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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