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Sewer 1969 Beach Ave 2011 yrs CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00000501 Date 5/24/11 Property Address . . . . . . 1969 BEACH AVE Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------- Application desc SEWER DEVELOPMENT CHARGE ------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GREIDER, JACK OWNER 1969 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ADV PMT-SEWER IMPACT FEE Additional desc . . SYSTEM DEV CHARGES ONLY Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 5/24/11 Valuation . . . . 0 Expiration Date . . 5/24/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 4050 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4050 . 00 4050 . 00 . 00 . 00 Grand Total 4050 . 00 4050 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. !�lbv 4} CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD J = ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00000501 Date 5/24/11 Property Address . . . . . . 1969 BEACH AVE Application type description SYSTEM DEVELOPMENT CHARGE RESIDENTIAL (S Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------- Application desc SEWER DEVELOPMENT CHARGE ----------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GREIDER, JACK OWNER 1969 BEACH AVENUE ATLANTIC BEACH FL 32233 ---------------------------------------------------------------------------- Permit . . . . . . ADV PMT-SEWER IMPACT FEE Additional desc . . SYSTEM DEV CHARGES ONLY Permit Fee . . . . . 00 Plan Check Fee . 00 Issue Date . . . . 5/24/11 Valuation . . . . 0 Expiration Date . . 5/24/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . SEWER SDC-SYSTEM DEV CHG 4050 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total . 00 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4050 . 00 4050 . 00 . 00 . 00 Grand Total 4050 . 00 4050 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH j 800 SEMINOLE ROAD =�' ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002164 Date 6/02/11 Property Address . . . . . . 1969 BEACH AVE Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 --------------------------------------------------------------------- Application desc SEPTIC TO SEWER ------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GREIDER, JACK DAVID GRAY PLUMBING INC. 1969 BEACH AVENUE 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 62 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 11/29/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE PLBG DCA SURCHARGE 2 . 00 STATE PLBG DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62 . 00 62 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 66 . 00 66 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. Mar 08 10 12:54p Information SystemsCITY 0 904-247-5845 p,1 PLUMBING PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd Atlantic Beach, FL 32233 Ph(904)247-5826 Fax(904)247-5845 JOB ADDRESS: M0`'7 1&2140 A14 PERMIT# NEW OR.REPLACEMENT INSTALLATION: Project Value$ TYPE OF FIXTURE QTY TYPE OF FIXTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System RE-PIPE: TYPE OF Fvaujw QTY TYPE OF FbrTURE QTY Bathtub Septic Tank&Pit Clothes Washer Shower Dishwasher Shower Pan Drinking Fountain Slop Sink Floor Drain Three Compartment Sink Floor Sink Toilet Hose Bibs Urinal Kitchen Sink Vacuum Breakers Laundry Tray Water Connected Appliances Lavatory Water Heater Other Fixtures Water Treating System NUSCELLANEOUS: of Sewer Replacement ❑Back Flow Presenter ❑ Grease Interceptor(Trap) gallons(Requires 3 sets of plass) ❑ Lawn Sprinkler System Number of Heads ❑ Well **SJRWD Well Completion Form. Completed form to be submitted to the Building Department for final inspection.** WfOther Sk-pre- 7"- v- #Q3t A,JD9qMan Ava NintL ll a� ',434jw, Q, Permit becomes void if work-does not commence within a six month period or work is suspended or abandoned for six months.I hereby certify that I have read this application and know the same to be true end correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name 2E1 el Phone Number r(C&�S�e Plumbing.Company avid Gray Plumbing, Inc. Office Phone 'IWW 17-� Fax_77-3-5-al 085"(Jrporate Co. Address: _ 18Qk&9l;vi1te,Florida 32215 City State Zip License Holder(Print): — D4460RAY State Certification/Registration# (_'f x 01-7-5,96 Notarized Signature of License Holder Swom and subscribed before me this a of 20� Signature of Notary Public , �ov"Y♦ o Y Public State of Florida • 1� R Major Commission EE032510 �'�or r�ea Expires 12/20/2014 White, Debbie To: Ramsay, Debra; Calverley, Yvonne; Matthews, Carlene Cc: Kaluzniak, Donna; Walker, Chris Subject: Septic Sewer Approved Inspection 1963 Beach Avenue Permit#11-2163 and 1969 Beach Avenue Permit#11-2164 both are approved and connected to sanitary sewer system.... Debbie White CITY OF ATLANTIC BEACH BUILDING DEPARTMENT (904) 247-5826 (904) 247-5845 FAX 1 µfly H H I I \ � I O I H I � � I I I I I w w I I I I I I a a 1 I � I I 1 I I 1 I I I I I N ry I I I I I I 1 C I I 1 I I 1 I C I I 1 O I I � , (n I I w •• •• I I z pI H W W Hhlazz w � w x W OxO x x F H H i n a a i z a Z 0 H p I V] I H F W W I I w I rad 7. mva : w z oI H H 1 H U H O a M N U a 1 a s a QI u z H z O i z Iz-I i E. ' I pyo I P9D4H,7 1 Ln a x a a,En aU H z Vj V' I � W 1 F7 l0 U I p: O N I 1 w i LlAmo a777ww H I HHIDO I aH H H mF' i q�ryHH 1 0'ja I o H O I a I .. .. .. .. I F,4 a O 1 io I 1p 1 a l u 1 1 H I aW i a aQa ' o .9 1 a o ! a�-I w u a H a w w H 1 A z z Ri a a 1 W u i pU O a i s F w CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 11-00002180 Date 6/07/11 Property Address . . . . . . 1969 BEACH AVE Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc circuit for lift station ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GREIDER, JACK FIRST CHOICE ELECTRIC 1969 BEACH AVENUE 716 VALLEY FORGE RD. N. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 241-1331 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 12/04/11 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2 . 00 STATE ELEC DBPR SURCHARGE 2 . 00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Other Fee Total 4 . 00 4 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 Ph(904) 247-5826 Fax (904) 247-5845 JOB ADDRESS: j l�� F�� \_ {�J�_, PERMIT# NEW SERVICE ❑Overhead ❑ Underground ❑ Underground up Pole ❑Residential (Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps []_amps # of Meters ❑Commercial (Main) Service ❑0-100 amps ❑101-150amps ❑151-200amps ❑ amps OCT Service amps Conductor Type Size ❑Multi-Family (Main) Service 110-100 amps ❑101-150amps ❑151-200amps ❑ amps #of Unit Meters ❑Temporary Pole ❑ amps SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER(ADDITIONS,ACCESSORY STRUCTURES,ETC.) ❑100 amps ❑150amps ❑200amps ❑ amps OCT Service amps ADDITIONS,REMODELS, REPAIRS, BUILD-OUTS,ACCESSORY STRUCTURES,ETC. Outlets/Switches: -Z. 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors_Qty ❑Transformers KVA ❑Motors hp FIRE ALARM SYSTEM (Requires 3 sets of plans & Fire Alarm Checklist) Qty volts/amps VAL UE OF WORK$ REPAIRS/MISCELLANEOUS ❑Replace Burnt/Damaged Meter Can ❑Safety Inspection ❑Panel Change ❑OH to UG ❑Other: C )LA- Permit Lfi Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name . r, 1 C _ Y c c� ✓ Phone Number—Z-41- 13 3) Electrical Company �s Qrr-C (' �6 �•r t ���,�- Office Phone Fax Co.Address: `7 1 L, o kl \j-Fz,sY5g 1s- City ,o ,�.,-, `1,,.State r Zip zz- v License Holder(Print): e,,,s:� _ State Certification/Registration# Notarized Signature of Lice t<, ,� ty w COMMI 1ON DD 95778.7 * wg seaa:bed efore me of 20/1 1X�• +�Q;a'� Bonded Thru Notary puhNc underwriters U lic