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1835 Selva Grande Dr (vault) crry oir. OffIce Of Building Offielj Date Ca REOUL=S7.Iron'"PECT101V ved A. P. Permit No. Own r's Job Ad ass trict No. Na (:70 1. 0 C NCR67-E Contr r Locality Re Roofing Footing ED ELEC7.RICAL. Stab Rough Wi - PLUMBING ,—IAf 6ZW4-1r; 0 7.rnp Pol r,ng E] ,��L,ntel 0 a Rough MECHANICAL Mon. Top out 0 Air.Cond.& 0 Tues. READY FOR Heating Inspect. Made Wed. INSPEC7-ION Fire Place 'on Th :,5Pre Fab Ins P.tor 0ay A.M P.M. P.M. Final Inspection 0 Certificate of Occupancy Data INSPECTION TICKET PAGE 5 EPARED 8/05/03, 8: 08:38 1� INSPECTOR: LARRY J HIGGINS DATE 8/05/03 -1 Y �)F ATLANTIC BEACH ------------------------------------- -- ----------------------------------- ADDRESS . : 1835 SELVA GRANDE DR SUBDIV: TENANT, NBR: REPL WATER HEATER PHONE (904) 641-4848 CONTRACTOR LARRY TEAGUE SONS PHONE OWNER DICKSON PARCEL 169542-5034- APPL NUMBER: 03-00026413 PLUMBING ONLY -------------------------------------------------------------------- ---P-^-1-10- --------- PERMIT: PLBG 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION OCT J 0 2003 TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------- ---------- ------------------------------------------------------------------- CK#- 45 01 8/05/03 LJH PL FINAL TIME: 13 :00 t. 641-4848 --------- ---------- COMMENTS AND NOTES -------------------------------------- CAAILIVj,�* -� lt CITY OF tQ60S& B., .A office Of Building Offf Ial Date REQUEST FOR INSPECT, Time Received A.M. Permit No. PM. —Uless Owner' Name Locality BUILD NG Contractor &J Framing CONCRETE ELECTRI Re Rooting Footing CAL insulation Slab El Rough Wiring 0 PLUMBING MECHANICAL Lintel 0 TemP Pole Rough Final Top out 0 Air Cond. & IN, Sewer 0 leatin READY FOR INSPECTION ire g �M:o Dn F .Place Tues. Pre Fab Wed. Inspection Made Thurs. Friday A.M. Inspector PM. '3 Final Inspection El Certificate of Occupancy 0 Date C, N CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD E ATLANTIC BEACH, FLORIDA 32233 ID" INSPECTION PHONE LINE 247-5826 ------------- Application Number Property Address . . . . . . 02-00024915 Date 9/30/02 Application description 1835 SELVA GRANDE DR Property Zoning ROOF Application valuation TO BE UPDATED 6700 Owner ------------------------ Contractor HAMMOND, FRED ------------------------ 1835 SELVA GRANDE DR. WHITES ROOFING CO INC ATLANTIC BEACH FL 32233 181 PRINDLE DR E JACKSONVILLE FL 32225 ------------------------------------ (904) 220-5546 Permit . . . . . . BUILDING PERMIT----------------------------------- Additional desc REROOF Permit Fee 45 . 00 Issue Date Plan Check Fee 22 .50 Fee Summary Charged Paid Valuation 6700 ----------------- ---------- Credited Due Permit Fee Total 45 . 00 -----45 . 00 ------- - 00 ---------- Plan Check Total 22 .50 22 .50 . 00 Grand Total 67 .50 67.50 . 00 .00 . 00 . 00 13LRLDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING 1MpR0 p SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COM LY WITH THE CONSTRUCTION LIEN LAW CAN WHIC VEMENTS'ISSUED ACCO IN AP PART OF THIS pE To REVOCATION FOR VIOLATION OF APPLICABLE RD G TO PROVED PLANS PROVISIONS OF LAW. BUILDING—O—FFI—CIAL 611 �3 S E P ? 6 '1'0, fAj 9 CitY of Atlantle ueauz Building and Zoning City of Atlantic Beach 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 FAX(904)247-5805 -http://www/ci.atlantic-beach.fl.us PERMIT APPLICATION FOR ROOFING bnl 00 JOB LOCATION __J� 'P,�u C, �D C OWNER OF PROPERTY PHONE CONTRACTOR CONTRACTOR ADDRESS ZIP CONTRACTORS LICENSE NO.. # SCOPE OF WORK,�W-\aR DECK SLOPE GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL VALUATION OF WORK $ PRODUCT NAME&MATE TO BE USED__��_ tl� ASTM DESIGNATION(S) REQUIRED INSPECTIONS SHEATHING FINAL LIBILITY INSURANCE POLICY SUPPLIED YES NO APPROVED CITY OF ATLANTIC BEACH WORKERS COMP. POLICY SUPPLIED YES NO BUILDING OFFICE CONTRACTOR LICENSE SUPPLIED YES NO SP 2 6 2002 OCCUPATIONAL LICENSE SUPPLIED YES NO Q\ SIGNATURE OF OWNER /_Z& IV A SIGNATURE OF CONTRACTOR SWORN TO&SUBSCRIBED BEFORE ME TIES DAY OF S 0-1-C-4-4 00 AS TO OWNER NOTARY PUBLIC A-k &Xzy T� SEAL y�: CCMMISS"NUMBER ELIZABErH A WLSON AS TO CONTRACTOR NOTARY PUBLIC O!Tlr'_i my t1k4:1W102 COMMISSION EXPIRES 'ro OF jF1p_04 2g2,2004 FPOM : JGA-'SOUTHEPN ROOF CTR. PHONE NO. 904 353 7347 Sep. 27 2002 01:55PM PI Of Jk Southern Roof Center A DivIslon of JGA Corp. t%r 2 7 ?00? 740 Canal Street 3.P, Jacksonville,Ft. 32209 UILY VI I-XLIUIILI%, Much Flullultle, Ctilu LUIII g FAXDate: 7 Number of pages including cover sheet: 2- To. DoAl From: Phone: Fax phone� Phone: 904-355-0526 CC: Fax phone: 904-353-7347 REMARKS: Urgent WFor your review Reply ASAP 0 Please comment FROM JGA/SOUTHERN ROOF CTR. PHONE NO. 904 353 7347 Sep. 27 2002 01:55PM P2 uv�L U,L AMFVVff MOW 3 T 2 7 2002 333 PfAgsteA RD0 Nonhl,rooK lliinoi��-0#6 Atian Lie Beach Uruted'ties Coun'"ding Underwriters Laboratories Inc, (847):12-9900 and Zoning rax Ni, (847)SC9.630S hup./A^WW'd coin April 2, 2002 Mr. Randall Ziegler OAF Materials Corporation 136 1 Alps Road Wayne, NJ 07470-3699 Our Reference: R21 Dear Mr.Ziegler: i Ila is in response to your request to identify products that are currently Listed with Underwriters Laboratories Inc. Following are those products: Royal SoveraignV Marquisg/Marquis(t Weather-max(t SLATELINE(t Grand Canyon7m t Grand Sequoia(& Country ManorTM Country EstatesTM Timberlino 30Tm Timberline Select'rm 40 Timberline U[tMTM Senfinclt Thi.- above products have been-tested and ListediClassificd in accordance with ANSL11-790, LTL997 and ASTM D3462, They have also been evaluated in accordance With PA-1-07(ASTM D3161 with velDcities modified to 110 mph) with the shingles secured with four nails The above products comply with all of the requirements of these Standards. If an), questions afise on the above, please contact The writer. Very truly yours, Douglas C Miller Engineering Gmup Leader Fira Prowtion Division A not-for-prolmmsmoor dedicated to publfc safety" commmied tD oitsoy swce Book 10687 Page 2015 NOTICE OF COMMENCEMENT (PREPARE IN DUPLICME) Permit No. Tax Folio No. State of County of To whom it may concern: The undersigned hereby informs you that Improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes, the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved: I\A Address of property being improved: r General desc 1* t' roveme�n I of imp Owner Address VV)Z� Owner's interest in site of the improvement Fee Simple Titleholder(if other than owner) Name Address Contractor pa,C-, Loo 11%\!-2\ Address X r, Phone No. Fax No. Surety(if any) Address Amount of bond $ Phone No. Fax No. Name and address of any person making a loan for the construction of the improvements. Name Address Phone No. Fax No. 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 Phone No. Fax No. 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 at Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of Commencement(the exoiration date is one (1) year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY 0 R Signecl,.� e: D i F�t - in the Before rhe this!---�(0 day of County of Duval, State of Flori has I e onally appeared Doc# 2002274705 Book: 10687 Pa e. 2015 Notary 11�u�bl—ic at Large, Statj of Flo a, Cou ty of uval Filed & Recorded 09/30/2002 08:38:19 AN My commission expires: JIM FULLER CLERK CIRCUIT COURT Personally Known or DUVAL COUNTY Produced Identification n V n. r, a, TRUST FUND 1.00 L -H A'M 7 0� SION NU r3l 02 IISSION EXPI: T 22,2004 , 00 2722 4 RECORDING 6- -'ye, EUZABETH A WI qf-w- 5.00 * C g C) CO&!MlqSICN NUMBER CC963102 My COMMISSION EXPIRES —0F F�-O (IT V.i.rrtff tratr of (Orruvattry CITY OF BrVartmrnt of TSuilhing .3njjjjp'rtj1jjt This Certificate isstied pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following: Use Cimification Sing&& Family -Bldg.Permit No. 5552 Group-TypeC. onstruction Fraln ire District Atlantic Aeach Owner of Building G&M Constructi �;ion Building Add.,_18_3 1 Add,,,,447 Atlattic Blvd. L_Sel_Va_Gr John M. Widdows By: 1fu-,1dmgOffici.i- ate: Februa 1984 POST IN A CONSPICUOUS PLACE CITY OF. BeacA-4� Office of Building official V4 ta-19-� Date EQUEST FOR INSPECTION Time Permit No. Received A.M. P. District No. ob Ad ress aei�� Owner's Locality Name BUILDING Contractor CONCRETE ELECTRICAL Framing 0 Footing PLUMBING Re Roofing 0 Rough Wiring 0 MECHANICAL Slab Rough 0 Air.Cond.& 0 0 Temp Pole 0 Top Out Lintel 0 0 Heating ceved A M, P, r's ob Ad ress Owns Name Fire Place Mon. READY FOR INSPECTION Pre Fab Tues. Wed. Thurs. A.M, Inspection Made 7 A.M. P.M. Inspector_ M. Final InspectjoLe---- Certificate of Occupancy Date—————————————— CITY OF ATLANTIC BEACH FLORIDA INSPECTIONS BUILDING PERMIT ELECTRICAL PERMIT NO.V PLUMBING PERMIT MECHANICAL PERMIT # JOB ADDRE SS CONTRACTOR 01%rN ER CALLED IN INSPECTED REINSPECTED JEA APPROVED REJECTED FOUNDATION FOOTING SLAB PLUABING (R.) TOP-OUT S E�'N ER TEII[P-POLE ELECTRICAL (R) ELECTRICAL (F) FRAMING vc PLUMBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING OTHE�I�a FINAL IN'SPECTIONS CITY OF 44"L, /I"- Office of Building Official REQUEST FOR INSPECT!"ON Date Time Permit No. (A Received P.M. District No. All Job Addr ss Owner's Locality Name BUILDING Contractor CONCRETE ELECTRICAL PLUMB'ING MECHANICAL Framing -11 Footing 0 RoughWlring Rough D Air.Cond.& c Re Roofing �j Slab 1112'— Temp Pole Top out C Heating Lintel 0 Fire Place READY FOR INSPECTION Pre Fab Tues. Wed. Thurs. Friday A.M. _P.M. Inspection Made A.M. Final inspection D P.M. Inspector Certificate Of Occupancy Date CITY'!IF 4&404-c BeacA Office of Building OfficiaF Date QUEST FOR INSPECTION Time A ddress ad Race' Permit No. n,a d ---------------- Job Address 'late District No. Owner's Local't Name BUILDING Contractor Foundation PLASTERING ELECTRICAL PLUMBING Chimney ....0 Wire .........0 Rough Wiring � HEATING Framin!.::......0 Lath &�`Pough ........ :KScratch.........0 Finish Wiring -E] Final Q'�ou.h ....... Final . Br .......0 Fixtures .........El Final Footing ...... E] own ........0 Sewers ..... El Fin;'sh Motors .:' -C] ...0 Water Heater ......0 Gas Slab ......... 0 Wa lboa-rd...0 Temp-Pole ...El Cesspool 0 Lintel Beam C1 Final ..::.':E] Insp c ion.L] Top-out .......Fj Water 0 READY FOR INSPECTION Mon. Tues. Wed. Thurs. A.M. Inspection Made 00 A.M. Fri------�P.M. Inspector P.M. CITY OF 716 OCEAN BOULEVARD P.0.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 February 21, 1984 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville , Florida 32202 Dear Sirs : The followl-ng final inspection has been made and is satisfactory: Permit #3791 - 1835 Selva Grande Drive, Atlantic Beach Permit issued to Ferris Electric Company. Sincerely, C7J'ohn M. Widdows Building Inspecitbn Supervisor JMW:ra PLUMBING WORKSHEET SINKS SH014ERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS LAVATORY URINALS OTHER TOTAL FIXTURE COUNT FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEIIAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNIECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE ITNIT CONNECTED TO THE CITY WATER SYSTEM, BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND SERVICE SINK TRAP STAND BATH TUB OR SHOWER STALL (3 UNITS) (6 UN-lTS) DRINKING FOUNTAIN (-l- UNIT) URINAL, WALL LIP 2 (4 UNITS) FLOOR DRAIN (j UNIT) —3— WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLO14OUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK—OPERATED (8 UNITS) OUNITS) SHOWER STALL, DOITESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISIPa.ASHER C2 UNITS) KITCHEN SINK (2 UNITS) 3. KITCHEN SINTK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS $10.00. EACH- 1-6 CITY OF AT.1 LANTIC BLEACK FLORIDA-3 A,T,.,.d by ,A,:?PLICAT[0,A FOR FLECTE11CAL rE IT TO THE CHIEF ELECTRICAL INSPECTOR:- f [IMPORTANT NOTICE' IN CONSIDEPATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID ViFORK IN ACCOR DANCE WiTH THE ATTACHED PLANS A14D SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE Vv'ITH THE ELECTRICAL REG.ULATIONS, CODES AND CITY OF ATLANTIC DEACH ORDINANCES. EL- TRICAL FIFM, ELECTRICIA 3NATURE R 4YM,AN 6_)o)'y d EETWEEN- ELDG.SIZE IrS. PUBLIC INDUS. NEW (-r—'OLD I REW. AODMON 11 TEMP.( SIGNS SO. FT. Sl V I C E: I N C R EAS E I REPAIR FEE COPPER I A L UMI . SIZE lu H OR E AM PH Vll bLT RACEWAY _0 02 EXIST.SERV.SIZE AF,-i>S PH W VnITI RACEWAY FEEDERS Ma SiZE SIZE 1 %0. SIZE LIGHTINIG OUr=-4 CONCEALED IOPEN TOTAL RECEPTACLES CONCEALED[ IOPEN ikL 31-100 AMPS] SWITCHES IN F ix Er- :;ELL TRAt,SF. A F iz LIA NC Al Ft ".P. RATING H.P. RATING C)s I HEATJ KVif- CONDMON."'iG OTHER-7.10TORS AM. CE L HEAT OVER v A' E NO. I 11-P- -VOLTAGE FP'S MDTORS OLT Gc pHs D E-i I'D V- cl VE R 5&0 v- !7-Z A 0. KVA i I XV ITCH FLASHER' i'.A R D E D FT��,�L FEES 0 �\,0\1,op, \G espr_yk, 0� R�VOS es? ,tes 0 6,Ll 000, to e'9 \tJ > vIt' .No\llv,., �,Ot IL.NO, to cev to V5 to .$40 VIX0 '35� vo VC -\N 0 'L 110 IN vo%�,O'y xs 0� "i, V, Ovp O'� .,NC�)� 0141, x "0 "O'L c Cow tev��, Ost SIL ,�,ot -IV_ Oo i,,Lvel OT 0. 0 li 0 tvVS O'ce vX0,I$e to Nlcco� 0� '0 0 Olk CO P.1 fo ,AG V So ,,\Gp�k- ,r4 I.OT: MI',CHAN I CAL: ):I,i,,,ci R I CAL: BUILDING PEMIT vojasm.hT 3v&.5- -r ,q. ft. pc -1) SQU 0 @ HEA'IF ARE FOOTAGE 02,�, per sq. ft. � ED) @ s ---- ---— GARAGE (),RIVATE/SH per --q- ft. = CARPORT: per sq. ft. = $ PORCHES: s per sq. ft. . DECK: @ $ @ $ per sq. ft. = PATIO: TOTAL VALUATION: PERIMIT FEES A�LUAT I Ist d o— 0 0 $ @ $ per tb�ousan�d MAI-�&�R LUATION or portion tbereof TOTAL BUILDING PEPUAIT FEE. . . . . . . . . . . . . . . . . . . . . . . . . . . B LDINIG PERMIT FOR PLAN FILING FEE. . . . 2�IJ UE . . . . . . . . . . . . . . . . . . . . . . . s OUTAL F;�D . . . . . . . . . . . . . . . . . . ---------------- ------------------------------------------------------------ --- ---------- ERMIT FEE: PLr--'BING PERIMIT FEE: jjECHANICAL P' ELECIRICAL RESIDENTIAL: ELECTRICAL TEMPORARY: FEE: $ WATER METER SIZE SEWER CONNECTION CHARGE; SQUARE FOOTAGE: FEE $ WATER CONNECTION CHARGE: FIXTURE UNITS @ $10.00 PER 1,11NIT: $ JW6 ACCOUNT APPROVED BY: TOTAL BUILDING/PI.AN FILING FEES: s OVIE-EY TOTAL WATER METER CHARGE: �j;NTIC BEACIf TOTAL WATER CONNECTION CHARGE -'ECTION CHARGE:c s,�/a— r7 TOTAL SEWER CON., j GP-A-ND TOTAL DUE: Date........... CITY OF ATLANTIC BEACH permft*...................... Valuation$........ FLORIDA IT APPLICATION FOR BUILDING PERMIT . . ................. -----------*...... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitbed 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 compiled 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 aub-contractors be submitted to this office so that licens" can be verified. Date........... ........................... Owner......& ..... . . ....... ................Telephone Architect Xv_.?......&_e� -,!e.................Telephone x6&L.;aY.f'-/.... -------------------------------------------------Addresa...:��ff�!.... )I - Contractor Builder.... ji-I...j_,,&_A, L. .. Address......................................................Telephone No............................ .. ,. ......................... .. LotNo...... ...................................Block No................................Sub Division....SIC4.A.. .1-----------------------------------Zone.......--------- .......... -------Street--------------------_----Side Between.....................................................and...........................................13tiL .4, -=.P. Valuation $ JC7. ...............Yor what purpose will building be used..4.1-t-A, .�. ........Type of construction...S:L Dimensions of 'jO x, �A ...............Dimenzions of Lot.../- ---Sin of Footings...... .............. Size of Piers.....................................Sim Of 8910................................Greatest Sill Span In ft..........................Type Roof_JJ_1t-.9................... How will Building be Heated?... -------------------------Will Building be on Solid or Filled Ground?-J.L-IL2................ Size of Ceiling Joists.......................................... ce on Centers............................................ Greatest Span.................................. Size of Floor Joists............................................... Distance on Centers........... ................................. Greaust; Span.......................................... W Sin of Rafters.()._.� Distance on Centers... .......................... Greatest ............................. - This rectangle Is to represent the lot. R Locate the building or buildings in the GEACH A ht position. Give distance in feet from lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall r r7 7 be submitted with application. Inspections required. 1. When steel is In place and ready to pour footing. ootiAg L When steel is in place and ready to pour columns or lintel. 3. When steel is in place and ready to pour beaziL 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 in covered. 7. Electrical inspection by City of Jw .ksor.vills. 00 & Final inspection. Note: In case of any rejection,re-inspection MUST be called for after Co. an made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we busby 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 Atlantic Beach. Signature of Builder... Address....... ............................................ Signatureof Owner.................................................................---------- Addrem.................................................................................................... -ANN- DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.— PERMIT TO BUILD 5( THIS PERMIT MUST BE POSTED ON JOB 5�0"Ui'; IU74 1A JU/27/ Date 10/27/ 19 1674 1 A 10V Valuation$ 1"L UM B I N(3 Fee$ 52-00 This permit not valid until above fee has been paid to City Treasurer,and is bject to revocation for violation of applicable provisions of law. Co. This is to lucertifythat F .W. FAIR PLU11BING P. 9. P5 9 Y. 5 1 - N — FT. 32250 has permission t11%M_1' INSTALL PLUMBING AS ftR PLAAS RESIDENTIAL Zone BUD Classification I011 owned by G & 1-1 CUNSTRUCT SLLVA TILER Lot 17 BI S/D i, lam House No. kqt� - [66A P X:�:� . 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 -n AFTER DATE OF ISSUE 0 Building material, rubbish and debris z-i from this work must not be placed in public space, and must be cleared lip andhgoled away by either con- r ract wrier. act %Wn Building Official. CONTRACTOR FOR OFFICE] PERMIT DATE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT OWNER'S NAME LOCATION MASTER PLUMBER STATE/COUNTY OCCUPATIONAL LICENSE NO. CERTIFICATE NO. L4 6 7-7 CONTRACTOR a TYPE OF BUILDING -SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS -DISHWASHERS URINALS DISPOSALS ;)-CLOSETS WASHING MACHINE -FLOOR DRAINS -OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH.THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CITY OF ATI-ttM I C ]',K/'CH APPLI C/�J I ON FOP, 1-.A'J ER CUT-I NS- - WAIER CUT-IN AT J_.PPLICATION IS )�EYEBY MDE FOR--- HE yoLl ,'2 __UN I TS. _OV�]',C A-DI)PESS FOR.---- L,2 0 CUT-IN CHA)�GE SIREET NO. SUBDIVISION LOT--- __BLOCK ACCOUNT NlY-IBER _____:llAILING fi-D6RESS DATE--------- 111-7JER NO. DATE 1,-.-STALLED CITY OF ATU�O\MC BEACH APPIACATJON FOR SE71viER CCY�!ZDMUNS ACCOUIT NO. MYT NO. BLOCK 140. SUBDIVISION f CPO, CF.-�,TER— TYPE OF aLJIl-jrLNG- ELATE IPSPBCTED BY DEPARTMENT OF BUILDING PERMIT N05550 CITY OF ATLANTIC BEACH.FLORIDA PERMITTOBUILD THIS PERMIT MUST BE POSTED ON JOB 428136 420OCK4 Date 11-23— 19 3454 1 A 11/23/6 b5bo UDCAC Valuation$ MECRAILITC61- Fee$ 49 C)f� 34b4 1A 11/23/8 This pertnit 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 OCEANSTATE HFATLNG AIR has permission toUk INSTAI T AIR Classification RES DENTIAT, —Zone Owned by Lot Block S/D House No. 1835 SELVA GRANDE 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 0 Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared hauled away by either con- tra owner. hauled away by either Con- tra owner. ffi Building Official. CONTRACTOR FOP PERMIT DATE CONTRACTOR OFFICE USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER D DING AIND ZOINING INSPEECTION DIVISION UIU CITY OF LTLANTIC BEACH, FLORIDA APPLICATION FOR MFECHANICAL PERMIT IVPORTAUT-/-q>p1io6nf fo complefs 0 it*ms ;rt sccf;om 1. 11, 1H. ar*d IV. On- St. ..d.-- St. LOCATION ti.A. SO.A. E..t'waJ) (Aldf*12) (Intortocf.nq Stre*#%) Of ruiLDiNG Lot No---- sr6-j;v;1;Oft F (Statt portion of lof if Les3 1I+-aA fug lot---AtWA 6qal d.9fciipf;on per cto" in duplicee if ft*c*smrr) If. TYPE OF PRO.POSED, L'*CKWCA'I. WORK - All epplicents wrn�!*fs Parts A - D A- U S-r- OF BUILDIN4 L OWNUSHIP R RESIDENTIAL 15. private (injiv;dval. corporeCo". 1 0" forn;ly 11. rj Utility A'>Aprofit instiNficon, &k.) w P%ablik (Federal, State ow local goveneiroew?) 2. 0 Two :,r more temiNr 12. ri Sr600il' r1wory, F.nI4. mjm6sr of room%- othl r S&C660"I C. NATURE Of WORK 3. 0 Irens 7 ism. wel, motel. 17. X New Evilding r-c-omm? 1�0-jfq - 13. C2 S;ors. tr4rcanisU S-lzr hurr'6dr of O;h,,.,r It. 0 E-ist;ng Sj;td;ag 4. 0 Other r*s;d*nt;8J El OTHE4R-SPECIFY I It. 0 tep4c2'r�rr.1 of*x;fi;hq *jrst" 20. New ;ntt4tt;cn (No.tyst" pf-o-viow-.1y k4jsW) NON-RESIDENTIAL 2 1. to 22. El Oliver- 0 C�U'rth' aAer ro!;g;ovg 7. 0 Indu0piol 1. 0 G&rags. v*ev;.-c station 4/ f-1) 9. 0 Holpitel, institV60nal E. TYPI 0� ItIsLDIPIeS 10. 0 Offiace. 6ar.l. profossicral 3 j4. 0 NWM.4?Of 37. 0 W0,04d frums 0. -M!d-'HA:1'ICAL C-QU:PMENT TO 9E !NSTALLM 38. [1 Mssop--y and w-,od tpto�;<�* cornplate litt or corrpom.4ns ort beA of f.%;s form) 39. reinforn-A CO-1crete Fvrnsce: Cl Space C) Rorbsied A contral 0 Flow 40. Siructural st"I 24. A;r Cond;4;oAing: rJ1 Room k Central 41. 0 Oi�sv 25. Dwcf Sytiern. m6taridl.-L�--t]50A-eb ThkInwi max;rnurn CIP46ty 26. 0 R*fr*.q*r*t;*n 27. [] Cool;#%q tower: Capacity THIS !PACE FOR OFFICS USE ONLY 29. 0 F�ry tpr;mV*rs: Nvrnbar or .9. 0 Elows low C-) Msnl;ff 30. 0 Ges�otinv 31. 0 T64fti---(Au'A"4) tot As 32. 0 LPG 33. 0 unf;rtd prv.4urs v*u*1 Permit App.-o,*�d L�/- D& 34. 0 goiiers 35. 0 Other - sp*cigy Permit F*&_ Ill. GENERAL INFORMATION A. Tjp* of Iseating f%,�: B. IS UThEN CONSTRUCTION BEING DOME ON 42. THIS BUiLDING OR SIIE?_ 41. 0 Gts-0 LP 0 p4chiral 0 CARtral Utility IF YES, GIVE NUMISER OF CONSTRUCTION 44. Q Oil P--RM!T 4S. 0 00c - Spo-cify FY. IDENTIFICATION - To be completed by an applicarth In coAs;tstion of f'" de-gcf;"I ;.,# :nont t 1,,ersby aqr*e to perform s*.d wcrk in accord4r�ce .'.7if liven for 1�o;pq t" wori as !�t Iffsto I . -r. �"- f c" wA - H .4 acco, + ty ocd"AC01 8ftJ %f#Adards of -:4d practice 170od t6rsia. A-licAl - S.'g'&Eir* of C-,-%frac�zr (Printl A,.jvJ - , M 6':�' ac� p " "" ' " "'i" a', "t "" "' i" 0" ;�' � 0 C; i4c"o";"e i NA" Of C'w-%@r (Print) S.QN&tvro of 0.nar S;;ratwro of of A.�.". of;:ed Agamt o" Enq�mser