211 Seminole Rd (vault) '�� ,,1--,',;
, CITY OF ATLANTIC BEACH
%. `A,, 800 SEMINOLE ROAD
J
"r:);.,-7, _ . ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number 09-00001835 Date 11/02/09
Property Address 211 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
11 FIXTURES
Owner Contractor
FAIRBAIRN, CRAIG S . CHRISTY FIRST COAST PLUMBING
211 SEMINOLE ROAD P.O. BOX 50446
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-4419
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . 132 . 00 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 0
Expiration Date . 5/01/10
Fee summary Charged Paid Credited Due
Permit Fee Total 132 . 00 132 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 132 . 00 132 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Nov 02 09 08:23a Brian D. Christy 9042494660 p.1
P�n
CITY OF ATLANTIC BEACH i PLUMBING PERMIT APPLICATION
Date: 11 ° '1
•
Property Address: .0 ( I Sayvt l n D
Owner:' r -4 sir C (1 PA.! Telephone#: a1.4 —� I
Contractor: Cat&Tti �e�S� CoAsr R.J.)L''^1 -(1)é- Telephone#: { -44161
Contractor Address: Po 1 ,x �� (o C37 Fax#: q---ittatou
Contractor Signature: r c-1y e„
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,
❑ New list the building permit number:
Re-Pipe
Number of Fixtures:
Bath Tubs 1 Showers
Closets Shower Pans
Dishwashers I Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer I Water Heaters
Sprinkler System _ � Other
Fees ' T 00
Permit Issuing Fee: 35:00 .7 0 0
Total Fixtures: 1i X$7.00 + p.10=
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800• Fax: (904)247-5845. http:llwww.ci.atlantic-beach.fl.us
Revised 1/04
S L=Iy:r
J :. '`� CITY OF ATLANTIC BEACH
-f 800 SEMINOLE ROAD
j ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
,
\\(4 OE c r�
Application Number 08-00001567 Date 11/18/08
Property Address 211 SEMINOLE RD
Application type description ROOF PERMIT
Property Zoning TO BE UPDATED
Application valuation . . . 0
Application desc
reroof
Owner Contractor
FAIRBAIRN, CRAIG SOWNER
211 SEMINOLE ROAD
ATLANTIC BEACH FL 32233
Permit ROOF PERMIT
Additional desc .
Permit Fee . . . 63 . 50 Plan Check Fee . . . 00
Issue Date . . . Valuation . . . . 6700
Expiration Date . 5/17/09
Fee summary Charged Paid Credited Due
Permit Fee Total 63 . 50 63 . 50 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 63 . 50 63 . 50 . 00 . 00
r ti
'
��ti b� D
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
M
J `"; CITY OF ATLANTIC BEACH
tt' ' % OWNER / BUILDER AFFIDAVIT
I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION
CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW:
I DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: I
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 THE OWNER OF YOUR PROPERTY,TO ACT AS
YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST
SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE—OR
TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR
IMPROVE A COMMERCIAL BUILDING AT A 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 LEASE A 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 IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT
HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST
BE DONE ACCORDING TO THE 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.
II. INJURY LIABILITY; SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE,
THE BUILDING DEPARTMENT SUGGESTS WORKER'S COMPENSATION INSURANCE BE
PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY TO CLEARLY PROTECT THE
OWNER.
III. IRS WITHHOLDING; OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO
OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1099 REQUIREMENTS ON THE WORKERS THEY
EMPLOY ON THEIR IMPROVEMENT TRADES.
IV. PENALTY; UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY
CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO.
455-228(1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY
SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS
CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE
BUILDING DEPARTMENT(247-5826) IF IN DOUBT.
V. ACKNOWLEDGEMENT; I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE
STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN
OWNER-BUILDER PERMIT.
•
5ev-r,%ncVQ - ,,„, , \ (A ‘---- \
ADDRESS PHONE NUMBER
cc;,,,,, Fq,f YJ F\f 1
PRINT NAME f
L_._
r ./..vc, ■ , g - 0 8
SIGNATURE DATE
1� t 2(,0 0
Before me this I 3 day of 1 V(,J rri J Le•2007 in the county of
Duval,State of Florida,has personally appeared herin by himself/herself and affirms that
all statements and declarations are true as d accurate.
/
Notary Public at Large,State of 1- ,County of /D^-12' —
SHIRLEY L. GRAHAM
t PpY.t!kI.,
❑Koduced Known /f` 1-tV£—r- ,, _ \,,�:; Notary Public-State of Florida
roduced Identification- `/ /
=•: . My Commission Expires Feb 14,2010
o Commission#DD 518533
\c' Bonded By National Notary Assn.
Notary Signature: �� )1.-&—P
COAB FORM BLDG07;REVISED: 8/14/2007
-- s: ;` �t CITY OF ATLANTIC BEACH _ V
"s ✓ { �ei 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08 I I 1 I
Ir -� n OFFICE:(904)247-5826•FAX NO.:(904)247-5845
•7 BUILDING-DEPT @COAB.US
l `" BUILDING PERMIT APPLICATION DUVAL COUNTY
J y..
1.JOB ADDRESS: 2.VALUATION OF,WORK: 3.SQ.FT.UNDER ROOF
- i �--6 , i C C - 0 c;)
4.LEGAL DESCRIPTION: 5.CLASS OF WORK: ' 6.USE OF STRUCTURE:
❑NEW BUILDING ❑DEMOLITION 0-RESIDENTIAL
LOT_BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
7.DESCRIPTION OF WORK ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER:
-�'-c r r (f l 1L� I V m PFPAIR
❑MOVE 0 POOL/SPA
❑OTHER ❑YES
1 NO ❑N/A
PROPERTY OWNER: CONTRACTOR: ^.: ,ARCHITECT/ENGINEER:
9.NAME: 15.COMPANY NAME: ;U 23.C�OMP/ANY NAME:
Ccat PL ic. ✓� /� I Irjl
FL-%,r-b L1%l"'l 16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
A\ SQ.,On t il C e 18.ADDRESS: 26.ADDRESS:
f t-- ‘c,,--, c ' t \-' e I,
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE„ ., 21.CELL PHONE: 29.CELL PHONE:
_
EMAIL ADDRESS: 22.EMe IL ADDRESS: 30.EMAIL ADDRESS:
tcir-V c∎ %C✓l c @ 100._.\\5 ti ``L,. ..e T
FEE SIMPLE TITLE HOLDER:'; BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME:
33.NAME: 35.NAME:
32.ADDRESS:
34.ADDRESS 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT CONTRACTOR
(If Agent,Power of Attorney or Agency Letter Required) (Qualifier Only)
-r /� 1,=�-.• Date: 7( 0'Li 0 Signed: Date:
Signed:/"r✓L.t...i c)/ C✓!L Gam"
Before me this
3 day of n/()✓ , ,200 in the county of Before me this day of ,2007 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
I
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. / true and accurate.
�` 4.,„( Notary Public at Large,State of ,County of
Notary Public at Large,State of ,County of rY
0 Personally Known ❑Personally Known
III roduced Idenfificatio• _ ❑Produced Identification-
Notary Signature: _ _ Notary Signature:
"IR I r„ ..
`O,pPY P`B,, EY L. GRAHAM 1
?r n: Note�7:.blic-State of Florida
� ' I�- '_°My Commission Expires Feb 14,2010 ri
41 �°,� Commission#DD 518533
�, n� Boded By N ational Notary Assn.
COAB FORM BLDG01:REVI - '
City of Atlantic Beach r'
Complete Plans Checklist t
Provide (5) copies of plans — (2) copies signed and sealed
❑ Cover Page:
o Address of project
o Occupancy Class: For One&Two family"Group R-3".
o Applicable codes (2006 Florida Building Code, 2005 National Electrical Code, 2004 Florida Fire Prevention Code
and COAB Code of Ordinances.
o Index of all drawings&attachments and all pages numbered.
o Printed name, contact info, date and signature of person responsible for the design of the structure.
❑ Site Plan:
o Distance of proposed house to property lines
o A/C compressors, generators, LP gas tanks, pool equipment etc.
o Driveways,walkways, patios...
o Impervious Surface Area (lot coverage) calculations
o Drainage plan with supporting on-site water storage calculations, and location of easements.
❑ Erosion &Sediment Control Plans:
o Silt fence location, construction detail and maintenance plan.
o Inlet protection (if existing storm water inlets are adjacent to property.
❑ Construction Site Management Plan:
o Location of any proposed demolition
o Grading &drainage surface water management plan
o Onsite&offsite parking for construction workers
o Location of temporary fencing with height and screening indicated
o Location of dumpster, construction trailer&chemical toilet.
COAB Code of Ordinances—Sec.6-18
❑ Foundation Plan:
o Required plan note i.e.: "A foundation survey shall be performed and a copy of the survey shall be on the site for
the building inspector's use prior to framing inspection." Or, "all property markers shall be exposed and a string
stretched from marker to marker to verify required setbacks."
❑ Floor Plan:
o Size and arrangement of all rooms and intended use.
o Locate air handlers, fireplaces, water heaters, attic access, etc.
o Label accessible 1st floor bathroom, egress,windows etc.
❑ Elevations
❑ Structural Engineering:
o Structural design criteria, loading requirements indicated.
o Shear Wall plan.
o Size all beams, headers and support requirements.
o Detail uplift&load path connections.
o Engineers embossed seal required.
o Supporting structural calculations included.
'04 FBC-Sec.1603
❑ Roof Plan:
o Indicate how attic is to be ventilated.
1
❑ Sections and Details:
o Typical wall sections for each dissimilar wall type.
o Stair sections with guard and handrail details.
o Balcony guardrail details.
❑ Electrical Plan:
o Riser diagram including size and type of service entrance conductors
o Location of all receptacles, switches and the distribution panel.
• Required plan note: "AU electrical wiring to be in accordance with '05 NEC. Provide arc-fault circuit interrupters in
all bedrooms per article 210-12."
❑ Plumbing (please note if the following applies):
o New or existing private well on property
o Irrigation to be installed
o Irrigation meter desired
2
NOTICE OF COMMENCEMENT
State of t (
t O r t & e- . Tax Folio No.
- -
County of ✓A. Y` (
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved: // S 1I( /16 It /64
Address of property being improved: a.,l
512--.,n ‘r\a��_ Y4A-- _ t-1,3 z a 3 3
General I•scription of improvements: A) �) V---0 O
•
7.1„. n ) ('-e'•1 cAdd ess .l V S�.t n n k�e (a 1, gc-1-,•�`
Owner's interest in s site of the improvement: (5 w 42 (
Fee Simple Titleholder(if other t h a n owner): Doc#2008290147,OR BK 14700 Page 1600.
Number Pages: 1
Name: Recorded 11118,2008 at 09:59 AM,
1 JIM FULLER CLERK CIRCUIT COURT DUVAL
Contractor: COUNTY
Address: t L v''m O l`e I �A . RECORDING$10.00
Telephone No.: "it G 2.'-t \ -.3 I S Fax No:
Surety(if any) Amount of Bond$
Address:
Telephone No: Fax No:
Name and address of any person making a loan for the construction of the improvements
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be
served: Name:
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address: b 1
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one (1)year from the date of recording unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER 1/ B h O
Signed. / .. «� Date:
_,,,.. day of in the Coun of Du al,State
SHIRLEY L.GRAHAM 3 Of F orida,has personally appeared
c?o"p�p\O°<i; Notary Public-Stale of Florida
• `\' =My Commission Expires Feb 14,2010
Notary Public at .e,State of Flon o, �;,t al
' My commissio' - ire s: �• or
,,•,E,�`o Commission#DD 518533 Personally . . I i
Bonded By National Notary Assn. Produced Identifi is
vow— 4
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: v2d 19 V:f)
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 EL-4RICIAN SIG" •TURE JOURNEYMAN
NAM ‘-2:-.‘
... •yi _. ADDRESS: ,,/l �i�r�' 4- 4', RFD BOX
BLDG.SIZE BETWEEN:
RES. APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD (-1— REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( ) INCREASE REPAIR ( ) FEE
CONDUCTOR SIZE y/e, AMPS o 0 COPPER ( ) ALUM. ( /O. 0 d
SWITCH OR BREAKER . off/ AMPS / PH 4. W 21/4..)VOLT LA4 RACEWAY d
EXIST.SERV.SIZE /ad AMPS - / PH W 02 YO VOLT Calk 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. 1 OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT
a-so
0.1 1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS �G� � GLe-: s.i 1
/v,00
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA
NO. NEON TRANSF. NO. VA. --I MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
- i
FORWARDED
TOTAL FEES T D 5 O
Address // f;;;L4-.0 , _ o
r
l
Heated Square Footage �`� @ $ sq ft = $ /i 6-7.F.1-- 5
Garage/Shed Ap @ $ /g-6`e) per sq ft = $ > L
Carport/Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $ / G� C�/ z 5O
/
Total Valuation $
1st $ /// --
Remainder Valuation '$ $ ��
per thousand or
portion thereof O
ADDITIONAL PERMITS and/or FEES REQUIRED Total Building Fee $
+ 2 Filing Fee $ 3() 77
Mechanical Fireplaces @ 15.00 $
Plumbing BUILDING'PERMIT FEE $ eL. �41—
Electric/New UNDER-ROOF Z 5
Electric/Temp
FLOOR SPACE @1¢/1000sq.ft
Septic Tank BUILDING PERMIT $ `" �""'—
Well WATER METER CHARGE $
ST,mmning Pool SEWER IMPACT FEE $
Sign WATER IMPACT FEE $ ,2 C
Water Connection MISCELLANEOUS $
Sewer Connection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $
CALCULATIONS and/or NOTES
City of Atlantic Beach
Fixture Unit Worksheet for Water Impact Fee
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND
FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITYY
WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED� AT TWENTY
DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF
WATER CLOSET, LAVATORY & BATH SERVICE SINK TRAP STAND
TUB OR SHOWER STALL (6) (8)
WATER CLOSET, TANK (4) WATER CLOSET VALVE
VALVE OPERATED (8) •
BATHTUB/SHOWER (2)
URINAL WALL LIP ( 4)
SHOWER GROUP PER HEAD (3)
' FLOOR DRAIN ( 1 )
SHOWER STALL DOMESTIC (2)
; LAUNDRY TRAY (2)
LAVATORY ( 1 ) I
' COMBINATION SINK AND TRAY (3)
WASHING MACHINE (3)
POT, SCULLERY SINK (4)
DISHWASHER (2)
• ' WASH SINK EACH SET OF
KITCHEN SINK (2) ; FAUCET (2)
•
KITCHEN SINK WITH WASTE DENTAL I LAVAT'ORY ( 1 )
GRINDER (3)
'DENTAL 'UNIT OR CUSPIDOR ( 1 )
BIDGET (3)
URINAL STALL, WASHOUT (4)
FLUSHING RIM SINK (8)
COMBINATION SINK AND TRAY WITH
URINAL, PEDESTAL, SYPHON JET FOOD DISPUS. (4 )
BLOWOUT (8)
DRINKING FOUNTAIN ( 1/2)
LAVATORY, BARBER/BEAUTY
SHOP (2)
LAVATORY, SURGEONS (2)
SURGEONS SINK (3)
ICE MAKER ( 1/2)
WET BAR (2)
TOTAL FIXTURE UNITS @ $20. 00 EACH $ I / IV
JOB INFORMATION �_ l
•
•
CITY OF ATLANTIC BEACH
APPLICATION TO MAKE ADDITIONS OR ALTERATIONS
Owner CA). t rS Address Z / / Seminole, Phone 2 g- /(p
Architect Address Phone
Contractor ]j c1 �t,-�- c� (der,5 Address )10 r 1-Ico (1d, c1 /4l h1 CL Phone`7Z 3=/675-
Contractors License/Certification Numbers RE Don (p ( 3r1'
Expiration Date (Q/q5
Property Address Z l / Sem[rU o 1 E, i, Zoning
Lot # L B1cok or Unit #5e-C ( Subdivision•
Valuation of Construction $ /0/ 000 Type of Construction HO I-4i or
Describe Work to be Performed Z ROD t y I a4-c l
Materials to be Used Cc n CrFk. IOC' k
Present Use of Building ps t devvVc
Proposed Use of Building 11
Flood Zone 144-1 D galy
Dimensions of New Area:
HATED 14-as-
GARAGE f=-F aL.�F /L1-61-71----
AuG 2 j 1988
OR STORAGE ST, • Building and Zoning
CARPORT OR PORCH A P PROVE D
CITY CF ATLANTIC BEACH
BUILDING OFFICE
PATIO YES AUG :�5 e143 • �:�+•
Will there be an increase ? '
c ease in number of amts. �.
Will there be a decrease in number of units?
Any additional plumbing fixtures? �i 3
Any new fireplaces? x
SUBMIT TWO COMPLETE SETS OF PLANS INCLUDING SITE PLAN
Signature OW EI 4J Date ate`,/
Signature CONTRACTOR 7ff . , " ,� Date ,si. y/P.S-
FLORIDA ENERGY EFFICIENCY CODE
FORM 1000C-86 FOR BUILDING CONSTRUCTION
SMALL ADDITIONS SECTION 10 — RESIDENTIAL PRESCRIPTIVE COMPLIANCE METHOD CLIMATE ZONES
AND RENOVATIONS DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
COMPLIANCE WITH SECTION 10 OF THE FLORIDA ENERGY EFFICIENCY CODE MAY BE DEMONSTRATED BY USE OF FORM 1000C-86 FOR ADDITIONS OF 600 SQUARE FEET OR LESS,AND
RENOVATIONS TO SINGLE AND MULTIFAMILY RESIDENCES.ALTERNATIVE METHODS ARE PROVIDED FOR ADDITIONS BY USE OF FORM 1000A-86 OR 900A-86.
PROJECT NAME '/` 3` �- �� BUILDER: a(G '- x,,14 eA
AND ADDRESS: I( ‘. (-'4-1 1 1 o I t �� • PERMITTING ` CLIMATE 1 f 12 3'—
OFFICE: ZONE: U
OWNER: • � /) G ( n s NO MIT NO.:PERMIT
RENOVATION — IF MULTIFAMILY, NUMBER OF CONDITIONED 7 SO GLASS AREA AND TYPE
u
UNITS COVERED BY FLOOR AREA - / S FT CLEAR TINT,FILM.SOLAR SCREEN
ADDITION XC THIS SUBMITTAL
EAVE OVERHANG ii SINGLE- SO SINGLE- SO
C CHECK IF THIS SUBMITTAL LENGTH FT PANE FT PANE FT
MULTIFAMILY ATTACHED C REPRESENTS A WORST CASE
PORCH OVERHANG DOUBLE- SO DOUBLE- SO
CONDITION'SINGLE-FAMILY DETACHED U I I LENGTH FT PANE FT PANE FT
WALL TYPE AND INSULATION FLOOR TYPE AND INSULATION
FOR ADDITIONS ONLY: - CEILING TYPE AND INSULATION
WOOD FRAME MASONRY WOOD MASONRY
PERCENTAGE EXTERIOR: EXTERIOR: RAISED: RAISED:
OF GLASS R = R = 0 7 UNDER ATTIC: c3 R = l R Iac_I�_
TO FLOOR: ADJACENT: ADJACENT: R- COMMON COMM.i •
R = R = COMMON: R _ ell _
COMMON: COMMON: m• SLAB ON
R = R = I I il, R= • GRADE: A =
DUCTS COOLING SYSTEM HEATING SYSTEM HOT WATER SYSTEM
IN
UNCONDITIOONED CENTRAL NONE V ELECTRIC STRIP HEAT PUMP Lg ELECTRIC Li SOLAR
SPACE: f ROOM _ NATURAL GAS ROOM/PTHP NATURAL GAS H HEAT RECOVERY
ill ., PTA- f 1 OTHER FUELS I I NONE OTHER FUELS DED. HEAT PUMP
IN No lTIONED I I NO NEW SYSTEM I I NO NEW SYSTEM n NO NEW
S' S : R = SYSTEM EF = . SF/EF = .
W. f
II,, SEER/EER = ____• COP/AFUE = 1 o Z
NUMBER OF BEDROOMS =
In accordance with Section 553.907 F.S., I hereby certify that the plans Review of the plans and specifications covered by this calculation indicates
and specifications covered by this calculation are in compliance with the compliance with the Florida Energy ode.Before construction is completed,
Florida Energy Code. building will be inspected mpp ce in r n with Section 553.96
OWNER/AGENT: BUILDING OF ICIAL: . - t.•• . ( ...-DATE: DATE: V r 4- Zj 'v
TABLE 10A MINIMUM REQUIREMENTS FOR SMALL ADDITIONS AND RENOVATIONS
COMPONENTS SECTION REQUIREMENTS CHECK
WINDOWS 904.1 MAXIMUM OF 0.5 CFM PER LINEAR FOOT OF OPERABLE SASH CRACK.
EXTERIOR&ADJACENT DOORS 904.1 SOLID CORE,WOOD PANEL,INSULATED OR GLASS DOORS ONLY. MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA.
INCLUDES SLIDING GLASS DOORS.
EXTERIOR JOINTS/CRACKS 904.1 TO BE CAULKED,GASKETED,WEATHERSTRIPPED OR OTHERWISE SEALED. ✓
SOLE&TOP PLATES 903.2 SOLE PLATES AND PENETRATIONS THROUGH TOP PLATES OF EXTERIOR WALLS MUST BE SEALED.
INFILTRATION BARRIER 903.2 INFILTRATION BARRIER MUST BE INSTALLED IN EXTERIOR WALLS&RAISED WOOD FLOORS.
INTERIOR JOINTS/CRACKS 903.2 ALL OPENINGS IN INTERIOR SURFACES OF CEILINGS AND EXTERIOR WALLS MUST BE SEALED. k.,/
FIREPLACES 903.2 FIREPLACES MUST HAVE FLUE DAMPERS,GLASS DOORS AND OUTSIDE COMBUSTION AIR INTAKES.
EXHAUST FANS 903.2 EXHAUST FANS VENTED TO UNCONDITIONED SPACE SHALL HAVE DAMPERS,EXCEPT FOR COMBUSTION DEVICES WITH
INTEGRAL EXHAUST DUCTWORK.
-
COMBUSTION HEATING 903.2 COMBUSTION SPACE AND WATER HEATING SYSTEMS MUST BE PROVIDED WITH OUTSIDE COMBUSTION AIR,EXCEPT FOR
DIRECT VENT APPLIANCES.
MUST BEAR LABEL INDICATING COMPLIANCE WITH ASHRAE STANDARD 90 OR COMPLY WITH EFFICIENCY AND STANDBY
WATER HEATERS 904.2 LOSS REQUIREMENTS. SWITCH OR CLEARLY MARKED CIRCUIT BREAKER(ELECTRIC)OR CUT-OFF(GAS)VALVE MUST BE
PROVIDED. AN EXTERNAL OR BUILT-IN HEAT TRAP MUST BE PROVIDED.
SPAS AND HEATED 904.3 SPAS AND HEATED POOLS MUST HAVE COVERS(EXCEPT SOLAR HEATED). NON-COMMERCIAL POOLS MUST HAVE A
SWIMMING POOLS PUMP TIMER. GAS SPA&POOL HEATERS MUST HAVE MINIMUM THERMAL EFFICIENCY OF 75%.
HOT WATER PIPES 904.4 INSULATION IS REQUIRED ONLY FOR RECIRCULATING SYSTEMS INCLUDING HEAT RECOVERY UNITS. IN SUCH
CASES, PIPING HEAT LOSS SHALL BE LIMITED TO A MAXIMUM OF 17.5 BTUH PER LINEAR FOOT OF PIPE.
SHOWER HEADS 904.5 WATER FLOW MUST BE RESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTE AT 20 to 80 PSIG.
HVAC DUCT 903.2 CONSTRUCTED IN ACCORDANCE WITH INDUSTRY STANDARDS AND LOCAL MECHNICAL CODE.JOINTS IN UNCONDITIONED
CONSTRUCTION 904.6 SPACE SHALL BE SEALED.DUCTS SHALL BE INSULATED TO A MINIMUM OF R-4.2.
HVAC CONTROLS 904.7 A SEPARATE,READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
RENOVATIONS ONLY GLASS 1003.0 MEETS THE REQUIREMENTS OF SEC 1003.0 SEE STEP 3 OF PAGE 2 OF THIS FORM.
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DEPARTMENT OF BUILDING 10 052
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.c.,
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 8-31- 19 88
Valuation$ Fee$ 20.00
I � T
This permit not valid until above fee has been paid to City Treasurer,and is 20.00 1 L
subject to revocation for violation of applicable provisions of law. 2f.0OCKT1I
This is to certify that Firth Plumbing ulL I l R Hal/98
License S cfc027550 5731 I It 8/31/P9
has permission to build install plumbing 100D1
residential
Classification Zone
Owned by Jay Abraham
Lot Block S/D
House No. 211 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 ■ 4 O Building material, rubbish and debris
-4 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tractor or owner. }�
SkC
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
L ,2
.
CITY OF ATLANTIC BEACH
•
APPLICATION FOR PLUMBING_..PERMIT
JOB LOCATION. ) // fei ,i/ /.
PLUMBING CONTRACTOR I',-iA N
LICENSE NUMBERS C rC d T 9 sso
- OWNER •
BUILDI C�4°
NG CONTRACTOR „rA//�, �i yidAi�,.,
400,\TYPE OF BUILDING 400,\\ ,444, 44)
SINKS
SHOWERS
oZ LAVATORY
• WATER HEATERS
07. BATH TUBS
• DISHWASHERS
. • URINALS
DISPOSALS
2 CLOSETS
l WASHING MACHINE
FLOOR DRAINS
OTHER
•
TOTAL FIXTURE COUNT .
•
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
TIIE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
•
•
■
� •
DEPARTMENT OF BUILDING PERMIT ND
4117
CITY OF A71-ANTIC BEACH, FL
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
19
k Date
.00
Fee $
244.00 is
ValuatlOn$■ to City Treasurer. and e tee has been paid W.
i valid until above licsble provision• of_________ \
hi., I
This permit not of app
■ for violation
subject to revocation S
i
Richard tid. � er
• This is to certify tha Shed accordin. to
Sears ■
has permission to boil. .dd a utilit I
plans submitted. ,ne
Classificatio.RiChard W. Eggers SAD
Owned by Bloc
�� Lot Seminole mad
211 this permit TE FORMS
Rouse No. which are part of ALL CONCRETE BE
plans NOTICE— MUST IN
to approved p AND FOOTINGS E 'POURING.
According BEFOR
SpECTED ONTHS
PERMIT VOID SIR FMONT
AFTER DATE
'l rubbish and debris
Building material,
44-----4.\-------\ 4------■ 0 r laced in
Z from this work and mu t be cleared up
-1 public space, and either contractor
and hauled away by
or owner.
Bill 14.. Davis Building Official.
, L.,...._______
CONTRACTOR
PERMIT
■ DATE
FOR OFFICE NUM
USE ONLY BER us r-:, M
PL ING
UB
ELECTRICAL C
t 11111111 —
SEWER a 'r 1.:
WATER ■J■er ca
Y
Date 1-0? 7 19 71
Permit # y1 Z-�«i.»��o CITY OF ATLANTIC BEACH
Valuation $.-_.<-,?.5! !00
FLORIDA ��
House #.:: !_� ._. . ..._..C..
APPLICATION FOR BUILDING PERM:7
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.
Data 7-/.62. , 19-..
Owner.- jA2r /
4i ,r /2.4",S Address__o7/�._,?„0,,,,,ek e Telephone No.&.�..". -�-.
Architect Zti/'yep T Address
Telephone No.
Contractor Builder Address Telephone No
Lot No. Block No. Sub Division Zone
Street Side Between and St.
Valuation :ail For what purpose will building be used_-�. 7.Q/1Ai 4 Type
,, i :, ` Typ of construction tiS7' -!
Dimensions of Building-.�_l0 X 7 / Dimensions of Lot__...-1OO�..X.. D
Size of Footings
Size of Piers '7)/57 Size of Sills ' "c Greatest Sill Span in ft. /vii Type Roof
How will Building be Heated? Aii9 Will Building be on Solid or Filled Ground? _...
Size of Ceiling Joists , Distance on Centers , Greatest Span. M
Size of Floor Joists , Distance on Centers , Greatest Span »
Size of Rafters , Distance on Centers , Greatest Span M
This rectangle is to represent the lot
A P P R O V E D Locate the building or buildings in the
CITY OF P. ANTIC BEACH all lo esoamnd existing gance in feet from
t-
tns baildings.
BUIL i G OFFICE REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application. U L 2 7 1 79
Inspections required.
1. When steel is in place and ready to pour footing. !� :`` 1
2. When steel is in place and ready to pour columns D°-°-- x
3. When steel is in place and ready to pour beam. l
4. When framing is completed.
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. W W
fa
7. Electrical inspection by City of Jacksonville. m
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.
Signature of Builder »..»..».._»».....»»_»»._ Address
Address-..2.1/ N.. ,t�1 Q.�
Signature of Owner.Old .. / 16,e3e/ r:'_ Q
c k/�hi4 P8-4/Cite
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4
APP ' OVED / � e IA -tCITE O41,IGNOIFF CECN ( .a V•2 7. 19
;
- -
ie " CITY OF ATLANTIC BEACH
1
1 DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL. 247-5826-FAX 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 24265 Address: 211 SEMINOLE ROAD
Permit Type: •FENCE ATLANTIC BEACH, FL 32233
Class of Work: NEW Township: Range: Book: 10
Proposed Use: SINGLE FAMILY Lot(s):488 Block: Section:
Square Feet: Subdivision: SALTAIR
Est. Value: Parcel Number:
lmprov. Cost: 300.00 OWNER INFORMATION
Date Issued: 6/13/2002 Name: FAIRBAIRN, CRAIG & RITA
Total Fees: 10.00 Address: 211 SEMINOLE_ROAD
Amount Paid: 10.00 ATLANTIC BEACH, FL 32233
Date Paid: 6/13/2002 • -1-2.; --::. -• (904)241-3185
Work Desc: ERECT 4' HIGH FENC -; ,., LO k., ' -1 ' ,, -- _
'• • !CATION FEES
CONTRACTOR(S) .. 14-r --•--""- e-,41t-,, 10.00
,,,,,41.0-__: - -_. , ...;,,,p6R : ,,Iv-,._-
PROPERTY OWNER Alz,,..- ---.1 , ..------e" --4-• --"- --: -ifk.,,-
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NOTICL- INSPECTION UST BE REQUESTED AT LEAST z''..4 HOURS P RI . 14 TO INStDirTION
,,.
N.,. , Q
BUILDING MATERIA, RUBBISH AND DEBRI- FROVI THIS WORK MI-IST NOT BE FD CED IN 7LIc SPACE.AND
_
MUST BE CLEARED Op,stra HAuLD.,_,AVVY Bv EITHER CONTRACTOR OR 0‘ R _,. -
It =,- • w.- , - Ar-
.. , .
"FAILURE TO COMPLY WITH TtiF ' STRUCTION LIEN . s 1 CAN RESUyi IN THE
. .. • , - , ' S e/
PROPERTY OWNER PAYJN9.PNICE/ -F0 - . - .4,
• ,,--.., ‘ ...... ,..„ - -,.. - At
4 ..t" ••.' ,'-- ' 4 - •''''' 4.,hm,rr
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ISSUED ACCORDING TO APPRO PLA444,4M-4CH.e. RE:PA4?T c'.,F L._ AND SUBJECT TO REVOCATION
— ,..4. •
FOR VIOLATION OF APPLICABLE PR o Ns 7!..-..I.u-kvv.,..„.. --- .„.._.........,,...,..----"--- tl's.'
...44.0.1,................,
I
. .
1
1
Oper: DSNITH Type: OC Drawer: 1
L
Date: 6/14/02 01 Receipt no: 65232
1 14 PERIIITS-DOILDING i $10.00
(.... .
ATLANTIC BEACH BUIL1 DEPT. 001900$3721000
211 51911110LE RD
—
$10.00
tetjtift:4:lelte: 6/14/02 Time: 15:50:52
RECEIVED
JUN 1 3 9nno
City of Atlantic Beach
/ CITY OF ATLANTIC BEACH Building and Zoning
V �
APPLICATION FOR FENCE PERMIT
Owners C / I1I C, ri4//ZTfi//Z4) Phone Z, 1( 3/g S--
Address 2, ( f S /0 /42 OL-_ n
Lot 4i-gl Block and/orUnit# 2, / 1 Subdivision S / I/, / / ✓Z
Contractor if Different From Owner e7 .2 L–
Valuation of Fence $ 3O�CJ- Corner or Interior Lot / 1
Type of Construction 14.7OL.D
Attach Survey Showing location and height of fence as well as location of street(s).
rko P(Pc_ -r-0
203 Loab 741 trAH
0),y
Owners Signature
Contractors Signature
RECEIVED JUN ,rnr,1
3°\
City of Atlantic Beach
� CITY OF ATLANTIC BEACH Buliding and Zoning
APPLICATION FOR FENCE PERMIT
Owners C / 4/6c Phone -z,g1' 3/gS
Address �. ( f S re f 7 1 _
Lot 1_,q1 Block and/or Unit# 2. / I Subdivision S A G 1 A / Q
Contractor if Different From Owner e7c0a1 1
Valuation of Fence $ Corner or Interior Lot /Arr
Type of Construction T)
Attach Survey Showing location and height of fence as well as location of street(s).
F40 Pfpr (<o r=Eve.. 1.0
2 0 � Lot A2 6. i rxr4
1011")`) fit/f'
p)(fri
Owners Signature <Ab
Contractors Signature
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• ._____.______________________— -- ---
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CITY OF ATLANTIC BEACH
--
!1
DEPARTMENT OF BUILDING
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
PERMIT INFORMATION -
• LOCATION INFORMATION
I Permit Number: 24128 - ____ _
Permit Type: FENCE Address: 211 • SEMINOLE ROAD
ATLANTIC BEACH, FL 322B3030k: 10 ..
Class of Work: NEW. ,
Township: Range:
Proposed Use: SINGLE FAMILY
Lot(s):488
Block: Section:
Square Feet:
Subdivision: SALTAIR '
Est. Value: .
- Parcel Number: •
INFORMATION R 1 T A•
Improv. Cost: 300.00
Date Issued: .. 5/22/2002 Nam
• •Name:: ;WNEAIRBARI
Total Fees: . • 10.00 .
- Address: 211 SEMINOLE ROAD •
ATLANTIC BEACH, FL 32233 :
Amount Paid: 10.00 •
Date Paid- 5/22/2002- " ' •
Phone: 904 241-3185
.
Work Desc: ERECT FENCE PER PLANS ' --- " •
CONTRACTOR S • - •-
PROPER OWNER • APPLICATION FEES
_ PERMIT - . •
.
.
• : . • 10.00 ..
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P.,-;-' .-a. 17:-+ECT TO REVOCATION I
FOR VIOLATION OF APPIII -T.:1-:-:".':siK-.:-r ''.k."41,EraiVriES!'"1- -.7'1-'-----, -''''''',.' '" -".. ---:--'rflth.-
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I Oper: DS111111 Type: OC Drawer: 1
- .
bete: 5/22/02 01 Receipt no: 60249
A NTIC BEACH : ILDING D - ' . 14 REMITS-BELDING cei 1 510.00
-•0161103221000
. ,
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■ " I IDLE RD •
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CA .cis. -----------$16-00
Wm date: 5/22/02 Tim: 16:33:35
3 5 (1
CITY OF ATLANTIC BEACH
APPLICATION FOR FENCE PERMIT
Owners 1 CMM ( i 1-417), E Iii/n/1.9 Phone 24t/ 3/
Address 2-1 l . F-,W`00 o C, ' IZ D
Lot `t" S g Block and/or Unit# Subdivision h4:1- /2
Contractor if Different From Owner /f'l
Valuation of Fence $ c Corner or Interior Lot
Type of Construction tL C /)
Attach Survey Showing location and height of fence as well as location of street(s).
"-Le afia cf,Le<_)0
RECEIVED
MAY 2 2
City of Atlantic Beach
auUUding and Zoning
Owners Signature •S‘t
c
Contractors Signature
TLA,s,vI oiN
.t��1,`1:rif, C1T� pp MINGLE ORIDp'32AD
.. �s? \ .��sl TL ANTIC B pKpNE LXNE'2,4'1-5826
A N
r '1.-',::'-.7+-.- r INSpEC�10
1'._ . 1/2 /04
04
Date
•1 -0`P 02 589 D
04-0002'7589
4-00 MINOLE R C
211 SE HVA
Nu�er � � RE L ONLY
APpllcat1Address • . • . MECH UPDATED
Property br � name riptlon TO BE 0
Application on des
Pp ope tY1 Z ri v g cat ion • Contractor . _ - IR -
APpllOatlo HUHp'M E A
_ _ 0�$ NINTH ET SOUTH
_ CH FL 322_50_
Owner _ _ _ CRAIG S . J 0 BE246 ---FAIRBAIRNOLE ROAD FL 32233 -- _ _ _ - --- - - - -
2TLANT C BEACH _---------- - ---- - -- PERMIT
ATLANTIC
_ _--MECHANICAL- - - - " MECHAN Plan Check . 00•
__--- Valuation 0
permit al deSC • g� . 00 Va
Additional Credltec Due
Permit Date • . paid _- _ - -
Issue _-_____ - • 0
Charged _ - 0� . 00
mart' g� •00 . 00
Fee summary _ g� .00 .00 o�
--it Fee Total .00 g� .00 00
Permit Check Total 8'7 .00
Grand Total
1e
PUBLIC SPACE,AND
MUST BE
FROM THIS MUST RE TO COMPLY WITH LIC CONSTRU T OAP O�
WORK ACCORDING
RUBBISH AND DEBRIS CT OWNER. "FAILURE S"ISSUED LE PROVISIONS L LAW
CONTRACTOR OR UILDING IMP APPLICABLE MATERIAL,RUB EITHER CONT CE FOR B 'VIOLATION OF AP
W
UP BUILDING
ICHA QED AWAY IS ER PAYING SUBJECT TION FOR
THE PROPERTY OWN S�JECT TO REV�P'
T IN ART OF THIS PERIviIT AND `V
WHICH �, , ,
r , ..,,,,\,,
IR„ �'
BUILDING OFFICIAL
TLANTIC BEACH N
, 1`r1`irf''>,, CiTY OF A 1T AppL1CAT10 •
' } N1CAL PE 0
Ei MECHA Date:
3_ I / m
Property' Address: Telephone#: /
,ArrLtti �o�o
Owner: '¢� � 2 �! 4 � Telephone#:
/1 Fax#: y�-o37 ?
Contractor: 4 t 0/4 sr 3-j
4.Contractor Address: a ree to perform said work in actor ante
permit given for doing the work as described in the above statement,we hereby g
In consideration plans p which are a part hereof and in accordance with the City of Atlantic Beacit ordinances and standards o
with the attached plans and specifications If other construction is being done on this building
ood .ractice listed therein. Or si[e,list the building permit number:
Type of Heating Fuel:
ti---Electric Natural _I/Central Utility
❑ Gas: _LP _.
❑ Oil
❑ Other—S.eci NATURE OF WORK
MECHANICAL EQUIPMENT TO BE INSTALLED
Cr Heat _Space _Recessed //Central _Floot [ Residential
tk' Air Conditioning: _Room y Central
❑ Duct System: Material Thickness ❑ Commercial_ cf�tl
Maximum capacity ❑ New Building
❑ Refrigeration
❑ Cooling Tower:Capacity gpm Existing$uilding
❑ Fire Sprinklers:Number of Heads
❑ Elevator: _ Manlift Escalator (Number) Replacement of Existing System
❑ Gasoline Pumps (Number)
❑ Tanks (Number) ❑ New Installation
❑ LPG Containers (Number) (No system previously installed)
❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System
❑ Boilers
❑ Gas Piping Other-Specify
❑ Other—Specify • 14
LIST ALL EQUIPMENT '
AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S
Number Units Description P Model# Manufacturer Ton g Approving
( —� e'2— ; ( _ /e/ Agency-� 3,5
HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S
Number Units Description
:it:1;1# Manufacturer Approving
�`� / BTU's Agency
4 n e y cro
L
TANKS Nomina How Man l Capacity
&Dimensions Type Liquid
Contained
Anufacturcr
Phone 800 Semi Seto,
(904)247-.800 , u d 4f%C
(04)14js8j eh Fj0r'd, No
h<<A.//Ire. 34,; i
CITY OF
4114 c /teach-4th ida Q K
Office of Building Official
REQUEST FOR INSPECTION �/' 1
Date /1/10-Z-- Permit No. Fe�"CCC • 6 i
Time A.M.
Received P.M.
2 t t S-(,l/v C�(_ (V
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. &
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating
Insulation ❑ Lintel ❑ Final ❑ Sewer ❑ Fire Place ❑
Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues. Wed. Thurs. Friday P.M.
i
Inspection Made tU 049 L A.M.
I P.M.
Inspector /�`J� ///�yp Final Inspection ❑
Oaf2X_ - `„_ Certificate of Occupancy❑
�l� Date
5644 IA 8t30/6
t►0
'3644 ip,_���J��
1 DEPARTMENT OF BUILDING PERMIT NO.. • -,
CITY OF ATLANTIC BEACH,FLORIDA
I PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
I August 2g, 88
I Date 19
Valuation$
19,412.50 Fee$ 92.25
I
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.
BIG DOT BUILDERS
This is to certify that
RB0006139 7105 Holiday Hill Ct. Jcksnvl
has permission to build room addition, including new bathroom;
enclose existing carport and provide additional parking
Residential 8.S
Classification
Owned by R.W. Eggers
488 BlockSect S/DSaltair
Lot 211 SEMINOLE ROAD
House No.
According to approved plans which are part of this permit (
NOTICE—ALL CONCRETE FORMS 1
* AND FOOTINGS MUST BE IN-
+ SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4------♦ O Building material, rubbish and debris
—' Fi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con- I
; : for or owner.
,. II
it ♦ J4J (.( ' /.
�/ Building Official.
PERMIT DATE CONTRACTOR
FOR OFFICE
USE ONLY NUMBER
PLUMBING
�'
ELECTRICAL
SEWER
WATER
1