640 Sailfish Dr (vault) s, CI OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 06-0032467 Date 3/10/06
Property Address . . . . . . 640 , SAILFISH DR
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO E UPDATED
Application valuation . . . . 4700
Owner Contractor
LOMAN K & D ROOFING & CONSTRUCTION
640 SAILFISH DRIVE 2124 PEBBLE CREEK LANE
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32003
--------------------- ------------------ --------- - -- -------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 83 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 4700
r
Fee summary Charged Paid Credited Due
----------------- -- -------- --- ------ ---------- ----------
Permit Fee Total 83 . 00 83 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 83 . 00 83 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY O ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
lk .
BUILD ' CIA ,
d
�1
CITY OF ATLANTIC BEACH PE T CALCULATION SHEET
Address (, Q
Date 3• '� • O
Heated Square Footage @ $ per sq ftvia
= $
Garage/Shed $ per sq ft= $
Carport/Porch @ $ per sq ft= $
Deck. @$ per sq ft_ $
Patio @ $ per sq ft= $
TOTAL VALUATIO $
Total Valuation 1St
3 qV6
Remaining Value $ ._Per thousand
or portion thereof
CONSTRUCTION TYPE: TOT BUILDING FEE $ S
ZONING: _ + %Z F ling Fee $
FLOOD ZONE: O Fir places @ $35.00 $
IMPERVIOUS SURFACE:
BUIL ING PERMIT FEE $ 6l
WATE R IMPACT FEE $
SEWE Z IMPACT FEE $
WATER METER/TAP $
CAPI IMPROVEMENT.$
SEWER TAP $
C ( RADON .0050 $
SECTI DN H PAVING ( ) $
HYDRAULIC SHARES $
CROS CONNECTION $
ST( ) SURCHARGE $
OTHE $
00
GRAND TOTAL DIM:
CITY OF ATLANTIC BEACH Cc:
BUILDING /ZONING DEPARTMENT
J V� 800 Seminole Road S. Doerr
Atlantic Beach,Florida 32233
f F31�' (904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application #
Property Address:
Applicant: '
Project:
k-e(DO-f-
This permit application has been:
Approved
F7 Reviewed and the following items need attention:
Please re-submit your application when these iteir s have been completed.
Reviewed By: (At Date: -6('g[0-6
Date Contractor Notified:
CITY OF ATLANTIC BEACH
19,11 ROOFING PERMIT APPLICATION
Date:
Job Address: L{ U L 14
Owner of Property: 401
/-�
Address: Telephone: 4:/: ��
Contractor: -r State License Number:
Contractor's Address: (� l �'G �� �e ^� ,C _ /t,1�
Telephone: Z2(5j Fax: _JJ
Scope of Work: LC - 1—mo /)t - e
Deck Slope: • Greater than 2:12 Less than 2:12
Valuation of work• U�
Product Name(Example: Timberline): 12 `
Manufacturer(Example: GAF):
ASTM Designation(s):
Required Inspections: Sheathing and Final
Signature of Owner: r 410 Date: —1 �
AS TO OWNER:
Sworn to and subscribed before me this �� day of 4n-1-C 20 O
State of Florida,County of Duval -
Notary's Signator .
rq `
Nowr�A KE -[�Personally own
I,y C �a NM El Produced i entification
•$„t.` C "E*kft Feb 10,b 20 Type of id ntification produced
Signature of Contractor: Date: —�
AS TO CONTRACTOR: goy} .`u
Sworn to and subscribed before me this day f ,20 O(o
State of Florida,County of Duval
Notary's Signa e:
"'E' ” JEANNE M.SHAW ❑ Personally ovk
MY COMMISSION#DD 435986
r EXPIRES:May 31,2009 [Produced i entification
a: k Bonded Thru Notary Public Unde carders Type of idt ntification produced F L'Pr�✓ .CAc
800 Seminole Road •Atlantic Bea h,Florida 32233-5445
Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us
Page 1 Revised 2/21/03
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No. Tax Folio I lo. 5-0-aaa
State of�"� County of. Ocazrw-4
To whom it may concern:
The undersigned hereby Informs you that improvements I be made to certain real property,and in
accordance with Section 713 of the Florida Statutes,the folio ing information is stated in this NOTICE OF
COMMENCEMENT.
Legal being improved:
"re 7—
A res of r ng improved: l9 Lt O �,4.z t. ' to 1{T-i.4,j?,C ( c 4C FL-
ption improvements: 7-
Owner C
Address - "
3.2-233
Owner's interest in site of the improvement
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor
Address
Phone No. �l=/� �� Fax
Surety(if any)
Address Amount of bond 3
Phone No. Fax
Name and address of any person making a loan for the construct on of the improvements.
Name
Address
Phone No. Fax
Name of person within the State of Florida,other than himself,do signaled by owner upon whom notices or other
documents may be served:
Name
Address
Phone No. Fax N .
In addition to himself,owner designates the following person to n ceive a copy of the Lk=r's Notice as provided in
Section 713.06(2)(b).Florida Statutes.(Fill in at Owner's option
Name
Address
Phone No. Fax No.
Expiration date of Notice of Commencement(the expiration date s one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER r AGENT
A mt,Power of or Agency L
Required)
Before
mathis of In
the
county Duval ram of Fg ly appeared
5:,7;, herein by
Winsaw affirms that all statements are true and aoauate.
Notary Pudic at State of County of ";`
Number Pages:
Doc#2006080232 OR BK 13114 Page 1219, My cor miaaion
1
Filed 11 Recorded03/06/2006 at 09:59 AM, Personary
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING$10.00a
y
CITY OF ATLANTIC Y EACH
DEPARTMENT OF I WILDING
600 SEMINOLE ROAD-ATLANTIC BEACH,FL 3223,-TEL: 247-5628-FAX: 247-5877
PERMIT . FORM TION N INFORMATION,`
Permit Number: 21921 Address: 640 SAILFISH DRIV
Permit Type: BUILDING ATLANTIC BEACH, FLORIDA 32233
Class of Work: REPAIR Township: 0 Range: 0 Book:
Proposed Use: Lot( ): Block: Section:0
Square Feet: Su ivision: ROYAL PALMS
Est. Value: Par ei Number:
Improv. Cost: 1,500.00
Date Issued: 5/08/2001 N me: ELOISE LOMAN
Total Fees: 30.00 Ad ess: 640 SAILFISH DRIVE
Amount Paid: ATLANTIC BEACH, FLORIDA 32233
Date Paid: 5/08/2001 Phone: (000)000-0000
Work Desc: REPAIR RO EN WOOD
C NTItA+ T I ATION FEES
PROPERTY OWNER = �;,,P R IT 30.00
12
0 0
IF
`w6,p.
a.
FINAL
r
NOTICE + NSPECT160 T BE REQUESTED"AT ST 24 HOURS PRt . . TO INSP ECTION
BUILDING MATERIALA-,,DEBRIS FROM THIS WO MUST NOT BE CED IN P)IBLIC SPACE,AND
MUST BE CLEARED UP_ ND HAULS AWAY BY EITHER CONT CTOR OR O ER
"FAILURE TO COMPLY"TH T - TRUCTION IE DAN RES T IN THE
PROPERTY OWNER PAYING�E OR�tI�'5NMI Nt S" 1
ISSUED ACCORDING TO APPROVEb 14&,v H H Elf ffl tT P T AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVI 0�1 "
PA Ito
f
QY
9 0001
ol�,gV�n� 330.8814
ATLXN/IC BH BUILDING DEPT. '3a�ch. 5/09/01 01 Receipt: 0056020
CHECKS 1184
r
�I!
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address S L / f lfi .PQ It-) od
Date S" /
Heated Square Footage @ $ per sq ft = $
Garage/Shed --� �, @ $ per sq ft = $
`U
Carport/Porch @ $ per sq ft = $
Deck i@ $ per sq ft = $
�S
Patio @ $ per sq ft = $
uG
TOTAL VALUATION: $ �� �0
f-f6 S $ r
Total Valuation 1st $ / _
s oo $
Remaining Value $ (�"C. thousand
off` portion hereof
TOTAL BUILDING FEE $ 2
+ 1/2 Filing Fee $ / O
( ) Fireplaces @ $15 . 00 $
BUILDING PEMIT FEE $ 3
WATER IMPAC FEE $
SEWER IMPAC FEE $
WATER METER TAP $
CAPITAL IMP OVEMENT $
SEWER TAP $
( ) RADON (HRS) . 0050 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNE TION $
( ) SURCHARGE . 0050 $
OTHER $
GRAND TOTAL DUE $ sn' 0
ADDITIONAL PERMITS OR FEES : Mechani al Plumbing
Electric/New Electric/Temp ; SwimmingPool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES:
l
CITY OF ATLANTIG BEACH Drc V E D
t
PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERA
Nk
MOVING, DEMOLITIONS MA y 4 2001
Owner(s) h
Job Address 40 ` r i J Phone
Lot# Block or Unit# 3ubdivision
Contractor State License#
Address Ii+C.� 7 c Phone
City ,J �^,t C �� Statel— Zip s 3
Describe work to be done t'e- / 4
Present use of building
Valuation of Proposed Construction O a
Proposed use
Is this an addition? If yes,what are thedimensions of the added space: ft. x ft.
Will the added area be heated and cooled? ruv New lectrical (or increase) le
New plumbing fixtures? AL<D New fireplace? New Heat/AC?
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 CON RACTO .
Signature of OWNER Date:_,: .�- /Y T
Signature of CONTRACTOR Date
STATE OF FLOR A
COUNTY OF WaQLL
Sworn to (or affirmed)and subscribed before me this - day of 200/
AS TO OWNER: Notary's Signatur
❑ ersonally known
LAURIE D.scoff Produced Identification
;, My Comm Exp.3/24105
No.W 006676
M_
T pe of identification produced I`�f 7)4-
Sworn to(or affirmed)and subscribed before me this day of , 200
AS TO CONTRACTOR: N otary's Signature
Personally known
Produced Identification
pe of identification produced
a
CITY 4F
r��i!aactic �►'+..ate - '�lo�ida
800 SENENOLE ROAD
ATLADT 1C BEACTL FLORIDA 32233-5445
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAPTER 489, FLORIDA STATUTES. PART i 'CONSTRUCTIO CONTRACTING" REOUIRES OWNER/BUILDER To
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7). FLORII A STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY U CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, J S THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOL MUST SUPERVISE ON UCT70t4 Ya Rse
YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR ims. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU 5 OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR
LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. You MAY AN umLicamsep PERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILO 4G CODES AND TONING REGULATIONS. IT IS YOUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE P OY BY NS IR Y A W AND
COUNTY OR MUtlICIPAL UCCNSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR C WN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY
USE.AND UKEWDSE REGUIIa ALL WORK(EXCEPT MAINTENANCE UNCE r $2,000) BE UNDER A BUILDING PERMIT AND PASS
ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MA PHYSICALLY DO WORK THEMSELVES: OR MAY HIRE
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'DJRI CT SUPERVISION OF THE OWNER, WHO MUST BE ON
THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLJCZNSA 0 TRADES PEOPLE.' THIS DOES NOT ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE OWNERS MAY Be UABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER'S COMPENSATION INSURANCE BE PURCHASED UNDER THC MEOWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND 3 iGULA ALSO OBSERVE IRS WITHHOLDING TAX AND/OR
FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON I H93R IMPROVEMENT TRADES.
UN ED CONTRACTORS 0Y U AN . OWNERS BEING SUBJECT
TO $5,000 PENALTY UNDER FLORIDA STATUTC N4, 4SS-228(!). AN 'QCCUPATIONAla 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 CO R. TELEPHONE THE BUILDING DEPARTMENT (247-
5826) IF IN DOUBT.
I HEREBY Acmow.EDGE THAT I HAVE READ THE ABOVE D RE STA-IEMENT AND THAT 1 COMPLY WITH ALL
THE REOUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER Pic qmrr.
S C/
PROPERTY OWNER/BUILDER
ADDRESS 'TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE'ME THISD OF
OTARY LIC
NOTE: PHRASES UNDERLINED ABOVE MY COMM9 4EXptwwp
ARE EMPHASIZED BY THE BUILDING L My Comm Exp.5/244
DEPARTMENT. No.Im 006676
t
11 hlstalwMY Nnmwl W6M L0.
=L �1�.c. .4450- ,0&- w-�U-P-40
CITY OF ATLANTIC BEACH
800 SENIINOLE ROAD
ATLANTIC BEACH,FL 32233
SPECTION PHONE LINE 247-5826
SPECTION EMAIL REQUEST:
DIM�,
ui1ding--d_epj@coab.us
Application Number . . 07-0( 001204 Date 8/23/07
Property Address . . . . . . 640 11cAILFISH DR
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
-----Application-valuation . . . . 0
-------------- �i -----------------------------------
Application desc
INSTALL 1 CU, AHU & HS '
---------------------------------------- -----------------------------------
1
Owner , Contractor
------------------------ ------------------------
LOMAN, SIDNEY E. SNYDER HEATING & AIR
640 SAILFISH DRIVE P.O. BOX 16826
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245
(904) 641-0600
---------------------------------------- -----------------------------------
Permit . . . . . . MECHANICAL PE IT
Additional desc . .
Permit Fee . . . . 89.00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 2/19/08
---------------------------------------- -----------------------------------
Fee summary Charged Paid Credited Due
Permit Fee Total 89. 00 89. 00 . 00 .00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 89 .00 89 . 00 . 00 .00
ai
ii
al
�I
a.
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF A TLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
'd
MAP SHOWING SURVEY OF
r
AS RECORDED IN PLAT BOOK PAGEI;
OF PU: LIC RECORDS OF DUVAL Co.,
FOR -�'
v
nV
GOT C
'V
,te�\
+
o I� u
v
39.0 29S
FN
3 3 I
� N h I
0
GCTY ORA TIC BEACH
BUILDWGOFFICE 1
1
MAY n of f)nn4
9
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233 TEL: 247-5826-FAX: 247-5877
I
R �' � AT— Addr ss: 640 CARL HOWARD
Permit Number: 21636 ATLANTIC BEACH, FL 32233
permit Type: BUILDINGTow ship: Range: Book:
Class of Work: ALTERATION Lot( ): Block: Section:
Proposed Use- SINGLE FAMILY Sub ivision:
Square Feet: Par 1 Number:
Est.Value: . ;ON
Improv. Cost: N' me: CARL HOWARD
p 4/27/2001 I
Date Issued: Address: 640 SAILFISH DRIVE
30.00
Total Fees: 30.00 ATLANTIC BEACH, FL 32233
Amount Paid: �? one:
_(904)§P4 §267
Date Paid: 4/27/2001
Work Desc: SIDtNG FOR HOUSE N.P�S
TAG`Ir' � 30.00 �
t
PROPERTY O�RR
ial
FINAL
_— f- --� F
-BE RtUESTEf7 A L`EAT.:24,HOURS P RTO INS. CTION
NOTICE"j1S_PECTI '
BUILDING MATERIAL, UBB
ISH A ;DEBRIS FROM THIS W RK MUST NOT B NERGED IN BLIC SPACE,AND
MUST BE CLEARED UP�D HAULEbwkAY BY ElTtriER C TRAGTOR O
TIO RE LT IN THE i
"FAILURE TO COMPLY ITH O LC N 1
PROPERTY OWNER PAY
IT AND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPROVED S F P F
M
FOR VIOLATION OF APPLICABLE PROVISIO
PAI
r� -7 p4r ,�
APR {
i
/ evyA � t
AT NTIC BEACH BUIL ING DEPT. --
M
f
r
:
i
:
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET 3,
S'
Date
Heated Square Footage @ $ per sq ft = $
Garage/Shed @ $ per sq ft = S
Carport/Porch @ $ per sq ft = $
Deck =,@ $ per sq ft = $
Patio ® @ $ per sq ft = $
TOTAL VALUATION : $
Total Valuation 1st $
$
Remaining Value $S•'. per thousand
or portion hereof
TOTAL BUILD NG FEE $ 2 Q
+ 1/2 Filing Fee $ P_ L
( ) Firepla es @ $15 . 00 $
BUILDING PERMIT FEE $ 4
WATER IMPAC FEE $
SEWER IMPAC FEE $
WATER METER TAP $
CAPITAL IMPROVEMENT $
SEWER TAP $
( ) RADON (HRS) . 0050 $
SECTION H P VING ( ) $
HYDRAULIC S ARES $
CROSS CONNE TION $
( ) SURCH RGE . 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 :
I
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, AD (TIONS, OR ALTERATIONS,
MOVING, DEMOLITIONS
Owner(s)
Job Address Phone
Lot# 30 Block or Unit# ubdivision ROM, &IM5 Lam"-j OAA�F
Contractor tate License#
Address hone
City,� Aitn'lt_ Z�f �Y. State EL Zip 32,-Z 3 3
Describe work to be done49LA 1-17 " �-f
G
Present use of building yz>-yn C G14Z 2LCLA�*L- f—
Valuation of Proposed Construction
Proposed use RnQ ¢ -
Is this an addition? AM If yes,what re the dimen ions of the added space: ft. x ft.
Will the added area be heated and cooled? ` i New electrical (or increase) !6
New plumbing fixtures? A) New fireplace? New Heat/AC?
SUBMIT THREE (COMMERCIAL)TWO (RESIDENTIAL) C MPLETE SETS OF PLANS,S INCLUDING
SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE DF COMMENCEMENT, AND OWNER/
CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTO .
Signature of OWNER r Date: — a�4 /
Signature of CONTRACTOR Date
STATE OF FLORIDA
COUNTY OF Du v/9
Sworn to (or affirmed)and subscribed before me this day of1200 /
AS TO OWNER: Notary's Signature
❑
Personally known
MAUIIONG Produced Identification ation
Notay Pubic-StOtO f adT peof identification produced
Commission Bwkw Ma3t,202
Commsston#CC7781 o— gFo0,,;tC
- d�
Sworn to(or affirmed)and subscribed before me this day of , 200
AS TO CONTRA�� � �� N tary's Signature
❑ Personally known
APR 2 5 2001 ❑; Produced Identification
City of Atlantic Beach T pe of identification produced
Building and Zoning
CITY OF
>'���urc�cC '6'eal-li - �Gvatda
800 SEMIlVOLu ROAD
ATLANIZC BEACH,FLORIDA 32233-5945
TELEPHONE(904)247-5800
FAX(904)247-5805
SUNCOM 852-5800
CHAPTER 489. FLORIDA STATUTES, PART 1 'CONSTRUCTION CONTRACTING' REQUIRES OWNER/BUILDER To
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 4a9. 103(7). FLoRick STATUTES:
SPATE LAW REQUIRES CONSTRUCTION TO BE DONE BY UCENS CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT
UNDER AN EXEMPTION TO THAT LAW. THE E%EMPTION ALLOWS YOU, THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR
OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELP.
YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCEOR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SM L OR LEASE A BUILDING YOU HAVE BUILT YOURSELF
WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE L W WILL PRESUME THAT YOU BUILT IT FOR SALE OR
LEASL, WHICH Is IN VIOLATION OF THIS EXEMPTION. You MAY morr HIRE AN NS PIERSON AS YOUR CONTRACTOR.
YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE MUILD3I 40 CODES AND ZONING REGULATIONS. IT IS YOUR
RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU IC N8 R UIR Y A LAW AND BY
COUNTY OR MUNICIPAL LICENSING ORDINANCES,
ORDINANCES AL.SO ALLOW.AN OWNER TO IMPROVE 77,1E1R 4 YN PROPERTY WHEN /T IS POR PERSONAL OR FAMILY
USE,AND LIKEWISE ReQU/RE ALL WORK (Except•NWNTENANCE uNceF $2,000) BE UNDER A BUILDING PERMIT AND PASS
ALL NORMAL INSPECTIONS. T)iE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY MIRE
UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER 'O/RE SUPERVISION OF THE OWNER, WF/0 MUST BE ON
THE JOB AT ALL TIMES WHILE WORK 13 IN PROGRESS BY UNUCENS TRADES PEOPLe. TFIrs DOES NOT ALLOW USE OF
UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS
WORKER's COMPENSATION INSURANCE BE PURCHASED UNDER THE MF-OWNERS INSURANCE POLICY CLEARLY PROTECTS
THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND si.6ULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR
FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON EIR IMPROVEMENT TRADES.
UN C N ED CONTRACTORS OYED UNDAR ANY CIRCUMSTANCES. OWNERS BEING SUBJECT
.0 $5,000 PENALTY UNDER FLORIDA STATUTE No, 455-228(l). Am 'QcruPATAYAI I*ICENSE' IS NOT ADEQUATE.
THE OWNER SHOW.D PHYSICALLY SEL THE COUNTY 'CERTIFICATE OF COMPETENCY' OR THE FLORIDA 'CONTRACTORS
CERTIFICATE' TO ASCERTAIN IF A PERSON IS A LICENSED CO R. TELEPHONE THE BUILDING DEPARTMENT(247-
5826) IF IN DOUBT.
I HEREBY ACKNOWLEDGE TWIT I HAVE READ THE ABOVE D LOSURE STATEMENT AND THAT I COMPLY WITH ALL
THE REQUIREMENTS FOR THE ISSUANCE OP AN OWNER"BUILLER PEP virr.
ST74-7� D/= GLoRr�19
"c-wry
PROPERLY WN u E 0 o -1/0-
�o41c.yrs H DR a-C-f/6-4NO2
ADDRESS TELEPHONE
SWORN TO AND SUBSCRIBED BEFORE'ME THIS DAY OF L p
NOTA LIC
NOTE. PHRASES UNDERLINED ABOVE MY COMMI44MION EXPIRES: MAUREEN rJNG
ARE EMPHASIZED BY THE BUILDING lWR&pubk-State of FIOd13e
DEPARTMENT. ARV Commission e0res Mcr 31,20M
Commission#CC720781
k
� P
Zed,
\G G
`
F
1 1
Vol
?Q e�iDf
-201
a ( .
�.
| � --���.
| � �
� } .
� (
( : �
� | �
| �
. � � � �
. . | � � � � .
� . � � ' .
. ! | � . .
( | � ( , �
. ( � �
�
! � . . : \ .
b } � � .
U� � . .
� � .
� |.
�?
} � � �
} i � �
� � � �
! } >\
! � ,
} � ! � .
i
. � . � :
; f : . .
. � ������ , � . � � �
|
I
s
s
r
MAP SHOWHf G SURVEY OF
COT 30
AS RECORDED IN PLAT BOOjQ::PAGED
FOR --
OF Piz: LIC RECORDS OF DUVAL CO.. Fl
��L — <
v
ti
I ,
o i o
_�. -5- W
a o ioo� J
Q 3 Q
Zl� ,
IW �
`N q \Ff
k�
\ 3 13' I N
10 N h I
s
a
4
V
x,07 3/ h
MAP SHOWING SURVEY OF
d T 30 i
i
N;
AS RECORDED IN PLAT BOOK PAGE!o OF P' ; LIC RECORDS OF DUVAL CO.. F[
FOR
M
GOT
o
Fo
o
o ;
0 3��
v I O
13 I3
z Le9
o
v
_ 1
CITY OF ATLANTIC 4EACH
DEPARTMENT OF OUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
L-
`Permit Number: 21835 Add ss: 640 CARL HOWARD
Permit Type: BUILDING ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot( ): Block: Section:
Square Feet: Sub ivision:
Est. Value: Par I Number:
Improv. Cost: t11FJRi#IIATION
Date Issued: 4/27/2001 N me: CARL HOWARD
Total Fees: 30.00 Add tress: 640 ATLANTICSH DRIVE
BEACH, FL 32233
Amount Paid: 30.00
Date Paid: 4/27/2001 Phne. (904)50.4-6267
Work Desc: SIDING FOR HOUSE
CONTRJ�CflFtf S} CATION FEI=S _-!
PROPERTY OWNER N „Y.. F' T =: 30.00
FINAL
M ems., b, k r�n�1 �� *�4 : � �' '•"i" "y, ` r a.
_ NOTICE-#1SPECTIO $' BE REQUESTED AT AST 24 HOURS P RTO INS CT10N
— , T -o -
N
BUILDING MATERIAL, UBBISH AII7EBRIS FROM THIS WO MUST NOT B LRCED INPL
BLIC SPACE,AND
MUST BE CLEARED P AND UHAULEC?" WAY BY EITHER CONT CTOR OR E
FAILURE TO COMPLY T
�• TIO kN RELT IN THE
PROPERTY OWNER PAYI C O L[ N P
ISSUED ACCORDING TO APPROVED RJP F i MIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIO
i
i
i
'f
$30.0014
AT NTIC EACH BUIL ING DEPT. —_Dates: 4/27/61 K Receipt: 0053069 –J
-- � 80100003221008
I
r
I
S
i BUILDING AND ZONING INSPECTION DIVISION
CITY Of ATLANTIC REACH
ATI.ANVIC •aACN. RWIt10A Bass
APPLICATION FOR MECW NICAL PERMIT CAIt.IN NUMBER
IMPORTANT — /applicant to complete all i ems in sections 1, 11, 111, and IV,
I.
f+raet A4040 46
ret»: '
LOCATION .--- .....` \
OF Iater"40i" iMoatr: 116iweett
�rb�i.biM
11. IDENTIFICATION --- To be completed by all applicants.
1. ce.r:daratisa of pertait Tire IM dotaq tho wstk es described in the above baterrient we hetoby apuo to patform raid work in accordance
..ft the 6046Opd pleas aad specilicetioa► which aro a part hvvel and fe ac tdence with the City o1 JacksonviHo ordinaacos ead rter-drrdt
d/ 66940 pract-to Ailed rAarr•a.
Na.+ of ►IacAaa!et c-. S 1 `t �" 1C W06CostfNc -1 �
Gwwaotiw (Niel bis G�
Memo of
►w Mehr O..aer — v�`a-C_ `. r�•-.v`-- 5�l
fd OwMr ><I�ae N of
.!7"=ioad Atoar Mshlt al or Easlt►eer
Ill. epoiPA . MIMORMATM
A. 1 bsotiry fwl: �t
OTNpl mus"WeTION KING WHIZ ON
liMn•:e TIB WILDING on 41ya t ��
tl O Naivwd 0 CeaW VW*
I p ri/, a1Vt NIIIMOrh 0/C"bTspiCTION
4 Ot 0 BIIMIIT
p 066P — fo.e*
V. 600MOOUCAL r0V00111 TO M MwAU& a of 1110"
t —.006 r�* oe MSI icels*w
WWI Asswential or fj Commercial
't d :Mss 0 O tenev lmsond
CeMw1
O' Ar G•ML.Ler D sft slbM ro
Q p.4, lrrtMarn: rbinisL.`. ��.�.. MPlaeetMKt of 49161inp sytNon
moose"4dp6ov. Now NNldfatwo ps system prwlouoy Instsll0.
Vol
ty
c• . %WW- C"O t► e,e,,MtK` aPs�coot"
0 it;re �rLYtrei trMt�M a♦ Wim• i�w�wrrrnwtr.rww'r
13 1MeeM Q WON Q f"W" "a VAN "k Go"= UN ci my
Q Ciurfwe ttw�N�.�—{att�tt�s►1 , t�t�l
ewers,■�.r�.wrr,i•iw...
Ln�.i"�.w�rrrll fti
Q usarod pnoMr WMW
13
wr�..r•.+w.
WT A" sem'
AS COND"WI MNO AM 1111W R1t7aIIIATN" c�1vt>Msi>rr
>"�tttsr..vtrNa >aiw.l�UaNt W"d xW"W waalteo,r t'!�)"
1
r
>Ktir.Ia,..v.w >a...�ew. �w 1+tsliAls. �ltarrMArlsrar '! �"�
CITY OF ATLANTIf, BEACH
MECHANICAL �ERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32 33-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION J
Permit Number: 18508 Address: 640 SAILFISH DRIVE
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range. 0 Book:
Proposed Use: Lc t(s): Block: Section: 0
Square Feet: Subdivision: ROYAL PALMS
Est. Value: Parcel Number: _-
Improv. Cost: -__ _ -__OWNER INFORMATION
Date Issued: 7/15/1999 Name: ELOISE LOMAN
Total Fees: 27.00 A dress: 640 SAILFISH DRIVE
Amount Paid: 27.00 ATLANTIC BEACH, FLORIDA 32233
_ Date Paid: 7/15/1999 hone: (000)000-0000
_ Work Desc: REPLACE AIR HANDLER
CONTRACTORS) APPLICATION FEES
SNYDER HEATING &AIR COND. CO. PE MIT 27.00
II
� III
Inspections,Re- wired
--- ---- -- ------- __
i
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND
MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
i
i
07.00 14
6I
Date: 7/15/99 01 Receipt: 0072025
- — CHECKS 1523
ATLANTI B CH BU ING DEPT. 00100083221000
t -
4&0"420 /C�ITYOF /�
Office of Bui ding Official
REQUEST FOR INSPECTION
Permit No. ---
Date A.M.
Time P.M. c-
�)
Received f
Locality
Job Address
_Contractor MECHANI
Owner's UMBING
Name ELECTRICAL _ - it ^J�
CONCRETE Wiring Rough Hea m
BUILDING ❑ Temp Top Out Fire Place ❑
El Footing Tem pole - ❑
Framing ❑ Slab ❑ Sewer Pre Fab
Re Roofing ❑ Final
❑ Lintel A.M.
Insulation R INSPECTION
READY F Friday--------'—
Thurs.
We
Tues. A.M.
Mon. Q P.M.
Final InspectiKn
Inspection Made Certificate of
Inspect
Date
psi 11587
DEPARTMENT CSFSt ILDING '
•CI'TY OE ATLANTIC EACH '
-,.....- FERmI ' Imromh" IOH "� �,._�., .._ _ ._ � LOCATION INFORMATION' ........
Permit ,NuM or 11 587 Address; 640 ' SAILFISH DRIVE
Perrrat Type= MECHANICAL ATLANTIC BEACH, FLORID 32233
Cof Wolk: ALTERATION LEGAL DESCRIPTION�, ---
Block:
► t T ► WOOD ,FRAME
Lei Bl ak w a sa'rz�
t posed Ute: SINOLZ P-AM LY Township: RNG:
'
el 1 iza 1 Code: 0 Subdivision: ROYAL PALMS
timat d Value $0.00
Improv Cost : $0.00
Total $27 .00
A ► s 2l 00
ATIAN �" .. . ... APPLICATION FEE$ ' .
PERM PERMIT
dress FISH D.RI TZ FEE s0 . 0
' T CH, FLC3R I � F
A AP
RATION GAS,.B.R. [� .00
C3 NFQ QN -.>- - RADON CAB Iii S0 .00
Name Ste' HE IN3 ' + IT . C . .:, iie III.P0-1
S�1'ER
QAC ILLE. LCRII~fA 322 5 CROSS CONNECTION 50 .010`
Type. 3.: SEC H 'IMPACT FEE r0
CONST.SURCHARGE $'0 . '0
It 3
NO S`
NOTIGE=:-ALL CONCRETE FORMS AND FOOTINGS M St BE INSPECTED.BEFORE POURING
f ,
PERMIT VOID SIX MONTHS A ER DATE OF ISSUE
ILDING MATERIAL;RUBBISH AND DEBRIS FROM THIS WORK M ST NOT 13E PLACED IN PUBLIC SPACE AND MULT BE
Mn
C, ARED UP AND HAULED AWAY BY EITHER CONTRACTOR DR NER
`4 ,ALLURE COMPLYITH THE MECH NIC' LIEN LAW44CAN RESU fi 'IN
E PR PgWY OWNER PAYING T RTHE Bl ILDING I PROVEME TW
*�� UED ACCORDING TO APPROVED PIANS WHICH ARE PART F THIS PERMIT AND SUBJECT TO REVOCA�Q
NT
ION OF APPLICABLE PROVISIONS OF LAW. Utes 3/13/% 01 kOt• 0041166
WIW03221000
AT�,ANTIC BEACH BUILDING DEPARTMENT
f + t
IT A-111t
t ., AY # e'_ ;r:;. ,.,..,`,,, ei," ur:` tl'» :Y,,.€i.arraw. 0-x:5.3
A
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTI BEACH
ATLANTIC aUCM. "Buie
APPLICATION FOR M HANICAL PERMIT CALL-IN NUMBER
IMPORTANT --- Applicant to complete all items in sectio s I, H, III, end IV.
1, r
LOCATION Street Address:
OF Infe"066eg Streets: 161ween Aed
WILDING
Svh•di.isien
II. IDENTIFICATION -- To be completed by all applicants.
In cons;derotion of permit 9666 la doing the work e► descriked in the a ova statement we here`y.ogre. to perform "W work in accordance
.iM the attached plans and specifications which are o part hereof and i accordance with the City of JacksonviNe ordinances and standards
of good practice listed therein.
Name of Mechanical aeteea
(wetrasNl I hint) L arMe of
Nene of
hgerfy owner V40--r,
r
Sigeatere of Owner fore el
WAv"isad Agent hitesf M bsgineet
111. 94HERAL INFORMATWN
A. 1"a of heating W.
• li OTNtR CONSTIIHCTION KIIN pOMt On
�dectric THIS 1111111111.0"ON SITE I a
Q 6w—O t! O Netrrel O C«ttnl U ft
II rpr e1Vt rime"01 CONSTA11CT1pN
CI
Chi PtIM11T
O 0,1144, — slt»cib
Iv. MBCM4M" I*U1tNMT To M UWALLID w►AnMIOF WOW
I pr W'40 e.rglN.Sd of eemspaeate.a Mak d"&well ,C] awwenual or o Fowanmw
0'**-"t O Spee. O Reee/aed �Gotwl o Nne ❑ Now eta Wq
O�Air CmmdAie�.iagt Q Reow �Cetlfrel C3�E>dstolti wlwfno
O Ded srewn,: ka...ssl ��of aft**MM+�
meaimtwn uMeN1► s 1.14. ❑ NOw MMMldbn 1No olMaa Nvwiowll►Mtst&"
O dor—eo•alb
O �� low*,- Capacity w�►
Q Fire griaMo e: Nemsbr of L—A- _.. ... ...
O Swesot O Of lift O «MI TIM WAX/AOR OM=IIIc a y
O Qa"A" IM rI M
Q T� r Merl It«twlb
Q LPG eembioeiL., Is>w►ier�
Q Uofwd pre«ae v""
O 6941 a Fwa* Appe b " COIL �
Q 0114.. — SPK*f PIN"an
LINT ALL ZQVIFMZNT
AM OO WMONM AM RZFRICtUTWH 1IdT
1r111@1fQ'Vete >ill�Mt>~111St11M � j ���
CITY OF
, '
Office of Building Official �-
REQUEST FOR INSPECTION /
i
Permit No. 06/
Date
Time
A.M. District No.
Received —PM. ®Djai
Job Address 1 E:�- A
Locality
Owner's Cc itractor
Name !
CONCRETE ELECTRICAL PLUMBING MECHANICAL
BUILDING ❑ Air.Cond.& El
Framing Footing ❑ Rough ol ring 11 Rough Heating
Re Roofing El Slab ❑ Temp Pole ❑` Top Out ❑
Lintel El Final Sewer ❑ Fire Place ❑
Pre Fab
R Y FOR INSPECTION A.M.
Mon. Tues. Wed Tours.
Friday P.M.
/7J A.M.
P.M.
Inspection Made
Final Inspection❑
Inspector
Certificate of Occupancy
Date
DEPARTMENT OF BUIL1NG
10006
CITY OF ATLANTIC BEt{CH,FL IDA PERMIT NO.
PERMIT TO BUi LD
THIS PERMIT MUST BE POSTED ON JOB
fDate 8/10 —19-821--
Valuation
9-$.S_Valuation$ Fee$
40.00
I This permit not valid until above fee has been paid to City Treasurer,and is 1x i,0r3CX
subject to revocation for violation of applicable p ovisions of law. 4167 1 1 Irl 11l8
This is to certify that N & L Heating and air '
has permission to UtritctX install het and air
Classification Residential Zone
Owned by Ilan
Lot Block SAD
jHouse No.
According to approved plans which are pait of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
I „ AFTER DATE OF ISSUE
► O Building material, rubbish and debris
i from this work must not be placed
in public space, and must be cleared
= up and hauled away by gither con-
tractor or owner..
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
i DCO,
BUILDING -AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORI A 32233
APPLICATION FOR MEC 1ANICAL PERMIT CALL-IN NUMBER
IMPORTANT Applicant to complete all items in sections 1, II, 111, and IV.
LOCATION S+ne+ Address:
Of Intersecting Streets: Between And
BOILDING
Sub-division-
IDENTIFICATION To be completed by all applicants
In consideration, of permit given for doing the work as described in the ab we statement we hereby agree to perform said work in accdrdance
with the attached plans and specifications which are a part hereofandin accordance with the City of Jacksonville ordinances and standards
of good-practicelisted therein.
Nome of Mechanical "tractors
C Nfractor (Print) A114 IV aster7
4cwNahao of
party Ownerofure of Owner S nature ofAuthor:id Agent chitect or Engineer
11f. GENERAL INFORMATION
A' Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON
❑ Electric THIS BUILDING OR SITE
Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
Q on PERMIT
Q Other — Specify
11! MIICHANICAL BWWMINT TO SE INSTALLER NATURE OF WORK
(Provide complete list of components on back of this fore) � Residential or ❑ Commercial
IT Heat ❑ Space ❑ Recessed O 'Contml O Floor ❑ New Building
Q Air Conditioning: 13 Room W"Contral Existing Building
�r
®''Duct System: Material)-e,_.._ A��`�l Replacement of existing system '
Maximum capacity cf.m. El Now installation(No system previously Installed),
❑ Extension or add-on to existing system
Q Refrigeration
❑ Other- Specify
[} Cooling fovwr: Capocity g*•m•
Q Fire sprinklers: Number of —
CQ 'Elevator C) MonNft ❑ Escalator (number)
THIS SPACE POR oFFiCE YSE ONLY
Q Gasoline pum;• -(number) ( )
13, TsekL (number) Remarks
Q LPG conteinors (number)
Q Unfired prossure vesm
Penis Approved by DeN
❑ beam
Q ot11er -- Specify Permit Fee
r
I
l"'SQUIPMENT �
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Nfsts<sbstr Vidfi Daacslptbtt Model Number Manufacture (Ton j� �
CITY OF ATLANTIC B ACM, FLORIDA
Aao.owa by APPLICATION FOR EL E TRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: U l 19 g8
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING TH WORK AS DESCRIBED IN THE FOLLOWING t WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE ITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
JTLA�NTIC BEACH ORDINANCES. 2-5?
ILL HOMPSON ELECTRIC CO., INC.
P. 0. BOX 50398
JACKSONVILLE BEAGH,. FL 82240.0398
ELECTRICAL FIRM: M TE R E L ECTR2(CI AN NATURE JQURNEYMAN
NAME_ O(�1+4ti1 ADDRESS: '4O (�311 (,S-6I � 21U� RFD BOX
BLDG.SIZE ETWEEN:
1IES.t4l, AFT.1 ) COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( ) OLD( ) REW. ( I
ADDITION ( 1 TRAILER( ► TEMP.( 1 SIGNS 1 )' SO. FT.
SERVICE: NEW( 1 INCREASE (-I' REPAIR( 1 FEE
CONDUCTOR SIZE O AMPS 260 C PPER f ALUM.
a
SWITCH OR BREAKER AMPS / PH- 3w VOLT RACEWAY
4a
EXIST.SERV.SIZE / 00 AMPS / PH -3 W 20 VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN I TOTAL
11
RECEPTACLES CONCEALED OPEN ITOTAL
O-SO AMPS. 91.100 AMPS.
SWITCHES
ENCANDESCENT
FLUORESCENT&M.V.
FIXED 10.100 AMPS, I OVER
APPUANCEs BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT`
6f/
0•i OVER
MOTORS H.P. I VOLTAGE PHS NO. 1-H.P. VOLTAGE PHS
MI ELLANEOUS
FOR OFFICE USE ONLY
DEPARTMENT OF BUILDING Date ,?
9 19,r.
CITY OF ATLANTIC BEACH, F A t�
Permit # 31 Fee 8 3
Application for Permit for
valuation $ d
Miscellaneous Alterations,
HOUSE #
and Repairs '-7/ y
DESCRIBE ., cP 41
(State if to repair, alter, add to oc move building, erect avvings,
signs, etc. ) �
Bu' ldin o Blk No. S Sub.Div.
Address V luation $ ZOO, 014.� w
.
Owner 's Name C A Ai
BUILEINGS OCCUPANCY
Building Use - Residential; or nessWhat Plumbing work to be done?
Size of Present Bldg. Size o xtensioli Lot Size
No. of stories n wafter altered ,Material of roof
Material of Pre§ent Building ateral of Bxtehsion �,_
Ng
CESSAPW p S TO SU TT' HE WITH
OILURrrER OR G LINE EQUIPMENT
Name of Oil Burner or Gasoline Pump Type or Model
Name and Address' of Manufacturer
In connection herewith, application is also made to installs
gal. capacity tank(s) made' by of gagge met 1
ground. (Name ofManufacturer) iUrc+•a* or Above)
Under or Above) of building. F r
jInside or Outside) (Name of Purchaser)
FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF a
THIS BLAM
SIGNS
Size Classification
(State whether ground, roof, wall, projecting er)
Material of Construction
Illuminated? Type of illuminatio
(State whether Lamps or eon
Will sign be over public property?
SUBMIT DRAWING SHOWING CONSTRUCT ON OF SIGN AND METHOD OF HANGING
r WRITE ADDITIONAL INFORMATION BELOW
,- (For canvas awnings provide dimensioned drawing on revers �ide) j
a
119 11
IMPORTANT NOTICE:
In consideration of permit given for doing the work as descril '
in the above statement, we hereby. agr a to perform said work in
accordance with the attached plans and specifications, which are a
part hereof, and in accordance with tl,e building regulations of the
City of Atlantic Beach. (Southern Standard Building Code) .
Signature of -BlAi lder or Owner
Address -5r-zou. Phone No• „ 's"' - "":tt9r'