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1811 Selva Marina Dr (vault) CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: / �'"/ .1J Z_LJ �i / OWNER OF PROPERTY:cJ✓'/e k__ CONTRACTOR: ARLINGTON BEACHES ROOFING, INC. CONTRACTOR'S ADDRESS: 1 4 41 CESERY TERRACE JACKSONVILLE, FLORIDA // zip: 32211 STATE LICENSE NUMBER: /)( _LY &3'7 TELEPHONE: 7 W- (r(Fr DESCRIBE WORK TO BE PERFORMED: RE-ROOF: c 5cX .5 L L 3t/ °° VALUATION OF PROPOSED CONSTRUCTION `yeas MATERIALS TO BE USED: SIGNATURE OF OWNER: k 711 2 SIGNATURE OF CONTRACTOR: Y;1 SWORN TO AND SUBSCRIBED BEFORE ME THIS /r DAY OF ,/ 19 g9' A i . *% NOT•'RY PU � • KIMBERLY H. ODWIN Liability Insurance Supplied r MY COMMISSION 4.G CC 713745 •.,,ytt4q.,' EXPIRES:March 13,20021 Workers Compensation Insurance Supplied ^omiv aNctary Service&Bonding co. Contractor License Information Supplied Occupational License Information Supplied R,NMNClMt1"It IIiI M•(►CIA!i 41) N f ri 5 MIN. RETURN B otice of foiiinteiicem eat a PHONE # 7iiy'88'ff a IMIe/Aaa IN DUPLICATE MTo whom It may concern: CU M The undersigned hereby informs you that improvements will be made to certain real property, and In accordance with section 713.13 of the Florida Statutes, the following information Is stated in this NOTICE - GIT OF COMMENCEMENT. ,., . .„ .. , M / J / 6-ECLAi ANA c1-d-- Description of property L 2J RE-ROOF: ;2 0511 S fJ General description of improvements _ - -- --- Owner __J✓kC, ,4/7eA IA: 9234 ('�_ /� ,, �'9: 1975 J �/ 1 « ,InA 1_ f4--loe'• IIoc�li 99069358 Address / Filed 8 Recorded Owner's interest in site of the Improvement : 01:48:42 Fee Simple Title holder (if other than owner) _..._. -- ----• -' CLERJ4-E-IRCUIT COURT DUVAL COUNTY,s FL / REC. $ 6.00 Name ____-2 A Address -...-._._..._...._ - - Contractor ARLINGTON BEACHES ROOFING. . INC. ---- 4 Address 1441 CESERY TERRACE JACKSONVILLE, FLORIDA 32211• Surety (if any) ---may - .,// /J --- __.. Address - Amount of bond $. V_ Name and address of ny person nuking a loan for the construction of the improvements. , Name ----y 1/ =-- 7.4 Address 7 --- Name of person within the State of I'loriula, other than himself, designated by owner upon whom notices or other documents may he served: Name -.11//-11 . Address -_---_— - In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 71 .Ott (2) (b3, Florida Statutes.- (Fill in at Owner's option). • Name +�`"�, Address THIS SPACE FON aCONOeII•S USE ONLY y /1 Owner / P i 0D ; i I . I 10 Sworn to and subscribed before me this s' ., 0 v _ /J;(1-; )7i ay o 4 - --- ----- le z •. ._ .rte •- -- ----- - . ry Public • CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, Fl 32233 - Tel. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION'INFORMATION ------_--,__. Permit Number: 17960 Address: 1811 SELVA MARINA DRIVE Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: 0 Square Feet: Subdivision: SELVA MARINA Est. Value: Parcel Number: lmprov. Cost: 7,925.00 OWNER INFORMATION Date Issued: 3/24/1999 Name: JACK E. WHITTEN Total Fees: 55.00 Address: 1811 SELVA MARINA DRIVE Amount Paid: 55.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 3/24/1999 Phone: (904)241-8489 Work Desc: REROOF CONTRACTOR(S) APPLICATION FEES ARLINGTON BEACHES ROOFING RE-ROOF 55.00 spe+ctlo Requiret# NOT APPLICABLE I � NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. $55.80 14 Date: 3/24/99 81 Receipt: 0844452 — - CHECKS 16182 CITY OF AT • NTIC B • . . 88188883221888 PSR-3x44 12 3 0 4 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION L©CATION INFORMATION ----° 2ermit Number . 12304 Address : 1811 SELVA MARINA DRIVE Permit Type:WELL ATLANTIC BEACH , FLORIDA 32233 :lass of Work:NEW LEGAL DESCRIPTION Constr . Type :WOOD FRAME Block: Lot : Twp: Proposed Use: SINGLE FAMILY Section: 0 Subd: Rng: Dwellings : 0 Subdivision: SELVA MARINA Est . Value : 0 . 00 Improv . Cost : 0 .Q0 Total 10 . 00 Am:-„_girt 10 .00 t IRFT nmt 9 �rTap ',IN ER INFORMATION --- APPLICATION FEES Name' 'A"K E. WHITTEN PERMIT in nn Addr :. 11 rELVA MARINA DRIVE rLAIr .'rd PEAC ' t FLORIDA 312-. nhoz " : Q')4 ) 2 r1 1.c3'? Y - -- C 'RAdtOR INFORMATI Name: Ada-e` 6 . B0 ,,,ATLANTI CH Litt Exp : , 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 PAYING TWICE FOR THE BUILDING IMPROVEMENTS" s s :• ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PER PERMTANVIVORJECT TCPc I :g N FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CASH AAIAAAA3??tAAA ATLANTIC BEACH BUILDING DEPARTMENT By: k' �C IrZL� FEE $10.00 APPLICATION FOR WELL PERMIT CTTY OF ATZANTIC BEACH PROPERTY MIER name: J Gf G i et, Day Phone 'V 206 Address c (gS l / 9' ( 'Q G/cIF:K Zip J?� �✓,� APPLICANT, IF OThER THAN OWNER Name: ����=1^ y GJ ���� 5 Day Phone Address: � O /max' 6- 6"- 7 ]L/Q cv 7i/C 4( Zip JOB Address or Location: • / 8(� � e r 2t Legal Description: • Is well to be used for drinking purposes? 4j> • Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. Department Notes: • I agree to canply with regulations stated herein:"7" • tore bate • L`1 , -, 4 fr,',, _ CITY OF ATLANTIC BEACH � \SS1 V_, - F -, _, 800 SEMINOLE ROAD .....,) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 .\ f1>j' INSPECTION EMAIL REQUEST: Building-deptncoab.us • Application Number 07-00000354 Date 3/27/07 Property Address 1811 SELVA MARINA DR Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc new installation/shower pan Owner Contractor WHITTEN, JACK ALDRIDGE & SONS PLUMBING 1811 SELVA MARINA DR. CONTRACTORS, INC. ATLANTIC BEACH FL 32233 1236 FRUIT COVE DR. N. JACKSONVILLE FL 32259 (904) 287-2068 I Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 42 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/23/07 Fee summary Charged Paid Credited Due Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • x416 lr CITY OF ATLANTIC BEACH -_ :,, PLUMBING PERMIT APPLICATION i3v'.Lost Date: 3 -,2.6 _ o'7 Property Address: 18/l Se1 v& 4ijni- a. . tr,41,-E,Ik Owner: liaev,'t}"t 0 Telephone#07-) w -Ay bf,' Contractor: AIX,'4 BAs e?/ b,Mg nyv►krau.brs 1,,,c. Telephone#:0061137 - S V _ Contractor Address: o go.* 600V/ U . I-2. . 22 O Fax#:(7o/),7„S7- 3866 Contractor Signature: LO'`(kt --_ f-- CK r--- 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 ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, . Itit New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets I Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures* Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845• http://www.ci.atlantic-beach.fl.us Revised 9/06 CITY OF ATLANTIC BEACH CROSS CONNECTION CONTROL BACKFLOW PREVENTER INSTALLATION REQUIREMENTS INSTALLATION: General installation instructions. 1. All devices larger than 2 inch must be installed on hard metal pipe. The metal piping must include all components up to and including the first upstream and down stream underground elbow joints. 2. Assemblies 2 inches and smaller may be installed on PVC pipe. Schedule 80 pipe must be used near trafficked areas. Support brackets and guard posts are recommended. 3. Device assemblies are to be installed a minimum of 12 inches above flood grade. Measurement is to be made from the lowest point of the device. The maximum height of a horizontally installed assembly is not to exceed 60 inches. No vaulted installations are allowed. 4. Vertical installation of DCAs is permitted on fire risers only and only if approved by USCFCCCHR. 5. All Devices are to be installed in a manner to facilitate testing. All valves must be fully operational. All test cocks must be easily accessible. 6. Freeze protection is required for Fire Suppression System Backflow Preventers and is recommended for all other Backflow Preventer installations. Such protection may not prevent the unit from operating or being tested. All Backflow Preventers must be inspected by a COJB representative prior to application of freeze protection. 7. Thermal expansion must be addressed in situations were a device application may restrict such expansion. 8. AVBs and PVBs must be installed a minimum of 12 inches above the highest outlet served.No valve may exist downstream from these devices. 9. CALL MALCOLM CLEMONS AT 247 5839 J. ROBERT HUTCHINS 1810 NORTH SHERRY DRIVE ATLANTIC BEACH, FLORIDA 32233 November 5, 1984 William Moss City Manager Atlantic Beach, Florida 32233 Dear Mr. Moss I am writing to complain about an unsightly wood pile on the property of Joe and Christine Evans at 1811 Selva Marina Drive. Since our property joins theirs on the back side, my wife and I have a clear view of the wood pile from our deck, where we like to sit. It is also clearly visible from Selva Marina Drive. The wood appears to be carelessly corded, with scraps of bark, wood chips, cement blocks, plastic sheeting and other refuse littered about. Several months ago I called the Evans home and told Mrs. Evans that we found the wood pile unsightly and asked if they could clean up around it. We were afraid it could become a haven for rodents and vermin and therefore a possible health hazard. Nothing happened. Later I contacted the Selva Marina Associ- ation, whose representative told me a letter would be written to the Evanses asking them to clean it up. Still nothing has happened. I am now appealing to you. If the city. of Atlantic Beach has jurisdiction in a matter such as this, we ask that city officials inspect the wood pile and take appropriate action to clean it up. Thanking you for your consideration, Sincerely / (26"PA<AA" IfUCe Robert Hutchins Phone 246-7528 Dh PARTMENT OF BUILDING p [ CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. Q 5J PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 324.7`) TL 324.75CKTI1 Date 5/3/ 19_u3 2920 IA 5/03/03 Valuation$ 84,708.85 Fee$ 324.75 56b2 .000ACG _2920 IA 5/03/0° This permit not valid until above fee has been paid to City Treasurer,and is 1 000 subject to revocation for violation of applicable provisions of law. This is to certify that JOSEPH & CHRISTINE EVANS 1210 NANTUCKET AVE, A.B. has permission to build SINGLE FAMILY HOME AS PER PLANS SUBMITTED Classification SINGLE FAMILY Zone PUT) ?y Owned by JOS IPTN & f'TIRISTTNE EVANS SELVA MARINA Lot 1 Block S/D UNIT 10B House No. 1811 SELVA MARINA DRIVE 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 �--� 4---■ O Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor Or oowner.i ` !f %k.Y�11� Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER - ` y ___ _ _ -_ _ 1 all &tutf- rila4ou 00-0-e-- l'IL:1)ING: . *11:CH:�11 CAL: ELECTRICAL: BUILDING PERMIT WORKSHEET `/ HEATED SQUARE FOOTAGE: .2 / V-6 @ $ 3 ____ -__ per sq. ft. _ $ 77 J 7I•W GARAGE (PRIVATE/SHED) : w Y9 @ $ /O.aJ - - per cq. ft. _ $ 6 695-D-1f CARPORT: _ ,C� @ $ -- - per gq. ft. = $ PORCHES: — / ` -- @ $ Z.--Or --- per sq. ft. = $ _37_477.0?. DECK: @ $ per sq. ft. = $ PATIO: - - @ $ - -- — per sq. ft. _ $- ___ TOTAL VALUATION: $ .?4, 'O'4' QQ��� �� PERMIT FEES TOTAL VALUATION IgON DATA 1st $ /3�U (y�� $ l 36 so 3-l/ q0$-r 10.01) - $ '10.00-- REMAI\DER VALUATION @ $ 02 0 per thousand or portion thereof TOTAL BUILDING PERMIT FEE , • • , $__ °-`P- PLUS Il THE BUILDING PERMIT FOR ALAN FILING FEE $- /93Z.5--_- 1=�r 4o/..-ABC__ _ TOTAL FEE DUE $__- . as24.-c PLUMBING PERMIT FEE: $ MECHANICAL PERMIT FEE: $ _ ELECTRICAL RESIDENTIAL: $ ELECTRICAL TEMPORARY: $ _ WATER s- - WATER METER SIZE: h FEE: $ g SEWER CONNECTION CHARGE: SQUARE FOOTAGE: - FEE $ /0035��- �J 3V/\chi WATER CONNECTION CHARGE: FIXTURE UNITS 9.3 @ $10.00 PER UNIT: $ (2 ACCOUNT NO. : 0 (--102-D-2-*" APPROVED BY: TOTAL BUILDING/PLAN FILING FEES: $_5.3c$0.115-__ TOTAL WATER METER CHARGE: $ gS OO APPROVED TOTAL WATER CONNECTION CHARGE: $ ,93°.00 CITY OF ATL►NTIC BEACH BUILDING OFFICE TOTAL SEWER CONNECTION CHARGE: $ /03& UO M AY 3 1983 Cgr4 GRAND TOTAL DUE: $ Ho ?LOS I i Pm? OFFICE USE ONLY 1 Date 19 Permit # Fee $ CITY OF ATLANTIC BEACH Valuation $ FLORIDA House # APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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 complied 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 sub-contractors be submitted to this office so that licenses can be verified. Date 141' % 1- ci , 19 8'3 Owner..,([?. F!H k 1-e--11...k I 5:ONE- K.___fi!if t4-.:, Address_..1._ ,j.Q N II(I TL'_4Y1~1 Telephone No: 1 •" '27 Architect ).--h P ik y mi i Li..1...E Address.,951 D L-L;tt tic-- 64-VD Telephone No..i.. :lf._-5.diY;" NT 4- P. ri _ Contractor Builder -H It .%4.44.2 t i 11-N S Address_.i._. _,f_ _..k`�._A d',i_:t__.1."(-X.f j Telephone No. '#.j° -- t 7 Lot No.)'t ` i srir'_ga_I YLje s flock No._.1-Q....e Sub Division p+la t�\//I rn A r2! N A Zone SEt.-)_fI_._M lCt_tofl......P1<_N2 Street E_Hfit" Side Between 5 A.1.J is i 6-A and-....I.(i TM Sts• Valuation $ i 00,.-9-4-C . For what purpose will building be used-._.R.-.a_i_Tr.�NC.E. Type of construction a S l Cell. n lI U ^Di� Dimensions of Building_-11" X Dimensions of Lot__..) 3�._,�.._.1 44 Size of Footings g .__. OC- Size of Piers . - Size of Sills Greatest Sill Span in ft. Type Roof ''S,Pt?ALT....S ill_&4L6 How will Building be Heated? A t R. 1'' R•1Z tt i P%!ir:P.Will Building be on Solid or Filled Ground? F_i.S.-).lD Size of Ceiling Joists llh..4.4A-C4-1 , Distance on Centers , Greatest Span 6 "ti Size of Floor Joists , Distance on Centers '— , Greatest Span PP Size of Rafters , Distance on Centers , Greatest Span " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. V E D Inspections required. OF P R O I'G BEACH 1. When steel is in place and ready to pour footing. }t Mott iG OF.=IeE W W 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. "� fi, in} 10,93 a 4. When framing is completed. ofo 5. When rough plumbing is completed,and ready to cover up. •I'� �.� .e_.' W 6. When septic tank drain field or sewer is laid but before it is covered. ,,., �v� A 7. Electrical inspection by City of Jacksor.ville. CO 8. Final inspection. Note: In case of any rejection, re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 building regulations of the City of Atlantic Beach, CD �� Signature of Builde ---• d4 ch/�f Address / /O /ll�t7f l�1/7rt/l�/GG.it. Signature of Owner \ i Lc C I) �i � tfP Address _ 1)isl E :. :.1: 1 YlE_()T - - . . _ . _ L I:'f' :;; :E - 't L l'l I'E RI:5A 1)!.1J) AL - -- - - -- - - - - ADD) I 3 ON a - NJC--:9 vI C:.E-: 1 A:::II N G Y I PY ADDRESS 1 El: 111:: ER 7N 1: p3 ese print /COUNT OCCUPA1 I ONAL LICENSE NO. ATAy 3 83: ::- -- -- 1----1---- -- -------- --- ------- I E CERT) FJ CAI E NO. ./c. /- ' / ------- - --- — I - !__DER OR CONTRACTOR - _I i_Av A5 URI' -2... BATH TUBS UR]NALS FLOOR DRAINS _ .2-Cl_CSI-:TS S':-!0".:ERS _ I _ WA 1 ER HE_Vi ER S f DISHWASHERS r Di SPC'SALS - _ _ 1 WASHING .'_.A.C.ri 3 NE . 419j51114'.0T.:-iER TOTAI, F i X CO LINT TA LLAI 3 ON OF Pli_.':-.3INC, AND FIXTURES MUST IN ACCC,',-.2.:-%CE I.:1TH THE -1-10ST RECENT EDITION .. _ __ HE SOL:I:-.ERN (-.T;-':DARD PLUMBING CODE. S3 GNATURE OF .?-',ASTi ER PL1_7-'1-:ER FIXTURE UNIT BF::--1-11D0::'N i:Ni Is ARE E.STA '.1_,..!Si- rD AS THE -'1=-1...5.1.77-;:_--_ =NT OF WA7 ER D - D FOR EACH WATi ER FIXT-CRE I.-NI T Al LED AND CON :ECIED TO THE CITY I:ATER SYST'I. THE WATER SUPPLY CHARGE is HERE.BY i3 XED AI '..),51.1ARS PER FIXTURE UNIT CO! INECTED TO THE ci In- 1-AI-ER SY STEM. SEC. 27-3 (c) _i a 2-...ATHROOM GROUT CONSISTING OF EA:Fri TUB (w/OP.OR WO OVER cHC...:;+=R SIAM , ---- WATER CLOSET, 1_;VATORY 1) BATH :E=L_D SHOWER) (2 1,-VITS) ii:.!- -_-.ST1C (2 1 TUB OR F, -.'CWER STALL (6 UNITS) I:I El r..-.E T (3 1.71Z-ITS) IA 1:::DRY TEAT COE1NATII ON SINK & If RAY DENTAL UNI TS) _ rNTAL LAVATORY (3 UNITS) (1 UNIT) 0..._ KI TCH EN S I NT. CONBINAIJON SINK Z. TRAY W/ (2 UNITS) -- DENTAL UNIT OR CUSPI- FOOD MS_ (4 UN I TS) - DOR (1 UNIT) ..5 KITCHEN S1 NK DRINKING FOUNTAIN (1/2 UNIT) WASTE CRINDE' - - -- DISHWASHER (2 UNITS) FLOOR DRAINS (I UNIT) -- LA - _ VATORY (1 UNIT) 1 4VATORY, !A LAVATORY, SURGEONS (2 IINI TS) E UP PE I-.L-tt b T.1 P A"!-'.1.0• --- S!-3 OW RS CROR 1H-1AI) _ SURGEONS SINK (3 UNITS) (3 UNITS) (2 UN]TS) _ POT, SC1.11LERY FLUSHING R11: SINK (8 1.,T1:1TS) S7--RV] CE SINK TRAP - SINK (4 1.-N1 1-. URINAL, PEDESTAL, SIPHON JET STAND (3 UNITS)_..._ 1.4(11:AL STAL) , BLC1-:OUT (E. 12-.N3 TS) URI NAL WALL LIP L.S 0 UT (4 c, (4 uNirs) URINAL TROUGH EACH 2' WASH1 NG '_A Gill:E. RES_ WASH SI Nr. ri. SECT]ON (2 UNITS) (3 1.11:1 TS) OF r.AucETS - W3 EP CLOSETS, TANK- _ WA I =F CLOSETS, VALVE (2 1Ni TS) GERA TED (1. 11 TS) / OPET-ZATi ED (6 UNITS) 1 ----- i_ .... TS Q3 r,./ Q.Itrtifiratr of ®rrxxpaurg lt, CITY OF . a#sbic Beads- Tlasaia �r tartmrn# of ± ntttng Jrtnjrrtinn N. This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard . 4 Building Code certifying that at the time of issuance this structure was in compliance with the .40 14 various ordinances regulating building construction or use. For the following: Use Classification SINGLE FAi LILY Bldg.Permit No. 5852 - ',.\ [ J.(' - Group {TypeConstructiioon BRICK Fire DistrictATLANTIC BEACh __ ,Yr ...." Owner of Building J' (7[ C C. EVANS AN S Address 1210 UCEIT 44 Building Address_ 1811 SELVA MARINCPRINE/SELVA N . ` INA John M Widows ‘4,.; N Building Official �.te: C2iTli)eZ 1983 a jj POST IN A CONSPICUOUS PLACE j. }yVJ 'i4:1 - / - !' ... 'fit I^ A J{{{{{(((( `lL ,j{f \ / .__\ I___ \ j{f`/ T i - 1 - CITY OP 40 4I1 Beach_Ilvr,� ���ro Office of Building 111140e1. • p REQUEST FOR INSPECTION �J }�4 Date — i —O� '362 /6 Time Permit No. 9 Received A.M. P.M. District No. Job Address Owner's Y Locality Name //�`}' /��/�jJ,y 5• BUILDING Contractor CONCRETE ELECTRICAL Framing Footing ❑ PLUMBING MECHANICAL Framing Roofing ❑ Rough Wiring Rough Slab ❑ Temp Pole E Air.Heating & Lintel � Top Out �� Heatin ❑ �' 4/J 9 c "�/ Fire Place m, READY FOR INSPECTION Pre Fab Mon. Tues. Wed. Thurs. A.M. Friday P.M. Inspection Maae —a� -,.•, A.M. P.M. Inspector � / CWY / Final Inspection❑ Certificate of Occupancy Date • . u' r CITY OF ATLANTIC BEACH FLORIDA INSPECTIONS BUILDING PERMIT NO.# 5-8"5-;), ELECTRICAL PERMIT NO.# 36:2(09 - �3;0;.l s 3gSy- i P PLUMBING PERMIT NO.1i 5.- S-1 o8aS) MECHANICAL PERMIT # 5 S c� JOB ADDRESS /M 771( CONTRACTOR 1 V12r2S __ OWNER 4VGI4.'1S CALLED IN INSPECTED REINSPECTED JEA APPROVED REJECTED FOUNDATION - FOOTING 5--3 1 5-3 1 SLAB filw PLUMBING (R) ( 7 -/5 -%3 TOP-OUT S I-2 ' q SEWER /,, /, TEMP-POLE 'Y - 3 '�,�' � — 3(‘' ELECTRICAL (R) �j ////// — ELECTRICAL (F) ` 0 -'o(i // ---- • Q R FRAMING t� ( v ( 1 PLUMBING (F) LINTEL/BEAM COLUMN STEEL SHOOT GRADES LOT CLEARING 1 _ — rl,. OTHER ik 1 4 ' 111�E. 11._ — {V--C - -- -- \i FINAL Ir:SPECTIONSIJLO" --- -- - / _X _ CITY OF 411a41,c /eacIs- Office of Building Official REQUEST FOR INSPECTION ja ( � J Permit No. f District No. Time , L PI` ' Received f■/ II J i t Lora y Job Addr { _� Owner's (f 6._11 S Name Contractor PLUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL PLUMB Air.CH & ❑ Re Roofing ❑ Slab ❑ Rough Wiring ❑ Rough Air.Co Framing ❑ Footing ❑ Temp Pole ❑ Top Out Fee Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION---,, A.M. Wed. Thurs. Friday_----P.M. ----P'M' Mon. Tues. ` A.M. Inspection Made Final Inspection C.Inspector Certificate of Occupancy Date 4-;i V CITY OF II 411antic Beccii-4Iofala Office of Building Official REQUEST FOR INSPECTION ,_ .. I �J Permit No. Da. A.M. I1 District No. Time Received /V� ^'���-- rf � �I f WC• Locality Job Address /_j --- Owner's Contractor Name PLUMBING MECHANICAL CONCRETE i ELECTRICAL ❑ Air.Cond.MECHANICAL ❑ BUILDING Rough Wiring ❑ Rough Air.Co Footing Top Out -' n Framing ❑ Temp Pole ❑ Fire Place Re Roofing ❑ Slab Pre Fab Lintel ❑ S) READY FOR INSPECTION Friday��P.M. Thurs.4100■ Cit;*,,Q9 Mon. '5.-i A.M. .3/- P.M. Inspection Made ' Final Inspection G Inspector Certificate of Occupancy '' Date CITY OF �, 4tlw4tic /3eacit-qla Office of Building Official W REQUEST FOR INSPECTION �/ 3—C'•3 Permit No. e n Mme rA � P.M. District No. Received ! 13I2c'Uc_____ Locality Job Address l Owner's Contractor f U n Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring El Rough El Air.Cond.& ❑ Top Out C Heating Re Roofing CI Slab Slab ❑ Temp Pole Fire Place ❑ Lintel - Pre Fab READY FOR INSPECTION A.M. Tues. Wed. Thurs. Friday P.M. Mon. � A.M. _} P.M. Inspection Made IV26.1i c.tr— - Final Inspection C Inspector Certificate of Occupancy Date CITY OF; 6 l��(� 411 Beach-110144a e �' Office of Building Official REQUEST FOR INSPECTION a wit 3(,‘_ a -56 Cate Permit No. Time Received .. District No. N// \SQ- 7P/Li ac Job Address Locality Owner's Eel. )6.6:0-e--)1.--- Name Contractor BUILDING / CONCRETE / ELECTRICAL PLUMBING MECHANICAL Framing 1� Footing d' Rough Wiring Rough Air.Cond.& Cam= Temp Pole ❑ Top Out Heating L Re Roofing CI Slab Fire Place Lintel p el ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. / Wed. Thurs. Friday P.M. S/ /7 4 � A.M. Inspection Made / ���,�' P.M. Inspector L921410� �`" Final Inspection❑ Certificate of Occupancy Date DEPARTMENT OF BUILDING 5 51 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 83 Date 19 5940 TL 59.00 59.00�CKTL . Valuation$ PLUMBING Fee$ 4240 IA 6/15/83 5351 .OQCACG This permit not valid until above fee has been paid to City Treasurer,and is i. 14 6/15/U subject to revocation for violation of applicable provisions of law. This is to certify that B & G PLUMBING has permission to y ► PLUMB NG AS P IR .' s Classification SINGLE FAMILY Zone PUD Owned by JOSEPH & CHRISTINE F.VANS SELVA MARINA Lot 1 Block SAD UNIT l9B House No. 1811 SELVA MARINA DRIVE. 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 31 AFTER DATE OF ISSUE 11—■ O Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared up and hauled away by either con- tract. " owner. , • „� �”' ` ` Zc/✓ Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER 111111e Ai L.l CAA ON FCR Pl_11.31 NC 117-.f.'11I i DAT E 6- IS— ?3 --- I i L C cT I ON 1212 sEC4 Y1 4P5- -- n Q PLU•21 N5 FI F14 __- 8cP_6- PLuM.11s/6 ___- 1:'.STER PI_U'.?-ER GCSE e- ecA/Ee CI T 1'/G7{J::TY C1:L1PATl O.':AL LICENSE NO._ STATE CERTIFICATE N0. -`---_ - ----- — ----- --— --- 1 EJILD'cR CR CC. TRACTOR__ __ __ _ _ _ _ CV/a/VS TYPE OF BUILDING -- - - -- SINGLc-- __59/11A-)1 - ----- -- ------- 3 S I I:KS —S:I ;:ERS 0 LAVATORY __ 1 WATER I-.J�TERS __ ._°;Trl T35 r I DI S�;�;P.SHERS _URI NLALS - I DI SPOSALS __- _CtOSE T S I WASH! t i.tA-il N FLOC GP! NS OTHHER 1?.LL// TOTAL F I XTU-RE COUNT I USTALLATI ON CF PL Li:31 NG AND Fl XTURES MUST BE IN ACCORDANCE WI TH THE MOST RECENT EDI Tl ON CF THE SOUTHERN STANDARD PLU:•3I NG CODE. I I DEPARTMENT OF BUILDING O p 0 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO.a PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 46!00 T Date 8/9 19 83 46.00CKT 7984 IA 8/09/8' Valuation$ MECHANICAL Fee$ 9Sr'' 46.00 btibU •00CAC 7984 IA 0/09/0 This permit not valid until above fee has been paid to City Treasurer,and is IOM' subject to revocation for violation of applicable provisions of law. This is to certify that OCEAN STATE HEAT & AC has permission to a TN TAT.T. HEAT & AIR Classification SINGLE FAMILY Zone PliD Owned by JOSEPH & CHRISTINE EVANS S1±LVA MARINA Lot 1 Block S/D UNIT l0B House No. 1811 SELVA MARINA DRIVE 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 111-00 o Building material, rubbish and debris -1 from this work must not be placed in public space, and must be cleared nip, and hauled away by either con- _ irract s downer. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER --‘141----- " UILDING• AND ?_CIUIi•G INSI'tr:(...'i IC)1N► DR'ISION i (/)`7'- LA CITY OF LTLAN7 l C i -ACH, FLORIDA D4 `/ APPLICATION I=OP. MECHANICAL PERMIT • IF-.4f'DZTANT-Appl7c.5nt fo cocnp'•afe ell ifoms in st,ci:^ns I_II. M. er.d IV. - I. op $:d. of_ 1 (Z l L cii7!iLLAlflc- L.a--•" - - St. seal-----_ - - S1. 1 OJrt.I I_,N (t:or'•is, - t4, Etst,Wa-tt) (A.d?.rss) (Int..-.4rri..41 Strr..It) r1 r 'r- Lot No- r�ocl 74o -- S">rd:.tion _- - - J1J �� (Slat. ;+ri:;,n of Tot if Los 0.4r. Fug 61-Aftrcit '.s,al daur;p1;on p.r d.-d in !.,guts ii .c...sry) II. TV c CF Fr:010SM F.; -. :h1ICAL WOitK - All cp lic_znfs co:ni=1• Ptr's A - D -. A. U:3 GL f JILD:!•!G L (A 1 E:iti1/ .,_SIE.E':"IAL IS. IK Frr.ate (i•di7:l.al. •.c,-f-ct;cw. n.-+rro'.tt ir:st;tvtix.. .4c.) I. vr.. farr,;y II. ❑ Utii;ty IS. ❑ Yv�`.c (F-Ir1-a:sl, e41. of To.---al rovie.r..caf) 2. ❑ T.-t-, or more !smiy- 12. ❑ Sc.C.cat rorbry. - - Er.!✓ nurr•!-..ar of rOC.-r.t ea•'+•r a..:-:cefionta C. t4.ITUr.r. OF t-'C:.K 3. ❑ Trc-s:er.t. fowl, rr.ot.l. 17. k t:r-. R--?:n9 r;-t g fr-.t• - 13. 0 S"....-Da. r._.- ..r-f l4 Er tar r;rr.;-er of un;ft-____ 04-aft IC. 0 El-':!:r s !ne:"d:+q. 4. ❑ 014er rrt;d.nf;a1 14. Li OTi-ER-SPECIFY --- 11. ❑ .'t;!+ca--c{f of eid:ag c,if-' • - --- - - _ ,o. K t-rr "fr.31r3n (t':-* Tee-a p';-ric.a:Y i-:i.-r .1) NC!:-1..E:IDENTiAL -- 21. i] --'.- y ac'--tn to e-*41inS rr raw. S. ❑ A.r.;yr...mt. notational _.._..---- ---------- 72. ❑ r. .-.v-Spt-cifp - - 6. ❑ Ck:r_1+, cf1,er r►::Ct:sus 7. ❑ 1.J:s!rial - - - S. ❑ Ga!tit, ..n;cs t!et:on -- E iY1 CF IL -3 --- 4. ❑ 1-tcs7.,:tel. :rs1:'_':=r.41 } 3S- ❑ +:.-.. of s-==.e-e_--- 10. ❑ O!i.u. tent. p•-efess:cral D. 11=Ci-1..4!1iCA.L E,^rU.?“:NT TO LE 1 !I' M. ❑ • - ; . ?. •:• tLr-.p"s'a list of co,,po,sr.ts oFt :.::E cf tlas for714) 34. o :.. :-1 c�-tests 23. F:rr.eca: ❑ Specs ❑ Et-:r:wd X C.r,frai ❑ Fix 4.0 r-I r,z.c..ii st i 24. 34 Air Condit oning: ❑ loom r`a Col-Aral if C v -. -- ` 1 41. ❑ - I 2S. K Duct Sys!•m: 14a1•ra1 Nerab RQp rIn'v,1r. %- -_--- IMa1;r�t:ra Ga;•;4r City 1 ` ,e 0 ---- c.f-n. -----___ I TONAGE: -- `{ -- __ --- - -- 1 26. ❑Ftlr:;. tt on i 27. ❑ C:r':ng $c srr Ce-.eeity 7 71. ❑ F:rs 1'.::.4.•rt' Nur4..r of 1.s-rat -- 1 21. ❑ E':rafear ❑ Y.:-.:;ft ❑ Ev••`='-_ -(•..ct1 r) I i 30 ❑ Gel-r r. ;... _-s --fa.-:I.ai) I' --t !t - I ,t 32. 0 lr., tr...r.ft7•:-.-/__ _- (r..-E~ar) - - - --- __- - -- 34. ❑ rz-.^.n 35. ❑ C4.7-r - S;.xify ___-___.--. -- .•f - - 'c- ill. 'L-_?AL INFORMATION :• A. _r t t e':r F,at. B. _ -. S n ., IS GTr.c � :-�_ _..Cst c=!•-G :;.kE 014 I 43. 0 Get --❑ LP ❑ '-af:rid ❑ CC•',a! '. .'.Y _ { iF YES, v7'rL _--_F �F C:t1STi-JCTI^M 11 44. ❑ Oil FEF`.IT I rv. !^.'-.,-:---^:4TlON -- To bs cs:.r' '.d �i ail =ppf;c:-as _ -- - - - I 1, c ''o- _n of .^-it .x 'or d .4..--.t. .:-f as e -ccriF--: ;s f�. c`--S.. s.,...: -.-' .s t<-._- a :-a to ;,.-• r 1a'd .crf it a::.-a :. ■ . L _ 1 --.d Ijr-1 c-�.;.- _c f;- _1 a a, a ;-at 1•e -af a-d ;. ec:z--t'r . .:`4. r. _ 5 of Jr-.:•...".41 c.-d•.:;ccs e- . :•t r _ _i,a a - _ 5 of `_ of litu'2 Or - :_ . C • a _jJ r 'a' I f ,,t '-Al 1 r.; ..s' _ a _ n f . -. r, 51-I-. DEPARTMENT OF BUILDING PERMIT NO. � � " CITY OF ATLANTIC BEACH,FLORIDA 15.4 1 PERMIT TO BUILD 15.JOCK D THIS PERMIT MUST BE POSTED ON JOB 77 IA 8/09 13 =/y 19 83 7987 IA 8/09/'3 Date 106' 1 Valuation$ FI EPL . A.'R Fee$ 1 S nn 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. CHRISTINE K. EVANS This is to certify that has permission to build FIREPLACE AS PER PLANS Classification Zone Owned by CHRISTINE K. EVANS Block_ _____S/D Lot • h TS I►: House No. ' According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS * AND FOOTINGS MUST BE IN- 33 SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS �, AFTER DATE OF ISSUE ,__7r--� z 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 con- * tractor owner. Building 0 'cia1. fii FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL i SEWER WATER P FOR OFFICE USE ONLY Date 19 Permit # Fee$ CITY OF ATLANTIC BEACH Valuation $ FLORIDA House # APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted 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 complied 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 sub-contractors be submitted to this office so that licenses can be verified. — Date , < 19 G'�/7S Address 7// - Telephone No. Owner �r4c,(.4.___i Architect Address. Telephone No. Contractor Builder Address Telephone No Lot No Block No. Sub Division Zone Street Side Between and Sta. Valuation $ ` -- For what purpose will building be used -tceA e--4-Type of construction Dimensions of Building Dimensions of Lot Size of Footings Size of Piers Size of Sills Greatest Sill Span in ft Type Roof How will Building be Heated? Will Building be on Solid or Filled Ground? Size of Ceiling Joists , Distance on Centers , Greatest Span " Size of Floor Joists , Distance on Centers.. .__.. , Greatest Span It Size of Rafters , Distance on Centers , Greatest Span " APPROVED This rectangle is to represent the lot. CITY OF 1,11;.s'OF C BEACH Locate the building or buildings in the BUILDING�:� Or ;Cg right position. Give distance in feet from all lot-lines and existing buildings. ' -' ') 100 REAR LOT LINE Two copies of plans and specifications shall / be submitted with application. e. , . , . • Inspections required. - 1. When steel is in place and ready to pour foot' : W W 2. When steel is in place and ready to pour col z z= and/or lintel. a a 3. When steel is in place and ready to pour beam. Eoo. 4. When framing is completed. F4 5. When rough plumbing is completed,and ready to cover up. 41 W 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. ui in 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT 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 building regulations of the City tla tic Beach. �y/ .1.1.4.-S., I(- fa o'4t'1 Address Signature of Builder , —� �j Signature of Owner ` % t.C,L`'` n - .0 sue` Address c,'',z�' CITY OF (' T ch Aft cud& 'ea - ivuda i 716 OCEAN BOULEVARD a —__ _ _------- P.O.BOX 26 , ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 • November 2 , 1983 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville , FL 32202 Dear Sirs : The following final inspections have been made and are satisfactory : Permit #3669 - 1811 Selva Marina Drive, Atlantic Beach Permit issued to Bivins Electric Company Permit #3985 - 99 Levy Road, Atlantic Beach Permit issued to McClure Electric Company Permit #3970 - 735 Plaza, Atlantic Beach Permit issued to Bill Thompson Electric Company Sincerely , y at:Th . .L/LliciAtty. Q) • John M. Widdows Building Inspection Supervisor JMW/ra CITY OF ATLANTIC BEACH, FLORIDA Approved by I APPLICATION FOR ELECTRICAL PERMIT 9 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Jii 19 is IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE WHICH E A AGREE PART PERFORM HEREOF, ANDDIN WORK IN ACCORDANCE ACCORDANCE WITH THE IELECTRICALAREGULATIONS, CODES AND CITY OF WHICH ARE A PART HE , ATLANTIC BEACH ORDINANCES. i _- _ /, i . . P�S� JOURNEYMAN FIRM: (--7tE//5 37 •S ER E ECTRICIAN SIGNATURE NAME )'n-hp/'). 'Y(1�.0.i ADDRESS: 1 ''r NI km) /)lli}L'2u?) • RFD BOX BLDG.SIZE BETWEEN: RES.0 APT. ( 1 COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEW 0 OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. FEE SERVICE: NEW INCREASE ( 1 REPAIR ( 1 CONDUCTOR SIZE L3 � AMPS a00 COPPER ( 1 ALUM. (Y ) a, SWITCH OR BREAKER X00 AMPS / PH 3 W ,a40 VOLT i ,'( ', RACEWAY ,35 EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE I NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS 31-100 AMPS. . � SWITCHES INCANDESCENT FLUORESCENT&M.V.FIXED 0.100 AMPS I OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT I 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS era /6°0 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER — EACH SIGN _ FORWARDED TOTAL FEES °171,5°° • • CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS ACCOUNT ND. C� ° DATE LOCATION l/ ,/ � "&" �/� J II7r NO. C BLOCK NO. SUBDIVISION _ OWNER Of:rie._., /( -f- TYPE OF BUILDING / • DATE INSPECTED BY r - 1 f CITY OF ATLANTIC BEACH APPLICATION FOR WATER CUT-INS. . . . 6 APPLICATION IS HEREBY MADE FOR WATER CUT-IN AT THE FOLLOWING ADDRESS FOR % 9 ) _UNITS.0 CUT-IN CHARGE OF 3v STREET NO. / q & ( SUBDIVISION-5. at.t..,4 / O -/- ,_LOT ( BLOCK ACCOUNT NUMBER LJ cf a z_U ?__ 1 i MAILING ADDRESS DATE . METER NO. DATE INSTALLED