278 Seminole Rd (vault) PSR-3844
14360
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--- - PERMIT INFORMATION ---- --- LOCATION INFORMATION ----- -
ermit Number! 14360 28 SEMINOLE ROAD
Permit Type :REMODELING ATLANTIC BEACH , FLORIDA 32233
'lass of Work :ALTERATION - LEgAL DESCRIPTION -- -------- ,
Constr . Type:WOOD FRAME Block: Lot : Twp .
Proposed Use Section : 0 Subd : 0 Rng .
Dwellings ; 1 clibdivision :ATLANTIC BEACH
Ezt . Value : 0
Improv , Cost :
Total
• -)W4F.P. INFORMATION APPLICATION FEES -- -- -----
4ame7YFOSTEP HARPSTEP PERMIT 31 F,0
Addr 78 SEMINOLE RJAD
ATLNTI BEA'Al : FLORIDA
;;-honfit4 ( qe4105c)- 4251
.11TRAOTCR INFORMATION --- - --
4ame : KIWCO LTD .
5245 OLD KINc3S ROAD
3.Ai:KSKONVILLE . FLORIDA
Lic : CTC05E058 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 MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $37.50 14
Dete! 8/14/97 61 Receipt! 067821E
CHECKS 115838
0000
ATLANTIC BEACH BUILDING DEPARTMENT 061 3221000
By: (
07/24/1997 07:38 904-354-2642 KINCO JA> PAGE 02
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s) :r . ..T (- 'iriY{t1 t�tPk s l�
Address : E amhNOle- Rd - Phone: ) –Vic21
Lot # Block or Unit # 4.1d
Subdivision:
Contractor:, K 1 A%L U L�
State License #
Address :—.Lac4C 0/ d ri s Phone No: ?,SS-15V3
Describe work to be done: '.-12C 0) AC tY)9, n157:) (A-)1nvd .( L"5
Present use of building :_,__„-brYl 6
Valuation of Proposed Construction: 2 1 L _
Proposed use: . !
Is this an addition? N v If yes, what are the dimensions of
the added space: ik/ t) ft . X ft . Will the added area
be heated and cooled? 4✓/R' New electrical (or increase)? N//1
Py
New plumbing fixtures?_ //New fireplace? / New Heat/AC?
SUBMIT Taint COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY ,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT; AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: �, ../,, M 0- Date: (/� / ?
Signature CONTRACTOR: , 14,A * )4""4 Date: 01.1 `'a
License Supplied:
Liability Insurance:
Worker's Compensation Insurance :
07/2411997 07:38 904-354-2642 KINCO JA:: PACE tai
`,r�� PHONE 355-1476
•
• 5245 Ol0 KINGS ROAD • P.O. BOX 64211
JACKSONVILLE,FLORIOA 32236-6428
FAX COVER SHEET
To: _ . z(i6
ATTEN lON:, /a
FAN NUMBED: . 7 -J-3.7 7
TOTAL NUMBER OF PAGES, INCLUDING COYER
11ESSAGE:Z
ArAWAIIIV �.
t
. CITY OF -A
lit 4 �i /3� Offi�cia,`IQ�
Office of FORfINSPEcrION
REQU /
/ Permit No t
A.M. i
t
Date 10 P.M.\ / >�
Time / v ' Locality
Received ,J
7 ICAL
MECHAN ❑
Job Addres Contractor .� NG
/ _ Air cond.&
owner's /,1�,�`` ELECTRICAL Rough G Heating Cil
Name CONCRETE Roug Pole ng sewer t P're Fab Place
BUILDING ❑ Footing ❑ Fermial A.M.slab ❑ P.M.
Framing. Lintel py FOR INgpECTION Friday-
Re Roofing n REA
Insulation Thurs.
Wed.
Tues. ' P.1•
Final Inspection
MOn' of Occupancy r
m Certificate
Made
Inspection igw,vilpf
pat e
�
Inspector w wiLe2.41 ))
•/A Miatef al
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 97 2 19
i
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.
p..
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME /-(1_,C, 4r 1�l' ,5 % ADDR ESS: 2 Je,---z At-JIQ {/ o RFD BOX
BLDG.SIZE BETWEEN:
RES. (1--- APT. ( ) COMM. ( ) PUBLIC ( ► INDUS. ( ) NEW ( ) OLD REW. ( ►
ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT.
SERVICE: NEW ) INCREASE (i._.)� REPAIR ( ) FEE
CONDUCTOR SIZE 7/ ,0 AMPSL)Oj COPPER ( ) ALUM. ( z
SWITCH OR BREAKER 2 CZ AMPS ,/ PH 3 w .?VOLT t' RACEWAY
EXIST.SERV.SIZE AMPS / PH S W �two VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 91.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES I BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 I OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS --
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
CITY OF ATLANTIC BEACH
1 DEPARTMENT OF BUILDING
1 800 Seminole Road -Atlantic Beach, Fl 32233 - Tel. (904) 247-5826
ROOFING PERMIT
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 22142 Address: 278 SEMINOLE ROAD
Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section: 0
Square Feet: Subdivision: ATLANTIC BEACH
Est. Value: Parcel Number:
Improv. Cost: 2,000.00 __ OWNER INFORMATION
Date Issued: 6/12/2001 Name: FOSTER HARPSTER
Total Fees: 30.00 Address: 278 SEMINOLE ROAD
Amount Paid: 30.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 6/12/2001 P_ hone: (904)356-42.51
Work Desc: RE-ROOF
CONTRACTORS) , ,, . PPLICATION FEES
A1A ROOFING, INC. PERMIT . ,,, '"` � 30.00
.' '
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:, - " &
NOTICE- INSPECTIONS ; T SE REQUESTED AT LEAST 24 HOURS IOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND ?EBRIS FROM THIS WORK MUST NOT pt PLACED IN PUBLIC SPACE,AND
MUST BE CLEARED UP AND HAULED' Y BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY*R NST�* ..OT��IN W RESULT IN THE
PROPERTY OWNER PAYING TWIC ,FOR B LONG IMPROI, EME,, ITS"
ISSUED ACCORDING TO APPROVED PLANS'WHIC AR P TI-u S PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF
t ---C/
4
$38.60 14
O ATLANTIC BEACH Date: 6/13/61 tii Receipt: 6654576
nil-
CASH
\,_ 66100003221000
1
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION: 275 Seim.`. ./? /�d
OWNER OF PROPERTY: re 57 ley Si-er TELEPHONE:: a iii-G 9Zll
CONTRACTOR: A IA ad.Al
CONTRACTORS ADDRESS: Ill 4
CC-Gt-Q fec-c( Fl ZIP: '43d ? S-4:1
STATE LICENSE NUMBER: C C IJIJ 7 6 't TELEPHONE: / 7- 71c 3
DESCRIBE WORK TO BE PERFORMED: R-0- sAa,d,k 591 `Sy 1 8
VALUATION OF PROPOSED CONSTRUCTION 2 0 a)
r
MATERIALS TO BE USED:
SIGNATURE OF OWNER: 9�
SIGNATURE OF CONTRACTOR: • L -'r' / ..
ft,,tiL 1,--C-- .7=toyiceoL. , 0--6-2,(4 0 (i ,
• - -- -. ORE ME THIS DAY OF J
,,, -;,',.11 y GEORGIA A.HORN . 1�
'6 fa,''',,--.1 M COMMISSION#DD 030526 ` /�
' p EXPIRES:June 3,2005 f�� `l,� ■ `N
AS 4p Zion Thor Notary Public Underwrters r
NOTAR PUB IT
S WORN TO AND UBSCRIBED BEFO RE MET S //cam- D YOF (i - , 10,A6'd/
5.6-tl—
AS TO CONT CTOR ( -4679-72 .( -)1 Q-V7/Yr/‘
NOTARY PUBLIC
Liability Insurance Supplied
.�;9,Y.'6i; ,, GEORGIA A.HORN
,,
Workers Compensation Insurance Supplied . %"_ MY COMMISSION#DD 030526
71"'' EXPIRES:June 3,2005
s,4'of V Bonded Thru Notary Public Underwriters
Contractor License Information Supplied
Occupational License Information Supplied