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318 Seminole Rd (vault) APPLICATION FOR WATER CUT-IN TO THE CITY OF ATLANTIC BEACH: Application is hereby made for ;3/4/" /5/0 water cut-in at the following address for _ units. Cut-In charge of '�go5,Czi t '4 et) C.L 4a. Qr,c,d)c., Street No. Lot �2(p Block Subdivision *44 Ordered by: _Apy, " OWNER: Mailing Addr- s AM% /0 7 cv DATE: e_lGL� ACCOUNT NO. .5P METER NO. DATE INSTALLT'D c/< 5 7 7 ins 7.4 de cI ca ,�. C'o si -iex e �, /,� ?� 3 71— I. �'. p CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. DATE : z -/9-',7 T,0 ATION 3 a. x ,yi ; LOT NO. /p cJ BLOCK NO. S/D SAGT 4/2 OWNER ...10 e/ /r/1 u -17(1/41 .4 uJ MASTER PLUMBER A d e,r S' /-/cl /BLDG. BUILDER OR CONTRACTOR /._=-A2/.542 PERMIT NO. TYPE OF BUILDING SINKS 0Z. LAVATORY / BATH TUBS ,Z CLOSETS FLOOR DRAINS / SHOWERS ____Z_____WATER HEATERS / DISHWASHERS / DISPOSALS OTHER 4)4d/j�w/ hchi.e. TOTAL FIXTURES @1 . 00 NO WORK MUST BE DONE UNITL A PERMIT HAS BEEM PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the ,ite 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 application and be approved by the Plumbing Inspector . DRAW PLAND SPECIFICATION OF ABOVE PLUMBING ON BACK Approved by - Plumbing Inspector Date • (FOR OFFICE USE ONLY) Rough-In Inspected REMARKS Final Inspected CERTIFICATE ISSUED : rk >r' t 'A�a AS s i fk{ k k *3 Y x `1 s yw M� � T' `.. r. �Y k 1 �� 7 � � , /. / Fy f Y r l• • " r 'AE Y •' \ ,7/ /. t• bip 'N-r1 aw s ,,-.} x k 7 L. f t.' \4 ate tk aF 1f. .\'�• ,. • 1 . Ir k ., k. • h t" t } {V, Y J fi" • t J µ c s«-y .•,roi�F7@f Ytt°iaF fia 4 ,•ir.11i .� t v d k T f !r 'y k ti + .'',Y.:,. ,:" F? 21- l'.k- 4 FeRit4..a ri adlN,Yn rna++ F H .t,,;. . . ._.._....,+....,: CITY OF /;� 4 Office of Building Official �y REQUEST FOR INSPECTION Permit No. Date T 000. District No. ime• S P M• Received G I. 3 e 0 j,t a Locality Job Address Owner's Name Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Rough...............❑ Rough............❑ ❑ Wire..................❑ Rough Wiring.❑ Rough ............❑ Foundation Finish Wiring_ID Final................. ❑ Finer Heater..❑ Chimney...........❑ Lath c............... ❑ Fixtures..........❑ Sewers...............❑ Finming............❑ Scratch..............❑ Motors. Gas................... ❑ Brown..............❑ Cesspool .......... ❑ Final................. ❑ B �/�/ * l 3 Wallboard ...0 1--Off O- ' �7 (.�' Wallboard .•�•• � �' READY FOR INSPECTION Fri _�P.M. Wed. Thurs. Mon. Tues. 1;�; Inspection Made Inspector ....--..............---, .....0100' CITY OF I • 404fftiz Utah-ReAki0 9 Office of Building othcat , -- REQUEST FOR INSPECTION Date _ Permit No._:_■---- Time A.M• _., District No._----------_ ! .S.-0 Job Address Locality Owner's Name Contractor 1 BUILDING PLASTERING ELECTRICAL PLUMBING ...,./4EATING 0 Wire .0 Foundation.... . ................. Chimney.............0 Lath.................. Finish Wiring..0 Final....0 Sewers •0 ................ Final...............1,1 0 Scratch........... ..0 Fixtures........ o 0 Water Heater..1-1 Fri:Mali"...............0 Brown—.............0 Motors............... Gas............ 0 ...... Finish...............0 Cesspool ........... Wallbo .. ard . ......0 READY FOR INSPECTION --1.. 4 ., Mon. Tues. \Ned. Thurs. A m F r i•.---f-----------_,.M. Inspection Made■------__■---:PIM'. • CITY OF Attaisti4 Beads.•R04410 $ Office of Building Official , ( REQUEST FOR INSPECTION 7 Date Permit No._--------_ Time. 1 ; '' Receved_J------ -- ?PJVI. District No.______-----_ 3 Job Address Locality Owner's Name Contractor BUILDING PLASTERING ELECTRICAL PLUMBING HEATING Foundation.......0 Wire..................0 Rough Vgiring.0 Rough...............0 Rough............0 Chimney...........0 Lath..................0 Finish Wiring..0 Final................. E.......64nal...............0 Framing............0 Scratch..............o Fixtures..........0 Sewers............... Water Heater..0 Final.................0 Brown...............0 Motors.............0 Gas...................0 Finish................0 Cesspool ...........0 Wallboard ........0 READY FOR INSPECTION A.M.Mon. Tues. D-: i,,6 Wed. Thurs. Fri.----______P.M. Inspection Made■-----------10101 1....-.orttlf d ^-o74 y 14" FOR OFFICE USE ONLY �j 'T Date / 05-19 Permit # Fee$ CITY OF ATLANTIC BEACH Valuation $..,f. .i/(C!0 0 ` FLORIDA House/"--s-.--.31-1 --,,,,,,e, __. i y ,tS APPLICATION FOR BUILDING PERMIT 3,rd ',,,s /, 3 Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date---- -Q-b Z ika y 12, , 19..15_ rn lishtown, Inc. A(��'esi_03 Century }21 Jr. Telephone No 725-9399 Owner :Ms lo.7 Jax. - 1a. Architect 1 ade.._.Bra�me Address 4040--3- Q-Q-dCOCk--Di._. Telephone No396-2951 Jax. Fla. 75—��3 99.-- Contractor Builder-E 11,g1 tad QTAl.i1-,___.I -a Address10.3-- (efltt 1 1 �1 u •. Telephone No. _.r_ Lot No. 26-9- Block No. Sub Division HItA1 r...: .e.ction___2 Zone Street - Side Between and Sts. Valuation $-..1,450_Q:. For what purpose will building be used residence Type of construction frame Dimensions of Building 35.x53 Dimensions of Lot .7 0x100 Size of Footings 16" tt Size of Piers none Size of Sills j Greatest Sill Span in ft. 5" Type Roof shingle How will Building be Heated? electric Will Building be on Solid or Filled Ground? solid Size of Ceiling Joists 16• , Greatest Span 24 t " .2X1.2-:] , Distance on Centers Size of Floor Joists none , Distance on Centers , Greatest Span " Size of Rafters pre enGinee re d , Distance on Centers , Greatest Span " trusses This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. c Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. a a 4. When framing is completed. Eoo �,"+ .] 5. When rough plumbing is completed,and ready to cover up. r W 6. When septic tank drain field or sewer is laid but before it is covered. A 7. Electrical inspection by City of Jacksonville. to 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. lel i 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 L I Lc Address 103 Century 21 Driv, Suite 107 s--r.sx Jax. Fla. Signature of Owner .f 77,/.--, Address Jame -, , r �- �s i _ CITY OF ATLANTIC BEACH 1 -' '' "` sJ 800 SEMINOLE ROAD ,� ATLANTIC BEACH, FLORIDA 32233 a - INSPECTION PHONE LINE 247-5826 Application Number 05-00030414 Date 5/25/05 Property Address 318 SEMINOLE RD Tenant nbr, name IRRIGATION SPRINKLER Application description . . IRRIGATION/SPRINKLER Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor HUMPHREY, SCOTT GATOR IRRIGATION 318 SEMINOLE ROAD 782 BONAIRE CIR ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 242-8229 Permit W/W/O PLUMBING PERMIT Additional desc . Permit Fee . . . 100 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 100 . 00 100 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 100 . 00 100 . 00 . 00 . 00 1 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ` . C 'B LDING OFFICIAL S CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: -5/S SE. ■-/AJ O 1--g- Z- - Owner: S'C.o-' /V, _p fc' Es' Telephone#: 59/ --59/' Contractor: 64Tb1. /Ge(e.,A7'/o!I /NP . Telephone#: Contractor Address: iS"' (D.& -A 9- IWL S. Fax#:0°9 2142949-1 Contractor Signature: 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 Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters y S Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 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 i f ,, n0!5044 CITY OF ATLANTIC BEACH _ ,. .. 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00029928 Date 5/02/05 Property Address 318 SEMINOLE RD Tenant nbr, name REROOF Application description . . ROOF Property Zoning TO BE UPDATED Application valuation . . . 4200 Owner Contractor HUMPHREY, SCOTT MONAHAN ROOFING 318 SEMINOLE ROAD 2050 KING CR S ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 242-8246 Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . . 17 . 50 Issue Date . . . . Valuation . . . . 4200 Fee summary Charged Paid Credited Due Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total 17 . 50 17 . 50 . 00 . 00 Grand Total 52 . 50 52 . 50 . 00 . 00 ti PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. (4N BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: D. For. BUILDING / ZONING DEPARTMENT ,. 1t" s-) 800 Seminole Road S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 RECEIVED Ji3}� (904)247-5845 Fax CITY OF ATLANTIC BEACH www.coab.us BUILDING &ZONING MAR 2 2 2005 PLAN REVIEW COMMENTS . Permit Application # 05- Z.99 Z8 BY: Property Address: 3 t S Applicant: 140 ti ,-1 PcO P-1 LT Project: This permit application has been: U7 Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: (.4ç Date: Sit31(6 Date Contractor Notified: CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address ;I S 5 , „tag. �' Date 3!V3(r Heated Square Footage per sq ft= $ Garage/ Shed $ per sq ft= $ Carport/Porch per sq ft= $ Deck @ $ per sgft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ 1{x•00 35. $ �✓5^ Total Valuation 1st $ /bob 300 Q $ aO Remaining Value $5 per thousand or portion thereof CONSTRUCTION TYPE: TOTAL BUILDING FEE $ s5 ZONING: + 1/2 Filing Fee $ 2 8 FLOOD ZONE: ( ) Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ g 3 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( )RADON .0050 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ g3- I \S) CITY OF ATLANTIC BE AC ROOFING PERMIT APPLICA 'ION SOOZ Z Z DNINOZ'8 JNlallne HOV38 011M/11V JO - 3 DateC7 3 72 t Za3 G• Job Address: 3 ($ t• 0 Owner of Property: cow i-4 v rip Address: 50c( (Aet w01,A.C,,�,i)re-t- ,,,E 4 3Z2C.0 3 2C.( Telephone: C D 4-) 2 - Contractor: rn Q n a L a r J(Z o i State License Number: g Contractor's Address: 2 C'50 k"n Cra Telephone: Z '-j z. '' (v `r2 Fax: 2 Gf Z ' g R (,o Scope of Work: 2 C r-c F 3 G 7 k f Kr& J Deck Slope: 5/1 Z Greater than 2:12 � Less than 2:12 Valuation of work: y 20 d Product Name(Example:Timberline): Gf) is'rk Manufacturer(Example: GAF): G— F ASTM Designation(s): 1 3 rn - D I G I Required Inspections: Shea 'ng and Fin.l Signature of Owner: Date: Z-Z-0 S 7P44-11710 Signature of Contracto . ate: 2 - 3 — C)5 AS TO OWNER: Sworn to and subscribed before me this anJ day of 44-j ,o-,A., . 20-OC.-- State of Florida,County of Duval _ Notary's Signature: e__Ully-v ��,r M� , Personally known c r "'Y ^mrnrcgp ee130 Produced identification °"` E"'"` '"ove,r, is 200e Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this day of ,�y,v,--(;1 ,20 O 5": State of Florida,County of Duval Notary's Signatur Personally known ❑ Produced identification Type of identification produced ' COMMISSION I #0019 :� MY COMMISSION#Dp 1907n9 - knEXF'IHES:March 21,2007 °ea TMu Notary Public Underwritors 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 2!21/03 FLA.1977 LAWS RAMCO FORM 409 FS 713.13 No i,ceiof C . • • • (Prepare in Duplicate), To whom if may concern: . The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Description of property 3 i S .a.- %I.DoeSE- s A LPC*-'TlC- ,CA-k-t k- $Z233 General description of improvements V r-- -- et-A- i r e iN o u ,1"---e Owner C•0T [ -J'"'t P 4-e---'E,--/ Address . AVIeCG-cJj'• , C..LR�,4'E.. .1. .Q -{" ?%!sC.. -t-R E 3Z 26.E. . . Owner's interest in site of the improvement Fee Simple Title holder(if other than owner) Name i, p Address . .F F e_.o_. .b 1 0Rc.41 ,., R 6'-. cc core Contractor f - �/ Address . . . . .?... S e. . . ..-.'�. .. .C.R . .,Sc� E s—,c .<-: F < O - Surety(if any) Address Amount of Bond$ • ( `V ' Any person making a loan for the construction improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served: Name Address In addition to himself,owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(h), Florida Statues. (Fill in at Owner's option). Name Address • This space for recorder's use only I L . Owner Sworn to and subscribed before me tlus x ay of;.- . , ` 1, .AA2QA( 20,_©`x'` ' !" -..-(411r4( m,oak+o �' � '' E �> 'V.,„ I fiber 16 2006 .e:n" Doc#2005085618,OR BK 12349 Page 1986, Number Pages:1 Filed&Recorded 03/14/2005 at 04:12 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING$10.00 2 S , CITY OF ATLANTIC BEACH A J 800 SEMINOLE ROAD ' ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 \DII1 5 Application Number . . . . . 05-00030302 Date 5/10/05 Property Address 318 SEMINOLE RD Tenant nbr, name WELL Application description . . WELL PERMIT Property Zoning TO BE UPDATED Application valuation . . . 0 Owner Contractor MALCOLM, SCOTT R.J. WELLS 318 SEMINOLE ROAD 1078 NESTING SWALLOW ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235 (904) 591-5974 (904) 221-7988 Permit WELL PERMIT Additional desc . Permit Fee 35 . 00 Plan Check Fee . . . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due Permit Fee Total 35 . 00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 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 CONSTRUCTION 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. .C166, C, 40A0 BUILDING OFFICIAL -�yLyf. CITY OF ATLANTIC BEACH WELL PERMIT APPLICATION Date: (d - d� Job Address: �� S�iii 1 GV OL �17 Owner of Property: taco 64 A V A1--eN Owner's Telephone: 5q-/- 677 Contractor: Contractor's Address: / ) 7 GV S77 \/& 6 (..,\(4 (ix) d Telephone: /Uy ,S OG/ 7/476 Fax: Is well to be used for drinking purposes? 71/0 ➢ Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is on file with the building department. ➢ A reduced pressure zone backflow preventer must be installed on the City water service on the customer side of the meter. A certified tester must test the backflow preventer and a copy of the results sent to Public Utilities. Department Notes: _• =_ . omply with re:ula ••ns sated herein: OS /O' d.5 - gnature Date 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800•Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us Revised 6/25/04 k.. E,.. u:it■ (M14X , Date �f 19 / v Permit # '201 Fee$..s�no — CITY OF ATLANTIC BEACH Valuation $..... ,r o_J / l FLORIDA House #3l _-:/ ' - �/, 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. / 19 7Z Date �.l W E C3 Owner Address Telephone No Architect Address. Telephone No d ConisT2ucrio,v S.FRVie�E ze.5 J/�A' /--.4,5%..o ,,:',.;,4, :-...2'716-Contractor Builder Corgi!-7:7..2 W.rrti' - QatZ_P• Address.-PQ..-f6:%a.----.D.-=-`? ,./..4:--,...Telephone No. ^. Lot No v�6 /O/✓ iti Sub Division A I.TA/K Zone 5./11/Ato�E tiJAD -Strett Side Between HSPilr7, r and tar")L/i' Sts. Valuation $../ a — For what purpose will building be used...e1-5/4f`N0t Type of construction r774/J74 ' r 50' x /dC3 ' �" X ��u Dimensions of Building P21.' X SO Dimensions of Lot /� Size of Footings ,. ,, �Cunii/vlie, /;['i:;i.-7.f/ ON CONriNu0US /".9uNDrir,:1,V r-9sr.,,ii.r 3t/,A' n'• Size of Piers 8 X /6o Size of Sills--,e-6ITE-8'" Greatest Sill Span in ft — Type Roof ,3u/.4.. --- Of' How will Building be Heated? Ca.Is)TRAI- CL.40T4 C. Will Building be on Solid or Filled Ground? ;11ODC4-11T1= F':LC. Size of Ceiling Joists"1- X 1/ 1 '''T"z�Distance on Centers .� `T e a' C' , Greatest Span 2_ 9 i- T' ,, Size of Floor Joists 2" x ''M , Distance on Centers 0' C' , Greatest Span i T, M Size of Rafters. Y `/Y Woav T2 vs ..., Distance on Centers 2`'/ a C'.' , Greatest Span r `T .r ri " This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LO LINE Two copies of plans and specifications shall be submitted with application. • Oa Inspections required. - 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. Z Z 3. When steel is in place and ready to pour beam. ` 74� • a lid F 4. When framing is completed. S 5. When rough plumbing is completed,and ready to cover up. 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. n 8. Final inspection. 20/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 *.he attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of tic Beach /3 .5 �=✓A'- 2'".'rI" •Signature of Builder �f Address /6Dry?.E 1/'fQ,'tl ,4=''�r-t;1 ,C v/2�®A Signature of Owner Address PSR-3844 10680 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION --- -- LOCATION INFORMATION Permit Number : 10680 Address : 318 SEMINOLE ROAD Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 32233 Class of Work : ALTERATION - LEGAL DESCRIPTION Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $0 . 00 Improv . Cost : $0 .00 Total Fees : $25 . 00 Amount Paid: $25 . 00 aid: 8/24/95 Y?c1 . _ .-., _ . INSTALL D[SHWASHHEE ----- OWNER INFORMATION -- ---- APPLICATION FEES Name : SCOTT HUMPHREY PERMIT $L5 . 00 Address : 31? SEMINOLE ROAD WATER IMPACT FEE $0 . 00 ATLANTIC BEACH, FLORIDA 32. SEWER IMPACT FEE $0 .00 Phone : ( 904 )730-3077 WATER METER/TAP $0 .00 RADON GAS-H .R . S . $0 .00 CONTRACTOR INFORMATION --- - -- RADON CAB 5% $0 . 00 Name : FIRST CLASS PLUMBING CAPITAL IMPROVE . $0 .00 Address : 6254 POWERS AVENUE *84 SEWER TAP $0 .00 JACKSONVILLE , FL 32217 CROSS CONNECTION $0 . 00 License : CFC056672 Type : 0 SEC H IMPACT FEE $0 .00 CONST .SURCHARGE $0 .00 SCHARGE/ATL . BCH . $0 .00 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FOR THE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 000000000 000000000 $25.00 14 Date: 8/25/95 01 Rept: 0078589 ATLANTIC BEACH BUILDING DEPARTMENT CASH 00100003221000 BY: . ir 1 4 e :�1•4 t.-.LZ.r 7/ CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 51 g Semhno/e pc) OWNER OF PROPERTY: FLU tkLrrykrej BUILDING CONTRACTOR: J PLUMBING CONTRACTOR FIRST CLASS PUIMEi'NG AND ADDRESS: g DRAIN CLEANING,INC. 6254 Powers Ave.,Suite#84 Jacksonwue,FL 32217 TELEPHONE NUMBER: )730 77 STATE LICENSE NO: e,FL_ O Q(Q TYPE OF BUILDING: ign)dee,-ha TYPE OF WORK: " umb«vl 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 FIXTURE COUNT: x $3 . 50 + $15 .00 = $ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE HOST 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 BEFORE COVERING UP - (904) 247-5834 l ` PSR-3844 6902 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit Number : 6902 Address : 318 SEMINOLE ROAD Permit Type : ELECTRICAL ATLANTIC BEACH, FLORIDA, 32233 "lass of Work : ADDITION LEGAL DESCRIPTION Constr . Type : WOOD FRAME Lot : Block : Section: Proposed Use : SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: Estimated Value : $0 .00 Improv . Cost : $0 . 00 Total Fees : $16 .00 Amount Paid: $16 . 00 Date PaA •' 6 / 3/93 NSTALL :EIL HEAT: 10kw . OWNER INFORMATION ---- APPLICATION FEES Name : SCOTT HUMPHRIES PERMIT $16 . 00 Address : 319 SEMINOLE ROAD WATER IMPACT FEE $0 .00 ATLANTIC BEACH , FLORIDA 322 SEWER IMPACT FEE $0 . 00 Phone ( 904 )768-6166 WATER METER $0 .00 RADON GAS-H .R. S . $0 . 00 CONTRACTOR INFORMATION ----- RADON GAS - 5% $0 . 00 Name: R 5. R ELECTRIC COMPANY WATER TAP $0 .00 Address : P . O. BOX 62238 SEWER TAP $0 .00 JACKSONVILLE ,FL . 32219 HYDRAULIC SHARE $0 . 00 License: ER0008470 Type: 2 CAPITAL IMPROVE . $0 . 00 SEC .H IMPACT FEE $0 . 00 OTHER $0 , 00 NOTES: NOTICE -ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN 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. RECEIPT NUMBER: 09104 ATLANTIC BEACH BUILDING DEPARTMENT (!6)9--- CITY OF ATLANTIC BEACH, FLORIDA Approv.d by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: June 1 , 1993 , 1993 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 ACCORDAN E WITH THE LECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. R & R ELECTRIC OF NORTH FLORID , INC. P. 0. SOX 62238 / da-73A JACKSONVILLE, FLORIDA 3221.9 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME Scott Humphries ADDRESS: 318 Seminole Rd. RFD BOX BLDG.SIZE BETWEEN: RES. (�) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( ) REW. ( ) ADDITION ( 1 TRAILER ( ► TEMP. ( ► SIGNS ( ) .._SQ. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE ) AMPS / PH 3 W caqUVOLT RACEWAY /5 O FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED _ OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0-100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT )o /• 00 0.1 I OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS H .a onl y � I 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 I- "(' DD 6904 PSR3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit Number : 6904 ?address : 319 SEMINOLE ROAD Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 32233 Class of Work : ALTERATION LEGAL DESCRIPTION Constr . Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value : $0 . 00 Improv. Cost : $0 . 00 Total Fees : $37 .00 Amount Paid: $37 .00 Date Paid" 6/ 3/ 93 Work REPLACE ENTRAL HEAT AND AIR OWNER INFORMATION - ---- APPLICATION FEES Name : HUMPHREY PERMIT $37 .00 Address : 318 SEMINOLE ROAD WATER IMPACT FEE $0 . 00 ATLANTIC BEACH , FLORIDA 322 - ? SEWER IMPACT FEE $0 . 00 Phone : ( ) - WATER METER RADON GAS-H .R. S . $0 . 00 CONTRACTOR INFORMATION RADON GAS - 5% $0 .00 Name: AIR SYSTEMS WATER TAP $0 .00 Address : 2815 ST . JOHNS BLUFF SEWER TAP $0 . 00 JACKSONVILLE . FLORIDA 3221r HYDRAULIC SHARE $0 . 00 License : CACA08032 Type: 3 CAPITAL IMPROVE. $0 . 00 SEC .H IMPACT FEE $0 .00 OTHER $0 . 00 NOTES: 1 �gg 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. .CEIPi WOOER: lr901.k'_ ATLANTIC BEACH BUILDING DEPARTMENT By. f � - l ti .rr' .,; . . • •z at r '.:.: i. BUILDING AND ZONING INSPECTION DIVISION .. CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, Ill, and IV. . • . LOCATION Street Address: LOCATION Intersecting Streets: Betwun 7[�///,, //r'C ;//C-)A. And.._... :__- -7. BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants 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 Jacksonville ordinances and tondo ill of geed pr_etice listed therein. ---- ---- - - Name of Mechanical I �c C\ �, Contractors -- ___ Contractor (Print) l /i s c J 5 i S _�� , Master • Hama of c:4-----__4e--j -/Q-'t' Property Owner / /A A At Signature of Owner / Signature of or Authorized Agent Architect or Engineer III. GENERAL INFORMATION . A. Type of heating fuel: B. IS OTHER CONSTRUCTION BEING .6-ON k 114, It' B.Ctnc THIS BUILDING OR SITE? ////vv ❑ Gas—❑ LP ❑ Natural ❑ Central Utility `fi` IF YES, GIVE NUMBER OF CONSTRUCTION, �` ❑ 011 PERMIT ❑ Other — Specify IV. IAECHA}UCAL EQUIPMENT TO IE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial 1 =16--float ❑ Space ❑ Recessid ,Central 0 Moor ❑ New Building ❑ Air Conditioning: ❑ Room ❑ Central ❑ Existing Building ❑ Duct System: Material Thickness Replacement of existing system itasimum capacity c.f.m. ❑ New Installatioa'�(f!o system previously installed) 'st, 0 Refrigeration ❑ Extension or add•on to existing system #::: ❑ Cooling tower: Capacity ❑ Other — Specify g.p.rn. ❑ Fire sprinklers: Number of heads ❑ Elevator ❑ Manlift ❑ Escalator (number) ❑ . Gasoline pumps (number) THIS SPACE FOR OFFICE USE ONLY (Received) q.: A Tanks (number) Remarks `YN .❑ LPG container (number) . '- 0 Uafirwd prtuurs veuel ,� r.> 'Act . bird Permit Approved by Date :+. `' - ❑ Other • Specify Permit lea 4 LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT • N :.:sr If zit:- Description Model Nun bar Manufacturer j' A -- o C: � rc IP HEATING - FURNACES, BOILERS, FIREPLACES • Number Units Description Model Number Manufacturer Capacity Approvinz I , , , WI r — - _ . • ti i F.• —IF 0 / i`t) , , TANKS How Many Noccinal Capacity Type Liquid Name of Serial Approving Intl Dimensiotas Contained Manufacturer No. Agency --h • • CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS PERMIT NO. 7,94)// DATE 6 -)c LOCATION r /k h :xeje....,c .STREET LOT NO. BLOCK NO. ,(94_ ,y, OWNER S / ,,, )f� e TYPE OF BUILDING �i '- V ST ER •LUM- INSPECTED _ BY BILLED ACCOUNT NO. ls/, t�;L`jrl !;\ CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD s) ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 rr. t�� `��� v:J J�3:/ Application Number 09-00000356 Date 3/17/09 Property Address 318 SEMINOLE RD Application type description PLUMBING ONLY Property Zoning RESIDENTIAL SINGLE FAMILY Application valuation . . . 0 Application desc replace section of sewer line Owner Contractor HUMPHREY, SCOTT ROTO ROOTER-SERVICES CO 318 SEMINOLE ROAD 2028 W. 21ST ST. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32209 (904) 354-7321 Permit PLUMBING PERMIT Additional desc . REPL SECTION OF SEWER LINE Permit Fee . . . 42 . 00 Plan Check Fee . . . 00 Issue Date . . . Valuation . . . . 0 Expiration Date . 9/13/09 Fee summary Charged Paid Credited Due Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. FROM :ROTO-•ROOTER FAX NO. :904 3549255 Mar. 17 2009 11: 19AM P2 CITY OF ATLANTIC BEACH '� � PLUMBING PE PERMIT APPLICATION Date: 3- L'1 q_.. .._ Property Address: • `. Owner: .)t ,tc r r. _ . Telephone#:ct(V1:`le_N- cirl‘t Contractor: -1 zif,- A-,r- Telephone#: g,D‘-t- ',4>96 Contractor Address: A6Wz< 'V\ Fax#: t Contractor. Signature: . f �� e r ` e.3 In consideration of permit given for doing the work as doscribed in the nbovoefstatement,�a�rbwaag agree perform Atlantic dBeach accordance with tho attached plans and specifications which arc a.part ordinance and acandards of good practice listed therein. Installation Of plumhiog and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. If other construction is being done on this building or site, Plumbing Type: U New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs -. Showers Closets Shower Pans Dishwashers Sinks Disposals _ Urinals Floor Drains M Washing M:ach:ine Lavatory T Water Sewer Water Heaters Sprinkler System -- -- (0..t;*See attached sheet sec • l�or Backtlow and Irrigation procedures Fees Sec.AN,641 oxe Permit Issuing Fee: $35.00 , Total Fixtures: _ X.¶7.00 + ¶35.00= 800 SeminoleRoad 9 Atlantic Beach, 6 Florida 32233-5445 22 3-5445'beach.fl-us Phone: (904)247-5800 (904) Roviaed 9/06 4 FROM :ROTO-ROOTER FAX NO. :904 3549255 Mar. 17 2009 11:19AM P1 'Ore- . ROOTER cily PLUMBERS ROTO-ROOTER 2028 W 21ST STREET JACKSONVILLE FL 32209 To: CITY OF ATLANTIC BEACH From: Barbara Ada ns PERMIT DEPARTMENT _ Office Fax : 904247-5845 Pages: (includes cover sheet) 2 Phone: Date : 03/17/09 Re PERMIT FOR SEWER LINE Phone: 904-354-7321 ex 21909 REPLACEMENT _ FAX: 904-354-9255 ❑ Urgent ❑ For Review H Please Comment H Please Reply ❑ Please Recycle _ Confidentiality Notice: The materials enclosed with this facsimile transmission are private and confidential and are too property of the sender. The information m above.If you are not the intended recipient be only use of the individual(s) or entity(ies) of any action in reliance on the contents of this unauthorized disclosure, copying, distribution or taking Y teiecopied information is strictly prohibited. If you have received this facsimile transmission in error, please, immediately notify us by telephone to arrange for the return of the forwarded documents to us. NO Mar 17 2009 9: 58AM RICHARDSON-MANDARIN INS 9042608003 P• 2 • IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement- A statement on this certificate does not confer rights to the certificate holder in lieu of suchendorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 28(2001/011) C '\J`'f CITY OF ATLANTIC BEACH p" PLUMBING PERMIT APPLICATION .::,. �l 0i339';: ,� Date: 3- In-q Property Address: '.M ‹ ��cc\4cvc��� 1 cA Owner: c._ \--VNMe\\r e� Telephone#: 'MA-��\-5c-M`t Contractor: a 1c,- --)(., ,C' Telephone#: '1 OL4-x13-"-k bRb Contractor Address: NY % LS %Ask SA' Fax#: cl0‘-t-ISLt-cf� Contractor Signature: , I) fl- 6".--- C Fc a il1ft3 9 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 Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System OtheI *See attached sheet see For Backflow and Irrigation procedures* Fees cc*\ice Sec_N0-13 a r gel C' kAl4e Permit Issuing Fee: $35.00 I Total Fixtures: X$7.00 + $35.00 = CY. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845• http://www.ci.atlantic-beach.fl.us 9/06 TOIz Or. us :: 01\i Date.... ../7)4 197Y Permit #ii1J . ..Fee$..J1 — i C �Y OF ATLANTIC 1 �( ,,.......,-,:ion $. _./ D .0 , FLORIDA . .7/ 8 ' ' 8i., .-.°-j ATC._4 Val nla. :: _ . . Application i:_ made for the approval of the detailed statement L.f the pia'L . ._ -• ':raitted for building or o er structure described. This appiicatior, i made in compliance ~. ... Ordina c, .- the City of A:iantic Beach, Florida, and all provisions of :'.e Laws •f the State of Florida, :a:. . . o:: City of A _ Beach and all ..1es and regulations of the Building Department f the City of Atlantic Beach, a... . . _ ..c :.pia:. with, w. .- _ herein specified or not. The Contractor or Owner-Builder who has been issued a Bi.:_ ;:_;• Permit is autor_•:_:ii,lly r.:.: .,o _stain t__,.; . contractors engaged by him are duly licensed in the City ;:f At; _c 'each, Florida. To )rs`._. - . .-a.r.zsraent ing intermedia;. Jr final inspections it is suggested that a list cif su.,-co_tract.rs be submitte` _ f4 that licert.. .al- be verified. / Date `{2: ;„.__. .. _ , 19. Owner .- -Address -a:,. ; No Architect Address v. \o.Co vs7,�-a rio,v s'f ev,CC Contractor Builder ...vr'.Z:<,r"t^.ttz,.. `O_r...P- Ad4re.Js...r:_.-...4..i i.0:'..t_._.. .. .. ,.. No. .'y`7'Cf° / Lot No 4g6 9 is,tuRgthoN Al z Sus D v sion �� . _ Ti-. _..._-.. Zone._.... _ SSA?! . . _... . _r�__-..-Struet• Side E•tween `. . . . P.-r'+' and.._ Sts. Valuation $../_ iii.- For what purpose will building ;e ..se,:. f _ r'- -'ti-"r Type of cc: .. •..0- rye'--"'••' Dimensions of Building 2� X Sd Dimensions o_ .:sot w/ :c 'CO r Size :•� _ `' X 0 ti n ,, /C I C Gen///DO/ r' /,','. 7' t::// C 0/,'j,N U t:` r-:4,.A.:::,-,4 /a v ,;/ '" T Sh'/A,,,:".. _ Size of Piers 8 A •.6' Size of Sills i°4-47.,5- .` ....Greatest Sill Span in ft. --- ynr ..o. 12.z..f-- cJf' How will Building be Heated?...tea.rJ-jt RI- C Lf Tr,/C.. ..-....Will Building be on Solid or Filled C ed?..:. ✓1'•E r ATE ti L(,- Size of Ceiling Joists �.X G!/od1�T Distance on Centers I a (2' Greatest i--7, . ,, S " � , Sr,S�w- rr n Size of Floor Joists x 8 ,Distance on G steps 2.`r c r'• , Greases .3p - r 77 „ h Size of Rafters-2 r. ' '" P T2 d� :�`/~ •, ,�_..,Distance on Centers. . - _. _••C.>- (-••-•-_., G_eatest, Sp_.;,. .-._ •• r ir. IP This reutanrle zs r_present tae lot. Locate the buiid:- , ui.,:ngs in the right position. Gv.-e c .::ce in feet from a:: lot••Enes -,a existi_. buildings. Two copies of plans and specifications shall be submitted with application. 1 ,/ , Inspections required. .t 1. When steel is in place and ready to pour footing. _ 11.4 2. When steel is in place and ready to pour columns and/or lintel. Z 3. When steel is in place and ready to pour beam. 4. When framing is completed. "t--(- 8 ' 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 ::overed. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after 27 correct`_. .s are made. In consideration of permit given for doing the work as 3e:::.ribed in the above £;;a.ement, we rs . a, ,. - r. ad work in accordance with the attached plans and specifi cations, which are a part hereof, and in -a . .c.W sa ..._ ui dLng regulations of the City of A tic Beach. I , Signature of dlder ��f�� Address /uo.v7 ., Signature of Owner _.._ address APPLICATION FOR WATER CUT-IN TO THE CITY OF ATLANTIC BEACH: Application is hereby made for 3/4" Tap water cut-i^ at the following address for 1 units. Cut-In charge of $85.00 Street No. 318 Seminole Rd. Lot269, Section # 2 Block subdivision Saltair Ordered by: Corp OWNER: Construction Service Contractors Mailing Address: P . 0. Box 50639 Jacksonville Beach, Fla. 32250 DATE : 9-28-72 ACCOUNT NO. : SA 318 Seminole Rd. METER NO. : DATE INSTALLED: APPLICATION FOR WATER CUT-IN TO THE CITY OF ATLANTIC BEACH: Application is hereby made for 3/4" Tap water cut-i71 at the following address for units. a. Cut-In charge of 465.00 Street No. 318 Seminole Rd. Lot ' i9, Section 4 2 Block Subdivision `}altair Ordered by: Corp OWNER: Construction $'ervice Contractors Mailing Address: P . C. Box 50639 JacI:sonville Beach, Fla. 32250 DATE: 9-28-72 ACCOUNT NO. : SA 318 Seminole Rd . METER NO. : DATE INSTALLED: CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS PERMIT NO. _ 2 1093 DATE 9-2$ LOCATION._ 318 Sr Rd_ _ STREET LOT NO.269 Sec.2 BLOCK NO. _ Saltair OWNER Construction Service Contractors Corp TYPE OF BUILDING Residence_____ _- MASTER PLUMBER INSPECTED BY ----- B ILLED„ ACCOUNT NO. SA 318 Seminole Rd. } CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS PERMIT NO. 1fl93 _ DATE LOCAT ION._ 318 Seminole Rd _ STREET Salter LOT No.269 s S!•2 BLOCK Conatru tion SBrVtC* Cvntactet* Corp OWNER_____._-- TYPE OF BUILDING_.__ Reside MASTER PLUMBER BY. B ILLED S1► 31B gegllnl• ACCOUNT NO. ----- DEPARTMENT OF BUILDING 2114 , CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Somber 2$g 72 18 000 Fee $ 51.00 Valuation$ ' 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. Construction Service Contractors Corp This is to certify that Residence 24' x 50' has permission to buil ClassHicatio Sin le ___ ,one Res . Owned by Construction Service Contractors Co • Lot 269 Section #2 Saltair Bloc, S/D House No. 318 Seminole Rd. According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS t AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -ri AFTER DATE OF ISSUE 73 •__ ► o Building material, rubbish and debris ♦---_► Z from this work must not be placed in cleared up public uled and y e; be contractor and hauled away by or owner. • / Leo i / Buil.i'6 Offic't• PERMIT DATE CONTRACTOR FOR OFFICE NUMBER USE ONLY - PLUMBING ELECTRICAL SEWER WATER