416 Sargo Rd (vault) CITY OF ATIANTIC BEACH
APPLICATION FOI ROOFING PERMIT
BUILDING OlVNER_1-�4eA,4,V E-S-rf:; Plt PHONE 7 -73
JOB ADDRESS
LOTH BLOCK OR UNIT SUBDIVISION
CONTRACTOR —Ccm PIION13 '72 ��-O
ADDRE-S A
LICENSE NumBug__,Da_oo
EXPIRATION-
JOB VALUNHON
MATERIALS:
SIGN/Vl'URE OWNER
DATEZO
SIGNATURE CONTRAcToj
DIVIE
CITY OF
4&akc Be4cA-A;4w-J44
office of Building Official
REOUEST FOR INSPECTION
Date Permit No. —,2
Time A.M.
Received P.M.
/�./ Locelity
Job Address a,
wner s Contracto�a�
Name
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICA_i
Framing 0 Footing 0 Rough Wiring 0 Rough
Re Roofing E Slab 11 Temp Pole El Top Out 1-3 Heating
1j Final El Sewer Fire Place El
Insulation C Lintel Pre Fab
READY FOR INSPECTION------
CTh.us Fr day—P
Mon. Tues� Wed.
Inspection Made RM.Final Inspection*
>91
Inspector Certificate of occu)ancy 171
1 1 2-�o r) 7,f Lt M Date —
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32Z 3-TEL, 247-5826-FAX: 247-5877
PERMIT INFORMATION LOCATION INFORMATION
e 1--- r: 23426 Adwi�4�16 �SARGOO ROAD
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lo s): . Block: Section:0
Square Feet: Su division:
Est. Value: —Pa I Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 2/05/2002 me: SUSAN BLOW
Total Fees: 45.00 Ad ress: 416 SARGO ROAD
Amount Paid: 45.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 2/05/2002 904 247-0016
Work Desc: RePLAC-E—AI0 WAM
CONTRACTOR( CATION FEES --4-5.00
ARLINGTON FUEL OIL CO., I
V-7
......... ......
7,;
NOTICE CTION
BLIC SPACE,AND
BUILDING MATERI, 'FROM THI.-
MUST BE CLEAREI CTQ��
"FAILURE TO COMPLY� LT IN THE
PROPERTY OWNER PAN
ISSUED ACCORDING TO APPROVED P RMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVIS ON
Date: 2/85/02 61 Receipt: 8031818
ATLANTIC BEACH BUILDING DEPT. CHECKS 14508
00IM6221888
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC EACH
ATLANTIC BEACH, FLORID 32233
CALL-IN NUMBER
APPLICATION FOR MEC ANICAL PERMIT
nt to complete alillitems in sections 1. and IV.
,IMPORTANT — Applica
4116 5
Street Address:
LOCATION i And
OF Intersecting Street$: Between
BUIZING Sub-division
11. DENTIFICATION —To be completed by all applicants ,
In consideration of permit givef for doing the work as described in the abcA statementiwe hereby agree) to perform said work in accordance
'with the attach9d plans and specifications which are a part hereof and in a(cordance w th the City of Jacksonville ordinances and stan clards
Of I good..prectice listed therein.
No4o of Mechanical I Car tractors UGO�; 14511
Co+ocfor (Print) r,(eel— Mai ter
z
.Proferty Owner
Sig iaturo of
of Owner Art iifect or Engineer
Or A ont
III'., CMINUL INF4R*ATION
A, of hosting fvol�:
IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE?
Lp� (3 Natural E3 Co"ttill Ui IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
13 04
13 Other, SPWff
IV. WOMAN" SQ�JIPMNNT 16 U INSTALLED NATURE OF WORK
.0 1--% Z?K Residential or 'D Commercial
(Previ&comp6to 1 of comp��ts on beck of this 19 1
0 Space C31 RoesaW ;:��l 0 Floor 13 New Building
Host
�5- Existlng Building
AirComWooni 0 Room e-tontroF
0,-Iftplacement of existing system
W"Duct System: Material Thickness
Mo4mum capacity C3 New Installation(No system previously instatied)
El Extension or add-onto existing system
0
0 Other — Specify
43 Cooling tow*& Capselty
0 Fire sprllnklws�: Number of: III"*
(number)
(3, Elevator 0 Meaft E3 Escalator THIS SPACE 01OR OFFICS USE OKY
-(number) (Roe
4wone pumi:
T&a1&__(numb*rj Remarks
13 LOG containers ,(number)
Unfired pro"urb vo"
Porniii Approved by, Data—
(3 11111011111ors
Other Specify Permit he
4JW AIX
An 00N=()%NG AND REFRIGERATION EQUIIPMENT
Ca"atr AWrovft
D"CrIVU0111 Model NUMber Manufacturer (TOW) ASMW
MOW 7�-
7-�
MAT]ING - FURNACES, BOILERS, FIREPLACES
COWRY AVP=Vft
xmberuoita Dmft
!!/�n MaM Nuniber wanufaetwer (IM AXWW
&AM&—&a 702"e
t
7 7
rANKS
"Many xz�d Capacilty Tnw 1`141111d Nag I*of serial
mKIIIIIIIIII11001111 Contain" me=Wtum No.
j
J
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
ELECTRICAL PERMIT
-M-77"WR TV
kT ON
Pe,-- it umber: ATLANTIC BEACH, FLORIDA 32233
Permit Type: ELECTRICAL
Class of Work: REMODEL Tcwnship: 0 Range: 0 Book:
Proposed Use: L (s): Block: Section:0
Square.Feet: S division:
Est. Value: P; cel Number:
Improv. Cost: 7
Date Issued: 2/14/2002 ame: 6UbAN bLUVV
Total Fees: 25.00 Ai Ildress: 416 SARGO ROAD
Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 3 2233
Date Paid: 2/14/2002 �hone: (904)247-0016
"A "C 10
Fn --
K LiLtU I KIU UUMHANY
Min
77�
y; ARM"
lei.
z
M
V ......
2141
. ....vW
"i km
a ON
STED�*'A
NOTICE I ECTION
30%*�Jllq J�I �1140
NQ
BUILDING MATERI Mow �T SPACE, A
MUST BE CL--
-5'1
0
T-3 W. T�, ;�7�i7- THE
"FAILURE TO C WAAWNIN
PROPERTY OW
q
-A.
ECT TO R
fA 9 EVOCATION
ISSUED ACCORDING TO P
FOR VIOLATION OF APPLIC
-�,C
WITH Type: OC Drawer:
Receipt no: 34859
M'' 'I
Date: """' ILD1163
PERMITS- 788592
Trans nobi
CK CKUS 6488 $25.1011
ATLANTIC BEACH BUILDING DEPT. Trans date: 2/15/62- Time: 16:88:58
SWITC HES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS �MPS CEILHEAT: KW-HEAT
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
CITY OF ALTAN�IC BEACH &
COMPLAINT MANAG MENT SYSTEM
TAKEN ( date/time) :
COMPLAINANT:
Last Name First Name MI
ADDRESS:
CITY/STATE/ZIP:
TELEPHONE:
COMPLAINT: - 4�c , :!i= QcAcbAl-z-
Z—o t, z -,g /lop
7
LOCATION:
PROPERTY OWNERS—PHONE: C�,�k 5-1
PROPERTY OWNERS NAME: t-Z-7S 7-C-12. -11� T-,A- zy,
DEPARTMENT FORWARDED TO:
COMPLAINT TAKEN BY: DATE/TIME:
OFFICE USE ONLY
INVESTIGATED: (date/time)
ASSIGNED DEPT./DIVISION: PRIORITY:
INVESTIGATOR:
CONDITIONS FOUND:
ACTION TAKEN: e,-7
<n 1-,4
COMPLIANCE:
NOTES:
Building
CITY OF ATLANTIC BEACHe FLORIDA
AppnwW by APPLIcAlrioN FOR ILECTIRICAL,.PIRMIT
'Tt-11 L/
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-- 19— -
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE W6RK AS DESCRIBED IN TH4 FOLi0VRNG, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANX WITH THE ATTACHED PLANS AND SPECIFICATIONS.
WHICH ARE A PART HEREOF,AND INACCORDANCE WITH THE ELECTRICAL REGULATIONS,CODES AND CITY OF
ATLANTIC BEACH QRDINANCEA.
L--rc-00c, 6474
C 1\jol�c -4 E
ciol-A
ELEC
TRICAL FORM: r MASTER ELECTRICI Its
NAMlW'Vs"- i�et� ADDRESS: t? C4 o
I
BLDG.SIzff —911MIN
RE&(A)" AFT. colowl. PUBLIC( I IIN DUL NEW I I OLD Raw. I
AODITION I TRAILER TRW.I I SIGNS UL FT.
Pon
SERVICE* NEW( I INCREASSIlf/1",-
CONDUCTOR Size AWS ALUM.
&I
SWITCH OR BRZAJSER- PH 3 x RACEWAY
1201
-Z-00 AWS W A/ivou
116101IRS NO. win 1"0. NO. size
opirl
LIGHTINGOUTLETS CONCEALED TOTAL
AL.D
RECEPTACL!3 CONCIALiD TOTAL--
0-00 Aura. 41.1"AN t
SWITCH198
INCANDESCENT
FLUORESCENT&M-V-
^Mpg.
FIX90
APPUANCKS BILL TRANSF.
AIR M.P.RATING H.P.RATING
CONDITIONING COMP-MOTOR OTHER MOTORS AMPS CRIL MEAT: KW41EAT
Oyu
MOTORS M.P. VOLTAGE PHII NO. VOLTAGE PHS
MISCILLAN140US
TRANSFORMER& UNDER owv. OVER ON V.
NO. KVA f4. lKVA
No.NEON TRANSF. NO. VA. MA. Mc TOR 31;lE ""TCH FLASHES
EAC14 SIGN
FORWARDED
ES
TOTAL FIE I
f
5756
DEPARTUENT Of SU ILDIMIGI
8 ACH
CITY OF ATLANTIC 8
�4 .
--------- LOCATION INFORMATION '
PERMIT INFORMATION ------
Address% 41C�, S*960 RAW
Pairwit Nuob4rt 32233
ATLANTIC 8ZACH,
PervRit Type t MECHANICAL,,
---------- UGAL �DESPRIPTION
,CJ*kss o wo:g Section%
Lott
(onstr.. Tyjie: WOC D FRIA14E
Tovn0hip:
1�oposed Use: SVOLE FAMILY
ode 1 0 , Suldivi ilon t. ROYAL PALMS
Di4llin 0:
�$0. 00
EA!tim4ted V luet
100. 00
Improv. oatv
Totikl $25.00
$25.00
D 2
a/,, 3/9
L FURN ATING OIL ,
wk Do ACE HE
I- FEES
APPLICATU,)
NATION
$25-00
UT
N PERM
$0.00
RAO0 'WATER -1,11PACT, FEE
*Otog
F LO R I D A,,>:
Q
W'
"le
P IRA I�wl R, S.
RFOAMA�ioi 5X"
Name-% L INC,
WATER TAP
SEVER TAP- 1w. 00
�SHARE SO-00
HYDRAULIC
CT PEE ,� �__*O.00
0
tic Type. REiNtP9
SEC.N�� J'XPA,CT FEE 04
—N i7ES
..............
r Re,
SIE INS TOO S.ZFO
POU"ING
Rvrii'POAMS AND FOOTINGS.IY UST
ALL C014C pep," '
NOTICE– F
SIX MONTHS AF TER DATE Of ISSUE
'D DEB, DL,IN:PU8LIC SPAC I E,AND MUST BE
RIS FROM THIS WORK AUST NOT BE PLACE
NO MATERIAL,RUB ISH AN
ED U AWA, BY fif HER CONTRACTOR OR )WNER.
PAN,D HAVLE Y
AIR REAULT IN
llC$.',',,LJ.9WLA,W C
IMIPLY-WiTHrTHE MIRCHAN
TAILURZT
r
ENTS
0 out I
M E PROF, - PAYING TWICE Fr M
&UE! ffi/04AP
T 0108 PM
IPE.
S 'R ATi*&WR
ED AQCqR T )RQVEDPLANS WHICH ARE PART OF THIS PERMIT AND U
1140 0 ) PF , ,
PLICASUPA $10NSOFLAW. 1.00
�p
ItLtlPT-R0140: 4j6M
NT
...............
BUILDING AND ZONING IN SPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLOW :)A 32233
APPLICATION FOR MEC AANICAL PERMIT ___CA_LL-IN NU_MBER___
IMPORTANT Applicant to complete a I items in sections 1, 11, 111, and IV.
Street Address: R?_ iD
LOCATION
OF Intersecting Streets: Between �Z A And.. L A 23
BUILDING
Sub.d;vis;on
11. IDENTIFICATION — To be completed by all applicants
In consider'ation of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in a_-oroa-ce
with the attach_ed plans and specifications which are a part hereof ard in iccordance with the City of Jacksonv;I'e ordinances ana s'a-:1a,ds
of good practice listed therein.
Name of Mechanical C 1 tractors
Contractor (Print) L C' �Pt-r A c�
Names of
Property Owner
Si(nature
or Authorized Agent Ar':hifect o; Engineer
Signature of Owner
Ill. GENERAL INFOR�4TION
A. Type of heating fuel: E3 IS OTHER CONSTRUCTION BEING DONE ON
(:] Electric THIS BUILDING OR SITE? Dz 6
0 Gas—0 LP 0 Natural 0 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
jV oil PERMIT
C3 Other — Specify
IV. MlICHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) Residential or Commercial
14 Host 0 Space 9 Recessed 0 Central 0 Flow New Building
• A;r Condstioning: [3 Room 0 Control Existing Building
• Duct System: Material Thickness.— Replacement of existing system
Maximum capacity c.f.m. Ll New installation(No system previously installed)
• Relfriggraticift 11 Extension or add-on to existing system
Ll Other — Specify
[3 Cooling towor: Capacity 9-P.M.
C] Fire sprinklers: Number of heads
0 Elevator 0 Monlift 0 Escalsto (number) THIS SPACE FOR OFFICE USE ONLy
(3 Gasoline pumps —(number)
E3 Tank. (number) Remarks
13 LPG containe (number)
C) Unfired pressure vessoi
0 Boilers Permit Approved by Data-
0 Other — Specify Permit Fee
F
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION FQUI[PMENT
A
Number Unift Description Model Number Manufacturer cy
T_
I I
HEATING - FURNACES, BOILERS, FIREPLACES
capacity Applaving
Number Units Descriptuon Model Number Manufacturer (B=) A4MCy
I A
TANKS
am Many Nowinal Capacity Type Liquid Nazw I at Serial Approving
and Dilmensloom Contained Manufs ctureir No. Agency
q,5� 7 8 4
DEPARTMENT OF 811 JILDING
CITY OF ATLANTIC 3EAOH
- ---------
PERMIT I NFOR LOCATION, INFORMATION
PATIOM
P's r' sit Number: IS184 Addreslss� 416 SA900 ROAD
ot�CE ATLANTIC BEACH, FLORIDA 32233
rermit, Type ----------
I I LEGAL .DESCRIPTI
ass of WOO I NE
C, lock Z, Sectiong
onstr 0
Type. cm xw,La�Nx Lot : , , , , , _0
RNO:
Y
roposed I Usle S1 G]LE FAMIL
ode,: '0 Sut di4ivte�v,s
0 llings I
E ' imated v lue t cl*664*20
Improv. oat% *0.00
*I0. 00
Total al
A ou
mou
Dail 92
T' CHAINLINK FENCE �ON FRONT�,AND SIDE ,OF� ABOVE ADDRESS ".
Wi wk
PPLICATION FEES
ATION
4
$10.00
PERMIT
N
IMPACT, FEE $0.00
d ''ROAD' ' 401-1011
I PA FEE 7
A
07 4,
4
�Ph
R D $0.00
AD N GAS-H.R,
$0.00
----- - 0 ORhATION ------ - RADON ,�GAS
*0.00
CE, WATER . TAPI
Name: & -00. 00,
0-1,
....... SEWER "TAf;r'
A 1444
DRAULIC I SHARE $0. 00
'JACK LLE, FLORIDA 32211 fly
RE-19
$0. 00
'Type; 7 SPECTFEE
L�ceqsfLa,�k,
SEC.,LH, 'IMPACr FEE so-,op
g
7
m4
NC ES:
NOTICE—ALL CI)NCRETF,,FQRM$AND FOOTINGS N UST OE,INSPECTED BEfORE,,POURING,
TE OF ISSUE,
PERMIT VOIO SIX MONTHS AFTER DA
U ING MATERIAL,RUBEMSH ANDOEBRIS'FROM THISWORK MUST NOT BE PLACED IN,PUBLIC SPACE,AND MUST BE
ILD
LEARED UP AND HAULEQ'AWAY BY-t]THER CONTRACTOR OR OWNER
FAILURE,TO C MPLY,WITH THE MEC� AINICS.' LIEN LAW CAN RESULT IN
HE PROPERTY ' WNER PAYING TWICE FOR,SUIL, ING IMf,%qVE1%j1tT,§j�
SUEDACC I OR ING TO APPROVED PLANS WHICH ARE PART 0 REVOCATI R
F THIS PERMIT AND'SAJSJwk wl)
CABLE PROVISfONS OF LAW. owe C00
IS
SOLOING DEPARTMENT
7177
4
APPLICATION FOR FENCE PERMIT
Ovners., name_
----------------------phone
Job address Yq
--------- tic,-C------
Lot---------block and/or ,unit *-------------subdivision
Contractor if different from owner
Valuation of fence
--orner or interior lot
Type construction
------------
Show location and height of fence an veil ad location of street(s).
�c
.2
3�c<f
Ovner signature------ - - - Date
------------------ --------- -------
,j S
Contractor signature± -P,t - V6, -------D a L e
11
u
ARLINGTON FENCO'F'E CO., INC. I
262-9341 REMIT TO:
12677 Phillips Highway 1419 Whitlock Ave.
Jacksonville, FIL 32211
SEMI, 743-1915
TERMS A�*AILE CONTRACT #
JSTOMER
)DRESS DAIE
STALL AT PHONE NUMBER,_zz_-T._Cjt-
WHEN SIGNED BY THE PURCHASER AND ACCEPTED BYTHIS COMPANY THIS PROPOSAL BECOMES A
CONTRACT - BINDING BOTH PURCHASER AND COMPANY.
TOT-A, FEET HIGH T01 AL COST ...
7-,Ta
TOTAL FEET HIGH DOWN PAYMENT
TOTAL FEET HIGH BALANCE DUE UPON COMPLETION
MATERIALS APF ROXIMATE STARTING DATE
PAYMENTS NOT RECEIVED AS AGREED
�TE POSTS (7�,7 C�' O.D.
ARE SUBJECT TO 1'/.,%INTEREST PER MONTH.
JD POSTS O.D.
AqY ADDITIONAL MATERIAL OR LABOR USED WILL
)FINER POSTS O.D. B:_- AT THE COST OF THE BUYER.
4E POSTS O.D.
)P RAIL
O.D.
FABRIC
:-SH-1. C=;I GAUGE
GATE SIZES
�NOT RESPONSIBLE FOR DAMAGES TO UNDER-
GROUND CABLES, PIPE, OR ANY OTHER UNMARKED
iOBJEC'TS.
DO NOT SIGN BEFORE READING CONTRACT. THE PROPOSAL PRICE IS GIVEN WITH THE AGREEMENT THAT
DATE ACCEPTED THE PURCHASER WILL CLEAR ALL LINES FOR CONSTRUCTION
OF FENCE AND PROPERLY MARK WITH STAKES OR OTHERWISE
!STOMER AGREES TO PAY ALL COURT COSTS AND
TORNEY'S FEES IF SUIT AND/OR COLLECTION
CITY OF
4&4^4.0 Be &;&I d- 4
Office of Bu Iding Official
REQUEST FOR INSPECTION
Date Permit No.
Time 00
Received -P.M. District No.
�&6 S7�4/C 6-0 Co&n
Job Address j / Locality
Owner's ntr 61v
Name C( actor I
BUILDING CONCRETE UMWING MECHANICAL
LE 'r,�CA;L �l PL
Framing 0 Footing 0 oug �A ring Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pol a 01 Top Out 0 Heating
Lintel El Fire Place 0
Pre Fab
READYFOR NSPECTION A.M.
Mon.)
Tues. Wed. Thurs. Friday_P.M.
Inspection Made. 4.
Inspector Final Inspection 0
Certificate of Occupancy
Date
CITY OF�l
4&4ft4C BeacA-&;&U4&
Office f Building Official
REQUESTFOR INSPECTION
Date Permit No.
Time A.M.
Received P*M* District No.
s (V 0
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 13 RcighWiring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Te np Pole U, Top Out 0 Heating
Lintel 0 U V-60 Fire Place 0
x Pre Fab
READY FOR INSPECTION'?f00 A.M.
Mon. Tues. Wed. ---Th.-
*."I Friday_p.M.
Inspection Made A.M.
P.M.
Inspector Final Inspection 0
Certificate of Occupancy
Date
CITY OF-11
4&4t4-0�
Office i I Building Official
Date REQUEST FOR INSPECTION
Time Permit No. -7
Received —A.M.
------------ P.M. District No.
I �, — - ---------------
Owner's Job Address (� c, /�,(-)�/9 /---)
Name— Locality
BUILDING'-:"O 0 Contractor— nRLl/\)C,-L0/V FQL� L- Olt
cONCRETE ELE CTRICAL PLUMBING
Framing 0 Footing 0 ROuC h Wiring 7H A=fidn-A-J�r
Fie Roof I ng 0 Slab 0 Temi Pole 0 Rough 0
Lintel 0 0 Top Out 0 H�-tlng
Fire piece
Mon. Tues. READY FOR INSPEqTJ.QN Pre Fab
Wed. Thurs. (�FrIda�y A.M.
inspection Made P4 n P.M.
`92
A.M. to t
lnsp&ctor_
—----- Final Inspection 9--
Certif Icate Of Occupancy
EPL-"CC-� Uk-�'4C(- FQR1\ Date
(L
CITY OF ATLANTIC BEACF
APPLICATION FOR FLUMBIYG PERM-IT
PERMIT NO . Date : 3 - ,) 7- 72-
LOCATION__�Zj ,�, Street
L7
LOT NO.- - LY BLOCK NO.—) S/D
OWVER
MASTER FLU11=R
� �b" Z
BUILDER OR CON'TRACTOR 17J V Bldg.
aZL4 Fe=it-. 774
TYPE OF BUILDING
I!,.'1,,-S__L_LAVAT 0 RY_j BATH TUBS URINALS CLOSETS
FLOOR DRAINS SHOWERSz_j _WATER HEATERS —DISHIASHERS
DISPOSALS OTHER
TOTAL FIXTURES
(9 1 . 0 0
NO NORY MUST BE DONE UNTII k PERMIT HAS BEEN IROCURED
PLANS AND SIECIFICATIONS must show a plan and. description ..of the
size .and location of all the soil 3.nd vent pipes, and the number and
location of all fixtures, (in accordance with Ordinance no. -.188 of
the Citv of Atlantic Beach, Fluridi) must be shown on -back of appli-
cation and be approved by the PlumDing Inspector.,
DRAW PLAN AND SIECIFIC.ATION OF ABOVE PLUMBING ON KCK.
i1pproved by
Plumbing Inspector
Date
(FOR OFFICE USE ONLY )
ROUG1H-INL INSPECTED 4-1-1
21- REYARKS
FINAL INSPECTION: CERTIFICATE ISSUED :
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH.FLORIDA PERMITNO. 9176
F PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 740
Date 10/12/87 19 7110 ,1 12/8
Valuation$ 2j, L12.00 9176 aDOCAC
—Fee s 7.50 7110 1 A G/I P/S
i
1000
This Pennit not valid until above fee has bm paid to City Treasurer,and is
subJect to revocation for violation of applicable provisions of law.
This is to certify that Riggs �jnst L
GO- R 00 12
has permission to KXJR re-roof
Classification R —Zone—
Owned by Harbarn I-ester
Lot— Block
House No. 416 Sa ) Road S/D
According to approved plans which are part of this permit
NOTIC�E ALL CONCRETE FORMS
AND IC OTINGS MUST BE IN-
SPE BEFORE POURING.
=IT VOID SIX MONTHS
_n AF1 ER DATE OF ISSUE
0 Building aterial,rubbish and debris
z
I from this ork must not be placed
in public ce, and must be cleared
up an led away by either con-
trac r o ner.
Building Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE NTRA R
C0
PLUMBING
ELECTRICAL
SEWER
WATER