342 Seminole Rd (vault) ADDENDUM
This plan approved subject to the following provisions being
included in the building:
In hollow masonr unit construction, each unit cell shall
be reinforced with at least one No. 5 bar at all corners;
poured and tamped with concrete; such reinforcing shall be
% properly tied into the footing and spandrel beam. All
wood truss rafters---roof construction shall be securely
fastened to the exterior walls with approved hurricane
anchors or clips. Footings shall be continuous monolithic
concrete under exterior walls, reinforced with two 5/8" deformed
reinforcing rods for one-story buildings and three 5/8"
deformed reinforcing rods for two-story buildings.
Reinforcing rods shall be placed in the lower one-third of
the footings, properly placed and fastened on metal saddles
with wire. Footings shall be 20° wide and 8" thick minimum.
The undersigned hereby certifies that he has read the above and
understands that this addendum takes precedence over any contrary
details of the plans and specifications and agrees to comply with
the intent of this addendum.
BY: -2'-7
APPROVED Con ractor/Owner
CITY of ATLANTIC BEACH
BUILDIN OFFICE
DM-
By
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Revised 3-17-71 0
Revised 1-12-71 x •
SPIN F ORD TRUSS SHEET N08CF-21090
28-4.0-55
FOR OFFICE USE ONLY
,S Date. /.21,//1419
� �
3 1, / l ( Permit # ��� Fee $
i >' �� CITY OF ATLANTIC BEACH valuation $ 000 gI
11 1 y.i' , FLORIDA House # =
CITY OF ATLANTIC BEACH
APPLICATION FOR FLUNIBING PERMIT
/
PERMIT NO. Date :11:21::21
LOCAT ION 3l(2...„ Sti-j2//,U d/L-" o/ • t-fe-e't
LOT NO. ,-G 7 BLOCK NO.
OWNER jac.... �(�u," �?"t �. ...
MASTER PLUMBER : ,,,s. -: r U u ► !n,,c. 4444 P-
El.g. 1.7
BUILDER OR CONTRACTOR ermit.,._N ..
9.
TYPE OF BUILDING A
.. / SINKS tLAVATORY / BATH TUBS URINALS 2_ OLOSETS
FLOOR DRAINS/ SHOWERS / WATER HEATERS DISHWASHERS
DISPOSALS OTHER / W,4S�i r„�_�l
TOTAL FIXTURES 7 @ :i1 .00 9, a d
NO WORK MUST BE DONE UNTIL A PERMIT HAS BEEN FROCURED
PLANS AND SPECIFICATIONS must show a plan n.nd description of the
size-and` looation of all the soil and vent pipes , and the numbor and
location of all fixtures, (in accordance with Oi: _nanae no. 188 of
the City of ' Atlantic Beaoh, Florida) must be shr,wn on ba=k 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
FINAL INSPECTION: CERTIFICATE ISSUED:_;
DEPARTMENT OF BUILDING 3119
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 6/29
Valuation $ 3 0 0. 0 0 Fee $ 3. O C
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 Armstrong Fence Company
has permission to build 4' high fence in rear yard
Classification re S i d e n r P Zone
Owned by Mr. Leddy
Lot 267 Block_ S/D
House No. 342 Seminole Road
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
AFTER DATE OF ISSUE
♦ � • ► 0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and hauled away by either contractor
or owner.
R. C. Vogel
• Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING .
ELECTRICAL
SEWER
WATER
`.ar.
BUILDING PERMIT APPLICATION
JURISDICTION OF
APPLICANT TO COMPLETE SECTION A ONLY SECTION A
JOB ADDRESS //. ,e-✓
LEGAL I LOT NO I BLK. I TRACT
1 DESCR.
(❑SEE ATTACHED SHEET)
2 OWNS MAIL ADDRESS
ZIP PHONE
/C -YX ,/e�aitie , .21/9 ea s-
CON,�RACTO MAIL ADDRESS
z7, / , -�J,, ,"Z4-e ��D //,� , �1 PHONE LICENSE NO.
4 ARCHITECT OR DESIGNER C..-�'LiCy �fjf(�'��/ Q�� .�`j, ���_ �o
MAIL ADDRESS '�f PHONE ( � LICENSE NO.
5 ENGINEER MAIL ADDRESS
PHONE LICENSE NO.
6 CLASS OF WORK: �tfNEW LADDITION HALTERATION HREPAIR • OVE REMOVE L ,
7 BUILDING CHARACTERISTICS /��
C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS
A. PROPOSED USE GROUP
_MASONRY NUMBER OF STORIES
RESIDENTIAL NON-RESIDENTIAL —WOOD FRAME TOTAL SQUARE FEET OF FLOOR
STRUCTURAL STEEL AREA,ALL FLOORS.BASED ON
C NE FAMILY DWELLING ASSEMBLY REINFORCED CONCRETE EXTERIOR DIMENSIONS
—OTHER -SPECIFY TOTAL LAND AREA,SQ. FT.
fTWOOR MORE FAMILY DWELLING; Ej BUSINESS (OFFICE)
NO.OF UNITS H.NUMBER OF OFF-STREET
EDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES
❑HOTEL,MOTEL, DORMITORY, ENCLOSED
NO.OF UNITS ii FACTORY-INDUSTRIAL —GAS OUTDOORS
OIL
0GARAGE HAZARDOUS ELECTRICITY I. RESIDENTIAL BUILDINGS ONLY
COAL
0CARPORT 11 INSTITUTIONAL —OTHER -SPECIFY NUMBER OF BEDROOMS
0OTHER-SPECIFY El MERCANTILE
E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS
❑STORAGE
PUBLIC OR PRIVATE COMPANY FULL
Ei OTHER -SPECIFY PRIVATE (SEPTIC TANK,ETC.)
PARTIAL
F.TYPE OF WATER SUPPLY
_PUBLIC OR PRIVATE COMPANY
PRIVATE (WELL,CISTERN)
B. NON-RESIDENTIAL — DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING.
8 VALUATION OF WORK
A. BUILDING$ B. PLUMBING$
C. MECHANICAL$ D. ELECTRICAL$
E. OTHER$ O�
F. TOTAL VALUATION s � .
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS
APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT.
ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS
TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED
HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT
PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE
PROVISIONS OF •-Y OTHER1STATE OR LOCAL LAW REGULAT-
ING CO■ -U' I'iN OR. -E PERFORMANCE OF CONSTRUCTION.
7'J
SI 1AT -if OF C• '" FACTOR OR • ORIZED AGENT (DATE)
SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE)
•
- 724-5360 ARMSTRONG FENCE COMPANY 724-5360
130 Arlington Road, South - Jacksonville, Florida 32216 O 0
`—/ f Directions
�� �Terms Available \►.: : � � ' ®c tl� }�l c� ,
keg TO Scfr NOi.e Customer_ /e76/ //y /j
Address_J Y#t'0L° , . 44 £/ Date__ 4.■ T VP
iry
Install at:_ } V Phone Number '2 ‘
AO: -- _ $ "#2200
W When signed by the purchaser and accepted-by this Company trs proposal becomes a contract---bindkrg both Purchaser
and Company.
.=— =.-.T____...
_
1I35 Total Feet 1 High Total Cost_-
ll ee
Down Payment Lae__
---
Total Feet High Balance Due Upon Completion s�
_
Approximate Starting Date
Total Feet____ __High
M TERIALS PAYMENTS NOT RECEIVED AS AGREED
� ARE SUBJECT TO 1'/2°% INTEREST PER MONTH
Gate Posts•._.____.t�S__!�!____._. _._ O.D
,� CHECK THIS SKETCH
End fs s Z �, _ 0 D. Any additional material or labor used will be at the cost of the buyer.
Corner Posts 2 __ _____ O.D.
me Posts _.___._ L +_-- ___ 0.D
______ L /I O.D. •
Top Roil � S.
FAIRIC /
Mesh _ Z Gauge f,/ s"_
t
GATE SIZES ` i' '
I
*
ci
M,{
4
NOT RESPONSIBLE FOR ANY DAMAGES TO
UNDERGROUND CABLES, PIPE, OR ANY - __ _______
OTHER UNMARKED OBJECTS. The proposal price is given with the agreement that the Purchaser will
clear all lines for construction of fence, and properly mark with stakes,
or otherwise.
Do Not Sign Before Reading Contract.
Date Accepted --. _-____
Signed - ---- 5olesmon �..4 f --— -
Signed
. . darn 4 ., ,.,P. , "'.! A .I '
■ , , . l"
■
724-5360 ARMSTRONG ENCE COMPANY 724-5360
130 Arlington Road, South - Jacksonville, Florida 3221 : n\=--/Ayv, .._-=/_.:
_i_f_I_I; _ "I _:ff_Y_LY; e . - .., s
Av_, -=--,.,Terms Available wiles 'ia��'/ N% ,fir �' ' 4 4 G
I.Customer. • •-461 AA_109C ' '� E . , 1 te. OLLA .►
Address /11°1 4.0te '`' r Date k/i. ir
Install at: :1- —-- hory► umber _
4t- e>R. Oaf >B aw9:3a'l3
Att:_-— - __ _
When signed y the purchaser and accepted by this Company this proposol bec_ es ma contract-----bind'ng both Purchaser
and Company. -
��- �x� ,��e�, h Total Cost _>���a�
Total Feet_S� G'C�)�dx �9�•� �,e� op
a�,r' own Payment--- -✓/✓/yy��
_. Total Feet----------- High // Balance Due Upon Completion- ��E!4 Z)
Approximate Starting Date 1-1°411ay_Total Feet_ High - -
PAYMENTS NOT RECEIVED AS AGREED
MATERIALS ARE SUBJECT TO 11/2% INTEREST PER MONTH
Gate Posts y
4 X 4/X a O D CHECK THIS SKETCH
..
End Posts __ O.D.
Any additional material or labor used will be at the cost of the buyer.
Corner Posts _ — O.D.
// _.
Line PO 13 - O.D. 446
Top R l --- --- O.D. 42' $• t*#*
k4I FABRIC
a std �'
Mesh - Gauge _ �Do
y
1,0
GATE SIZES ' ;
/
yt " r'''# _ ALA. ?a5+s 4 u-4 s►,oc
NOT RESPONSIBLE FOR ANY DAMAGES TO .24,
UNDERGROUND CABLES, PIPE, OR ANY .
OTHER UNMARKED OBJECTS. The proposal price is given with the agreement that the Purchaser will
clear all lines for construction of fence, and properly mark with stakes,
or otherwise.
tjo Not Sign Bofors Reading Contract. 4...... 6
Date Acce ,,'''' ,,
Signed __ Salesman — ----___.-
Signed __ __..
PSFI-Y44 16938
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--- PERMIT INFORMATION LOCATION INFORMATION ----
-mit Number ! 16938 Aress : 342 SEMINOLE ROAD
Permit Type:RE-ROOF ATLANTIC BEACH , FLORID":
ass of Work :ALTERATION -------- LEGAL DESCRIPTION --------- -
onstr , Type:WOOD FRAME Block : Lot : Twp : 0
roposed Use: Section: 0 Subd:0 Rng: 0
Dwellings : 1 Subdivision:ATLANTIC BEACH
Est , Value: 0 . 00
: mprov, Cost : 1 . 700 .00
Total Fees : 25 .00
Asnount Paid: 25 . 00
Date Paid: 8/06/1998
Nork Desc :REROOF
-------- OWNER INFORMATION ------ -- - ----- APPLICATION FEES
Name : ABE WHITSEL ERMIT 25 .00
Addr : 342 SEMINOLE ROAD
ATLANTIC BEACH , FLORIDA 3227-'
?hone ( 994)6414848
----- - CONTRACTOR INFORMATION -
,fame: MONAHAN ROOFING
Addr : 470 SALTBUSH COURT
JACKSONVILLE , FL 32225
Lic : RC0047349 Exp : / /
"vpe:
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 REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25A40 14
Date: 8/0Gn8 81 Rtceipt. 0076139
CASH
ATLANTIC BEACH BUILD I DE ARTMENT €10180N322103
By:
4
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION: 3 Li Z Ser, I n a I Q 2c�
OWNER OF PROPERTY:
CONTRACTOR: mGn C hot-, 5 U �Isr` c
CONTRACTOR'S ADDRESS: 20 / 0 lc-r ,^ CI r- S
ZIP:
STATE LICENSE NUMBER: / C 0 0 L/-1Y CI 9 TELEPHONE: 22-f - DOS ci
DESCRIBE WORK TO BE PERFORMED: /Qe rc u F -3h, nS 1 t/'
VALUATION OF PROPOSED CONSTRUCTION 1) 7 O o .
MATERIALS TO BE USED: t iihr i-h S 1-k f
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: �' 40Iri
/'. ' i
SWORN TO AND SUBSCRIBED BEFORE ME TFiI DAY O i , 19
/ ,
j_Z12 C.—e_A 1Pr 1 1 - n'4 —
NOTARY PUBLIC
Liability Insurance Supplied ;ti ,,,,,,, �Arrionette
'
3.. ' MY COMMISSION#CC663881 EXPIRES
Workers Compensation Insurance Supplied a•.� ra
Aupus27,2000
' o: ,:
BONDED TNRU TROY FAIN INSURANCE,INC.
Contractor License Information Supplied
Occupational License Information Supplied
} CITY OF
Official
ri Office of Building fl%C N
I REOU ST FOR %NS D �_
�G Permit No. ""///'
Date A.M. ,�
P.M.
Time / ,� /
Received -:411.��i / ' - Locality
/
Job ••dresses , ♦ ! el
Co rector 46 -i,,4414
MECHANICAL
I , / -
Owne� � ���-J'cLJ ELECTRICAL 0 Air Cond.&
Name ELECT Heating•
CONCRETE Rough Wiring Top Out
_ Fire Place
BUILDING Footing Temp Pole Sewer Pre Fab
Insulation gins Final
Re Rooting Lintel INSPECTION IIIM
Insulation _ READY FOR Friday�----�. •Thurs.Wed.
Tues. F.M.
Mon. P.M
! 1 i --:12-- - T- ,nal Inspection ..
ancy --
Inspection Made - -` `�`.� - - Certrficate of Occup _
, spector— r Date
A-e-72-e-r"-e
/ �c;- CITY OOFF, nn
Office of Building Official
REQUEST FOR INSPECTION
1 P. . l0._
I I /
q
Date ` M
Time
4 Received '�,� ./., ./.
i
I
Job Address L
It j`i �� ContrsctrN MECHANICAL
I L� MBING
Owner's , _ PW Air Cond. I
Name — CONCRETE ❑ Rough Heating
. Top Out r BUILDING [�, G Fire Place
1 It Footing Temp Pole Sewer Pre Fab
Framing Lintel Final
Re Roofing lintel
Insulation r
READY FOR INSPECTION Friday —
Thurs.
W
kip <J. A.M.
l/7- /p 5! Final Inspects`
Is inspection Made p Certificate nl Occupancy
r
I
I j
•
DATE:
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
Enclosed are the blue copies of the permits.
SINCERELY,
1"- rrzJ
BUILDING INSPECTION DIVISION
cc:FILE
4 .,cF7 .
CITY OF ATLANTIC BEACH, FLORIDA
Appratod by I APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: (f /
19 (■
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT WORK IN ACCORDANCE WITH�E DESCRIBED IN THE
AND SPECIFICATIONS,
WHICH AGREE PART PERFORM SAID W
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
RaL,,-ike-J- ii Lr c_t__ L
MA* LE_CTjCIAN SIGNATURE JOURNEYMAN
ELECTRICAL FIRM:
,'j� �1
NAME I�t • Lc.1u�`�'L- ADDRESS: .1'i ►tip---cE �E_ 120\ RFD BOX.
BLDG.SIZE BETWEEN:
RU.((T
APT.( 1 COMM.( 1 PUBLIC( 1 INDUS. ( 1 NEW( I OLD ( 1 REIN. ( 1
ADDITION ( 1 TRAILER ( 1 TEMP.l 1 SIGNS ( 1
SQ. FT.
FEE
SERVICE: NEW( 1 INCREASE( 1 REPAIR ( 1
CONDUCTOR SIZE AMPS COPPER ALUM.
SWITCH OR BREAKER
AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 7i
C AMPS 1 PH - w 2 l'-1 VOLT RACEWAY
FEEDERS NO.
SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS - CONCEALED _ OPEN TOTAL
CONCEALED _ OPEN TOTAL
RECEPTACLES
0.30 AMPS. 31.100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER BELL TRANSF.
APPLIANCES
AIR H.P.RATING H.P. RATING ENIMSEM
CONDITIONING COMP.MOTOR OTHER MOTORS __--
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO.
1 N.P. VOLTAGE PHS
MISCELLANEOUS
A" .4 , r
TRANSFORMERS: UNDER 600 V. 11 OVER 600 V.
NO. KVA 111N0. KVA
NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
S
TOTAL FEES
PSR-3844 3508
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION --- LOCATION INFORMATION _
Permit Number : 9508 T_.?.^1.ress : 342 SEMINOLE ROAD
Permit Type : PLUMBING ATLANTIC BEACH . FLORIDA 3223.
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 . COE S0 . O(
Tot - $25 .00
('.^t- eN
)WNER TNFr\MATION ---- APPLICATION FEES
PERMIT $25 .00
AdrirPss- 4 ' EMiN 'LE ROAD
WATER IMPACT FEE �`-. ,,f.
' 4ANT 1 C BEACH , FLOF ...i SEWER IMPACT FEE
_,: _ 04 ` ,4 , 4 48 WATER METER/TAP S0 . 00
RADON GAS-H .R. S . SO .00
CONTRACTOR INFORMATION ---- -- RADON CAB 5% S0 . 00
:lame: LARRY TEAGUE AND SONS CAPITAL IMPROVE. 50 . 01
zddr. eE ! 3213 FOREST BOULEVARD SEWER TAP S0 -OC
?ACTS S WV!L,LE , FL 32246 CROSS CONNECTION $0 . 00
'F('.0 ,n f F, Tune: 4 SEC H IMPACT FEE $O
CONST . SURCHARGE? '
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'ILDING IMPROVEMENTS."
THE PROPERTY OWNER PAYING TWICE FOR BUILDING
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
ATLANTIC BEACH BUILDING DEPARTMENT Date: 12/27/94 00 Rcpt: 0021089
CHECKS
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: /2 � -x'11 IN-L6- ` ') "
OWNER OF PROPERTY: /i8 k' U-"141 T*6L
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR Li4iLk.�� � ��
AND ADDRESS: 3. 1? - -1 U/D
TELEPHONE NUMBER: � '486
STATE LICENSE NO: C-I-Eb�D3��
TYPE OF BUILDING:
TYPE OF WORK: f'LAryli9xx- -- R.F-70/PL
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 + 815.00 = $
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 BEFORE COVERING UP - (904) 247-5834
PSR3844 1 9A
DEPARTMENT C TY F A L NNTIC BEACH
— PERM ►i,I MAO ----- - LOCATION INFO RMATION
---_ _
Permi t Numbe r ° 15245 Address : 342 SEMINOLE ROAD
Permit Typo : ANC ATLANTIC BEACH , FLORIDA
32233
2
233
Class of W r :ALTERATION ._- _ LEGAL DESCRIPTION ;____ __
Cont T ye:WOOD FRAM E Black; L°� : TW
Proposed Use: Section: Sibd D Rna :
Dwellings : 1 Subdivision:ATLANTtr BEACH
0 .00 Est . Value: .00
Improv .. Cost : -�
Total 3 , . 0n
0
' �r 00
Amount
. _ _,._ .__.- APPLICATION FEES --�____.�--
_..._ _... ... . OWNER INFORMATION -"_ PERMIT r.£ame= ABC, WHITSEL
3 42 S EM I N OLE ROAD 3223 '
�* CH . FLORIDA
ATLANTIC- BEACH ,
9t ' 64 4940
- CONTRACTOR INFORMATION --- - -
Name: HUXHAM HEATING -6, AIR
Addr: 1078 NINTH STREET SOUTH
JACKSONVILLE BEACH . FL 32250
Lie:
0020 57 Exp: /
TyPe
NOTES:
NOTICE - INSPECTION
S 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 IN
"FAILURE COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT LT I
THE PROPERTY RTY 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.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, Ill, and IV.
I.
.. 110----.. 110---- S i�o/ ea
LOCATION Street Address:
OF Intersecting Streets: Between And
BUILDING
Sub-division --
II. IDENTIFICATION — To be completed by all applicants
In consideration of permit given for doing the work as described in the abcve 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 Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical / Contractors
Contractor (Print) (,/'7C( pq v✓1 Master //.f
Name of
Property '_
operty Owner
Signature of Owner �� //--^^nn Signature of
or Authorized Agent � ' /��.! I Ir1-/`g Architect or Engineer
III. GENERAL INFORMATION
8.
A. Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE7
Hectric
❑ Gas—❑ LP ❑ Natural FS Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MECHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) ya Residential or ❑ Commercial
Heat ❑ Space ❑ Recessed Pf Central 0 Floor ❑ New Building
Itt Air Conditioning: ❑ Room Cnntnl
p Existing Building
Replacement of existing system
❑ Duct System: Mshria '..S• Thickness
❑ New installation(No system previously installed)
Maximum capacity c.f.m.
❑ Extension or add-on to existing system
❑ Refrigeration ❑ Other — Specify
❑ Cooling tower: Capacity g'p'rn•
❑ Fin sprinklers: Number of heeds
❑ Elevator ❑ Msnlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps
(number) O
❑ Tanks (number) Remarks
❑ LPG containers (number)
❑ Unfired pressure vessel Permit Approved by Date
❑ Boilers
Permit Fee
❑ Other — Specify
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity Approving
Number Unit. Description Model Number Manufacturer (Toni) Agency
( �d i•.-0 77,)_.a.0 _6, 72i4i- c `-,
HEATING - FURNACES, BOILERS, FIREPLACES Capacity Approving
Number Units Description Model Number Manufacturer (BTU) Agency
/ /9447 rw ‘, 7E 36/eV°
TANKS g
APgrovi
n
Bow Many Nominal Capacity Type Liquid Name of N Serial
Agency t
and Dimensions Contained Manufacturer