREASE ( REPAIR (1(/ FEE
CONDUCTOR SIZE - -*1-1 Of AMPS COPPER I ALUMJ )
SWITCH OR BREAKER AMPS PH W I VOLT RACEWAY
EXIST.SERV.SIZE /00 AMPS PH 3 w ;,,,ffl- VOLT -Zl�C RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0-30 AMPS. 100 AMPS.
SWITCHES
T
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER-----_]
APPLIANC-E-S--- -- I BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMFS ICEIL HEAT: KW-HEAT
0 ER
MOTORS H.P. I VOLTAGE PHS NO. 1 VOLTAGE PHS
MISCELLANEOUS CPA e%
P&nLl
'36 CITY OF
4&aA,4c 13 eac4-9 Vk"
'0 P
- Office of Building Official
REQUEST FOR INSPECTION
Date Permit NO.
Time
Received PZ.
Job Ad s
Owner's
ame ntractor
Con!
BUILDING CONCRETE ELECTRICAL PWMBING MECHANICAL
Framing a Fooling Rough Witing Rough Air Cond. &
Re Roofing Stab Temp Pole Top Out Heating
Insulation Lintel Finai Sewer Fire Place
Pre Fab
READY FOR INSPEcriON
Mon Tues =Thur, Friday
Inspe(A'or. to 10"
,I Occlipancy
PSR43K
DEPARTMENT OF SU ILDINO
'rLANTIC,E EAC
CITY,OF A
4,
(A+l-ON --------
,Pglwl iNF6 ION11 LOCATION:"iN,,F6M 4
it 'Numb�r. 1�155 5 A& resz : 00,`Siitrl_$H ,DRrVe
�lpermit Tk rLANTIC' 'It
0� A! B .ACH LORID)kx,32233
as$ 0
f Wo'k-* ALTI'SkAT I ON'
r
7
0,
onstr., Tv'pe,-, WOOD FRAME Lot ection�
ROO
06sed Use,, STNOLE , FAMILY Toi4niM
1 ,: �ode�*� Subdivis S'
i on, OlrAL' �PALM
�ti"ted V,I ue
Im-prov- Cos 00
Tot�a I F t2s,00
61:96 '
Da
Ti
IT WA Ap xcav bv, 'pliet
-CITIrOF
I
olir -
-P CT FEE
"DRIVE
WATER: TH A
0_0
FLOR
0-0
RADON QAS!11�
XrOAMA ON RADON -,C B:, ,Vk 00
Name.. 00 CAPITAL--, TMPROVi�,�,� $0 .00
JAC I,ULE IL 32211 CROSS C'ONNtCTI*' ,, ' 60.0d,
V e ., :Typet 0 SEC' H I XPACT, OP
W _00
OP
CONST,S003UAR Ell
7
/ !7
FOR ANDPOOTI MUST BE WSPeCTED, PO
ncE
No ALL CO, MS NOS
"IT VOID SIX,MONTHS AFT=_R DATE Of:
D
DING MATERIA�L RUSIN AND DEBRIS FROM THIS WORK MU 3T NOT 6t P I0,USLI0, D MU
-AN w
C W:wo
UP-ANb,AA'VLgD.. TH CONTRACTOR OR M INtO
'T
41:11P
41:11P Tlbh' C THE MECHANIC'S L1041,�
JLUR TO
ET -S
k,,N 'Ag
PAM
R,,QP
�WINQTWICEFORTHESUI�000
181 d5b ACCORDIN(i To APOROVE6,0LANS WHICH ARE PART 0', TH IS PERMIT AND$Ul8jECT;T 0,
ot,
VjILATION OF AppwcAsLF_ Oft S OF LAW.
-a�, 000
ATL�NTIC BEACH BUILDING D o.PA"ENT
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: vs--6
OWNER OF PROPERTY:
---Raki 46vc------------------------------
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR
AND 'ADDRESS:
- --- -----------------
.............
TELEPHONE NUMBERs cf
STATE LICENSE NO:
TYPE OF BUILDING:
------------SINXS -------------SHOWERS
------------LAVATORY -------------WATER HEATERS
------------BATH TUBS -------------DISHWASHERS
------------URINALS -------------DISPOSALS
------------CLOSETS -------------WASHING MACHINE
------------FLOOR DRAINS -------------SHOWER PANS
OTHER
TOTAL FIXTURE � -)UNT*._�() x $3. 50 + $15. 00 = s
J�---f---- -----------
------------------------------------------ ---------------------7-
INSTALLATION OF PLUMBING AND FIXTUR S MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTH RN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECT IONS - (904) 247-5826
FOR OYYICE USE ONLY
Date------- ... ... ...... .
Permit ..........Fee $....
CITY OF ATLANTIC BEACH Valuation .............I----
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 ompliance 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 ermit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanii( Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sul-contractors be submitted to this office so that licenses can
be verified. A Date...............N-19-y- ---VP-4�---------------------------- -196-Y
Owner-A-4A.,I)T/ ---- ---------Address_.-..-----------------------------------------------------Telephone .........
Architect.......A/
1.,J &-7E.1eq .......................................Address.........................................................Telephone No---_-----------------------
.........................
Contractor Builder,47-4-------------- .............Address..................................................... ....Telephone No-------- ----------
-7--------------------------B
Lot No------------......... lock No-------/_0--------------- Sub Division_..A'_Z�y-A__4-—-------- ---------...-Zone-----------
----------------------Street---___-----------------Side Between---------------------------------------------------and---_---------------------& Sts
..........-------------------------
- -----__.........Type of construction----------c��_&wcttj-
Valuation $.7.TAqAtA_d----For what purpose will building be usA
------Dimensions of Size of Footings----- 4-1.c
. _ _. ---------------_--- t N�..........
Dimensions of Building._.�O---X 74f ov&-L C—
Size of Piers_4D�..41L_eD___0------Size of Sills.---1;1, eates ...............
..GTeates Sill Span in ft-----AV�_.Type Roof-:4...............
oil"
How will Building be Heated?_&A—F-f K-E�o------ Building be on Solid or Filled Groundl!�'.�_A_y...................
Size of Ceiling Joists---- ....... Distance on Centers........ ................0 Greatest Span...... .................... OF
..............----------
Distance on Centers..------ tj(� ----------------I Greatest Span-------
Size of Floor Joists- ..... —I I'
atest Span.-..---------------------------------------
Size of Rafters.....-----------F
Distance on Centers............ -------------------- Gre
T'his 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 :1731
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. W
Z Z
2. When steel is in place and ready to pour columns and/or lintel. �_4 0
8. 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 is ccvered. g� 121
14
7. Electrical inspection by City of Jacksonville. M
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called forafter
corrections are made.
FRON'r OF LOT
In consideration of permit given for doing the work as describ�d in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, rhich are -a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach
Signature of Builder... 1��Zo ....... Address-------zo&----
.............. Aw, ------_--------
Signatureof Owner _�o ------ Address----.............................------------------------------------.........................-
Elm
A WE
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'6 0
DEPARTMENT OF BUILDING 3324
CITY OF ATLANTIC BEACH. FLORIDA PERMIT I�0.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date______3L2A_1q 77
Valuation$ 405W Fee$ 15-M
This pemit not valid until above fee has been paid to City Treasurer, and is
a-abject to revocation for violation of applicable provisions of law.
This is to certify th S
has permission to build a pool
Classification--Res I dent I a I ne
? Owned b
Lot Block— S/D
450 SaflflSh Drive
House No-
According to approved plans which are part of this permit
NOTICE—ALL CDNCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFO E POURING.
PERMIT VOI
SIX MONTHS
AFTER DA OF ISSUE
x
0 Building material rubbish and debris
Z from this work m at not be placed in
public space, and ust be cleared up
and hatiled away y either emtractor
or owner.
R. C. Voge I
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
?
PLUMBING
ELECTRICAL
SEWER
WATER
Amok
FOR OFFICE USE ONLY
19 Z7
Date------------_-------_-------
Permit *---------_------------Fee$2;��...........
r�
_Ij�QTY OF ATLANTIC BEACH Valuation $_.4�ZMII
;;/--------------*------- ---------
FLORIDA House #....
....................................
R2-419,_1
AnAq,T
............................................................................
90F ARAMTV
MUCATION FOR BUILDING PERMIT :
I ............................................................................
fURN
............................................................................
Application is hereby made for the approval of the detailed statement ff the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the Oty of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub—ontractors be submitted to this office so that licenses can
be verified.
Date................. ........ 192-7
---- ----- . ..................
Owner_/'IV,e-/----e,�% ------ No----_------------------_-
Architect_/0.4.....(214---e-
- �,/ ...-----------------__............-------
Contractor Builder_:r5o e, .
- - -------Address,_,Y.1.5_!��_��_ At 4�Y2_6.tTelephone No.1:�'_VZ.7_k$_�77
LotNo--_----------------------------------------------Block No--------------------..........Sub Division-------------------------------------------------------------------------------Zone----------
----------I----------------------------------------Street-..---- ---------_.Side Between----------- ..................-------------and------_------------------------------_-----------Ste.
t_:L_ -,, tion....Cill.�L-c,-1/'t�l?�
Valuation -6v,.For what purpose will building be used- ri�tAqp__...Type of construe
-Z;.............. ----_-----_------------------
Dimensions of Building---------------------------------------Dimensions of Lot--- ...........---------- ----- Size of Footings.
Size of Piers.-------------------------------Size of Sill's-----------_--- -----------Greatest 3ill Span in ft....-----------------------Type Roof..------------------------------------
How will Building be Heated?---------------___--------- -----------------_--.....Will I!uilding be on Solid or FilledGround?........................................
Size of Ceiling Joists-------------------------------------..... Distance on Centers.....I------------------------------------- Greatest Span-------------------------------------------- op
Size of Floor Joists.--------------------------------------------Distance on Centers---------- ------------_------------- Greatest Span------------------------------------------- ft
Size of Rafters-----------------------------------------------....... Distance on Centers.....--- ---- -----------........... Greatest Span------------------------------------------ if
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. C,
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. 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 is cov(red. 0
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, wlich are a part hereof, and in accordance with the building
regulations of the City of Atlant!
Signature of .................... A 1dress.- ......... ........----------- (_9-----------------
Signature of Owner---/o,_.o/ .................................. ........../_7�.............
................ A 1dress.... ......
CITV OF
9 e4 CA-99&U*C&
Office of Bui ding Official
REQUEST FOR INSPECTION
Date r Permit No.
Time A.M,
Received P.M,
Locality
jq�b-"ess
Owner's C ontractor
Name
:7 �-4 G—
BUILDING CONCRETE ELECI RICAL LUMBIN MECHANICAL
Framing Footing Rough Niring Rough Air Cond. & 7
Re Roofing Slab Temp P)le 7, Top Out D Heating 13
--i Fire Place
Final wer
insulation E Lintel L Se Pre Fab
READY FOF INSPECTION
Thurs. Friday--R
Mon. (:T,,e�-, Wed.
A.M.
5
RM.
Inspection Made Final Inspection L-
1r.spect,
Certificate of Occupancy E.
Date
CITY OF ATLAN TIC BEACH
APPLICATION FOR PLIJHBING PERMIT
JOB LOCATION:
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR
AND ADDRESS:
z tL.
TELEPHONE NUMBER:
STATE LICENSE NO:
z-d5 ----------------
TYPE OF BUILDING:
------------SINKS -------------SHOWERS
------------LAVATORY -------/--(�--WATER HEATERS
------------BATH TUBS DISHWAS S
------------URINALS DISPOSALS
------------CLOSETS WASHING MACHINE
------------FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURE � IUNT:---------- x $3. 0 + $15. uo
---- - ------ -----------------------
INSTALLATION PLUMBING AND F<IXTU Mfi�MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN --S�NDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826