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117 Seminole Rd (vault) CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 IF-- 15traltrIm7TNFORMATION -----T-----r--°Cl __________IA--- ------* L4IVORMATION Penhit Number: 22500 Address: 117 SEMINOLE ROAD Permit Type: FENCE ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 ,. Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 1,950.00 —OWNER it■isk:_ Date Issued: 8/16/2001 — Name: FRANKLIN & LEESA BOX Total Fees: 10.00 I Address: 117 SEMINOLE ROAD Amount Paid: 10.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/16/2001 Phone: 904 249-7152 Work Desc: ORNAMENTAL WOOD/LATTICE 4" FENCE CONTRACTOR(S) ,,,,,,wiiiiiiiiid, . -' .. :.-' ., _APP--'""VONfEES i ----- SUNSET FENCE & DECK COMPAN 4 4 I % R 1 :,-.: '-''-',-,,.... 1000 c''' 0,---- - .A .., --.... , 4..,.. 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Aipt,,, --,f‘'.•40 '-..,-...'-- - -. 44g- ? /i,,,_ ,, - , •-,71,:.; -... -1, F4' -< :-.1'lw,ilT,---.1.--r,ff,,.( ,-..,1.0 ,:,,,, .....„,,,,,,„,,,,...,,,,,4,....,,,,,,i,....,•,,,,,:,47...„-..,,,,..,::.!.--.: NOTIC:. IltPECT. *NS IviOSTteREQUESTfzD„.AT LEAS 24 HO_ , * -,TO INSPECTION BUILDING MATERIAL, RUBBISH • imam. soolvi. 11..ils'WOFIK=MOSTNOT.BEJ.:: .,'.,ED IN FLPLIC SPACE,AND MUST BE CLEARED - AND HA a' ..,.9..AWAY BY EITHER CONTRACTOR OR 0 , - - - :- 4 .A--____,_.-:;?-:: "FAILURE TO COMPLY - 41 r CONSTRUCTIOMLIEN LA a ' AN Ost)1 IN THE _WITH , . PROPERTY OWNER P NG . , t 14 z BUILDING I _C. r f E,„ , TS" " it ISSUED ACCORDING TO APPR• D PLANS WIr-1‘-,Reg''--rs.pF HI P IWAND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE P P. -Mit:A.1S. F ' , . -- ., OF' 6.— - 5 $10.138 14 AT 8 TIC : .CH BUILDIN DEPT. Date: 8/17/81 81 Receipt: 0082091 cbt,),‘Az40,. RECEIVE!) bi OR1 - AUG 1 4MI FAA a q /7/ CITY OF ATLANTIC BEACH City of Atlantic Beach / 0/ Building and Zoning r APPLICATION FOR FENCE PERMIT off 33- 3 `t C Owners L M jC- LE5,5 Phone ( 471 9 " 7 1 S oA - �{ Address f 1 7 E rYlI ki O LE la Loa La -4- Lot 2 S Block and/or Unit# Subdivision S#GT A i l2 5ec�� X1 0 S Contractor if Different From Owner 5u,us E i Fe_N C(= +- -DQCk co . & 6-E. LoaD E ct -1 5 - (9.0DI Valuation of Fence $ l , / S D+ Corner or Interior Lot Type of Construction b 12-A-1,41 /1/1 Ell(7 1-- W D D p l L-A 777 CE Attach Survey Showing location and height of fence as well as location of street(s). 7I be-e7 APPROVED CITY OF ATLANTIC BEACH PLANNING & ZONING OFFICE AUG 16 2001 Owners Sign- - � , . Contractors Signature SUNSET FENCE & DECK CO. , INC. Specializing in Custom Built Fences & Decks 12341 Clear Lagoon Trail Jacksonville, FL 32246 (904) 220-3050 (904) 242-9006 Mobile (904) 759 99M, STANDARD FENCE AGREEMENT DATE: 15:-69/ DIAGRAM _ CUSTOMER: >j' /V��;�5;7 X G,24,Y0 si ADDRESS: ii ! Afil i n)e_9z.fi 4 r DIRECTIONS: b GI CO ry CONTRACT PRICE TOTAL FEET 4 47 -41'' (, trnS d -h.) ()P/J,6/:-‘- IX�f 1V6 (,),;(7-t—, . I PRICE f f' (/ 5(A/O 4aQit). 1' BALANCE DUE ON COMPLETION Buyer purchases the described fence from Seller upon the following terms. The Seller shall not be responsible for any delays occasioned by reasons of strikes,weather conditions,failure of usual sources of supplies and materials. Buyer will clear and prepare site for fence including removal or protection of tress, pipes,pipe lines,cable lines,phone lines, power lines,or other improvements affect by this construction unless otherwise specified herein,and if any extra labor or material is required ,the same will be paid y the Buyer. Buyer shall be responsible for all surveyed lines around his/her property.Buyer will be - responsible for fence permit if required. Buyer will furnish electricity while fence is under construction. If the Buyer selects a custom made fence product in vinyl or aluminum,and decides to cancel this contract after three business days from the date of execution of this agreement, Buyer agrees to pay any and all restocking charges incurred by the Seller as a result of cancellation. Please call telephone and cable companies to mark the underground wiring prior to fence construction. - Iler will supply materials and labor for the following fence to be installed. je - • - •6,-) 130 , - 6-0-6/, • i i .i,f) BUYER AGREES TO ALL TERMS: BUYER: SELLER: if)1" 40 Ze.,, DATE: � — /__� `° '-' / DATE: ■.. ' -I -• • a _ • lir -..Jab. ik-P '0°.... S.... ''.--""m-------------"4)Nt , X 1 * ; 1 1 ...., . 1 0 , I -1 _ ... 1 A v a , )"-- ----- , . ---- --------a- _ . 1 . z...,.v. --..) 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' t ut ------. ——----4°----. ----------------—RE _____.______ CEIVED . scA , xu,:1-_2Q• AUG 1 6 2001 * Vii. n sae Sp Is n,E- D City of Atlantic Beac lor 639 Building and Zonirk; LOT 647 FOUt,D 1/T P 0.0' C,wN IJM11 KItCE n0 CAP. ` FOUnD ,/7'i P 01.1C106 o ■30' 100.01I'Pt AT 100.36•COMPUTED 0.50. • ar+• a •P 1 0.20' QV/ s 010 al "�aa as o 40.••• O i — — — — Itt LOT 634 # wr 648 1 O i y Tr ._ � • 0 S 17.00 r ::� •• ^j CQiicsETE • 4 ti y J b --�. - • CONgIETE L. w 4 - E [--1. �S` O aOrr 32. 1' .'.t/ r o s n - c • I Mar S1U000 MOUSE 0 .y .• _ No. 117 r i,., Ki c 4 �� _ OUT 695 � n �2.e�' ! L,OT 849 •3 moo' --- --u -~-• 24.21 / MSE lii.:. 1;. \ ,. , - �' CrI uh[ F '1 a /Tt r. t00.00'F'I-AT 100.tTCQMPUTED NO CAPt p y APPROVED CITY OF ATLANTIC BEACH o LOT 636 PLANNING A ZONtsr- r)FFICE • LOr 650 P. 1 6 2001 ti. F►v.,•z ,.P. C is No c,w _ —. -_ — — _.....• • '• F • 43 LMEW W 4VENUk - - -- D!d+f�edklf T E --- 3 - — Ifs. D Mx it'�/E}(TICK["�TC"v---�1Kr1'r70rq•1 Mx'9c•Ot�e-•--" EfMT�f�7E►ihf • roir7 tX COM1E rT Pj s.-f'1 (Eas.nw-,xr0 s,AvEraA Gpf•rA,P rTFD R+�D R4DIK� I .-003.014 W tI WSTRrETron L WE f - �OIIrf n/ OE•.Ip,t RLD•Rt61$1}(0 tax**Jo FTOR f-T•MGENT 1 R-MDwa 1'1 i�000 20r+E -10wT Or CMgMRTUPC ►i I MENU RrS ntAt -x*r t p,6T, A pit T•.nG�E F 7 P O.�,•PROX�uTE PO,MT OF T•+ir,FKr v ORV-OFitCtN.IKCORO9 vQtL.( Il�w R,6..T Ot•�,T tK,sT.-EKt7T f.6 G�o,MT OF REti[ 6E t�/i E •Kt-JI�SO IGIOMM,tiS D4SI-itq'OifO RD-R4►D t�OuIT OF carom oJtivE OAO-nFi,OO moms sa>A •y -• wtE C� . INKS110,c• 00•DEEPO P6-Mr.[ [2 T `� .Otur ,T (p11T rRN PR[ +, W•AIw6 I OWOTPNCE Pi PI.T 000t MR-MAP WOO Sf.ST IND-fOiPO RA•w.ncK •P-oon r PC W.of CM NI• iv,1Ap REi[ SOB J - Vf, :camp!, ie _F.-- ...v•X,mp,ROOM Riv.T∎a. __AiraisS4d?iltf _' _�•--""•`: 6eS� a w+t.SOw Ro,1tEv�AR �crlSOrwh,.� l40R a 3?3,b n ' 1 n n, Pt7 !►Pt ?.T raCKSt>Na.'LE -q fLOR■pA OgI.7-772-900G f�J N G GO V s I[t. r9n•t 77?0702 fAx w-BO1t-�f2-9t>flG FRANKJW, T• a_ LRSn_ K �rSO9nEt^Irtl� tn6uFia4=E ?.±p JU REAY CERTff Y 7'0_ '� . « _}�L1Ya,,s __THAT THIS SuRvE Y' IS A 'TRUE AND COPRE_CT REPRESENTATION OF LANDS DESCRIBED IN ME DOVE CAPTION; T1}AT T11IS SURVEY PROPERLY AND ACCURATEt.Y ,NDICATE.S THE LOCATION OF ALL 1Mr'ROVEMENTS ON .AID PROPERTY; AIAT THIS StIRv£Y WAS PREPARED UNDER Mir DIRECT SUPERVISION. AND THAT TrtIS SURREY MEETS tE LialimUN-TECPINICAI. STAr1DARDS AS SET FOR1H Or THE FLORIDA^BOARD^OF PROFESSIONAL LAND SURVETORS, IN _15135 /%" DEPARTMENTOF BUILDING CITY OF ATLANTIC BEACH ---- - PERMIT INFORMATION ----- ---- --- LOCATION INFORMATION Permit Number : 15135 Address : 117 SEMINOLE ROAD Permit Type:MECHANICAL ATLANTIC BEACH , FLORIDA 3223 Class of Work:ALTERATION LEGAL DESCRIPTION ------- Constr . Type:WOOD FRAME Block : Lot : Twp: Proposed Use: Section: 0 Subd:0 Rnq Dwellings : 1 Subdivision:ATLANTIC BEACH Est . Value : 0 .00 improv. Cost : 0 .00 Total Fee.s. 25 .00 Amount Paid 25 .00 Date P71 -! ' ' 121/1997 Work Desc '2.STEM ----- --- OWNER iNFORMATION --- ----- APPLICATION FEES --- Name : FRANKLIN & LEESA BOX PFPMTT 25 ,00 Ad0.r : 117 SEMINOLE ROAD ATLANTIC BEACH , FLORIDA 37 - hone 904) 249-U52 CONTRACTOR INFORMATION - Name : HUXHAM HEATING & AIR Addr.! 1078 NINTH STREET SOUTH JACKSONVILLE BEACH . FL 32250 Lic : RA0024352 Exp: / ! T7pe NOTES: 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 MECHANICS' 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. OdOWWWW4 ft jp tJt., ATLANTIC BEACH BUILDING DEPARTMENT By: 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, Ill, and IV. LOCATION Street Address: /( 7 &�Yl� ti^Cr� L ec) OF Intersecting Streets: Between And BUILDING 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 attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. /// Nam• of Mechanical ,/ Contractors n /f -S 3 Contractor (Print) L�� `f7 Master ,C'rtQT© '( Name of box Property Owner Signature rut of e Agent ( 5 Architect of or Authorised Agent Architect or Engineer III. GENERAL INFORMATION A' Type of heating fuel: B• IS OTHER CONSTRUCTION BEING DONE ON ❑ Ei.ctric THIS BUILDING OR SITE 7 ❑ Gat—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO RE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recess.d 0 Centel 0 floor ❑ New Building ❑ Air Conditioning: ❑ Room ❑ Control Existing Building rN Duct System: Material Thickness ❑ Replacement of existing system l Maximum capacity //(00 c.f.m. ❑ New installation(No system previously Installed) Refrigeration ❑ Extension or add-on to existing system ❑ Refrigeration C) ❑ Other — Specify ""_t As_ C ❑ Cooling tower: Capacity ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasolin. pumps (number) (Received) ❑ Tanks (number) Remarks ❑ LPG contein.rs (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers Q Oth.r — Specify Permit No LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Unit. Description Model Number Manufacturer (Tons)y Approving HEATING - FURNACES, BOILERS, FIREPLACES Capacity Number Units Description Model Number Manufacturer (BTU) Approving U TANKS Row Many Nominal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency PsR-3844 13229 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ---- LOCATION INFORMATION ---- Permit Number : 13229 Address : 117 SEMINOLE ROAD Permit Type :RE-ROOF ATLANTIC BEACH , FLORIDA 32233 Class of Work:NEW LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block: Lot : Twp: Proposed Use: Section: 0 Subd: 0 Rng: Dwellings : 1 Subdivision:ATLANTIC BEACH Est , Value : 0 . 00 Improv . Cost : 1 , 909 .00 Total Fees : 25 .00 Amount F- 25 .00 D7' w.,rk Des,c 'RE. OWNER INFORMATION - APPLICATION FEES ----- Name: NICOL PPRMIT 25 .00 Ar : 117 SEMINOLE ROAD ATLANTIC BEACH , FLORIDA 32233 Phone: 904241-5591 CONTRACTOR INFORMATION Name: CHRISTIAN ROOFING Addr: 11824 DONATO ROAD JACKSONVILLE . FL 32226 Lic : RC 0053255 Exp : I ! Tvr : 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 MECHANICS' 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 REVOCATIQN FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Dcae. Receipt: CHECKS ATLANTIC BEACH BUILDING DEPARTMENT alliA003221EN Vi0291248r, lia" By: CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : FP^c,L Ask' AC))( Address : ji 1 Se L:,vr,/-e RC/ Phone: 2-y ! ` 7 / S Z Lot # , Block or Unit it Subdivision: Contractor: /paci,'s Address : / 8"Zy 0Un (.4 'f'0 City, State and Zip A3 x PL. 52-2-7- G Phone 7 S 7 - //V 6 State License • 9. C• CU U 5 3 2. c- Describe work to be performed: Q2 /^vl>e Valuation of Proposed Construction: Materials to be used: (2v4,*AI Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information ... Ps,„ 10488 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - LOCATION INFORMATION Permit Number : 10488 Address : 117 SEMINOLE ROAD Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA 3223.3--Class of Work: GARAGE LEGAL DESCRIPTION Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: GARAGE/CARPORT Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $600 . 00 Improv . Cost : $0 . 00 Total Fees : $22 . 50 Amount Paid : $22 . 50 Wnrlr rear' F" Rnnv ON ARA(;F --- OWNER INFORMATION --_ _ _ __ ---- APPLICATION FEES Name: FRANKLIN 8, LEESA BOX PERMIT $22 . 50 WATER IMPACT FEE $0 .00 Addre.�s : 1.1' SEMINOLE ROAD SEWER IMPACT FEE $0 . 00 ATLANTIC BEACH . FLORIDA 32 Phone: : 904) 219--1152 WATER METER/TAP S0 .00 RADON GAS-H .R. S. $0 .00 CONTRACTOR INFORMATION -- RADON CAB 5% $0 .00 Name : PROPERTY OWNER CAPITAL IMPROVE, $0 .00 SEWER TAP $0 .00 Address ' CROSS CONNECTION $0 .00 _: Fnce . T. . SEC H IMPACT FEE $0 .00 CONST . SURCHARGE $0 , 00 S'CEARGE/ATL .BCH. $0.00 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" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000000 $22.50 14 ATLANTIC BEACH BUI ING D PAR MENT Date: 7/20/95 01 Rcpt: 10165 I.C... 401603221000 By: CITY OF ALANTIC BEACH C7:9----IPAg,L;11 ROOFING` PERMIT APPLICATION _ Owner(s) : ` . � lace-p Q - � a � Address : \'\ ti 3 ��33 a4c4-- "1ISO- � E M 1,1y a � ��� �T• Phone Lot # , Block or Unit # Subdivision: Contractor: (`Q-kr- Address : City , State and Zip Phone State License # Describe work to be performed: C�e_,: C_ Zc)c)c: oX- GAS e,GE l__ .p-c- Valuation of Proposed Construction: 0 'P►Z.( Materials to be usedb --1,1r.. ����� Signature of Ow _ _ ' Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information li i.),10ZERTIT: 1 3 2 1995 Building and Zoning OWNER BUILDER PERMIT AFFIDAVIT ~' tatty of Florida ) City cat Atlantic Beach ) BEFORE , the undersigned authority, ---K ----- personally a fru -° who upon /islet being duly sworn, deposes and says, ,_ , and the legal owner of the following property, Subdivision Block Lots -- ---- AKA I am applying for w building permit pursuant Lc) the Owner Builder exemption set forth in Florida Statute, Section 469. 103. Florida law requires that I ,have been provided with the following DISCLOSURE STATEMENT, DISCLOSURE STATEMENT State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as ihr owner of your property, to ,act as your own contractor even though you do not have • license. You must supervise the construction yourself. You may build or improve • one - or two family residence or • farm outbuilding. You may also build or improve • commercial building at • cost of *25,000.00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you sell or Isola more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which in a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge that I have read the above DISCLOSURE STATEMENT and that I comply with all the equirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. • • //e Prop . ty Owner Sworn to and subscribed before me this c.L' day. , -(-1. - --. NOTARY PUBLIC My Commission Expires, PATRICIA AMONETTE iQTAR STATE OF FLORIDA TU_LIC My Comm Exp8/27/96. COMM BEER Cc220017 CM' OF Q4/ :k "2 ear,h,-6) Office of Building Official REQUEST FOR INSPECTION n TT Date ' 0 Permit No. /v V & I Time 1 l!` Received _ ` l�! _ P.M. 1 Job Address Locality Owner's e G,e_A-h a n'i Contractor __� CLe f a-' BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL `ice.:::.... _ Footing G Rough Wiring G. Rough Air Cond. & r Re Roofing Slab El Temp Pole C Top Out Heating Insulation Lintel ❑ Final E Sewer = Fire Place ❑ M Pre Fab ` READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. t /- c_j2 t A.M. Inspection Made _ s.7 — P.M. .— / Final Ins•ection lll inspector — — i ertificate of Occupancy Date / CITY OF 1%1 . -Alamo Be -'2I ofacia C, � , Office of Building Official REQUEST FOR INSPECTION Date )-(_ _ Permit No. . /60 v Air,„. , l i go Time / ` A.M. �� , 1 __ _Received ` r l M. .A ,.. , ,,, A Job Addre s Locality ______42_ ' '� C.�``'� ��////�� 0 Name Owner's am` Con - . �� L BUILDING CONCRETE LECT: " • PLUMBING MECH NICAL Framing — Footing ❑ -o • •• g E Rough E Air Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole =_ Top Out E. Heating Insulation C Lintel ❑ Final E Sewer C Fire Place ❑ Pre Fab READY FOR INSPECTION AM. Mon. Tues. Wed. Friday / a l A.M. Inspection Made _ — P.M. _ Final Inspections l Inspector_ ✓�� � � y� � Certificate of O ups E /f ,'J /e fa ► x & //c.c-�-,) Date _ . s el DATE; 6-" - l � \ . PRE-SERVICE DIVISION , JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE SATISFACTORY: /(6c)=>1 117 _12c.-frttC A1,- , L 1 1 Enclosed are the blue copies of the permits. SINCERELY, Lt` _ Z� BUILDING INSPECTION DIVISION cc:FILE 1 oo 03 CITY OF ATLANTIC BEACH, FLORIDAJEil # Approved by APPLICATION FOR ELECTRICAL PERMIT a�3 TO THE CHIEF ELECTRICAL INSPECTOR: DATE: % at' / 12 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. aLC-i<ef i��v d ELECTRICAL FIRM: STER ELECTRICIAN SIGNATURE / JOURNEYMAN NAME / ADDRESS: // 7 SdK,v')U l e, RFD BOX BLDG.SIZE BETWEEN: RES. ( 1 APT. ( 1 COMM. ( 1 PUBLIC ( 1 INDUS. ( ) NEW ( ) OLD ( ) REW. ( ADDITION ( ) TRAILER ( ) TEMP.( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIR -1_ FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE /rc) U AMPS / PH W 'VOLT 3 RACEWAY FEEDERS NO. SIZE 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. r OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 2 1 cc, der- ?hi C74- TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA ' NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER — EACH SIGN _ f FORWARDED S TOTAL FEES DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA Date ---'// 19 7 3 Permit # 35t. Fee $ 3.00 Application for Permit Valuation $ 3 ,C, for Misc. Alterations House # 1 / 7 • and Repairs DESCRIBE:. /� ,of �.._ „,49 y /J add to or move building, erect awnings (state i o rep ir, alter, a o g, g or signs. etc. ) 0 Building ono Lot . 63 '' Blk No. Sub.Div. Address /V T �5 c1 Valuation $ f 35 Owner' s Name /17,7r BUILDINGS & OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. —Size of Extension Lot size Material of Roof No. of stories now after altered Material of Present Building Material of Extension PLANS MUST BE SUBMITTED HEREWITH SIGNS Size Classification (state whether ground, roof, wall, projecting banner) Material of Construction Illuminated? Type of illumination (State whether lamps or neon) Will sign be over public property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reserve side) IMPORTANT NOTICEo D 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, Southern St-,n, rrd Building ode) Signature of Buildv o Owner ./..e A /)4 -e /'Address ' 4' _ one - — -- tiropotial Page No of Pages SAWYER AIR CONDITIONING, INC. 8486 Devoe Street P. 0. Box 6099 JACKSONVILLE, FLORIDA 32205 (904) 781-4440 PROPOSAL SUBMITTED fTTOO PHONE DATE ■ STREET JOB NAME I t Se-- M 1.13oL1 \C CITY, STATE AND ZIP CODE �` JOB LOCATION IA-1 LA ` ` C. - :)\7 ? JOB PHONE ARCHITECT DATE OF PLANS We hereby submit specifications and estimates for: ( .-v v..../ 1 ,An D 4- ?o- -0 E 0 1 _ F (2 e ' l it' c,,.\ W-i-A 1 E t2-- CE I i4Go VALVE , EA:7 coo t- k --.1\"\ uJ A‘0-1.A0-v-1 ' \) (Z- (4-1-• °1 C t iz C-U t % o°t wuL up(� ....., I sc - s4-\ALL-ou)),) .__.uu c. To u S C rtc v' �a rJT ( 2 E Co 1J I e N S D a. - �v �1 AT c -ra G . 13 , � wErat �� oft i- 1 � v G� ��� t -�- �' r2� S y 134" 3rupp8r hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars($ ) Payment to be made as follows: All material is guaranteed to be as specified. All work to be completed in a workmanlike Authorized i (..J Mr"' manner according to standard practices. Any alteration or deviation from above specifica. Signature Lions involving extra costs will be executed only upon written orders,and will become an g extra charge over and above the estimate.All agreements contingent upon strikes,accidents is proposal may be /1"� or delays beyond our control.Owner to carry fire,tornado and other necessary insurance. withdrawn by us if Note:Th hot accepted may a �/ days. >> aptafltr Our workers are fully covered by Workmen's Compensation Insurance.—of Proposal �he above prices, specifications Signature ■ �/�1 '�'�� and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specifiedayment will be made as outlined above. �_ /4 Signature \Date of Acceptance: DEPARTMENT OF BUILDING 6 3 0 9 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 12-14 Valuation$ 1'1ECBANICAL Fee$ 30.00 This permit not valid until above fee has been paid to City Treasurer,and is yy subject to revocation for violation of applicable provisions of law. .T+•00- IL SAYER AIR CONDITIONING IN I 7 This is to certify that �d 1� err-���4 8486 DEVOE STREET JACKSONVILLE, FLQ L205 •OGCACG ,-' n n has permission to l INSTALL HEAT PUMP SYSTEM XS Pk witir Classification RESIDENTIAL Zone Owned by W.G. POWELL Lot Block S/D House No. 117 SEMINOLE ROAD 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∎ —i 0 Building material, rubbish and debris from this work must not be placed in public space, and must be cleared up a s . auled away by either con- tra or wner. K4 ? s / Building Official. FOR OFFICE NUMBER DATE // CONTRACTOR USE ONLY PLUMBING ELECTRICAL — SEWER WATER - 1%.. la , , _ ., . _ -r4.-3, " ,titer tc�Ps et mss .. . .moo NJ � g , r T c y iiii-- - __,...,--.4te-4*- _ - . e t - t3 _ at �e x tr e t - ,: ., fi ��--� a �-�b - . � e � � � b , ; y - t' .` ~ *%. f.,^ ,9,, - ,-,.. `'-;.;',4.".."�-- .5� '�'r> i. eft""` u,* _ 1, 1''t -+ . --.- y 1 r 3fr rs"' 4 � z. _ ",.."!7`C..‘41'-'j- 4 .... ._. elk c_ ;t 'S , , _ , .� -.1.. . ':.n-..4-Vic::-_,�._-,:•- �s...:- r..'�'$ • Y --^ £i"X-ir •,.. . di 1 11 ' g .1.__ t T -- :-♦ .. fJ ,`, + ..y,� I i t tP" t 3w. "^ , - 4 1 _. 1T :A-. tz . r ,: .ate x r ri... '-1.....t.'-.. .1., _,.,4,,,,. . . .... , ,_ - - -. ; - � �, . Put together better } �4 :the Friednch way 4, • .� Friedrich j=. Geo.Therrflal „ .• Heat Pump �. . �: �. , .rn yt-�..I�► -,,, _ . 4�t. ' performance #. .i specifications s r� ....„:„... pc..._ - MODEL E.W.T. 60° 650 NO MODE HEAT COOL HEAT 1 700 750 COOL HEAT COOL HEAT 1 COOL GPM BTUH i WATTS BTUH, WATTS BTUH 1 WATTS! BTUH WATTS BTUH 1 WATTS BTUH WATTS BTUH WATTS I BTUH WATTS 803/804 015 0 2 15.8 1440 15.1 1240 16.9 1465.1 15.0 1285 17.8 1495 14.8 1335 18.7 1520 14.6 1390 3 16.7 1465 15.2 1170 17.6 1495 115.1 1220 18.6 1520 15.0 1275 19.4 1540 14.9 1325 4 17.0 1475 115.2 1140 18 1 i 1500 115.1 1185 19.0 1530 15.1 1245 19.7 1550 15.0 1290 t EER range 11.6- 13.3 COP range 3.4 -3 7 - 803'804 3 18.8 1615 19.7 1535 20 6 1670 19.5 1590 22.1 1710 19 4 1650 23.2 1750 19.2 1715 4 19.7 1640 19.8 1490 21.3 1690 i 19.6 1550 22.7 1730 19.5 1605 23.8 1770 19.3 1665 019 5 20.3 1655 19.8 1 1470 21.8 1705 1 19.7 1520 23.2 1745 19 6 1580 24.2 1780 19.4 1635 EER range 11.8-13.5 COP range 3.6-3.98 • 4 27.81 2510 27`4 2000 30.6 25601 26.6 20501 32.81 2605 25.8 2120 35.01 2650 1 24.81 2220 803/804 5 29.0 1 2530 1 27.7 1 1920 31.5 2580 ' 27.1 2000 33.8 ; 2625 26.3 2090 35.5 1 2670 25.3 1 2180 024 6 30.7 25701 28.4 1820 33.2 2615 27.8 1910 35.3 . 26651 27.2 8 2040 1980 36.5 0 , 21 26 2570 8 g 30.7 .41 2070 i EE. range 12.7 - 15.6 COP range 32 - 3.9 4 31.8 3110 32.8 2565 34.4 3140 1 31.9 2680 37.4 1 3190 1 31.0 2780 39.7 3235 30.0 i 2900 03/804 6 34.3 3140 33.9 2440 37.01 3190 33.1 2540 39.6 3240 32.2 2640 41.7 3300 32.01 2680 8 35.4 1 3165 34.4 2380 38.2 3215 1 33.7 2470 40.7 , 3285 32.9 1 2520 43.3 11 3335 32.01 2620 030 10 35.8 1 3175 i 34 7 2320 39 0 3225 1 34.01 2410 I I EER range 12.3- 15.0 COP range 3.3- 3.8 5 38.01 3350 33.9 3010 41.5 34401 33.7 3080 43-51 3520 33.41 3150 45.41 3600 33.3 3220 803/804 7 38.61 3400 35 3 2985 42.1 34701 35.0. 3070 44.0 3545 34.7 , 3125 45 9 1 3620 35.3 3170 036 9 39.21 3450 36.1 2950 42.6 3530 i 35.9 3010 44.5! 35900 35.6 1 3090 46 3 1 3650 35.7 3170 03 11 39.61 3480 36.9 ; 2930 43.01 3560 L36.7 2995 { 1 I , EER range 11.4 - 12.6 COP range 3.3 -3 7 803/804 7 43.4 1 0 3840 1 44.2 3380 49.1 3960 1 44.1 3580 51.3 1 4080 43.8` 3705 53.5 1 4200 1 43.4 3830 9 45. 3960 44.6 3350 50.9 4080 44.4 3550 53.2 1 4205 t 44.2 3680 55.6 4330 143 9 3810 042 11 45.71 4020 44.8 3320 51.8 4150 44.6 3530 54.1 1 4275 44.4 360 56.4 1 4400 1 44.2 k 3790 13 46.1 1 4050 44.9 3310 52.3, 4180 44.8 3500 54.6 4305 , 44.7 3630 57.01 4430 44.6 3760 1 EER range 11.9- 13.6 COP range 3.3- 3 8 6 48.8 � 4240 50.3 4470 51.91 4350 49.9 4580 54.9 4475 1 48.91 4690 57.9 4600 i 48.0 1 4800 803/804 8 50.4 1 4300 51.1 4330 53.51 4430 50.7 4460 56 7 ; 4550 1 49.61 4580 59.91 4670 48.8 1 4700 048 10 52.0 4360 51.9 4180 55.21 4500 51.5 4330 58.1 it 4600! 50.5 1 4465 61.01 4700 49.5 466030 �+ 14 55.1 , 4500 53.4 1 3890 58.6 4650 53.0 4080 60.4 47101 51.61 4256 62.21 4770 50.7 EER range 11.4 - 13.7 COP range 3.3- 3 7 8 54.81 4700 65.1 5620 57.91 48901 63.8 5750 61.3 1 50601 63.1 5807 64.0 1 5320 62.5 1 6015 801'804 10 56.0 4780 , 65 6 5460 59.31 4980 64.5 5600 61 8! 5150 63.41 060 14 58 2 4860 0 1 67.1 4980 601.91 5080 , 66.3, 5320 64.9{I 5280 66.41 5495 68.0 5480 1 63.8 1 5670 (BTUH expressed as 1,000)of each unit shown on the left EER range 11.2 13.5 COP range 3.4 3.6 RATING indicated N according oa water flow Brates(GPM)and respective water temperatures.70° return air heating $0/670 return air cooling 0-.4. `. Friedrz• ch Friedrich Air Conditioning 8 Refrigeration Co. t•- , PO. Box 1540.4200 North Pan Am Expressway L' San Antonio.Texas 78295• (512)225-2000 A Marley Company Continuing engineering research resWts in steady improvements Printed in U S.A. FCM/CB 8/80 Therefore these specifications are subject to change without notice BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR MECHANICAL PERMIT IMPORTANT-Agp(ioant to complete ell items in :actions I, II, III, end IV. • On_ Side of between_ St. awl St. LOCATION (North. South. East.West) (Address) (Intersecting Streets) Of BUILDING Lot No Block No Sub division - (State portion of lot if less than full b*-Atted logel description per deed in duplicate if necessary) II. TYPE OF PROPOSED MECHANICAL WORK - All applicants cornpls!te Parts A - D A. USE OF BUILDING B. OWHEASHIP RESIDENTIAL IS. ❑ Private (individual, corporation, nwiprofit institution, etc.) I. ❑ On. family I1. ❑ Utility 16. ❑ Public (Federal. State or local government) 2. ❑ Two or more family- 12. ❑ School. Ilsorsry. Enter number of rooms other educational C. NATURE OF WORK 3. ❑ Transient, hotel, motel, 17. ❑ New Building rooming house- 13. ❑ Store, rmarcantile Enter number of unit. Other IS. ❑ Existing Building 4. ❑ Other residential 14. ❑ OTHER-SPECIFY - I . ❑ Replecemsent of existing system 20. ❑ New installation (Noeystere pteviorily indefled) NON-RESIDENTIAL 21. ❑ Estee:ion or add-on to existing system. S. ❑ Amusement, recreational 22. ❑ Other-Specify 6. ❑ Church, other religious 7. ❑ Industrial 8. ❑ Garage. service station E. TYPE OF PUILDING 9. ❑ Hospital, institutional 36. ❑ Number of stories 10. ❑ Office. bank, professional 37. ❑ Wood frame D. MECHANICAL EQUIPMENT TO BE INSTALLED 38. ❑ Masonry and wood (Provide complete list of components on beck of this form) 39. ❑ Reinforced concrete 23. ❑ Furnace: ❑ Spec. ❑ Recessed ❑ Central ❑ Floor 40. 0 Structural steel 24. ❑ Air Conditioning: ❑ Room ❑ Central 41. ❑ Other 25. ❑ Duct System: Material Thickness_ Maximum capacity c.f.m. • 26. ❑ Refrigeration THIS SPACE FOR OFFICE USE ONLY 27. ❑ Cooling tower: Capacity q•p.m• (Aaroeived) 28. ❑ Fire sprinklers: Number of heads 29. ❑ Elevator ❑ M•nlift ❑ Escalator (number) 30. ❑ Gasoline pumps (number) 31. ❑ Tanks (number) Remarks 32. ❑ LPG containers- (number) 33. ❑ Unfired pressure vessel Permit Approved by Date 34. ❑ Boilers Permit Fee_ 35. ❑ Other - Specify III. GENERAL INFORMATION A. B. Typo of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON 42. ❑ Electric THIS BUILDING OR SITE? 43. ❑ Gas-❑ LP ❑ Natural ❑ Central Utility IF YES. GIVE NUMBER OF CONSTRUCTION M. ❑ Oil PERMIT - r 45. ❑ Other - Specify IV. IDENTIFICATION - To be completed by all applicants In consideration of permit given for doing the work as described in Ma above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances end standards of g'_od practice listed therein. Nam. of Mechanical S;gnature of Contractor (Print) Contractor Agent Nam. of Address Owner (Print) Signature of Owner Signature Signature of Of A:tnoris•d Agent Architect or Engineer t-- CONTRACTORS LICENSE NUMBER t. FOR OFFICE USE ONLY 1 Date 17tt:!_g__196__ 9 49 6 Permit #45/4a__-Fee $ TOWN OF ATLANTIC BEACH 0-0-0 A ° Valuation $ FLORIDA House # 1/7.014-*-17-K APPLICATION FOR BUILDING PERMIT 5.4444.4-.;.-0-4. /a' 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town 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 Town 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 L7 " /4 , 19-1�-- / / ` I Telephone No. Owner___!C�`-C�'f-L°--/7----�r�� -----82_44,!.e.il Address Architect Address Telephone No. Contractor Builder /? -4° Address Telephone No ,� l.�G#i n '. Zone Lot No�32"f 3J��1�-�ny-_tV���LBlock No. Sub Division_ ff 7--_ -f T-1�/1} Street Side Between and 'Sts. Valuation $_ QQQ°..---For what purpose}�ill building be used Type of construction y /�ett°7 c•a/4 6 rot,<4. Size of Footings J1- . - -_./ 1_ amen s of Lots T VOX '1!. Size/� Greatest Sill Span in ft. Type Roof___�l41.n lc°• Dimensions of �'-X- Size of Piers Size of Sills p How will Building be Heated? Will Building be on Solid or Filled Ground? / " Greatest Span •0 Size of Ceiling Joists �.x--- (� , Distance on Centers /---� Size of Floor Joists -i/ $_X___ , Distance on Centers /6 // , Greatest Span " Size of Rafters --- , Distance on Centers /6 , Greatest Span PP 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. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. z z a a 3. When steel is in place and ready to pour beam. H Ho 4. When framing is completed. 0 •a 04 5. When rough plumbing is completed,and ready to cover up. W W 6. When septic tank drain field is laid but before it is covered. A A a q 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. ilbr 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 Town of Atlantic Beach. Signature of Builder___ _ • - Address Signature of 0 � l "" I�J Address 1 Instructions to Builders and Contractors building or working in the Town of Atlantic Beach 1. No work on any building shall be started without obtaining the necessary permit . 2. No changes in the approved plan shall be made without the approval of the building inspector. Inspections: The following speciohall be called for: A. Foundation, B. Plumbing, rough. C. Lintle, when steel is in place . D. Framing, before any wall covering is placed. E. Electrical, City of Jacksonville. F. Septic tank or sewer, before covering. G. Plumbing, final. H. Final, when all work is complete. Any concrete poured or work covered without the necessary inspection shall be removed or uncovered at the request of the Building Inspector. 4+. After the final inspection and upon submission of a drawing showing the size and location of completed building on lot to the Building Inspector a Certificate of Occupancy shall be issued. No building shall be occupied before said certificate is issued. 5. Plumbing permit does not cover sewer connection permit . 6. All contractors and sub-contractors shall have occupational license issued by Town of Atlantic Beach before doing any work within the Town Limits. Contractors shall furnish certificate of liability insurance when obtaining license . 7. The penalty for violation of any provision of the Building Code OP of Ordinance #186, shall upon conviction thereof be punished by fine not exceeding $500.00 or imprisonment for not exceeding 90 days, or by both such fine and imprisonment . 8. Copies of The Southern Standard Building Code and Ordinance #186 are available at the Town Hall for reference. g. When a sidewalk existcclassfront condition building before final said inspectionsidewalk shall be placed in first is requested. I have read and been furnished a copy of the above instructions in connection with Building Permit No. Date sign`-R,- cxb + ~ 1 (0 W CD m A. N • LH 1 I I ---1 STOR9GE , II=;./..___2____1 i 1 .K/7C NEB 1 1 P 1 t 1 I -/ A - • :. co � N W O c CCD• W A,3 tW 1 H. O O 0' • • co fy N • N fd',iMF _ -•I - h ►- 1 1 o acg 1.\ �? I I ila, s' ' •-P o o fa 2 1559(` I ion P ° I 9, z ie o l lc. o a o"' 1 � � 9 1 4107 DEPARTMENT OF BUILDING • CITY OF ATLANTIC BEACH PERMIT INFORMATION ---- _. LOCATION INFORMATION --- Permit Number: 4107 Address: 117 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 3223.. Class of Work: ALTERATION LEGAL DESCRIPTION Constr. Type: WOOD FRAME ! f,t : Block: Section: Proposed Use: SINGLE FAMILY Township: RHO: 0 Dwellings: 1 Code: 0 Subdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $37. 00 Amount Paid: $37. 00 Date Paid : 7/19/91 ACE EXISTING SYSTEM _-_- OWNER INFORMATION -• - --- APPLICATION FEES ----- Name : WILLIAM NICOLE PERMIT $37. 00 Address: 117 SEMINOLE ROAD WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 3; tls SEWER IMPACT FEE $0. 00 Phone: ( ) - WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 CONTRACTOR INFORMATION - - RADON GAS - 57. $0. 00 Name: DUVAL HEATING & AIR, INC. WATER TAP $0. 00 Address : P. O. BOX 50932 SEWER TAP $0. 00 JACKSONVILLE BEACH, FL. 3 ;0 HYDRAULIC SHARE $0. 00 License: `CAC033b78 Type: 3 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE $0. 00 OTHER $0. 00 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 MECHANICS' LIEN IMPROVEMENTS." IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: ` BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ///(;) 7 ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, H, Ill, and IV. I. Street Address: I I 1 �evo 1 UOkC � - LOCATION OF Intersecting Streets: Between And BUILDING Sub-division 041/4.0'4 .(: Ye ■ ■ • H. 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 attached 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 i Contractors Contractor (Print) Q�U0.1 A& /C` Master �C , Name of (� \ �y iProperty Owners s,, ∎alit" 1 V‘C.17\c �. �� /" Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A. Ty of heating fuel: B. 7,) CJ IS OTHER CONSTRUCTION BEING DONE ON k) ■ Si Bectric THIS BUILDING OR SITE? 0 ❑ Gm—❑ LP ❑ Natural 1C.ntrel Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) +L Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed IS( Central 0 Floor ❑ New Building ❑ Air Conditioning: ❑ Room Q/Central SI Existing Building ❑ Duct System: Material Thickness II Replacement of existing system . ❑ New installation(No system previously installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g.p.m. ' ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Received) ❑ Tanks (number) Remarks ❑ LPG containert (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Number Units Description Model Number Manufacturer (Ton Approving 0/QE MOP1011.0-c0000 AgAA Z 11 /2 vv I4lee1J Ptill Ek kyr C HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving Number Units Description Model Number Manufacturer (BTU) Agency TANKS How Many Nominal Capacity Type Liquid Name o[ Serial Approving and Dimensions Contained Manufacturer No. Agency - 7 CL