1421 Seminole Rd (vault) CITY OF
Office Of Building Official
RE ST FOR INSPECTION
Date
Time LU Permit No. / �/ C ��
Received A.M.
PIS
Job Address
Owner's ocality
Name
BUILDING tractor
CONCRETE ELE
Framing ❑ PLUMBING
Re Roofing ❑ Slabing ❑ g ❑ MECHANICAL
Insulation ❑ Lintel Tem C Top Out El Air Cond. & ❑
p Pole
El Final ❑ Sewer L' Heating
R
1:1 Fire Place ElMon. Tues.
r EAD OR INSPECTION Pre Fab
Wed. Friday
P.M.
Thurs. A.M.
��
Inspection Made
A.M.
Inspector P.M.
ems,
Final Inspection
Certificate of Occupancy C
Date
PSR-3844 10432
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION -- - - -_ --- LOCATION INFORMATION ------- -
Permit Number : 10432 ?address : 1421 SEMINOLE ROAD
Permit Type: ELECTRICAL ATLANTIC BEACH , FLORIDA 32232
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 : 50 . 00
Improv. Cost : 50 .00
Total Fees : 525 .00
Amount Paid: $25 . 00-
1,1
25 . 0^1,1- 95
wor -LET FOUR TIMER
OWNER INFORMATION ---- APPLICATION FEES ---- -
Name : JEUNE WESTBURY PERMIT $25 . 00
Arifii-t. : 1421 SEMINOLE ROAD WATER IMPACT FEE 50 .00
ATLANTI ' BRACH , FLORIDA 32 SEWER IMPACT FEE $0 .00
Phone : 904 ) "55 -5050 WATER METER/TAP SO .00
RADON GAS-H.R . S . 50 .00
------- CONTRACTOR INFORMATION - - RADON CAB 5% 50 .00
Name : AL!". SERVICE ELECTRIC '^ CAPITAL IMPROVE. $0 . 00
AddreEs : F . C' . BOX 16694 SEWER TAP90 .0c,
JA-`KSONVTLLE . FL 32245-5 CROSS CONNECTION 50 .00
Type: C' SEC H IMPACT FEE $0 . 00
CONST . SURCHARGE 50.00
SCHARGE/ATL: BCH -
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 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 tk(*00000 00000OOOO $6.0014
Date: 7/12/95 01 Rcpt: 0066906
By: 0M1000 14559
--
�00
1
CITY OF ATLANTIC B'A H, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: -7 7 19
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.
LECTRICAL FIRM: c;ViLC :7eMASTER EkfCTUCIAN.MGNATURE JOURNEYMAN
NAME_ 1u0`c (A)e S b LI rqy
AD ESS:_ 1 L4 Z' dZd RFD BOX
BLDG.SIZE BETWEEN: STTreeT :t j(Tl. 3TreeT
RES. (� AFT. ( ) COMM. ( ) PUBLIC ( ) INDUS.(" ) NEW( ! OLD (I,,/ REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) S4. FT.
SERVICE: NEW( ) INCREASE ( ) REPAIR ( 4 FEE
CONDUCTOR SIZE AMPS COPPER ALUM.
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE D AMPS ( PH W 2y0 VOLT 1 6ec RACEWAY
FEEDERS NO. SIZE [N CO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
O.JO AMPO. 31.100 AMP9.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. -
FIXED 0.100 AMPO. OvEn
APPLIANCES DELL TRANSF.
AIR N.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
U-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. 111.P. VOLTAGE PHS
MISCELLANEOUS S7a l( 0-<(er
TRANSFORMERS: timnpn ann v �.,��
DEPARTMENT OF BUILDING FOR a CE USEONLY
Date_ � � __—, 195d—
TOWN
954TOWN OF ATLANTIC BEACH, FLORIDA %
Permit No. .��__1__.�_______ Fee $_�_r—
Valuation $._/1'rQt_0 O
,%o, Application for Permit for House No.
Miscellaneous Alterations,
------------------------------------------- -
and Repairs ----------- -------------------------=--,--
- —-- -� '-- --— - - 195___.__
To the Supervisor of Building-
The undersigned hereby applies for permit
—
ermit__
------------------------------------------------------------------------------------------------------------------------------------
(State if to repairaI r,ad or move building; erect 1 g, sign, etc.; install boiler, elevator,
Building on ---— --_.LAt NoL �_ «�-Block No.- _,______.__Sub.
,---r----Sub. Div._ - ---
-----------
(State tractional,,paar/r==t),, //
At----Side No._� Y� 1YJ1_Ll_41 �St. Between_ -----------and_-----_______—___—___-___Sts.
' CQl�
Valuation $---���5?_=00--
0-=---__ ---�- - ----�-•---------------------------------
(State cost of improvement)
BUILDINGS AND OCCUPANCY
What is present use of building—Residential or Business?------------------------------------------------------------------------
If residential, what type—Dwelling, Garage Apartment, Apartments or Rooming House?_____--_-_-___—_-_—
How many families accommodated now?_-____ ..—_—-------------How many when altered?—__---__-____
If business, what type?—____—______�___Xter
__-___—_Will food be prepared for sale on premises?.—._____
What plumbing work to be done?................... ........----— — - ---- - -- ---____----- --
Size of present building----__-----___ f extension_______________-________________—____Size of lot_________
Number of stories now......................................... ed....__ .___________Material of
Material of present building----------------------------____--_Material of extension-------------- -------------- --
�„ NECESSARY PLANS IN DUPLICATE 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 ' tall:--_(How maa_ny) capacity tank (s)
made by --- - ----_--of -- ------------guage metal---- --- --- -- --------Ground
(Name of Manufacturer) (Under or above)
- -- — -- -- - -o!building. Fo - — -- ---- -- - - -- ---- - --— - —
(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, protecting, banner, special, etc.)
Weight— - -----------Material of constr on_-- --------- - -- - - —-------------- - ---------------
Illuminated?------------ --- illumination_-- - - - - - - ------- - - --
(State whether Lamps or Neon)
Will sign be over public propgrty?--------—- --- ---- -- -- - ------- - - - ---- —
SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reverse side)
IMPORTANT NOTICE: -
In consideration of permit given for doing the world.as described in the above statement, we hereby agree to perform
said work in accordance with the attached plans and ipecifi cations, which are a part hereof, and in accordance with the
building regulations of the w Atl is Beach.
Signature of Builder Address-------- ---------- --_ Phone --
Signature of Phone No.—___-
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
TOWN OF ATLANTIC BEACH, FLORIDA Date__ �-_RC1_____- 195
Permit No.____� ��`--r=---- Fee $
Valuation
Application for Permit for House No.
Miscellaneous Alterations,
and Repairs -----------195-
--------------
-�----�-Q--------------,
To the Supervisor of Building: o
The undersigned hereby,applies for per
1 L�� �Ls__-1�Q_Q122_____C/CQf�1� __—___-______
---
(Stjfte it xrepair, al r,add to or move building;erect awning sign, etc.; install batter, elevator, )
Building on._______________--___Lot Nd. �L___Block No. ___ ----------Sub. Div.__. --_---------___-_-
(State fractional part)
At-----Side No._/�_7,1_ �/_1���lr�j_— St. Between------------------and-------_----------------Sts.
Valuation $--_ 00_11_-0_ ------ 1111------------- - ----- - ----- —— -----
(State cost of improvement)
BUILDINGS AND OCCUPANCY
What is present use of building—Residential or Business?---___ %�-..______--______-----__-------__
If residential, what type—Dwelling, Garage Apartment, Apartments or Rooming House?--.d - 4 , —
How many families accommodated now?-_---iC2 P2 --__..__---__.How many when altered?—_P5ej_<-_.__
If business, what type?—__ - __________— _._____--Will food be prepared for sale on premises?----
What plumbing work to be done?....... .................................. —_----------------Size of of present building__-V/j X_ _0___ _Size of extension___'Y Size of lot_
_—_—_--
Number of stories now....... �o....................after altered....— of roof___ 1G •G__—__
Material of present building- Material of
NECESSARY PLANS- DUPLICATE 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
anufacturer_ —_ -_In connection herewith, application is alsode to ins -_-- --_—-- _- gallon capacity tank (s)
(How many)
made by -----------___-__ of _ --_guage metal__-----------------------•ground
(Name of Manufacturer) (Under or above)
- —-- ---- --- —---- -of building. For-- -------- - ----- - ------ --- - —
(Inside or outside) (Name of Purchaser)
FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK
SIGNS
----------------
(State whether ground, roof,wall, protecting, banner, special,etc.)
Weight---.---------------Material of const tion-- -- ---------------------------------------------------------------------------
Typeill tion ------ ---------------------------------------------- -- -----------------
(state whether Lamps or Neon)
Will sign be over public prop@rty?------------- ------------------ --- —-- - —- - - — ---- --
SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING
WRITE ADDITIONAL INFORMATION BELOW
(For canvas awnings provide dimensioned drawing on reverse side)
IMPORTANT NOTICE:
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 Town of Atlantic Beach.
Signature of Builder Address___----------—__—_________ Phone No-------
Signature of Owner' dress—__—_-- ---_— -- Phone No.—____—______
r
Instructions to .Suildez,s and Contractors building or working in the
Yawn of Atlantic Beach
la No work on any building #hall be started without obtaining the
necessary permit.
2. No changes in the approved plan shall be made without the approval
of the building inspector,
3. Inspections: The following inspections shall be called for:
Ae Foundatlon, when steel is in place.
B. Plumbing, rough.
C. Lintle, whan steel is in place.
Deo framing, before any wall covering is placed.
Eo Electrical, City of Jacksonville®
F Septic Tank or Sewer, before covering.
G. Plumbing, final
H. Final, when all work is complete.
Any concrete poured or work covered without the necessary inspection
shall, be removed or uncovered at the request of the Building Inspector.
4. After the final inspection and upon submission of a drawing showing
the size and location of completed building on lot, to the Building
Inspector a Certificate of Occupancy shall be issued. No building
shall be occupied before said certificate .is issued.
S. Plumbing permit does not cover sewer connection permit.
6. All contractors and sub-contractors shall have occupational license
issued by Town of Atlantic Beach before doing any work within the
` own Limit*. Contractors shall furnish certificate of liability
insurance when obtaining license
to The penalty for violation of any provision of the Building Code or
of Ordinance #186, shall upon conviction thereof be punished by fine
not exceeding $500.00 or imprisonment for not exceeding 90 days, or
by both such fine and imprisonment.
S,, Copies of The Southerin Standard Building C:ocle and. ordinance #186
are available at the Town Sall for reference.
9r Wien a sidewalk exists across front of building lot, said sidewalk
shall be placed in first class condition before final inspection
is requested,,
I have road and been furnished a copy =,i 'thea instructions
in connection with Building Permit No. �
Date ��'�o 41 Signed �
y
� l�z
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00028122 Date 5/21/04
Property Address . . . . . . 1421 SEMINOLE RD
Tenant nbr, name . . . . . . HVAC
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
-
------------------------
-----------------------
VANDERZEE, EDO WEATHER ENGINEERS INC.
1421 SEMINOLE ROAD 1000 EDISON AVENUE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204
(904) 366-3963
---------------------------------------- ------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 174 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
----------------------------------------------------------------------------
Special Notes and Comments
WORK DONE WITHOUT PERMIT, DOUBLE FEES
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 174 . 00 174 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 174 . 00 174 . 00 . 00 . 00
I
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.
- Q) . ( , 1-k
BUILDING OFFICIAL
APR-19-2004(MON) 1d: 08 (FAX)9Od3564969 P. 001/004
' CITY OF ATLANTIC BEACH
MECHANICAL PERMIT A1'1'LICATXON
.�y
Date: d
Property Address:
Owner: r�
-/ Telephone#:
� �'�
GGti Telephone#- 35,5 3�i a 3
Contractor- wG At;U r-,PIAOl�'S
eZ �_�
ContractorAddres:r: 1000A SO (rL�4X 37 ZoELF"
in considorntion of penitis over,for doing the work us dascribcd In the above otalm"ClIt,we hereby u�mc to peMtum said work in accordance
with the atwehed plaits and Ipeelflcotion►which arc a part hcrcuf and in nceordanee with the City or Atlantic ocudi ord Inaneee and stundunls of
d icJcc Ilslcd therein.
Type or Heatln�Fuel: !f other coastrucion is king done an gtirf building
or shr-list the building permit autnbcr:
M EICLuic
Ngniral _Centna Utility
C Oil
et Otltcr1.14=IU i=± lattift IQ
MECHANTCAL 19QUIPMENTTO BE iNST LLED NATURI; Or WORK
0 Hcat. Space _Reccnt<cd V/0 entrlI _Floor )3 ite idcntlal
m Air Conditioning:. _Room Cartnd
0 Due Systcm: Material,- -�Thicknms_ D Conuncrcud
Mvdmum cupueity eCm M New Building
a Rcfrigcrntion
O Cooling Tower:Capacity cpm q{ Usting1luilding
Q Fire Sprinklers:Number ofI•Ieads'
O Elevator: Maalift 11=lutor (Number) id Replacement of Existing Systctn
Q Gasoline Pumps (Number)
0 'tanks (Number) Cl NcwInstialation
O LPG Containers (Number) (No systctu previously ittstuUcd)
0. Unfired Pressure Vessel Cj rxtemlon or Add-on to Exist[ng System
Cl Boilers
Cl Gns Piping O Other-Sped
0 Other—Spceify
LIST ALL E UIPMENT
AIA CoNnrt'IoNTNG,RrMICiMATIoN cQuirmeN'r&CONDENSOR'S , Approving
NuntbcrUuiia Dcserlptlou Madd 0 Manuitctursr Tan,0 Apm'y
� � �
A
HEATING-nMNAC1`.S,1110TURS,rMEPL ACFS&AM IiANDi.t:R'SApproving
Number Unlit Dd t Model M ManuC► BTU's Agcucy
GIO RA�air� _f I7
G
TANXS Nominal"pacify Typc Ltquld Scrhd Approving
I•Iuw Munv d2 ulmrneionN Contained Muauracturer No. n encs
800 Seminole Road.Atlantic Cutch,Florida 32233-5445
Phone: (904)247-5800. Fax: (904)247.5845- httpJ/www.cLatbntic.bcich-flus
PSR-3844 16366
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION -____ --- LOCATION INFORMATION
"ermit Number : 15366 iddress : 1421 SEMINOLE ROAD
t oe: PLUMBING ATLANTIC.: BEACH , FLORIDA 32233
Permit TY� _ _______.
"lass of Work:ALTERATION --------- LEGAL DESCRIPTION -
-onstr T je:WOOD FRAME Rloc�: LotSubd: n Rr),
Propos@d �e: 2Ctl�I1:
Dwellings ! 1 Sl.ibdi vi s i cin:
Eat . value '. 0 . 0
Improv. Cost : 0 .00
Total Fees , 25 .00
Amount Paid. 25 , CIO
Date Pald, 5/0111999
k P^s^:FERUN SEWER
--
OWNER INFORMATION ----------. -------- APPLTO TION F1F;ES
_lame ; JOHN WE�TBUR..Y PERMIT 25
O
1421 SEMINOLEE ROAD
ATLANTIC- BEACH , FLORIDA 3223'
Ppone: 904 � 387—E..333
CONTRACTOR i NFORMAT I O N
Name: CHRISTY FIRST COAST PLUMBING-
Addr : P. 0. BOX 5044E,
JACKSONVILLE BEACH . FL 32240
-Ffi056497 Exp: !
Tvpe i
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 REVO$25 IBO 14 OR
batp: /01/ga 01VIOLATION OF APPLICABLE PROVISIONS OF LAW. - 0 i
CHECKS 3236
88100083221889
ATLANTO `$EACH BU I DIN EPARTMENT
��-�..
By: Ll..__� �\..
+ t
r
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: isu f --�cct, t".1-e ps
OWNER OF PROPERTY: L(/ S�- r
PLUMBING CONTRACTOR: d'y
CONTRACTOR'S ADDRESS: eel�ok Sa�15/(e
STATE LICENSE NUMBER: er0o S-6 c/R 7 TELEPHONE: ? 7- 7 91/
HOW MAlPY 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: A
SIGNATURE OF CONTRACTOR: w, io,
-----------------------------------------------------------------------------
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
Office of Building Official
REQUEST FOR INSPECTION
Date � Permit No.
TimeA,M•
Received ( _P.M. District o.
14. C
Rw
Job Ad r L lily
OCa
wner's -
Name
BUILDING CONCRETE LE RIC PLUMBING NICA
Framing ❑ Footing iring ❑ Rough ❑ Air.Co d.&
Heating
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Fire Place ❑
Lintel ❑ Pre Fab
R R INSPECTION A.M.
Mon. Tues. Wed. Thurs. Friday P.M.
Inspection Made
1 7_ A.M.
Inspector nal Inspection
Certificate of Occupancy
Date
No T6,
�,. 3746
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT :INFORMATION --- ---- LOCATION INFORMATION - -
Permit Number: 3746 Address: 1421 SEMINOLE ROAD
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 3223
Class of Work: ADDITION -"--- --"---- LEGAL DESCRIPTION -- -----
Constr. Type: MOOD FRAME Lot : Block: Section :
Proposed Use: SINGLE FAMILY Township; RNG: C;
Dwellings: 1 Code: 0 Subdivision:
Estimated Value: $0. 06
Improv. Cost : $0. 00
Total Fees: $25. 00
Amount Paid : $25. 00
Date Paid : 5/10/91
Work Desc. : WIRI- CNTRAL HEAT AND AIR
----- ----- OWNER lNf' !4MATION -------- - - --- APPLICATION FEES ---_-
Name: WESTBURY PERMIT $25. 00
Address: .1421 SEMINOLE ROAD WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA 322:13 SEWER IMPACT FEE $0. 00
Phone: (904 )j96 -9791 WATER METER $0. 00
RADON GAS -H. R. S. $0. 00
---- CONTRACTOR INFORMATION --- RADON GAS - 5% $0. 00
Name: ADVANCED ELECTRICAL CONTPi (IR WATER TAP $0. 00
Address : 2140 NICKE;RSON LANE SEWER TAP $0. 00
.JACKSONVILLE, FL. 32207 HYDRAULIC SHARE $0. 00
I..icense: ER04DO6147 Type: RE-INSPECT FEE $0. 00
SEC. H IMPACT FEE $0. 00
OTHER
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.
,r 7AJftF. jw;o'-�-,i
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR. DATE:_. _ 19__
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.
72/E &ifflU
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME. Westbury ADDRESS:' 1421 Seminole. Rd __ RFD-BOX-
BLDG.
FD BOXBLDG.SIZE BETWEEN: At=lantic B1 vd &_Seminole Bch Rd
RES.('-) APT.( ) comm.11 ) PUBLIC( ) INDUS. ( I NEW ( ! OLD M REW. ( )
ADDITION ( ) TRAILER ( I TEMP.( I SIGNS ( ) SO. FT.
SERVICE: NEW( 1 INCREASE ( ) REPAIR ( ) FEE
CONDUCTOR SIZE AMPS COPPER I I ALUM. U
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE 2 0 O AMPS 1 PH 3 W 2-4 r� VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 3I.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
21
1
, u
O.1 OVER
MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
3
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
---- PERMIT INFORMATION - - LOCATION INFORMATION
'ermit Number : 3799 address; 1421 SEMINOLE ROAD
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
lass of Work: NEW ---------- LEGAL DESCRIPTION
Constr. Type: WOOD FRAME Lot : Block: Section;
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dwellings: I Code- 0 Subdivision :
Estimated Value: $0. 00
Improv. Cost : $0. 00
Total Fees : $82. 00
Amount Paid: $82. 00
,�nrk TNC;TAI I rPN1'PAI_ RVAT AND PTP
OWNER INFORMATION - APPLICATION FEES
Name: JOHN WESTBURY PERMIT $82. 00
Address: 1421 SEMINOLE ROAD WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA 322- SEWER IMPACT FEE $0. 00
Phone: (904)367-6333 WATER METER $0. 00
RADON GAS-H. R. S. $0. 00
------- CONTRACTOR INFORMATION RADON GAS - 15% $0. 00
Name: MCCALL CENTRAL AIR COND. INt WATER TAP $0. 00
Address; 2690 ROSSELLE STREET SEWER TAP $0. 00
JACKSONVILLE, FLORIDA 32204 HYDRAULIC SHARE $0. 00
-icense: RA0015176 Type: I RE-INSPECT FEE $0. 00
SEC. H IMPACT FEE $0. 01
OTHER $0. Oi
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.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. !u4ULrv.ji
CW)ff
RECE]PI Nuft�; 03134i
ATLANTIC BEACH BUILDING DEPARTMENT
By:
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, III, and IV.
I.
LOCATION Street Address: 1421 Seminole Rd
OF Intersecting Streets: Between Atlantic Blvd. And Seminole Beach Rd.
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 i
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards I
of good practice listed therein.
Name of Mechanical Contractors
Contra
c+or (Print) McCall Central Air Master RA0015176
Name of
Property Owner JoYfn WeAhury 1536
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
I11. GENERAL INFORMATION f
r
A.
Type of heating fuel: B.
IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? No
❑ Gat—❑ LP ❑ Natural ❑ Central Utility i
❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Other — Specify
I
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) ® Residential or O Commercial
IDHeat ❑ Space ❑ Recessed [X Central 0 Noor ❑ New Building
Air Conditioning: ❑ Room ID Control E,� Existing Building
Duct System: Material 1200 Thickness X Replacement of existing system
Maximum capacity c f m ❑ New installation(No system previously installed)
❑ Refrigeration ❑ Extension or add-on to existing system
I ❑ Cooling tower: Capacity 9-P-M. ❑ Other — Specify
❑ Fin sprinklers: Number of heed:
❑ Elevator ❑ Manlift ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) IReeeiwd)
❑ Tanks (number) Remarks
❑ LPG containers (number)
❑ Unfired pressure vessel
❑ biles Permit Approved by Date
❑ Other — Specify Permit fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
roving
Number UnitA Description Model Number 3ftnufacturer (Tonsns)Y A?�P
1 Condenser TWR7 8 rase �TJL 10.55
1
' CITY OF ATLAN'T'IC BEACH
APPLICATION FOIi ROOFING PERMIT
BUILDING 0{VNEIt PI]ONE
JOU ADDRESS
LOI'II�ULOCK Olt UNIT It './ SUUUIVISION `�^�
lde ' r
CON I'IIACI'Olt P1ION13
ADDRESS
LICENSE- NUMUL'IZ �, o 3 ?IRTION
JOU VALUATION $_ ,��. 0 d
• r`IA'I'GRIALS: Y�` 0 �� � •-- • .[���.y{ '
SIGNATURE O{VNGR VATE
SIGNATURE CONTRACTOR DATE
I ,
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA Q
PERMIT TO BUILD
PERMIT NO. v SQ�
THIS PERMIT MUST 8E POSTED ON JOB I
Date Feb. I87654 7'50 T
19 88 9503 1 ?� 2/;1 9/9
Valuation$ *OOCAC
Fee$ 7654 1 A 2/19/8
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. 1 00171
This is to certify that
RC0035393 3525 No
ijtd Re-r®o Norton Road Jacksonville. Florida
has permission to b
Classification
Owned by John Westbury Zone
Lot_
House No. Block__ _S/r) I
e Road
According to approvedlans
P which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
��♦ �♦ AFTER DATE OF ISSUE
z fBuildithis ng material, rubbish and debris
-� rom work must not be placed
2 in public space, and must be cleared
up and hauled away by either con.
tracTr or owner.
FOR OFFICEBuil Official
USE ONLY PERMIT -
NUMBER DATE
PLUMBING CONTRACTOR
ELECTRICAL I
i
SEWER
WATER
FOR OFFICE YSEONLY
Date............... .. ........191-------
Permit
. ....19 ------
Permit #........................Fee
CITY OF ATLANTIC BEACH
Valuation $.....-L1 ...........................
FLORIDA House #....f 1/,,7 1.....z4,zu.,zol.�
....... .........:i.......................................................
APPLICATION FOR BUILDING PERMIT
............................................................................
...........................................I................................
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--------- ---------_-------------------...... 193,1-
Owner 68M
EST...ffQ.)2J_---_------------------Address__.14_ _/..-S-EIWJ"_ j(C9etPephone No-----------.................
........ ._---
------------------- -----1(4 -F�JeAe-V-----------AddresMAVX' -------Telephone NoZ -2 S.?7
---------------- ..............
Contractor Builder.._._ ..........DAAS........................Address].3,11..:S_T t-m-sew---�_7 Telephone No. -_5B
Lot No.---- ............._-Block No--------------/...............Sub Division- 0&1 T....L.Zone......
...6?�A /
_4j
4.-tZ IF...........Street-. ___.............Side Between.. ................. •----. --//----------------and.................................................. Sts.
Valuation $_...7S__-?_9 1/-------For what purpose will building be used__IliOVS11(114 .._...Type of construction-&> ..0.MJ1Se*1V1
Dimensions of Building-1 .)(21_71 .4f ....Dimensions of Lot......................................................Size of Footings.1Z.-it)( 2 2 it
D'I S_;w-----------------------
Size of Piers...-1..X_-1.6_..____-----Size of Sills.AD&AC_...lk---------Greatest Sill Span in ----------Type Roof. -- -1---
How will Building be Heated?.4�.ZS7 ..._-Will Building be on Solid or Filled Ground?........l.Va...................
.. .
Size of Ceiling Joists_-..-..__Z-)(.&............... Distance on Centers............Z.&----/,................,
-41................I Greatest Span-------------- -37- ....... IV
Size of Floor Joists.R.T5---- ------------- Distance on Centers- 1_6..----.._............... Greatest Span..___-------- ------------- IV
I/
Size of Rafters.........ZI(_0------------------------------ Distance on Centers J. ....................... Greatest Span.-------------- . .....D................. IV
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
all lot-linesnd existing buildings.
LOT LINE
Two copies of plans and specifications shall
be submitted with application. _LJ(A.C4�a
Inspections required. C;IA 34l
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. 36 17 Z
3. When steel is in place and ready to pour beam. & of r1A1 a4. When framing is completed. �-ps 4 E-4
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 covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
.1&4i- In case of any rejection,re-inspection MUST be called for after 4-C I
corrections are made.
P,V_fie4Q@W 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 Atl tic Beaffi.
C 66ASignature of Builder.._........ ---- Addressl,�31------�)Jlkt .. ....... ...............
Signature of Owner----
----- - ------------------ Address..14Z/----- ..................................
DEPARTMENT OF BUILDING FOR OFFICE USE ONLY
CITY OF ATLANTIC BEACH, FLORIDA Date 19
Permit # Fee $_(�-^
Application for Permit Valuation $
fAr Misc. Alterations House #
,, �lnd epairs
DESCRIBE:
(state if to repair, alter, add 0 or move buil erect clwnings
o signs, etc. )
Building on: Lot Blk Nab.Div.
Address A9 Valuation ,
Owner's Name
BUILDjiGS & OCCUPANCY
Building Use - Re9idential or Busihess
What Pl=b,ing work to be done?
Size of Present Bldg. Size of Extension
Lot size Material of Roof
No. of stories now after altered
Material of Present Building Material of Extension
PLANS MUST BE SUBMIMED HEREWITH
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 oe�,ve side)
coMP'- F. 1
IMPORTANT NOTICE:
In consideration of permit given for doing the work az 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. Southernnderd i )Code) r
Signature o u ' der o r
Address Phone q ,
il c �
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