183 SEminole Rd (vault) ' �� '' CITY OF ATLANTIC BEACH
;j 800 SEMINOLE ROAD
1 i r: ATLANTIC BEACH,FL 32233
J F -�
x �° INSPECTION PHONE LINE 247-5826
0-0131:
Application Number 08-00000641 Date 5/09/08
Property Address 183 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 2310
Application desc
reroof
Owner Contractor
BOWEN BURGER ROOFING CO.
183 SEMINOLE ROAD 134-1 ERNEST STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204
(904) 355-2756
Permit ROOF PERMIT
Additional desc . . 00
Permit Fee . . . 41 . 50 Plan Check Fee .
Issue Date . . . Valuation . . . . 2310
Expiration Date . 11/05/08
Fee summary Charged Paid Credited Due
Permit Fee Total 41 . 50 41 . 50 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 41 . 50 41 . 50 . 00 . 00
a
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
-f J..,,7;
i." e, CITY OF ATLANTIC BEACH
i- ROOFING PERMIT APPLICATION
Date: May 07, 2008
Job Address:183 Seminole Road
Owner of Property: Brenda Bowen
Address: 183 Seminole Road,Atlantic Beach, FL 32233 Telephone:249-0114
Contractor:
Burger Roofing Co. State License Number: CCC032514
Contractor's Address: 134-1 Ernest Street, Jacksonville,FL 32204
Telephone: 355-2756 Fax: 358-0733
Scope of Work: Remove and replace shingle roof only.
Deck Slope: 4:12 Greater than 2:12 X Less then 2:12
Valuation of work: $2,310.00
Product Name(Example: Timberline): Timberline
Manufacturer(Example: GAF): GAF
ASTM Designation(s):
Required Inspections: eat ' and Fin
Signature of Owner: Date: .1 AA g
Signature of Contractor: Date: Wow 6
AS TO OWNER:
Sworn to and subscribed before me this L day o Tr 4 ,2
ithii
State of Florida,County of Duval //,!e
Notary's Signat• ITT M'I
VP
:4i� .MEREDITH
Personall own * ,,.o�Y"_+y * MY COMMISSION#DD 406969
lilp us EXPIRES:July 14,2009
Produced identification ��, oFFl0'•�' Bonded Thru Budget Notary Services
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this (_ day o t/'►i!1 ,2
State of Florida,County of Duval `._f�.
Notary's Si1:rs ?',Afto -
* ', ,, * MY COIMII881014-19-
0N#DD 4069
iai Persona "'+�own 4 EXPIRES:Jury 14,2009
El Produced identification ''4,r,,�? Bolded T uBudpotNote;Semias
Type of identification produced
800 Seminole Road,Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 htta://www.ci.atiantic-beach.fl.us
Page 1 Revised 2/21/03
V CITY OF'
/
I . 4I1a /�-411 Office of Building Official
REQUEST FOR INSPECTION ��� p �
�� Permit No.
Date
Time
A.M. District No.
Received p.m,
12 ,. //L i AA" Locality
Job Address ,�/f� '
Owner's AieS • or_L.— ''—` s
Name
CONCRETE PLUMBING
BUILDING Rough ❑ =' `
Footing - -"' 'wrong g Heating
Framing ❑ Temp Pole _ Top Out
Re Roofing ❑ Slab — Fire Place 17]Lintel Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. - Wed.
Thurs. Friday_---
=� A.
P.M.
Inspection Maae ...„-------/
■
Finallnspection)Q
Inspector
Certificate of Occupancy
aW,1-1--4A-0 Al d /4" Date
~
°
DATE: 9
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32'2o2
THE FOLLOWING FINAL INSPECTlONk :.; ) >/�v�� �`, i.. xa�'.� xQ(' m.�
5*TIFACTOuv :
•
5- | _ y' �' ��_ �r��»/� / -�'^21
N
C.(z. -(4
BUILDING INSPECTION DIVISION
co ; FlLE
CITY OF ATLANTIC BEACH, FLORIDA 5958
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: r 19 92_
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 ELECTRICIAN SIGNATURE JOURNEYMAN
NAME � OP..) ADDRESS: I S f 3 5e 4 1 4 �� RFD BOX
BLDG.SIZE I)_0„ Sy BETWEEN:
RES. ( ) APT.( 1 COMM. ( 1 PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD (r) REW. ( .)
ADDITION ( ) TRAILER ( ) TEMP. ( 1 SIGNS ( ) SQ. FT.
SERVICE: NEW( ) INCREASE ( REPAIR ( ) FEE
CONDUCTOR SIZE AMPS)cry COPPER ( ) ALUM. (,r ) / 5
SWITCH OR BREAKER AMPS / PH 3 w 42,/.4, VOLT J RACEWAY
( 5
EXIST.SERV.SIZE /UO AMPS PH 3 W -VOLT _ / 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. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
/G
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
10011 , 5 roe C A, `v/ /U kG i 1/(-071---
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 �CI. 0 6
- - 5953
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--- Fr.k►11T .L 3ii• .JftMr� 1 .._:A -
LOCATION INFORMATION -
Permit Number: 5953 Address: 183 SEMINOLE ROAD
e: MECHANICAL ATLANTIC BEACH, FLORIDA 3223'`
Permit Typ - LEGAL DESCRIPTION
Class of Work : ALTERATION Lo Block: Section :
Constr. Type: WOOD FRAME Township: RNG: 0
proposed Use: SINGLE FAMILY Subdivision: ATLANTIC BEACH
Dwellings: 1 Code: 0
Estimated Value: $0. 00
Improv. Cost: $0. 00
Total Fees : $37. 00
Amount Paid: $37. 00
Date Paid : 10/ 6/92
Work [IPSO. : REPLACE CENTRAL HEAT ANL AIR
.,MATIO -- - ----��
---- APPLICATION FEES ---.. .
"�.,;'� �- � ` PERMIT $37. 00
E18Y d JONES WATER IMPACT FEE $0. 00
,��,,"t 3Ei�IN�1LE ROAD :� SEWER IMPACT FEE $0. 00
ATLANT IC BEACH, FLORI I' $
'hri ! ;0x) 72 5 1200 WATER METE'
RADON GAS-H. R. S. $t !-F•..,
RADON GAS - 5% $0. 00
----- - CONTRACTOR INFORMATION WATER TAP 50. 00
Name: S & 3 REFRIGERATI" SEWER TAP 50. 00
Address: 4'. C3. BOX 8555 HYDRAULIC SHARE $0. 00
JACKSONVILLE, FL 32211 RE-INSPECT FEE $0. 00
License: [:AG'T?`3b1�# Type: 0 $0. 00
SEC. H IMPACT FEE SCE. 00
OTHER
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 RK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW IMPROVEMENTS."CAN RESULT N
THE PROPERTY OWNER PAYING TWICE FOR BUILDING VALIDATION DATE: 10/06/92
:J •,
ISSUED ACCORDING
TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANDrKJECT TO REVT. OION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE $.OQ __•
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.
CF-3 �fMI �oLc ` 0�
LOCATION Street Address: --.--- — --------OF Intsrt•cling Streets: est.asn And — ----
BUILDING
Subdivision -- — — — — —
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in she abcve statement we hereby agree to se•rc—n sa.d we s a::.•oe-:e
.th the attached plans and specifications which are part hereof and in accordance win tie C•ty of Jackson,,.I'e ord,na^ces a s'a^za•_s
of good practice listed therein.
Hawse of r (clsanical � /��Q w//O� C Contractors GO s3 /1/
Contractor Print / ytl Mader b •
News of / /
Property Owner 4/LsPC (Z� C.
w Siga•tur• of Owner ////// signature of
se Authorized Agent/ Architect or Engineer
{{{ )
III. GENERAL 1 RAAA ON
A. Type- 4 heating fuel: B. / c?
IS OTHER CONSTRUCTION BEING DONE ON
kf Electric THIS BUILDING OR SITE 1 Al
❑ Gea—❑ V ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oa PERMIT
,sv OtMr — Specify /7164/ /tit M F r
IV. W c*4ANIGAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) X Residential or O Commercial
W) Heat ❑ Space ❑ Recessed Central 0 Floor Li New New Building
tt Air Condrtioning: ❑ Room Central air Existing Building
❑ Dad System: Tt►ickno_ , 7 Replacement of existing system
in capacity of m ❑ New installation(No system previously installed)
Ma
❑ Extension or add on to existing system
❑ Refrigeration
• Other — Specify -
❑ Cooling tower: Capacity 9.p"•
❑ Fin sprinklers: Number of head — — — --
❑ Elevator ❑ Manlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasc&rne pumps (number) (Received)
❑ Tanks (number) Remarks
❑ LPG conteinens. (number)
❑ Unfired pressure vows
Permit Approved by Data
❑ bakers
❑
Other — Specify Permit Fie
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT �paci
Number Units Deacriptlon Model Number Manufacturer C(114=)Y Argrvoneyvtng c
Cc . e e30 ✓ ; —sr 's . 2
•
•
HEATING s FURNACES, BOILERS, FIREPLACES
Capacity Approving
Number Units Description Model Number Manufacturer (BTU) A,cy (
i i + (o-SR-.. / 7ySTA2 ( 30 o0
TANKS -
Sow Many Martha Capacity Type Uquid Name oIt Serial Approving
and Dimensions Contained Manufacturer No. Agency
_..4
— — --- ---- --------- ----- -------
FOR OFFICE USE 01L,�,
Date 9 + .*74/11 19 ..
Permit ? Fee$-- 1
CITY OF ATLANTIC BEACH Valuation $ ,/ e) co
FLORIDA House #
g3
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 Sept. 21 , 19 60
Owner HARRY E. QUEEN Address 962 STJOHNS BLUFF phone No. RA5 4844
Architect Address Telephone No
Contractor Builder Address Telephone No.
Lot No 628 Block No._. Sub Division SALT AIR SEC 1 Zone
/ l,s�r ¢ 1,h'•'`SBetween and Sts.
Valuation $ 5000.00 For what purpose will building be used res• Type of construction CB
Dimensions of Building 21-t 8" x48 ' •Dimensions of Lot 100x50 Size of Footings 8x20"
Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof 210 thick butt
space heater shin shingles
ace
How will Building be Heated? p Will Building be on Solid or Filled Ground?....50.1..ia_
Size of Ceiling Joists 2x6 , Distance on Centers 16" , Greatest Span 121
Size of Floor Joists ,Distance on Centers , Greatest Span "
Size of Rafters 2x6 , Distance on Centers 16"n , Greatest Span 12 t "
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.
2. When steel is in place and ready to pour columns and/or lintel.
3
1.. When steel is in place and ready to pour beam. ' a
4. When framing is completed. a
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered. q A
7. Electrical inspection by City of Jacksonville. lii2 cc
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 e attached pl s and specifications, which are a part hereof, and in accordance with the building
regulations of the City I • tlantic Be. ,..
Signature of Builder._. ' . ✓._ Address
Signature of Owner RR;fE. Q . EN Address 962 STJOHNS BLUFF RD
JACKSONVILLE, FLA.