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259 Seminole Rd (vault) (=I CITY OF ATLANTIC BEACH •l 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-dept @coab.us Application Number 07-00000767 Date 6/05/07 Property Address 259 SEMINOLE RD Application type description MECHANICAL ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 1 CU 1 AHU Owner Contractor RIGSBEE, JAMES H. INSTANT AIR 259 SEMINOLE ROAD Q/A:EDDY, CRAIG FARREL ATLANTIC BEACH FL 32233 1015 ATLANTIC BLVD 249 ATLANTIC BEACH FL 32233 Permit MECHANICAL PERMIT Additional desc . Permit Fee . . . 79 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 12/02/07 Fee summary Charged Paid Credited Due Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 'ir; CITY OF ATLANTIC BEACH 4F �. (--,...� 1 MECHANICAL PERMIT APPLICATION .,»- A Date: 6j A 7 Property Address: 23 ' S��Mi&CJLe ) Owner: /--,UCI L p, 6 5 kee Telephone#: 2 1!6-17 2 9 Contractor: Tom.ST-{A)I Ain_ Telephone#: 2 y 7-S C2 S Contractor Address: I c/� yea- PI) 1 / Fax# : 2 475 Z 6 Contractor Signature: or In consideration of permit given for doing the work as described'10: e above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereo ,:f d in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building or site,list the building permit number: g"-" lectric -EGas: _LP _Natural _Central Utility ❑ Oil ❑ Other-Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK Heat Space _Recessed Central Floor Residential Air Conditioning: _Room Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower:Capacity_ gpm lI Existing Building ❑ 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 LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency 1 310,0 i uktP (. 1-1 l3636 C30rn/4ku 3 HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency 41 it 44iJaP1 A2PF3 61-1 214 Cccornv,0 36000 TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 1/04 r� rj y l rf CITY OF ATLANTIC BEACH o . �SS\ '. y,,,,°.. . J 800 SEMINOLE ROAD r , - ATLANTIC BEACH,FL 32233 J INSPECTION PHONE LINE 247-5826 ,0111>r' Application Number 09-00001336 Date 9/24/09 Property Address 259 SEMINOLE RD Application type description MECHANICAL HVAC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc replacing duct work Owner Contractor HIGGINS, CHRIS SNYDER HEATING & AIR 259 SEMINOLE ROAD P.O. BOX 16826 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 641-0600 Permit MECHANICAL HVAC PERMIT Additional desc . REPLACE DUCTWORK Permit Fee . . . 55 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 3/23/10 Fee summary Charged Paid Credited Due Permit Fee Total 55 . 00 55 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 --s o o I, ID 7 aai o cy oo_ u G. erm� ray. .ar < = — t � � �• - rm* .-,- �* T ,s-<r..< „0 a d r Lc. EW11 . c d .--Fc-g.i' m� .+ z w • z--, a < r∎ c rr. 3 4 A T C-... . • c mr, - •+R-m . -1U, m o w ot+*i- m -s * r.w.. w a. G fr�,tt�� r_� U Z Gam'. F.G:p 4'. d m's °; tat a 5 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. SEP-24-2009 07:36AM FROM-Snyder Company 904-641-2329 1-568 P 002/002 F-293 4., WO SEMI NOLE ROAD,ATE PEACH,FL aZiss u r- l I 1 1 J OFFICE(9041247.6878•FAX NO.Xe041247de45 �' BUILDING-OEPTMCOAaUS 't" MECHANICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDR)E'SS: 3.M A SUB PERMIT -3-DATE: as el 5‘V"l1,..3 0 f 1 ) tea Atlantic Beach, FL 32233 l7YES PERMITS: s.. apt-0C1 PROP ERTY`1im:I: 4.NAME S ADDRESS IF DIFFERENT FROM JOB ADOBES& 6.PHONE CAA IC,S wilt- J s 1'1u-30-GiiiY - MECHANICAL COWTRACTCR. . 7.NAME Of COMPANY: a ADDRESS.: — , S ti‘A 0 tat CA) P.o- &Pc t b%LL, -541, ,rti .3 Z2 y5 a.STATE OF FLORIDA UCEN8E NC: 70.CELL PHONE 11.FAX 470. cA-C-A 33c7-1 64 I-2324 V_EMAIL ADDRESS: 13.OFFICE PHONE 14. • L4i- C.110° Applc ation Is hereby made to obtain a permit to do the worts and installations as indicated. I oar*that all work will be performed to meet the standards of at laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within str;(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. CONTRACTORS SIGNATURE: 16.CLASS OFWORK: -.. . • • .• - ' tut.BUa.DB+G: •.... ' 17. 11..CNRREKr cone - , ; ❑ INSTALLATION D RESIDEN11AL ❑'06 FLORIDA BUILDING CODE- ' M REPLACEMENT OF FASTING SYSTEM t3 EXISTING ❑COMMERCIAL MECWW)CAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑REPAIR to OTHER :. •.•...:::• ... .;s: - MFG1tw�rlL`IAL EgUIPiHEXT 7W�. ^• Tn ., 19.HEAT: Cl SPACE 119ECESSED CENTRAL 0 FLOOR BURNERS: 20.AIR CONDITIONING: C)ROOM C3 CENTRAL 21.DUCT SYSTEM: MATERIAL: -F` THICKNESS: g-E MAX CAPACITY: i2OO cfm 22. REFRIGERATION: MAX CAPACITY: cfm 23.COOUNG TOWER- CAPACITY: gpm 24.FIRE SPRINKLER NUMBER OF HEADS: 25.LIFT SYSTEM: ELEVATOR: MANUFT: ESCALATOR: AUTOUFT: 26.COMMERCIAL HOOD NUMBER:_ 27.FIREPLACE: PREFABRICATED: MASONRY: • 28.IRRIGATION: 0 PUMP 0 WELL ❑PIPING _---1 29.GAS PIPING: #OF OUTLETS; a GAS AHU: ❑GAS WATER HEATER 30.OTHER-SPECIFY: SOLAR HEA I NG,BOILERS,UNFIRED PRESSURE Ve88E•NEAT EXCHANGER OR COIL IN DUCTS ETC. VALUE FOR OTHER rr *S •. . • ..'';• :, 4 " • •a.•REf R IGEFjAT•t6OJ.E BQti1PW]IT tT C o 9088 EfC.•:r.'•. :•: • :' .,• • NUPAEIER APway.NG OF UNITS 13661211111110N MODEL s MANUFACTURER TONS AGENCY . • . - •• . 3 2:HEATING ECK11PMeNT: '`. . ..•. :,::,_ .?• ;' .-: :• . •'FURINCES-90M-Efts. CES AIR HANDLER$£tC•• '• •:, <}, '--per APPROVNG OF UNITS , DESCRIPTION MODEL I MANUFACTURER BTU AGENCY ► 33.TANIUS: .. . . ► TYPE LIQUID - APPROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL• AGENCY COPS FORM II DG03:REVISED:in WOW SEP-24-2009 07:36AM FROM-Snyder Company 904-641-2329 T-568 P.001/002 F-293 4 `11-44 4'el.: 1 4 ingLYSTimir ,/4. �„ Heating and Air Conditioning r Florida License a CAC1813307 [ AX [ J © Date: el-Z,41-0 9 Pages Including Lover: -2._ To: Fax No: _.� , Phone: From: VA Phone; (904)641-0600 n P C Fax No: (904) 641-2329 Subject Message: kV( l �e-.j b y G- G. Oyu, 1,.01140 Keep 'em runni : -�•r� .�-"..- Your air conditioning system runs better, ....„r_-� ``,, L`4 more efficiently and more economically, when .:r� . it is regularly maintained. Equipment manufacturers'and JEA have d', 7” published their recommendation to have ft.-4 _ preventative maintenance done twice a year. Ask About our Snyder PM experts clean and check your Residential PM agreement. system using a 25 point program. provides two PM service calls per year,and 10% . discount on repair service SNYDER AIR CONDITIONING during that year. C41-O6O4) Florida t.leensed Air Conteboning Contractor#CAC 1813307 SNYCIER AIR CONDITIONING ALSO DOES COMMERCIAL PREVENTATIVE MAINTENANCE. t ir 1,rs S f CITY OF ATLANTIC BEACH : .. � : 800 SEMINOLE ROAD j t ;r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 JF31r-Yr Application Number 09-00001792 Date 10/22/09 Property Address 259 SEMINOLE RD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REWIRE KITCHEN Owner Contractor HIGGINS, CHRIS BILL THOMPSON ELECTRIC CO, INC 259 SEMINOLE ROAD 49 WEST 7TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 Permit ELECTRICAL PERMIT Additional desc . REWIRE KITCHEN Permit Fee . . . 70 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/20/10 Fee summary Charged Paid Credited Due Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. I. S d "'ii,:.• CITY OF ATLANTIC BEACH 07� I �±• 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ^;y," ''�'' I OFFICE:(904)247-5826•FAX NO:(904)247-5845 ��. BUILDING-DEPT@COAB.US =_�f,��. ELECTRICAL PERMIT APPLICATION DUVAL COL). 1.JOB ADDRESS: / 2.IS THIS A SUB PERMIT: 3.DATE Z5Cf� /1��[ , �' O EES PERMIT#: 6 077.- /-6 Atlantic Beach, FL 32233 PROPERTY OWNER: 4.NAME: 5 ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6 PHONE ( Iv)i . 44.7y bi r ELECTRICAL CONTRACTOR: 7.NAME(rvQ�J�� MPAN ,f 8.ADDRESS.:,.`}./l �( ��j icy t/, j� L .STATE pF'° Th icrO:� k Ci C. CE j U boy. 35A to L o tayy 1 1 c 1 , fu 9 10.CELL PHONE: 11.FAX NO.: �C15)C32A\\ 270 054C 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. r)\t -C.c#rc. Curt (IAA 241- I 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 saat�any time after rk,is commenced. CONTRACTORS SIGNATURE: O!/ %i� °' 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMB • ❑MULTI FAMILY-#OF UNITS: ,PRESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ALTERATION ❑SIGN ❑OLD ❑ NEW .405 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA Q REWIRE ❑OTHER: LIST ALL ELECTRICAL,lA/ORF4*``'' I' Fi ' 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPICITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: 24x7 PH: / W: 3 VOLT: %"c147 RACEWAY SIZE: 2" 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: /0 FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: / 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: /0 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: X 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING -7 #' #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW:. �� .1: : .. 33:MOTORS::;' :•r-,i • . NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: . • UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35.MISCELANEOUS REPAIRS: DESCRIBE IN DETAIL: 13Ai2a.,)cke-/ ./C; (,1--a I e /l COAB FORM BLDG02:REVISED:8/13/2007 �'(.....„ , CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j - ' - x ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 '1.*4.II 9 Application Number 09-00001780 Date 10/20/09 Property Address 259 SEMINOLE RD Application type description RESIDENTIAL ADDITION/ALTERATION Property Zoning TO BE UPDATED Application valuation . . . 2500 Application desc RENOVATION Owner Contractor BARTELS OWNER 259 SEMINOLE ROAD ATLANTIC BEACH FL 32233 Structure Information 000 000 Construction Type TYPE 5-A Occupancy Type RESIDENTIAL Flood Zone ZONE X Permit BUILDING PERMIT Additional desc . Permit Fee . . . 45 . 00 Plan Check Fee . . 22 .50 Issue Date . . . Valuation . . . . 2500 Expiration Date . 4/18/10 Fee summary Charged Paid Credited Due Permit Fee Total 45 . 00 45 . 00 . 00 . 00 Plan Check Total 22 . 50 22 . 50 . 00 . 00 Grand Total 67 . 50 67 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. r r;_, CITY OF ATLANTIC BEACH 09� I I I I I lti •`,, 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 f _ OFFICE:(904)247-5826•FAX NO.:(904)247-5845 , �. . BUILDING-DEPT @COAB.US __' BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF ZSC'I Se w-,. -.c, I� Y , , 4.LEGAL DESCRIPTION: 5:CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION ARESIDENTIAL LOT_BLOCK_SUB DIVISION �❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ;,.7.DESCRIPTION OF WORK: /`.ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: p ! p-REPAIR ❑POOL/SPA ❑YES ❑N/A I 1L.4-C.Lt.-+, /r7c.-4'L, Kc..vrvd"-1-,o... 1❑MOVE ❑OTHER 1❑NO I IPROPERTY OWNER: CONTRACTOR: ARCHITECT/ENGINEER: 9.NAME: I15.COMPANY NAME I 23.COMPANY NAME: C1,,,t -.44-0 pl.t_- ^�` l s 16.NAME: 24.LICENSEE NAME 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 18.ADDRESS: 26.ADDRESS: Z Sel Se-...,t'..-rl` �•'l - 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. (2001- -4(410 -5-44(014 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ‘9,...,:- \se1,,L.�%l^ Cyr.a. i. Co. ' 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) Signed: C‘,1,.,.5 I7cr�`_ , Date: I I ZGI f O`1 Signed: Date: Before me this day of 2009 in the county of Before me this day of ,2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements-nd declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. - ;�';! `� at Large,State of County of •Notary Public at :rge, of ` tP .•A ❑Person-ly ..wn Notary Public-State o Persona Known m •0..• u a Identification- ❑Produ -•Ident ca EEE AAA -- - • •s Fe•14,20110 Notary Signature: S/l.r�,'/�� a •nt •'•, •-' S1: •. ry ature: ' • .• • totary Assn. BLDG01 Permit Application Bldg:REVISED:12/18/2008 if -- - CITY OF ATLANTIC BEACH 11:WNER / BUILDER AFFIDAVIT • I. FLORIDA STATUTES; CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489.103(7),FLORIDA STATUTES: 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. 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. Z 5('-t S e„n.:,.,.o\R._ lZck (60ck) �G.C.,- S`l!o`f- ADDRESS ^L \ PHONE NUMBER 1 PRINT NAME LAS ge�J't �5 IO )Zv I G`k SIGNATURE \� c_ DATE Before me this A day of e 20_ in the county of Duval,State of Flonda,has personally appeared herin by himself/herself and affirms that all statements and declarations are true and accurate. Notary Public at Large,State of ,County of • ,p�, SHIRLEY L.GRAHAM rsonally Known ,,,`;!iii!o1 -1. Notary Public-State of Florida ❑Produced Identificatio•- `_ •• ;My Commission Expires Feb 14,2010 �,, • Commission#DD 518533 r Bonded By National Notary Assn. Notary Signatur 'i.•- ,� _ — — F:BLDG/Owner-Builder Affadavit;REVISE' 4/16/2009 Cil-;j\-N:rj i,_ .) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD PcL xL er ATLANTIC BEACH,FL 32233 S V INSPECTION PHONE LINE 247-5826 Error:s'/ r• edProtocol 0•erator: 0x0 PositApplQcation Number 09-00001410 Date 10/13/09 Property Address 259 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc 13 FIXTURES Owner Contractor HIGGINS, CHRIS C.W. WOOD PLUMBING 259 SEMINOLE ROAD 1328 ROMNEY STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 744-6604 Permit PLUMBING PERMIT Additional desc . Permit Fee . . . 126 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/11/10 Fee summary Charged Paid Credited Due Permit Fee Total 126 . 00 126 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 126 . 00 126 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. i`''J'Jo CITY OF ATLANTIC BEACH :'S ' . ,, PLUMBING PERMIT APPLICATION 0 Date: lo -9- 09 Property Address: 2$9 Sr /JOL.- RD. Owner: 8ARTELLS/1-11GG=NS Telephone#: 770 -3( At4 f Contractor: C ..t3• 1.3 000 P1-8G .. Telephone #: 71./U-660L/ Contractor Address: /72 IS goon.1' ST. Fax#:743- 1730 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: X Re-Pipe Number of Fixtures: / Bath Tubs 1 Showers Closets / Shower Pans 1 Dishwashers 1 Sinks / Disposals Urinals Floor Drains 1 Washing Machine 2. Lavatory / Water 1 Sewer 1 Water Heaters Other Fees Permit Issuing Fee: $35.00 Total Fixtures: 3 X $7.00 + $35.00 = t /26.0-9' 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845• http://www.ci.atlantic-beach.fl.us ., 'rj rV-I rlf'' ' CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ' yr ATLANTIC BEACH,FL 32233 ......"i..) INSPECTION PHONE LINE 247-5826 ''.1 J,3S9r" Application Number 09-00001413 Date 10/13/09 Property Address 259 SEMINOLE RD Application type description ELECTRIC ONLY Property Zoning TO BE UPDATED Application valuation . . . 0 Application desc REWIRE BATHROOM Owner Contractor HIGGINS, CHRIS BILL THOMPSON ELECTRIC CO, INC 259 SEMINOLE ROAD 49 WEST 7TH ST ATLANTIC BEACH FL 3223'3. ATLANTIC BEACH FL 32233 (904) 249-5601 Permit ELECTRICAL PERMIT Additional desc . Permit Fee 70 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 4/11/10 Fee summary Charged Paid Credited Due Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. � , CITY OF ATLANTIC BEACH 07� Mil ���. 800 SEMINOLE ROAD.ATLANTIC BEACH,FL 32233 ` sa OFFICE(904)247-5826•FAX NO:(904)247-5845 \3 ! BUILDING-DEPT @COAB.US DUVAL COUNTY '-'r��„>y ELECTRICAL PERMIT APPLICATION 2.IS THIS A SUB PERMIT: 3.DATE „Z c---.?1 1.JOB ADDRESS: J/� �fy ''‘e i�I'm Gl/p ❑PERMIT#: l" i or Atlantic Beach, FL 32233 ` PROPERTY OWNER: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE. 4.NAME: /,//4/4; ELECTRICAL CONTRACTOR: ]j if�r }, T` 8.ADDRESS.:. `�( �y� ��� ` � , r 7.NAME SSE rMPA � -V 1'`L/t!1 C.. C.. P 0 /. ✓3 I V:- '(lr ((�J„1 10.CELL PHONE: 11.FAX NO.:y,��. 9 STATE OF FLORIDA LICENSE NO:6Q17., �32A CA G ✓y�� 12 EMAIL ADDRESS: 13.OFFICE PHONE: 14 61 . Cyi -6-cc;-tr "LeAT c ;cA 241_vw u 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify 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 rk is commenced. CONTRACTORS SIGNATURE: �_Ars/`r e■■■•■••■■ 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMB R: . ❑MULTI FAMILY-#OF UNITS: RESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL 19.BUILDING: 19.CURRENT CODE: ❑ADDITION ❑ SIGN FOLD ❑NEW ❑'05 NATIONAL ELECTRICAL CODE ALTERATION ❑SIGN ❑OTHER " ❑REPAIR ❑POOL!SPA ❑ REWIRE _ UST ALL ELECTRICAL WORK: 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPICITY: OCOPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: 59t-tom PH: / W: 5 VOLT: _2(1(2 RACEWAY SIZE: #OF AMPS: #OF AMPS: #OF AMPS: 25.FEEDERS: 26. LIGHTING FIXTURES: INCANDESCENT: /C.- FLUORESCENT&M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: / 30. RECEPTACLES: 0-30 AMPS: O 31-100 AMPS: OVER 100 AMPS:_ 31.SWITCHES: 0-30 AMPS: 7 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: . "�`°�`t� #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: ° "' _ 33.MOTORS: NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: UNDER 600V: NUMBER: KVA: OVER 600V: NUMBER: KVA: 35:MISCELAN/EOUS REPAIRS. ±�� t. „ .., .. .. DESCRIBE IN DETAIL: /// a,/,./'e_ ,C atA I�L>N>vLt et Pi Ci `"'7'�i/A �c / fi CITY OF 41.144dic i2eacit q Office of Building Official REQUEST FOR INSPECTION /igg : 96 Permit No. /4 i Date , A.M. c Time 1 P.M. / / Received / _ (((��� —— / 4 A-`��i� Locality �- Job Addre� • ' / Owner's Contractor I/ 4---ce . Name MECHANICAL BUILDING 4 -' CRETE ELECTRICAL - Rough Wiring '- G Air Cond. & C Framing Footing J Top Out Heating Slab _ Temp Pole Fire Place ❑ Re Roofing Final _yew r ' Pre Fab I Insulation _ Lintel READY FOR INSPECTION A . Friday—� \I Mon. Tues Wed. ...., A.M. � __—.�P.M.d Inspection Ma.e nspection Ate, �i/%z r.ancYr I i Date ce,(1::: " ) . CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: Q2 5",! j{yJ441_14-V..k y i4.1 OWNER OF PROPERTY: DP. 0PLUMBING CONTRACTOR: t%/.t54�!'Y CONTRACTOR'S ADDRESS:75$- L 1s .,.Q..(__l /_-/le STATE LICENSE NUMBER: ' TELEPHONE:X6 '47"° 6( HOW MAVY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES / WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR. _, INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP — (904) 247-5834. PSR-3844 16187 „ A DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ----- ---- --- LOCATION INFORMATION Permit Number : 16187 Address : 259 SEMINOLE ROAD Permit Type : PLUMBING ATLANTIC BEACH . FLORIDA 32233 Class of Work :ALTERATION 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 : 0 . 00 Total Fees : 25 .00 Amount Paid : 25 .00 Date Paid : 3/25/1998 T,71., :HEATER - - OWNER INFORMATION ------ APPLICATION FEES Name RIGSBEE PERMIT 25 . 00 Addr 7 259 SEMINOLE ROAD ATLANTIC BEACH , FLORIDA 32 -' Phone : 904246-4657 ----- CONTRACTOR INFORMATION ----- Name: 3 V AND SON PLUMBING Addr : 755 CLEARVIEW LANE ATLANTIC BEQACH , FLA . 32233 Lic : RF0037856 Exr : / Type 4 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 REVOCA111614WOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 3/26/98 81 Receipt: 0043917533 CHECKS 00108003221008 ATLANTIC BEACH BUILDING DEPARTMENT By: 14- PSR-3844 12209 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- --- PERMIT INFORMATION LOCATION INFORMATION Permit Number: Address : 259 SEMINOLE ROAD Permit Type • XXXXXXXXXX.REROOF ATLANTIC BEACH , FLORIDA 3223' ~lass of Wort. TON 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 , 800 .00 Total Fe 25 .00 Amount ;., 25 . 00 - --- ^,WNER INFORMATION - - - - APPLICATION FEES ------- Name, 'FIr:SBE i-ITT 25 . nn Addr ' 259 SEHINOL ROAD rTLANTI RUC FLORIDA 31,1 Phone: 9 )42 ' 5, - 1057 Name: SC'H NTF:A L.C INFORMATION _ . -- ULTZ )FING AfirJ` t.,..,21 8 14- 20TH -Tl try-'SL1 I TE. A JACKSON TIT, BEACH , FL 3225( Exp : / / NOTES: NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR THE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIfieDK121-0 WOLARFOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 3888 88888888888888 ATLANTIC BEACH BUILDING DEPARTMENT By: / E ?_ CITY OF ALANTIC BEACH /R/OOFING PERMIT APPLICATION Owner(s) : �LIC///� ,95A7 Address: 259 A7/ Phone: Lot # , Block or Unit # Subdivision: Contractor: �f1��1/�� /6:5X7-/-7 Address: 2:/6 2O City, State and Zip ijld,A A ' ) 7 Phone 23" State License # C'C 'G 036 Describe work to be performed: - # fG� Alt Valuation of Proposed Construction: ifaarr6 Materials to be used: Ste% /c / iy'r/#/ eo// f'4(-css Signature of Owner; Signature of Contractor: Liability Insurance Supplied '\? 1 Workers Compensation Insurance Supplied 0 License Information (ke 4 m ° ° m m 20*. `Oa. 61 Vs, m G N . \ Gm Cc.k Z 0 I- o s � ‘...o * 0 'A \, - 0 '..._.., AF • d � o x 2 tS� ° •, e0 c 0 o ° N. ° %2'.. ° 0 v ` 0 \ o . °° j % . S -7 -7. tt‘ ‘...., ,, ,, 77,• . ,___„.„,"''''' -, - , S �,. T ,oT m�o ny 0 1 d�� °� S. O O A i� \ / PSR-3844 1041 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH - -_.--- PERMIT INFORMATION LOCATION INFORMATION Permit Number: 10341 Address : 259 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 3223? _ LEGAL DESCRIPTION Class of Work: ALTERATION Lot : Block: Section: Constr . Type: WOOD FRAME Township: RNG: 0 Proposed Use: SINGLE FAMILY Subdivision: ATLANTIC BEACH Dwellings : 1 'Cade: 0 Estimated Value: $0 .00 Improv . Cost : $0 .00 Total Fey $25 .00 Amount Pa $25 .00 ---- APPLICATION FEES ._ __.- OWNER INFORMATION -- PERMIT S25 .00 Name ' RIGSBEE 5 n WATER IMPACT FEE $0 O0 Address : ATLANTICMBEACH .RFLORIDA? =EWER IMPACT FEE WATER METER/TAP $0 .00 =hone ` �`4 45`465'? RADON GAS-H .R . S . $0 .00 RADON CAB 5% $0 . 00 -. CONTRACTOR INFORMATION RADON 5%PROVE. . 0 .Q0 Name: J V AND SON PI,L�MRING R WE TAP S0 .00 Address : 755 CLEARVIEW LANE SCEEDES TANNECTION $0 .00 .ATLANTIC BEQACH . FLA. 3223 - SEC H IMPACT FEE $O .QQ RFnn3-=R` 4 $0 ,00 * ; �Pr,�''•• Type :_ CON ST . SURCH?1R73E SCHARGE/ATL .BCH 50 nn 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 R O OWNER NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE 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. ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : (12.6--9 - 4 ()?Cfc OWNER OF PROPERTY: (P.1.3 JCS-- PLUMBING CONTRACTOR 17/ ' 1 .,' /Yi'L CONTRACTOR' S ADDRESS: -2 ,1„ ' STATE LICENSE NUMBER: F bO F78i L TELEPHONE : 4"I r5 7 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER /� TOTAL FIXTURES: x $3 . 50 + $15 . 00 qf 257 0 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR 4' INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 g, P/ / 7 i 4� \` PERM, Np. OF BU,� R o P R14 EroN'fl- VON R ptcrIc a BO O �QB ,i of M`.V ,� PQS(E y°N 19 . \iit Q�RVI OS� 3/1 3•p0 iN�S Date e$ ►oa Fe ,je►sotci. 0 to city , of V"• 4 V►' ,�, "J eo 4s;a toy.ipD bo'ie tee bis of 04.-sb,O F Vat1°� a ootit ► 'noI►tjo •r�i v a1 v►`t t°t .goc 'ibt" Qe�,t etoto teYpe►tioo E•C� � �G$ �\ 'i s•�to at l3✓. ;s is eettifY t1' Cgs 4 to Re1,0 ate \ T1t to b°'1' s ID pe� �$s�ott • OgS b� aW_. 6e $tpe �CgE�$E 113 i'' ig�ro tit. C0 M��g1�0' 0204‘e lass �eatio� .�.g C SOS this 4e it 130110 00'tE GO0 y0 11�013,SE$ eabY SB�pa pail of p,13DC.fF,D $ 01D S10F 1�g17 ebra \ O a�j a e $ 1T T �a ��b. a plans��,cb T YE Y OF,cER D a1 Nbro a e14° T°v ate os 1 IA 8°USOta1r�t°aP4 � 3 B°'1 tthls° of t $e oet c° \ -44''Q e Mc O q�on`. spa sa aY �:�: 2� V°bbra�l� of 0 O 11 01 • 77 ,...„ ,,..;., 1,1 Ili. a•oaa i- MBER \\ 11 oF,G0111'f. F ugE oN 00 . VY P�JMgtN�' 6V gfs4gR Y4 P'IsR v. CITY OF ATLANTIC BEACH j // APPLICATION FOR PLUMBING PERMIT PERMIT NO. Date : Kareh 19, 1979 LOCATION 259 Seminole Rd. Street LOT NO. BLOCK NO. OWNER J.H.Riusbee MASTER PLUMBER E.r.Roche, Bldg. 7k8 BUILDER OR CONTRACTOR Owner,remod.el job Permit Ns:). TYPE OF BUILDING Res. SINKS LAVATORY 1 BATH TUBS URINALS 1 CLOSETS FLOOR DRAINS SHOWERS WATER HEATERSDISH'WASHERS DISPOSALS OTHER I 'Dashing Lachine TCTAL FIXTURES -.3 @ S1 . 00 NO NORK MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size and location of all the soil and vent pipes, and the number and location of all fixtures, (in accordance with Ordinance no. 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBING ON BACK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTED REMARKS FINAL INSPECTION: CERTIFICATE ISSUED: The above work is to move fixtures E. G, ROCHE 1125 �LUM�,gT�►s R JACKSONVILLE BEACH,EF A, *e7; 40)e).?-3‘__ 3//P/r, DEPARTMENT OF BUILDING FOR OFFICE USE ONLY l CITY OF ATLANTIC BEACH, FLORIDA Date ii- 19' �/ Permit #/e7 Fee $ 3,D-O Application for Permit for Valuation S Miscellaneous Alterations, HOUSE # �S "7/' and Repairs A DESCRIBE: / - �� ` , (S at 2 e if to repair, alter, add to or move building, erect awnings, signs, etc. ) i ' Building on: Lot o. 4110 B1 No. , A Sub.Div. :- / Address .Jr-' = _� - - ..� �. �alua .ion $ 6" 2,-II, /-Owner 's Name iA SFAIRMIKK. --, BUILDINGS AND OCCUPANCY Building Use - Residential or Business What Plumbing work to be done? Size of Present Bldg. Size of Extension Lot Size No. of stories now after altered Material of roof Material of Present Building Material of Extension NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model Name and Address of Manufacturer In connection herewith, application is also made to install: gal. capacity tank(s) made by of gagge metal --, -.-1,r ground. (Name of Manufacturer) +Un(5.,r or Above) (Under or Above) of building. For (Inside or Outside) (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK 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 o e terse side) zoa619 IMPORTANT NOTICE: tilkl 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 Standard :uildin• Co(W) . Signature Builder o� e X ,. Address ZC'� � �-=- Ph one N ?'S 3 '—'5 TS 7 " DEPARTMENT OF BUILDING FOR OFFICE USE ONLY CITY OF ATLANTIC BEACH, FLORIDA 4 Date,/fit- 196 Permit ''7SIFee Valuation $ /6-40..00 Arplication for Permit for HOUSE # 2's`/ Sergi//.4e Miscellaneous Alterations, and Repairs 1956 DESCRIBE: /9'!" /" x 27 iww,,ly ,ga8)/4 o.f 1 ,1 .s, e' c/ "Pk , . /4)ie fp'Xlb` 'pen ,ore4 aN rear °f .crse • (State if to repair, alter, add to or move building, erect awnings, signs, etc. ) Building on: LotJ No.i40'-4 2 Blk No. Sub.Div. J44d�4P/r Address $ =,4//i1'pL /7>• Valuation $ / v ,cc Owner 's Name J4-t,' %'%5.sb BUILDINGS AND OCCUPANCY Building Use - Residential or Business / F<$ What Plumbing work to be done? A/cr.e' Size of Present B1dg.27z 5,'a 7 Size of Extension /4`X(272' Lot Size /00',11//ao No. of stories now / after altered / Material of roof Apoi, 5fi61,1P} Material of Present Building /e:dv.,E Material of Extension A214*0-,e' NECESSARY PLANS TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump Type or Model Name and Address of Manufacturer In connection herewith, application is also made to install: gal. capacity tank (s) made by of gauge metal ground. (Name of Manufacturer) (Cnc er or Above) of building. For 7-7THEM or Out, ic.e) (Name of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK 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 CON TRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) ide) ,Prt2/r h s le ed✓,f4 . 6t,--'Az IMPORTANT NOTICE: In consideration of permit given for doing the work as described in the above statement, Tie 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 Standard Building Code) . deor Signature of Builder € ' Owner4 2(-2 / Address .,Z ,S �Si� +� �/F /3 %� Phone 'o. 4ZZ — 72 \)/ DEPARTMENT OF BUILDING 3 9 8 8 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. ' PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Data 19 Valuation$ 1. 200 Fee $ This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that .awes h. 1t].e c has permission to build addition to bathroom Classification Zone Owned by James H. Rig- bee Lot 481-482 Block S/D Salt Air Sec. House No. lq nn., Po According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE I ♦ —► • ■ 0 Building material, rubbish and debris Zfrom this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. d/dde Bill M. Davis Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING t ELECTRICAL SEWER WATER It FOR OFFICE USE ONLY 'ALLURE TO COMPLY WITH THE MECHANIC'S CAN RESULT IN THE PROPERTY Date��s�� 19 .7 EN LAW C Permit # JOY'S?' -Fee$.-= WNER PAYING T` ' NRANXtfrit6 BEACH Valuation $ ,==07.‘20 4PROVEMENTS." FLORIDA House #_ 9 %ham 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. /741./ ��� Date ��r.!ate, 2 D , 19...7�z' Owner /t'' 's- Address --?` -- �e'0-r-- ",r`'`.._ elephone No.^'£((-,7 2./ Arch' et Address Telephone No Contractor Builder Address . Telephone No. Lot No..__ 'v"- '6V2 Block No. Sub Division_ / Zone Street Side Between and Sts. Valuation $ For what purpose will building be used Type of construction �.1d --.- Dimensions of Building Dimensions of Lot /ad / /O c) Size of Footings ' X 2 O Size of Piers Size of Sills Greatest Sill Span in ft Type Roof How will Building be Heated? Will Building be on Solid or Filled Ground? �„ Size of Ceiling Joists 2/X�O , Distance on Centers /�' . , Greatest Span f " Size of Floor Joists 'Z- X6 , Distance on Centers / //. , Greatest Span G ' " Size of Rafters Z. X G , Distance on Centers / " , Greatest Span Z-z- " 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. A P P R V E D REAR LOT LINE CITY OF AT NTIC BEACH Two copies of plans and specifications shall BUILD! G OFFICE be submitted with application. F Inspections required. F :, 2 2 l• / 1. When steel is in place and ready to pour footin., W z 2. When steel is in place and ready to pour of , f 4 Z a to pour s l��-�� A A� 4 a7 ., 3. When steel is in place and ready p E-4 F 4. When framing is completed. $ S 5. When rough plumbing is completed,and ready to cover up. G7 w 6. When septic tank drain field or sewer is laid but before it is covered. A A 7. Electrical inspection by City of Jacksonville. c 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 �� �}� 4- Signature of Owner �` ,?.€- _ Address .IIC/� �Yyub /7/ ,�c" a-07. 6.4e 4./6 "e 2544 A). \31 lop 62"1" 1A4V 2b" .,l a . A _ 14. ji& ; � _ _ 47A7 Io APPROVED CITY OF ATL NTIC BEACH suiLr I OFFICE F.7: 1,2 19 ;(/ B // CIT"; OF ATLANTIC BEACH 716 OCEAN BOULEVARD ATLANTIC BEACH, FLORIDA ADDENDUM TO BUILDING PLAN 1. Building location: 2. The attached plan for the thcve building is approved subject to meeting the following applicable construction r-e .aieemen:s: - r s shall be continuous monolithic concrete under e�:te or walls,5/8"einforced with aQ. �two buildings �0 9/8" deformed reinforcing rods for one-story reinforcing rods for two-story buildings. Reinforcing rods sell be placed in the lower one-third of the footings, properly place and fastenad on matal sa les wit 7o wire. footings shall be six inches wider on each side than the wall above, shall be at least eight inches thick and shall rest on firm soil at least twelve inches below undiet:u rbed soil. b. xr_ h.O11 :3 masaney a . i^. con_strurctio, each a,ni4t cell shall b tee concrete; lith at least one No. 4 bar at all corners, poured and reinforcing shall be properly tied into the footing and spandrel beam. m0 c. All wood truss rafters (roof construction) , shall be securely 4`astcn®d to the extn_r .Or walls with approved hurracane anchors or clips. d. Construction of nearby one-family dwellings, which are plicates?or configuration similar, shall be avoided. Such similarity considers a ape ranee (i.e., roof, out= wall materials, windo , size and resign, ansimilad lithe character: stics) of str rcutes. In accord with the foregoing, or or duplicate tomes shall not be constructed within close proximity other, and shall be at least 500 feet apart if any one similar dwelling is visible from any other similar & elling. -.,,�•i>f.�3 drag'.� � .d the aw��r s®X7ica e. The renal conneZ ctiOn between the houeo d the saver 3 being connection $att he property line) must Ispe : / a ' City nAnAgG ersi ned hereby certifies that he has need the above and understands specifications s ad® nd g addendum takes precedence with tYnerint� frthise�tmd>Send� t oe olans and agrees to comply osavas Contrract®rr/Owner Date