455 Selva Lakes Cir (vault) CITY OF
716 OCEAN BOULEVARD
P.O.BOX 25
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
May 13, 1986
Pre-Service JEA
233 West Duval Street
Jacksonville, FL 32203
The following final inspections have been made and are satisfactory:
Permit #4653 - 455 Selva Lakes Circle
Permit #4654 - 459 Selva Lakes Circle
Permits issued to Adkins Electric
Sincerely,
Hilary Thompson
Building Department
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
II'APORTANT — Applicant to complete all items in sections I, II, III, and IV.
I. s Se( u � C � KPS � r.^
LOCATION Street Address: '/
OF Intersecting Streets: Between � �� �,� And I r I u
OT
BUILDING set
Sub-di�ition _
II. IDENTIFICATION — To be completed by all applicants
In considerefion of permit given for doing Ike work as described in Ike abcve statement we hereby agree to perform said work in accordance
with the eftaclted plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical � 1 r l ` Contractors �/�
Contractor (Print) z0IV OV Pfpr
� Mer
c
Name of
Property Owner
Signature of OwnerSignature of
or Authorised Agent �� Architect or Engineer
III. GENERAL INFORMATION
A' Type of heating fuel:
IS OTHER CONSTRUCTION BEING DONE ON�
Hectric THIS BUILDING OR SITE? J�IV L
❑ Gas—❑ LP ❑ Natural ❑ Central Utility
IF VES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Pro -de complete list of components on back of this form) [%4 Residential or I_I Comtnerci2l
Heat ❑ Space C) Recessed Ls1 Central ❑ Flow 11w Building
Q/Air CondrNoninq: ❑ Room [3000lCantraIisting Building _
❑ Duct System: Materiel Thicknesu ;/Fll�xplacement of existing system
Maximum capacity c.f.m. L] New Installation(No system previously installed)
F-1Extension or add-on to existing system
❑ Refrigeration
U Other — Specify
❑ Cooling tower: Capacity q.p.m.
❑ Fire sprinklers: Number of heeds ---- _---- -
❑ Elevator ❑ Manlift ❑ Esculetor (number)
THIS STAGE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Ree.fved)
❑ Tanks (number) Remarks
❑ LPG containers (number)
❑ Unfired pressure vessel
Permit Approved by Delta
❑ {oilers
❑ Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity Aproving
Number Unita oc f Description Model Number Manufacturer rug
(To ) / enezwcy
UndemW
HEATING FURNACES, BOILERS, FIREPLACES
Capacity Approvtes
Number Units Description Model Number Msnufacturrr (BTU) AsrW"
n a am e .2qMl
TANKS
now Many Noeslnal Capacity Type Liquid Name of Serial Approving
and Dimensions Contained Manufacturer No. ency
DEPARTMENT OF BUILDING PERMIT NO.-7271
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date D �
ecerfd219 �5
97.5Q 97'50
Fee$ 97.5CC
_s
Valuation$------------ I /
This permit not valid until above fee has been pad to City Treasurer,and is
rovisions of law.
subject to revocation for violation of applicable p �Tr I n, '
F.W. FAIR Pun it
This is to certify that
INSTALLPLv��ac
has permission to bu'
i
I
FESIM,Tf IAL Zone I
Classification
Owned by
Block-- S/D
Lot
455-459 SENA IMS
I House No.
According to approved plans which are part of this permOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4---11, O Building material, rubbish and debris
zfrom this work must not be placed
in public space, and must e e cleared
eer con-
up d hauled away by
Z tr ctor or owner.
r
dt g official.
CONTRACTOR
PERMIT DATE
FOR OFFICE NUMBER
USE ONLY
PLUMBING
I
ELECTRICAL �I
SEWER
WATER I
I
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
249-2395
JOB LOCATION 455-459 Selva Lakes Circle
PLUMBING CONTRACTOR F . W. FAIR PLUI%:BING COIPANY
LICENSE NUMBERS mP145 State RF0037503
OWNER R G M
BUILDING CONTRACTOR R G M
TYPE OF BUILDING Duplex Dwelling
2 SINKS 1 SHOWERS
__LAVATORY 2 WATER HEATERS
2 BATH TUBS 2 DISHWASHERS
URINALS 2 DISPOSALS
5 CLOSETS 2 WASHING MACHINE
FLOOR DRAINS OTHER
25 TOTAL FIXTURE COUNT YY'3 . 50 + $10. 00
DATE 12 / ll/ 85 TOTAL A"IOUT!T $97 . 50
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
I •
DEPARTMENT OF BUILDING PERb1t5 NO. K )�
ICITY OF ATLANTIC BEACH,FLORIDA 7i-'7U 1000NC
PERMIT TO BUILD 1213 1 A 2/06/8
THIS PERMIT MUST BE POSTED ON JOB 1 00rl
Date 2-6-86 19
78.00
Valuation$
Fee$
This permit not valid until above fee has been paid to City Treasurerand is
,
subject to revocation for violation of applicable of law
A .
This is to certify that
I
I�
has permission to bx�d
INCEALL T-BAT S' AIR
I�ESClassification
owned
Zone
Ii Owned by Block��S/D
Lot
House No.
455-459 N�LYA 'AM CI�2CI�
hich are part of this Per
According to approved plans wNOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
-n AFTER DATE OF ISSUE
o Building material, rubbish and debris
z from this work must not be placed
in public space, and must be cleared
up and hauled away by
* ther con-
tractor wrier.
Building Official.
I
i
CONTRACTOR it
PERMIT DATE
FOR OFFICE NUMBER I
USE ONLY
PLUMBING
i
ELECTRICAL
SEWER
WATER
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT -- Applicant to complete all items in sections I, II, III, and IV.
I� Street Address: It SCL.V R—
LOCATION
OF Intersecting Streets: Between And
BUILDING SE<L-a/'Pr Lptt� c>
Sub-division
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance
with the attaclLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Nameof Mechanical Contractors
Contractor (Print) ��� !S; - -� Master
Name of ( � M
Property Owner
Signature of Owner Signature of
or Authoriied Agent Architect or Engineer
III. GENERAL IN RMA ION
A' Type of heating fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE?
❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil
PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on beck of this form) Residential or ❑ Commercial
XHeat ❑ Space ❑ Recessed X Central O Root New Building
�( ❑
XIAir Condlfioning: ❑ Room X Existing Building Control 1(
Duct System: Material bocx3G4Q� Thickness I El Replacement of existing system
+.�V
Maximum capacity
1 j c.f.m. , New installation(No system previously installed)
❑ Extension or add-on to existing system
❑ Refrigeration
❑ Other — Specify
❑ Cooling tower: Capacity 9-P.M.
❑ Fra sprinklers: Number of heads
❑ Elevator ❑ Menlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pump& (number) (Received)
❑ Tanks (number) Remarks
❑ LPG confaine -(number)
❑ Unfired pressure vessel
Permit Approved by Date
❑ Boilers
❑ Other — Specify
Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Approving
Number Unita Description Model Number manufacturer (Tons) Ages
� r W 30 rr
DATING - FURNACES, BOILERS, FIREPLACES Capacity AppP�
Number Units Description Model Number manufacturer (STET)
TANKS
How Many Nominal Capacity Type Liquid Name at Serial Approving
and Dimensions Contained manufacturer No. Agency
VP
INSPECTION LOG
JOB ADDRESS �S-
f
CONTRACTOR k2�
OWNER
BUILDING PERMIT ELECTRICAL PERMIT
PLUMBING PERMIT TEMPORARY POLE PERMIT
MECHANICAL PERMIT MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved J .E .A.
Temp Pole
Footing c�2 ✓ �� J
Slab a-
Framing
Plumbing (R)
Electrical (R)
Mechanical
Fireplace
Top out oZ" a` 3
Other
Electrical (F)
FINAL INSPECTION
Certificate of Occupancy Issued
COM11ENTS :
("Elatifiratr of (�rru ttnr
CITY OF
oatwsuc
DrVartmpnt of isnilding Jnaprrtion
This Certificate issued 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 Classification
TOwnhomes Bldg.Permit No_ 7269
i
Frame_Fire District_Atlantic Beach
GroupType Construction
—_-
Owner of Building RGM PrOpert ieS Address-- -
455-459 Selya Lakes Locality__ SQ1V8 Lakes
Building Address_ _
Circle By ��
Hilary ThOmpson Date: May 198
Building Official
pp{T IN A CONSpICUoU9 PLACE
PSR-3844 12357
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
---- PERMIT INFORMATION -- ------- LOCATION INFORMATION ----
Permit Number : 12357 Address : 455 SELVA LAKES CIRCLE
Permit Type:PLUMBING ATLANTIC BEACH . FLORIDA 32233
"lass of Work: ALTERATION ------ LEGAL DESCRIPTION
Constr . Type:W00D FRAME Block: Lot : Twp '
Proposed Use: SINGLE FAMILY Section : 0 Subd: Rna
Dwellings : 0 Subdivision: SELVA LAKES
Est . Value: 0 . 00
Improv . Cost : 0 . 00
Total Fe 25 . 00
Amount �e ,I i
AT 25 . 00
)WNEF !.v�� _..XATION APPLICATION FEES -------
rVTILL �10V'MTT 25 . 00
+
-- 5 SELV.= LAKES CIRCLE
.TLANTI ryEA, " Tl , FLORIDA
*,,) TRR-TQR I� FORMAT'
Name: PLUMBING , Y T^GN
a
j
Ad
Lig4t CPQ0 Epp ,
;rte
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
J.
00 127-
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANDI8t8S 7r�04EVO(MADN"7861
VIOLATION OF APPLICABLE PROVISIONS OF LAW. E@@3221@@@
ATLANTIC BEACH BUILDING DEPARTMENT
i _
By: . �1F' Geis
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
f LOCATION:- CJ`li'tC'J FL `�
e
OWNER OF PROPERTY: V /_T_/ I
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR
AND ADDRESS:
TELEPHONE NUMBER: ��04) 7 S 23.3
STATE LICENSE NO: C c L?q,2 0_S a
TYPE OF BUILDING: A D<Is
TYPE OF WORK: _�lt�r�-(_ /Le4Ce .�/T f/N
HOW MANY OF THE
QFOLLOWING FIXTURES INSTALLED
zi I SINKS ' 7 '"7 ' SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWER PANS
PLUMBING BY JOSH
OTHER 2602 Rogero Road
,7 Jacksonville, FL 322U
TOTAL F TURF C UN x $3.50 0
--- ------ - - 0� ---- ---- p�og oaasog Z09Z ---
��of ,jff- -
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826
SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC
WORKS FOR INSPECTION BEFORE COVERING UP - ( 904) 247-5834
--,7c>gb
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: I 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 WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRICAL FIRM: MASTER ELE{�[ (�RIICCIANSIIGNATUREt JOURNEYMAN
NAME I` �� S ADDRESS:_`J J �` LA LM<tA �k RFD BOX
BLDG.SIZE BETWEEN: /
RES.1,,l APT. ( ) comm. ( 1 PUBLIC ( 1 INDUS. 1 1 NEW OLD ( 1 REW. ! 1
ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ! ) SQ. FT.
SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( 1 FEE
CONDUCTOR SIZE `� U AMPS 00 COPPER ( 1 ALUM. ( ) J
SWITCH OR BREAKER DD AMPS PH 3w 07. OLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLTI RACEWAY
FEEDERS NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-i00 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES TBELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CE IL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. IKVA
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE I SWITCH FLASHER
EACH SIGN
00
FORWARDED ' 0
$ t CPO
TOTAL FEES
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner �'Gly V'/Loy :�� _ Address Phone _I X,(
Architect Address Phone
Contractor Z C w ph, Address Phone
License Number ZR 003YOI Expiration Date 6 4 %T
Lot # Block # Subdivision 1 6 Zoning
Street `f' ( �� w.E..eati ,& Between and side
Valuation $ Purpose of Building ,,�TYPe Cons t-z � ,,
Dimensions : Building Lot Sz .Footings
Sz. Piers Sz. Sills Greatest Span Sills
Sz. Ceiling Joists_ Distance on Centers Greatest Span
Sz.Floor Joists Fr Distance on Centers '.� V /t Greatest Span
Sz. Rafters Distance on Centers Greatest Span- /
Heating 14 Solid-Filled Ground J'A'G; o Roof f a t& f- 14"%x—
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns/lintel .
3. When steel is in place and ready to pour beam.
4. When framing , mechanical, rough plumbing and fire place
is completed and ready to cover up .
5 . Rough electrical. `
6. Final inspection. G�/N✓v "y 'Q'�
In case of rejection, reinspection MUST be called ,SETBACKS
for after corrections are made.
In consideration of permit given for doing Rear LotLi
the work as described in the above statement ,
we hereby agree to perform said work in
accordance with the attached plans and
specifications , which are a part hereof, and 0 wj
in accordance with the building regulations r
of the City of Atlantic Beach. 0 - to
��
r
g
m m
Signature OWNER (2�41AIIo� /2
Z
Signature BUILDER `�• � Front Lot Line
DEPARTMENT OF BUILDING 7 2 6 9
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 974925
Date 1,bverd)er 14, 19 85 3712110�
3956 I A t2/It3/'
cpl
Valuation$ 1.101$;.14 t](} Fee$ ==���s��r��— 956 2/10/-
3956 I A 12/Ill/`
This permit 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 R121 P l 'JFK LIC
1112 Third Str_g-_Pt Nept,mP !�each
has permission to build TOln1hhome as Per P1ans
Classification residential Zone PUS
Owned by M-1 P'OPerUeS
Lot 1 7 & 3 Block S/D SIVA IAkES
"
House No. 463-40SILVA 1AKES CIRCLEAccording t�ovefOanls 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
� 1 O Building material, rubbish and debris
ii from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
4 tractts r owner.
Bui official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
I
SEWER
WATER
NF:C11ANI CAL 1'FKMITj{
PIARIBING PERMIT ���----,---
BUILDING PERMIT k'ORKSHEET ELECTRIC PERMIT
�� TEMPORARY ELECT.
lleated Square Footage 4 ( sI— @ $ —3ff per sq ft = $ --
Garage/Shed 'j�� (� @ $ /CJ 01) per sq ft = $
Carport @ $ per sq ft = $
Porches @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION $ '
_ o
7 S G
dol, X $ _
Total Valuation Data 1st $ �1 - ��0 • —
Remainder Valuation @ $ a. UU per thousand
or portion thereof S�
TOTAL BUILDING FEE $ �t
+ 2 FILING FEE $ �c,G
FIREPLACE @15 . 00 $ /S— DO
TOTAL BUILDING PER'IIT $ a 3 7, 2-�
-------------------------------------- --- -----------------------------
PLUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ELECT. TE.11PORARY $ ELECTRICAL PERMIT $
WATER METER SIZE $ ACCOUNT NUMBER
SEWER IMPACT FEE $
WATER CONNECTION $ (@10 . 00 per fixture unit)
APPROVED BY: TOTAL BUILDING/PLAN FILING FEE $ C-937,
TOTAL WATER METER CHARGE $
TOTAL SE14ER IMPACT FEES $16 ,35"-
TOTAL
163STOTAL WATER CONNECTION CHARGE $ -R 690
MISCELLANEOUS CHARGES $
GRAND TOTAL DUE : $
PLUMBING WORKSHEET
SINKS SHOWERS 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 DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
fBATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (15 UNIT) URINAL, WALL LIP
(4 UNITS)
FLOOR DRAIN (1 UNIT)
WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (8 UNITS)
[,'ATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANK-OPERATED (8 UNITS)
(4L'NITS)
SHOWER STALL, DOMESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNITS)
_ IyAL'NDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
_ DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS)
_ KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS @ $10.,00 EACH
CITY OF ATLANTIC BEACH
1J 800 SEMINOLE ROAD
j � ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
rN��iil•}r
Application Number
03-00026338 Date 6/19/03
Property Address . . . . . . 455 SELVA LAKES CIR
Tenant nbr, name . . . . . . HVAC
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
--------------
--------
________
----------
DUTILL, FRANK OCEAN STATE HEAT & AIR
455 SELVA LAKES CIRCLE 1476 ATLANTIC BLVD.
FL 32266
NEPTUNE BEACH
ATLANTIC BEACH FL 32233 (904) 249-8251
------------ ---------------------------------------------------------------
Permit .
MECHANICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 79 . 00 0
Issue Date . . . Valuation .
Fee summary Charged Paid Credited Due
_ ------ . --
---------- ----------
_ ------ 79 . 00 . 00
Permit Fee Total 79 .00 00 . 00 . 00
Plan Check Total . 00 . 00
Grand Total 79 . 00 79 . 00 . 00
s `
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.
BUILDING OFFICIAL
r�
r
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
(05
Date:�
cc)
of Property: � e��� ��'�
Job Address:
Contractor: Ocean �7 aC c
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 which are a part hereof and in accordance with the City of Atlantic Beach
ordinances and standards of good practice listed therein.
III. GENERAL INFORMATION
A. T1 Npe of heating fuel: B.
Electric IS OTHER CONSTRUCTI BEG DONE ON THIS
Gas: _LP _Natural _Central Utility BUILDING OR SITE? � IN
Q
❑ Oil
❑ Other—Specify IF YES,GIVE NUMBER OF CONSTRUCTION
PERMIT
IV.
MECHANICAL EQUIPMENT TO BE NATURE OF WORK
INSTALLED Residential or _ Commercial
New Building
(Provide complete list of componentkon back of this form) 15L Existing Building
Heat _Space _Recessed b ghckness
I _Floor Replacement of existing system
Air Conditioning: Room Central ❑ New Installation(No system previously installed)
❑ Duct System: Material ❑ Extension or add-on to existing system
Maximum capacity cfm ❑ Other-Specify
C3 Refrigeration
❑ Cooling tower: Capacity gpm
❑ Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY
❑ Elevator: _ ManliB_Escalator (Number)
Cl Gasoline pumps (Number) (Received)
❑ Tanks (Number)
❑ LPG containers (Number) Remarks
❑ Unfired pressure vessel
❑ Boilers Permit approved by Date
❑ Other—Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Number Units Description Model Number Manufacturer Capacity Approving
(Tons) A encu
manL 2 -S
HEATING—FURNACES,BOILERS,FIREPLACES
Number Units Description Model Number Manufacturer Capacity Approving
(BTU) Aeencv
nil mhra� n;Llo
-7 r L.
A)
TANKS
How Manv Nominal Capacity Type Liquid Name of Serial Approving
And Dimensions Contained Manufacturer No. Agency
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800•Fax:(904)247-5845• http://www.cLatiantic-beach.fl.us 1/14/03
CITY 4F . r 3 , . -
4t4wsw- QW4Dk V7&U-4&
Office of Building Official
,REOUEST FOR INSPECTION
Date / J/ Permit No.
Time A.M.
Received .M. District No.
VJ
Job Address Locality
Owner's �y� �/�
Name r Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING, / MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Lintel ❑ Fire Place ❑
Pre Fab
I1I, READY FOR INSPECTION A.M.
Mon.j�- •v v Tues Wed. Thurs. Friday P.M.
Inspection Made
1,2
Inspector Final Inspection❑
Certificate of Occupancy
Date
CITY OF
Office of Building Official �'V "
REQUEST FOR INSPECTION J�d-&-,Lf
Permit No.
Date
Time A.M. District No.
Received P.M.
Job Address Locality
Owner's Contractor
Name
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Framing ❑ Footing Heating
Re Roofing El Slab ❑ Temp Pole ❑ Top Out 11 Fire Place ❑
Lintel ❑ Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues.
Wed. Thurs b �V Friday P.M.
A.M.
InspectionMade P.M.
Final Inspection❑
Inspector
::�6 Certificate of Occupancy
Date
CITY .0JF •
f4 ��s�iC &4404-0;&U4&
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date (((
A.M. Di ict No.
Time P.M.
Received``
lily
b Address
Owner' Contractor
Name MECHANICAL
CONCRETE ELECTRICAL PLU ING
BUILDIN Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Framing ❑ Footing �JQ r Heating
❑
Re Roofing ❑ Slab Temp Pole Top Out Fire Place ❑
Lintel ❑ Pre Fab
READY FOR INSPECTION A.M.
Wed Thurs.
Friday P.M.
Mon. ��v1 Tues. r, A.M.
P.M.
inspection Made
Final Inspection❑
Inspector
Certificate of Occupancy
Date
CITY O.F�
i 4& 13
Office of Building Official
REOUEST FOR INSPECTION
Date Permit No.
^District No.
Time P.
Received
C— hLocality
Job Adder
Owner's Contractor
Name PLUMBING MECHANICAL
CONCRETE ELECTRICAL Air.Cond.8 3
BUILDING Roughwiring Rough Heating
L Footing ❑ L, Top Out C Fire Place El
Framing Blab Temp Pole
Re Roofing � Pre Fab
Lintel
A.M.
READY FOR INSPECTION Fridays—P.M.
Mon. Tues.
Wed. (.Thurs.
q. 7
.�
PV—
inspection Maae
Final inspection❑
Inspector Certificate of Occupancy
Date
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
/ 2 Permit No.
Date V
Time j J A. District No.
Received IF
4/S-5- Ll C'� SLL!/ lit
Y
Job Address
Owner's Contractor
Name MECHANIC /
BUILDING CONCRETE ELECTRICA PLUMBING K✓
❑ ❑ :8.
Framing ❑ Footing ❑ Heating
Slab ❑ Temp Pole ❑ Top Out tP
Re Roofing ❑ Fire Place ❑
Lintel ❑ rlfV 0-L �// Pre Fab
READ FOR INSPECTION A.M.
Mon. Tues. Wed
Thurs. Friday P.M.
M.
Inspection Made
Final Inspection
Inspector
Ce '' of Occ Y
Date