1175 SEminole Rd (vault)CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
v
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19r'
- -- -
RACEWAY
IMPORTANT NOTICE:
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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.
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ELECTRICAL FIRM: MASTER LUA;I KIIUTAN 51UIMAI JUMC
NAME
Lha L'TOM All- N /77A -N eki ADDRESS: J � � SJ S' -7i A'aLG RFD BOX
BLDG. SIZE BETWEEN: _
RES. (✓F APT. ( ) COMM.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD (1,T REW. ( 1
ADDITION( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( 1 INCREASE (✓if REPAIR ( 1 FEE
1 i /-. A..MO --). ^ /-ADDED I I AI I IM f//t- 1
VVI\VVVI win OIL.G
SWITCH OR BREAKER ✓Q AMPS
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3 W
--
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RACEWAY
EXIST. SERV. SIZE / U C> AMPS
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Ste+ RACEWAY
FEEDERS NO. SIZE
IND. SIZE
NO. SIZE
LIGHTING OUTLETS
CONCEALED
OPEN I
TOTAL
RECEPTACLES
CONCEALED
OPEN
TOTAL
SWITCHES
0.30 AMPS.
31-100 AMPS.
INCANDESCENT
FLUORESCENT & M. V.
FIXED
APPLIANCES
0.100 AMPS.
OVER
BELL TRANSF.
AIR
CONDITIONING
H.P. RATING H.P. RATING
COMP. MOTOR OTHER MOTORS [AMJPSCEILHEAT: KW -HEAT
/
3 /c
MOTORS
H.P.
0.1
VOLTAGE
PHS
NO.
OVER
1 H.P.
VOLTAGE
PHS
MISCELLANEOUS
TRANSFORMERS:
UNDER 600 V.
OVER 600 V.
NO.
KVA
NO.
lKVA
NO. NEON TRANSF.
EACH SIGN
NO.
VA.
MA.
MOTOR SIZE
SWITCH
FLASHER
FORWARDED
TOTAL FEES
CITY OF
//oo ��J
fY�EGi�lL� �P�CJ� a �L
Office of Building Official
REQUEST FOR INSPECTIO
/?
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3
Permit No.
�.-
Date
_---_
A.M.
Time
Received(_._
_ P.M.
S
Jta ! N O L-M ZZ Locality
Job Address
Owners
S
r 0 ----
TV
Name
-- — Contractor -----
MECHANICAL
BUILDING
CONCRETE ELECTRICAL PLUMBIN
;ugh Air Cond. &
Framing
Re Roofing =
Footing =_ Rough Wiring
g -ToHeating
Slab _ Temp Pole p Out
Sewer >e Fire Place -
Insulation
Final _
Fina
Lintel - Pre Fab
READY FOR INSPECTION A
tion.
Tues. Wed Thurs. Friday _
& _ 9 - A.M.
P.M.
Inspection. Made _—
i
Final Inspection
nvrecier
ertificate of Occupancy -.
Date -- ----- -----
CITY OF
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received A P.M. /-Bistrict No.
Job Address — � Locality
Owner's
(? >
Name
Contractor
v
BUILDING
CONCRETE
ELECTRICAL PLUMBING
MECHANICAL
Framing
❑ Footing
❑ Rough Wiring ❑ Rough ❑
Air. Cond. & ❑
Re Roofing
❑ Slab
❑ Tem Pole ❑ Out ❑
Heating
Lintel
❑
��p
Fire Place ❑
Pre Fab
READ OR INSPECTION
Mon.
Tues.
Wed. Thurs. iday
Inspection Made
,/�
//� -�C�J —�'J t�
A.M.
P.M.
Inspector
Final Inspection ❑
Certificate of Occupancy
Date
41 BUILDING AND ZONING INSPECTION DIVISION
W
CITY OF ATLANTIC BEACH
ATLANTIC EACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
1,
Street Address: I I '11- `71 SEl.VA
C SG c
LOCATION
OF
Intersecting Streets: Between
And
BUILDING
Sub -division �eLy& Lp,
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 attachLed plans and specifications which are a part hereof and
in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Nameof Mechanical
Contactor (Print) �j�� ���
Contractors
Master
�/� — .
Name of
Property Owner
Signature of Owner 4�
Signature of
or Authorized Agent �"'cS`
Architect or Engineer
111. GENERAL RA ION
A' Type of heating fuel:
B'
IS OTHER CONSTRUCTION BEING DONE ON
XElectric
�
THIS BUILDING OR SITE?
0 Gas — ❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil
PERMIT
❑ Other — Specify
IV. MICHANICAL EQUIPMENT TO BE INSTALLED
NATURE OF WORK
(Provide complete list of components on back of this form)
Residential or ❑ Commercial
AHeat ❑ Space ❑ Recessed A Central O Floor
Y New Building
Air Conditioning: ❑ Room & Centra)
❑ Existing Building
Duct System: Material 1X)C-TCQh2� Thickness
❑ Replacement of existing system
2 Z �G
New installation (No system previously installed)
Maximum capacity c.f.m.
/K
❑ Extension or add-on to existing system
❑ Refrigeration
❑ Other —Specify
❑ Cooling tower: Capacity 9•P•rn
❑ Fine sprinklers: Number of head -
E] Elevator ❑ Monliff ❑ Esceletor (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number)
(Received)
❑ Tanks (number)
Remarks
❑ LPG container (number)
❑ Unfired pressure vessel
Permit Approved by Da+e
❑ Boilers
❑ Other — Specify
Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity w roving
Number Units Description Model Number Manufacturer ( )
1 Cf :NQ) ►N �— W
1 L ` ut C—
HEATING - FURNACES, BOILERS, FIREPLACES
HEATING
Capacity Approving
Number Units Description Model Number Manufacturer (8m) A94007
Et v '-'W "
C, ACU GcSca U L
O
is
TANKS
Now Many Nominal Capacity Type Liquid
Name of Serial Approving
Agency
and Dtmandons Contained Manufacturer No.
DEPARTMENT OF BUILDING 9791
I PERMIT NO.
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date June 8' 1988
Jaluation $ Fee $ 20.00
This permit not valid until above fee has been paid to City Treasurer, and is I
subject to revocation for violation of applicable provisions of law.
This is to certify that iDOCEANSTATE
has permission to lid CHANGC
7575
7575
20.00 T
20:00CXT
I A 6/tib/0
.nOCA
610Ei/(�
in0n
Classification RESIDENTIAL Zone
Owned by NAUMANN
Block—S/D
Lot—
House
ot_House No. 1175 SEMINOLE ROAD
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
Z AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
�--- O 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 con-
tra r r owner.
FOR OFFICEI PERMIT DATE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CONTRACTOR
"'11s
\90
official.
PSR -3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
---- PERMIT INFORMATION
Permit Number: 13111
Permit Type:PLUMBING
:lass of Work:REPAIR
Constr. Type:W00D FRAME
Proposed Use:SINGLE FAMILY
Dwellings: 0
Est. Value: 0.00
Improv. Cost: 0.00
Total Fees: 25.00
7.-mol.int Paid*, 'S • 00
1 0�
oi. !: L'ez c .
OWNER. INFORMATION
Name: .AFL NAUMAM
Addr:
A.TLAN,r I _' BEACH, FLORIDA 1`211
Phone : 000 )000--0000
CONTRACTOR INFORMATION ---
�arrde: ,7 V AND SON PLUMBING
Addr' 755 CLEARVIEW LANE
ATLANTIC BEQACH, FLA. 32233
"_.ic: RF0037856 Exp:
i'vpe 4
NOTES:
------ LOCATION INFORMATION ----
Address: 1175 SEMINOLE ROAD
ATLANTIC BEACH. FLORIDA 32233
-------- LEGAL DESCRIPTION ----------
Block: Lot: Twp* r
Section: 0 Subd: Rnq: r
Subdivision:
-
APPLICATION FEES ------
PERMIT^r. nn
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' R BILDING IMPROVEMENTS - LIEN LAW CAN RESULT 95
THE PROPERTY OWNER PAYING TWICE
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REV j(ejPN FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 1192/97 01 Receipt: 0023213
UKUK
ARIA9003221090
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATIIO�ONN/ FOR PLUMBING PERMIT
JOB LOCATION: `/ 7E
OWNER OF PROPERTY:
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS:
STATE LICENSE NUMBER: , L TELEPHONE:
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.
CITY OF ATLANTIC BEACH
s J 800 SEMINOLE ROAD
�.� ATLANTIC BEACH, FL 32233
,� yr
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building -dept a coab.us
Application Number . . . . . 07-00001287 Date 9/13/07
Property Address . . . . . . 1175 SEMINOLE RD
Application type description PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------------------------------------------
Application desc
INSTALL 9 FIXTURES
--------------------------------------------------
Owner
Contractor
------------------------
- -----------------------
NAAUMANN, CARLTON
F.
DAN BRYANT PLUMBING
1175 SEMINOLE ROAD
P.O. BOX 331275
ATLANTIC BEACH
FL 32233
ATLANTIC BEACH
FL 32233
(904) 242-9256
---------------------------------------------------
Permit
PLUMBING PERMIT
Additional desc .
.
Permit Fee
98.00
Plan Check Fee
.00
Issue Date . . .
.
Valuation . . . .
0
Expiration Date .
. 3/11/08
-------------------------------------------------
Fee summary
Charged
Paid Credited
------
Due
-----------------
Permit Fee Total
---------- ----------
98.00
98.00 .00
.00
Plan Check Total
.00
.00 .00
.00
Grand Total
98.00
98.00 .00
.00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
Property
CITY OF ATLANTIC BEACH
' PLUMBING PERMIT APPLICATION
Date: " 7 - ( �_' 7
Owner:
Pf /\j {rel Telephone #: p2 Til/ `l2- _/S_9
Contractor: r,�� �IV 1�1�) Telephone #:�'�d� Z2 r�P
Contractor Address: "1 ! CI[ � A `L Fax
Contractor Signature:
In consideration of pem it given for doing the work as described in thestatement, 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:
I Bath Tubs Showers
Z Closets Shower Pans
Dishwashers l Sinks
Disposals Urinals
Floor Drains
Lavatory
Sewer
Sprinkler System
Fees
Permit Issuing Fee $35.00
Total Fixtures: $7.00 + $35.00 =
l Washing Machine
Water
Water Heaters
Other *See attached sheet see
For Backflow and Irrigation procedures *
_�Seminole Road • Atlantic Beach, Florida 32233-5445
Phone: (904) 247-5800 • Fax: (904) 247-5845 • http://www.ci.atiantic-beach.fl.us
Revised 9/06