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1765 Seminole Rd (vault) -------------- CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION —_ Permit Number: 24210 Address: 1765 SEMINOLE ROAD Permit Type: UTILITIES ATLANTIC BEACH,FL 32233 Class of Work: INCREASE Township: Range: Book: Lot(s): Block: Section: Proposed Use: UTILITY Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: -- Improv. Cost: OWNER INFORMATION _ J Date Issued: 6/06/2002 Name: CITY OF ATLANTIC BEACH Total Fees: $ 0.00 Address: 800 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FL 32233 Date Paid: _ e: _(904)247-5828 Work Desc: INCREASE 3/4" IRRIG ETER T -1 2" 1 I� r Q_N METER CONTRACTORS _ LlCATION FEES PUBLIC WORKS DEPARTMEN rte` $ 0.00 �, a' A ___.— •� t _ fi qutred v :+ NOTICE'S INSPECTIONS ST BE REQUESTED AT LEAST 24 HOURS PRIOP,xTO INSPECTION BUILDING MATERIAL'; RUBBISH AND DEBRIS FROM THIS WORK MUST NOT B P1;10ED IN PUBLIC SPACE, AND MUST BE CLEARED _6' ,AND HAULED AWAY BY EITHER CONTRACTj- R F "FAILURE TO COMPLYNVITH TIS TRUCTION LIEN AN RESU IN THE PROPERTY OWNER PAY' E�fOR v ISSUED ACCORDING TO APPROVE f VH CHRE,,P T (if T h�EI, AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROV tAW ' A NTIC B CH UILDING DEPT. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 _ PERMIT INFORMATION _LOCATION INFORMATION Permit Number: 24210 Address: 1765 SEMINOLE ROAD Permit Type: UTILITIES ATLANTIC BEACH,FL 32233 Class of Work: INCREASE Township: Range: Book: Proposed Use: UTILITY Lot(s): Block: Section: Square Feet: Subdivision: NORTH ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 6106/2002 Name: CITY OF ATLANTIC BEACH Total Fees: 0.00 Address: 800 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FL 32233 _ Date Paid: e: (904)247-5828 —--- Work Desc: INCREASE 3/4" IRRIG „ ; ET Kj 2 a N METER n CONTRACTORS)- CATION FEES PUBLIC WORKS DEPARTMEN $ 0.00 MF _ y t - F •,.v: •�x vim,, #"'1F,r;,�- •x";.:^l•`A •T< ` '.�'��v - , ..: ..; M k u>!red ... t R NOTICE!INSPECTION ST13EtEC2t1E'STEb Al LEAST4 HOURS PRIG TO 1 r ., 'TION BUILDING MATERIAL;PUBBIsH A D DEBRIS,FRC�fih THOS 1t�It�RK MkI' T4T BIE:P CED IN PU IC SPACE,AND MUST BE CLEARED AND HAULr=O AWAY BY EITHER CONTRA^TC�F� _. "FAILURE TO COMPL*,WITH TRUCT1��.iEN AN RESU,,I�t�IN THE a . , PROPERTY OWNER PA }R �. ,�----—-----——-- ISSUED ACCORDING TO APPROVE S CH T AND SUBJECT TO REVOCATION t-i FOR VIOLATION OF APPLICABLE PROV _ Oper: D611IT8 Type: OC Drawer: 1 Date: 6/06/62 01 Receipt no: 63230 14 POMTS-BVILDIMG 1 5.08 A NT1C BE -CH OIL'DING DEPT: �1i111Q2Zi�1i Trans date: 6/06/82 Time: 17:83:24 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION _ LOCATION INFORMATION Permit Number: 24026 Address: 1765 SEMINOLE ROAD Permit Type: UTILITIES ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: 785.00 Parcel Number: Improv: Cost: OWNER INFORMATION Date Issued: 5/07/2002 Name: DYAL, MARY ANN Total Fees: 0 08 Address: 1765 SEMINOLE ROAD Amount Paid: 0:0 ..ATLANTIC BEACH, FL 32233 Date Paid: Phone: (000)000-0000 . Work Desc: INSTALL 3/4" IRRIGATION METER ON RIGHT OF-WAY-ACROSS FROM THIS ADDRESS- . CONTRACTORS _ APPLICATION FEES PROPERTY OWNER s� $ 0::00 ff f n •TWINY x,� i 't,t�, NOTIC �� a `�L� T ION BUILDING MATERI' ,. . =� ' SPACE, AND MUST BE CLEARE ! � �� '"� �� 1 50- " a -'1 ^mow :- rj.} -T'f, •r ..'.3 "FAILURE TOHE PROPERTY OWNS `AORa/EAA -- p. ti -ISSUED ACCORDING TOA AST O BJECT TO REVOCATION FOR VIOLATION OF APPLICA - Y - Oiler: CHERYLE Type: OC Drawer: 1 Date: 5/07/02 01 . Receipt no: 55718 14 PERMITS-BUILDING 1 $.00 NTIC BIE-ACH BUILDING DEP--f-7 00100003221000 CAB IRR MTR ff5fls 8tttl 5/07/02 Tise: 15:15:13 f Cj//IIJT�Y OF B ( 1 Office of Building Official / REQUEST FOR INSPECTION (� Date ( / Permit No. l Time Received District No. Job Address Locality Owner's ame Contractor BUILDIN �GONCRETE MECHANI AL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air. n .& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. /J�F/ridav L A.M. Inspection Made P.M. �--r Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF 4&4a is Beir A-4&u*4& Office of Building Official REQUEST FOR INSPECTION Date /Z Permit No. J/ /y Time A.M. Received�' V P M. District No. Job Address Locality Owner's Name - Contr BUILDING CONCRETE ELECTRICA PLUMBING MECHANICAL Framing ❑ Footing ❑ `mug inng ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Piece ❑ Pre Fab READY FOR INSP A.M. Mon. Tues. Wed. Thu Friday-P.M. Inspection Made P.M. Inspector Final Inspection f Certificate of Occupancy HO 4,0 /- D A, C O v e " U 10 Date CITY OF 4&4n� Beac4-4&u'4& Office of Building Official REQUEST FOR INSPECTION & Permit No. Date Time A'M' DI !t No. Received P'M' Locality Job Address Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough '6 Heating He Roofing El Slab ❑ Temp Pole ❑ Top Out ❑ Fire Piece ❑ Lintel ❑ Pre Fab READY FOR INSPECTION A.M. (: f Tues. Wed. Thur Friday-P.M. Mon. A. M. Inspection Made • Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF' L/ 0q&,,4, /3eccA"0;&Udla Office of Building Official REQUEST FOR INSPECTION z t� AJob Permit No.DateCMDistrict No. TimegeceLocality s Owner's Contractor MECHANICAL Na ELECTRICAL PLUMBING BUILDIN CONCRETE J 0 Air.Cond.& Footing ly Rough Wiring TRough 0 Heating S0 p Temp Pole C Top Out Fire Place 9 lab 0 _ C Pre Fab Lintel Qcicl, , ^) P.M READY FOR INSPECTION A.M. WedThurs. Friday Mon. Tues. _ A.M. Inspection Made ! C Final inspection❑ Inspector Certificate of Occupancy i Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 2475826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24026 Address: 1765 SEMINOLE ROAD Permit Type: UTILITIES ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: 785.00 Parcel Number: Improv. Cost: OWNER INFORMATION_______- Date Issued: 5/07/2002 Name: DYAL, MARY ANN Total Fees: 0.08 Address: 1765 SEMINOLE ROAD Amount Paid: ATLANTIC BEACH, FL 32233 Date Paid: Phone: (000)000-0000 Work Desc: INSTALL 3/4" IRRIGATION METER ON RIGHT OF WAY ACROSS FROM THIS ADDRESS CONTRACTORS APPLICATION FEES PROPERTY OWNER $ 0.:00 1WCOX -01 swjjw ..�• � �{ Allm4. W WINmax. Y5.i - .,•: , �, - ''' ,.. - -'^.`a''��-i } - T' •sem.,,�-as, '-'�, '• �i`s '��^�:- - .s r�7r.�'� ��..'� � .J k'SY'�r �, - '�r`ci" q+� � � yC�i�' 3t . AMS... >r.A-.. . +, -S`iY�u `�Lz ..',ra• �' .mar �' 4 �"'-- 'Y. _ �f j'• � � � •�''3�F "171 y '� r `w "�` '�".J�t�`y 4v .. ^' .� '- it 1 'A�a+i�M l l�yp. •+'y .. K. :� ,....q z 't y �„F`-3'.,� `fit +s 5_ NOTICNMI M � a K z+ z s BUILDING MATERI 1 TlW`+CIfl1F SPACE, AND MUST BE CLEAREP � _ "FAILURE TO CON - *� HE PROPERTY OWNER - `FMU"� 4_VEMMW ISSUED ACCORDING TOA 7RFART O BJECT TO REVOCATION FOR VIOLATION OF APPLICA e Oper: CHERTLE Type: OC Drawer: 1 Date: .-5/07/02 01 Receipt no: 55718 14 PERMITS-BUILDING 1 . S.00 00100003221000 �NT B C BUILDING DEPT. tfug 86 5107/02 Time: 15:15:13 CITY OF ATLANTIC BEACH d$ DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION _ ! LOCATION INFORMATION Permit Number: 20439 Address: 1765 SEMINOLE ROAD Permit Type: PLUMBING -�-- ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION 1 Township: Range: Book: Proposed Use: SINGLE FAMILY ` Lot(s): Block: Section: Square Feet: t Subdivision: Est.Value: 785.00 Parcel Number. Improv. Cost: F::::r74 OWNER INFORMATION _ Date Issued: 8/02/2000 ame: DYAL, MARY ANN Total Fees: 25.00 Address: 1765 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/02/2000 Phone: (0000-0000 _ Work Desc: CONNECT TO CITY SEWER (IMPACT PAID THROUGH PAYMENT AGREEMENT W.CITY CONTRACTORS) APPLICATION FEES _ JAX PLUMBING & SEPTIC TANK PERMIT 25.00 fns tions Required _ —_-- FINAL 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 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. 325.00 14 `QAT -tNl&!-6H - Date: 8/03/00 01 Receipt: 0077799 UILDING CHECKS „ 177 • //��11^�� //CITY OF fYI�LI /3�- Office of Building Official REQUEST FOR INSPECTION (� Date (� —v O Permit No. Time M. Received PM. Job Address Locality w Owner' Name Contractor BUILDING CONCRETE ELECTRICAL BING MECH;tC;;AL Framing ❑ Footing ❑ Rough Wiring ❑ ❑ Air Con & ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ SewerFire Place ❑ Pre Fab READY FOR INSPECTION Mon. Tues. �' Wed. Thurs. Friday P.M. A. Inspection Made Q P.M. Inspector Final Inspection ❑ Certificate of Occupancy ❑ Date r s CITY OF ATLANTIC REACH APPLICATION FOR PLUJ149ING PERMIT JOB LOCATION: 174kF ."J*,fya /e IFO.a d OWNER OF PROPERTY: !' A RT_D,_4 4 TELEPHONE NO.-,79a-3056 PLUMBING CONTRACTOR jAg P IVwib1N5 CONTRACTOR' S ADDRESS:_ 7,5-s- 0 ra�n I G STATE LICENSE NUMBER: TELEPHONE: Z06- 3pn HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS V SEWER WATER RE-PIPE (LIST FIXTURES BEING REPIPED) OTHER TOTAL FIXTURES: x $3. 50 + $15. 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: 6 6 ' PA SIGNATURE OF CONTRACTOR. q V ----------------------------------------------------------------- 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 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING ` 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18643 Address: 1765 SEMINOLE ROAD Permit Type: GARAGE DOOR ATLANTIC BEACH, FL 32233 Class of Work: NEW Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square Feet: Subdivision: Est. Value: 785.00 Parcel Number: Improv. Cost: 785.00OWNER INFORMATION Date Issued: 8/12/1999 Name: DYAL, MARY ANN Total Fees: 25.00 Address: 1765 SEMINOLE ROAD Amount Paid: 25.00 ATLANTIC BEACH, FL 32233 Date Paid: 8/12/1999 Phone: (000)000-0000 Work Desc GARAGE DOOR REPLACEMENT AppLICATION FEES CONTRACTOR(S -. 25.00 OVERHEAD DOOR COMPANY OF JAX PERMIT I Ins ections Re uired - - FINAL BUILDING I 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 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. -- —— $25.6014 Date: 8/13/99 81 Receipt: 8878793 ---- ---- — CHECKS 23323 AQT �WAT NTIC BEAC BUILDIN PT. 881ee8e322188e CITY OF ATLAiLVTIC BEACH PERMIT APPLICATION REIODEL, ADDITIONS, OR ALTERATIONS MOVING,DEMOLITIONS Owner(s) : ��2'z� Z�o Address: Phone Lot # Block or; Unlit- # D Subdivision: Contractor: State License # S O Address: O�y �J n�No ZZ 2:;ibe S ate � Zip Code G�f� work to be done: J Present use of building: Valuation of Pro .,ed Constru tion: j Proposed us 4- _ Is this an addition? do if ys, what .ara the dimensions of the added space: ft. X ft. Will the added area be heated and cooled? New electrical (or increase) ? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PIANS, INCLUDING SITE PIAN, SURVEY, ENERGY COPE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, •IF OWNER IS CONTRACTOR. Si cnatur OWNER: Date: �� C9 Signature CON Date: Sworn to and subscribed before me this— day of �_, 19-7 J C / TARP PUBL ,Ir, Expires Ogt&ob Z4�. AT LARGE S of ExJanuilry PSR-3844 14083 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH -- - PERMIT INFORMATION -- - -- LOCATION INFORMATION ---- Permit Number : 14083 Address : 1765 SEMINOLE ROAD Permit Tvpe: PLUMBING ATLANTIC BEACH , FLORIDA 32233 `lass of Work:ALTERATION --------- LEGAL DESCRIPTION ---------- Constr . Type :WOOD FRAME Block: Lot : 43 Twp: Proposed Use: Section: 0 Subd:O Rna* Dwellinas : 1 F,ibdivision:OCEAN GROVE Est . Value: 0 .00 Improv. Cost : 0 . 00 Total Fees : 25 .00 Amount Paid: 25 . 00 ';OWNER. INFORMATION - -- - - -- ------ APPLICATION FEES --------- �iame : COALSON & DYAL PERMIT 25 . 00 Addr 1 SEMINOLE ROAD ATLANTIC BEACH , FLORIDA 3223 Prone: i 904 t ' 4'9- 3471., ----- CONTRi"TOR INFORMATION - Name: STEED,' FLUMBING iddr: 1601 MAIN STREET ATLANTIC BEACH FLORIDA 32233 Lic' CFC037196 Exp : / 'rype' 4 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. $25,00 14 rg-81 Receipts 0@ H84 CHECKS J 13622 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 Gam- NBy: to ,f CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION :- /-/ d,5' OCATION : / -/u`5 OWNER OF PROPERTY : *A PLUMBING CONTRACTOR 5 - D° � CONTRACTOR' S ADDRESS : (IFez).12J4� -TELEPHONE: MIL2-?l STATE LICENSE NUMBER : 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 FIXTURES : x $3 . 50 + $15 . 00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE I P CCORDGNC WITH THE MOST RECENT EDITION OF THE SOUTHERN ST E. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 S, t 0003144 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LCICATXON INIrL'1RlYATIt�N ----- Permit Number: 3144 ddress% 176n 1-4EliIN131-E ROAD Permit Type: SUILDINO ATLANTIC BEACH, I'FLURIDA -322'3.3 Class oX *fork; ADDITION ---------- LEnAL ------ Constr. Type: WOOD rltAIRL of-. 413 block, 2 nectlon. Yropposed Use: ISMOLE li'AMILY Township. RNLI: 0 Dwellings: 1 Code: b ubdlvlslon% OCEAN DROVE Estimated value: 5!o,4,50 eiv. ou Improv. r.ost: 5U. OU Total frees-. 4$1.93. MD Amount Paid: 10'9'3. no vgte ealc1% I2/'I t °3Cl Nark Desc. : RENt)DEL lrITrmEN; I14CREA-4E KEATED ARLA; ADD P0RCH Rt tar, -- - ------- OWNER IMP'OR"ATSLIN -- ------- ---- ArrLSCATXON FEEIS Name: COAL*-14ON M DIAL PERIT rT Z52. I-10 Address: 1761M 'StMINCLE ROAD NATER InPACT FtE X40. 0* ATLANTIC, BEACH, IrLORXVA -322-3'3 nE1Vett IHPACT FEE !310. ou Pnone: e'�u4>2�3i0t-34�°�1 NATER nVTEk 311. UU, YtADON IUAn-H. R. 'S. %C. *973 - --- CONTRACTUlt INPCft"ATTO- --_ ---- RADON (3 AIS - T-IX $0. nn Name% TE'rt':::lt CUALtC1N WATER TAP amu. 00 Address: nO2 THIkD STftET nUITE 7'S JENER TAP 150,t'y} ATLANTIC 138ACH, FLORIDA 322:3 HYDRAULIC t HARE '3lt7. 01`1 License: CftCU272e9l- `type: 1 IRE-SN'iPMT rEE 9t?. tot) s . Il IMPACT PEE tea.IOU s_,rH�R 50. nti 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. ATLANTIC BEACH BUILDING DEPARTMENT By: 0003145 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH r'L°R17ST SNFbl!l7ATIt�N -- LOCATION INF'CtR"ATSt]N permit, Number: 314 Actciresss 17455 1-qr xNVL.E RD rermit. Type% rLU"nxHn ATLANTIC BEACH, 1-U0RIDA 322'3:' :.lass ox '!loris: NEW ----- ---- LEt3AL DM!5CRIrTI%3N -----_ Conatr. Type: WOOD rRAl715 Lot: Hocks rection Proposed Use: t5rHOLE PAf3SL'1 Townsnlp2 RNo: b Dwellings: 1 Coda: C trubdivision : OCEAN GROVE EStlmeetec value* *10. 00 Improv. Cost % cp�C-CC Total Bees! 1-5'::2. 00 Amount., P010% °322. tlkl Date re10: 11; Worts Desc. SN'3'YALLA'rT10N OF rLUMOX" 3 AND 2 FIXTURL"R L.fWNeft Ili Te0RnATX0H ------- - - - -- ArrLSCAT IL1N r EE'R --- '. - ^Natne: CC1ALI-M" & DTAL rL Ti!'tiT .522. Add'resa: 1,*Ln't ''-15C nINVLE RD WATER IHrACT irLE Vii?, *10 ATLANTIC L4rACH, rLORIDA '322' .3 'RLWER 1"rAC'T` eEE 9th• 00 F'41�vrxe: C 11L?4!? ,2 t s�-ei TL°11 WATER "MTEFt Citi' RADON OA'R-H. R. 0. R3ti'►• 00 50. 100 NBMe: H. n. Hu r'2rMAN rLUHBIN1Ci WATER TAP !#aO. U0 AddresS: 'T46 LAKE A;3;f?cUfty DRIVE •RtWER TAI' '%K7. on a tech COVE SPRx"01-R, rL '32t?14' HYDRAULIC 24HARM 50. 0c, L1Cense: Type: ne-2mi2wrc ' FEE 1140. 00 etc.. " InPACT !r'EE 50. 00 CTHEti 50. U10 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,,.,SY.PJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CE FB ANTIC.SEACH BUIL ING DEPA TM Ty: �.. r CITY OF ATLANTIC BEACH APPLICATION FOR PLUKBING F '21"lIT JOB LCC:. :IO4: — ------------------- -----_z�z -,g PLUIl$iAlG CO:i':RitC''JFt: RzitC Rz&4� --�t0hixkC-- LICEr,�� itiU��BE�? S', . _ ------------------------------------ OWNER:----- oy\. ! --------------- ---- — ------------------------------- BUILD1113 COMMACTOR: _P,► �x �/V Nth_ � ' QvIN7-4 V7 TYPE OF BUILDING: J ----Sif4`i�r� SHOWERS -----------L..'!i1?'O Y ----------1VATiP. HEATERS �L:':Ti: TUS S DISHWASHERS ----------URIniiLS ------____DISPOSALS ----------C;'_05E.'S _WASHING MACHINE O:HE; FLOOR :TT��J 1:4..liIU J - FIXTURE CoUzi T 3, aa . a c� ---------------------------------------------==�- a ,T r M I• ti �e .-.-� t Ibi:±Tr.Li..r., IOrt Lr i'i.Us`tBs�FL AND FI,{T=s?E MUST 8F IN ::C�L-RDi� ICE 4+?�"'i� THE r:OST RECENT EDITION OF THE SOUTHER4t STAINDAP.D PLUil-MB 1 NS CGi E. k r i t s t k } q pF i ti x p� 4 Address G 7 J M N 6 r A D'l 7(� seated Square Footage Zn @ 6 per sq ft = $ tl, d 40, 5-0 iarage/Shed @ $ per sq ft = $ lar-port/Porch @ $ per sq ft = $ )eck @ $ per sq ft = $ 'atio @ $ per sq ft = $ TOTAL VALUATION: $ \ 90 S btal Valuation lst $ l��C?O ,y U \ r ,o -" , 0-6 $ aC-) remainder Valuation per thousand or portion thereof Total Building Fee $ 3 S cla BDITIONAL PFS'= and/or FEES REQUIRED ; + 2 Filing Fee $ ( �� Fireplaces @ 15.00 $ iechanical � BL=ING'P=T FEE $ Jr o� • ing ;leecctric/New r/ ' -------------------------- ---------------------- i ;lectric/Temp 'e So peptic Tank BUILDING PERMIT $_ WATER METER CHARGE $ - !ell winudng Pool SE[7ER IMPACT FEE $ r WATER IMPACT FEE $ ign MISCELLANEOUS $ rater Connection i,.< H,-, s .ewer Connection y `ater Meter $ 1evation Certificate GRAND TOTAL DUE ------------------------------------------------------------ -------------------------------- ALCULATIONS and/or NOTES City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. _ BATHROOM GROUP CONSISTING OF _ SERVICE SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET VALVE __WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN ( 1 ) SHOWER STALL DOMESTIC (2) ____LAUNDRY TRAY (2) LAVATORY ( 1 ) COMBINATION SINK AND TRAY (3) ___WASHING MACHINE (3) ___POT, SCULLERY SINK (4) _-_DISHWASHER (2) _ ___WASH SINK EACH SET OF FAUCETS (2) ____KITCHEN SINK (2) _ ___DENTAL LAVATORY ( 1 ) _`_C___KITCHEN SINK WITH WASTE GRINDER (3) DENTAL UNIT OR CUSPIDOR ( 1 ) BIDGET (3 ) __URINAL STALL, WASHOUT (4) __FLUSHING RIM SINK (8) __COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET -� BLOWOUT (8) DRINKING FOUNTAIN ( 1/2) __LAVATORY, BARBER/BEAUTY SHOP (2) _ LAVATORY, SURGEONS (2) _4_SURGEONS SINK (3) _ _URINAL STALL, WASUOUT(4) TOTAL FIXTURE UNITS @ 9,0. 00 EACH $ - oc�) JOB INFORMATION l 6 5- IN 0 C O (T(0 61 CITY OF ATLANTIC BEACH PERMIT APPLICATION FO REMODEL ADDITION OR ALTERATION l l - cod —Owner(s) : 1E� WNQr-j.� Address:� S ll,aY�o Phone• Lot #_Block or Unit # Subdivision: Contractor-10FA ( I(ZLCLf License No. ' C® Z?Zla3 Address:-\3 0 2 Th(ap STnFE7 s+- 76 3 Z 2-3 3_Phone: 244 i-SCI 7J Describe work to be done: p c�� P L A -1,/\J C/1Fc% S K1 n J) (Null BFL(,0 Lj E5c►S-A i\X, CZ E NaQ ?O&CA. Present use of building: Proposed use: Is this an addition? If yes, what are the dimensions of the added space: � � ft. X z10 ft. Will the added area be heated and cooled? New electrical (or increase)? y1 New plumbing fixtures? !/ New fireplace? New Heat/AC? SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF WILL ADDITION TO THE EXISTING STRUCTURE. Signature OWNER: Date: Signature CO Date: !O- L�j- r r., i r ;•s f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD j r ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00000780 Date 6/03/09 Property Address . . . . . . 1765 SEMINOLE RD Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 9000 ---------------------------------------------------------------------------- Application desc re roof FL5444 . 1 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Dyal, Mary Ann ABILITY ROOFING COMPANY INC 1765 SEMINOLE ROAD 565 KING STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32205 (904) 387-1298 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . RE ROOF FL5444 . 1 Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 9000 Expiration Date . . 11/30/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 'r? CITY OF ATLANTIC BEACHF7 _ 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 09- OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US BUILDING PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK 13.SO.FT.UNDER ROOF 1%5 sem i o o t e .P 000 DOO sq rrkaoF 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: 6.USE OF STRUCTURE: ❑NEW BUILDING ❑DEMOLITION RESIDENTIAL LOT_BLOCK_SUB DIVISION ❑ADDITION ❑CONVERTING USE COMMERCIAL 7.DESCRIPTION OF WORK: I❑ALTERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER: 1 /� C Q / i ❑REPAIR ❑POOL/SPA ❑YES ❑N/A I(/�O/Ci ��U.7�./ F` -S q 1q•I ❑MOVE OTHER """ 1 u NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: / 15.COMNY NY N.4A4E:n n / ( 23.COMPANY NAME: rnAky, 4NN L`7/y,4� 16.NAME /W! 24.LICENSEE NAME: ItzrLidl 10.ADDRESS: 17 STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: l'766- Se�,it�/� .Pr1RC DOa49 18.ADDRESS:. 26.ADDRESS: G i5w4, F L.312335r (�INr�S-� ax�H- 3Zz�� ^11.OFFICE PHONE: ._ 12.FAX NO.: 19.,QFFIC PHOO E,� 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: -9/7t .- d3�j�/ ✓l O?17 13.CELL PHONE: 21 LLP HON 29.CELL PHONE: �r3 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OVMER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT-I Certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. OWNER or AGENT CONTRACTOR (If Agent,Power of Attomey or Agency Letter Required) (Qua4w Only) Signed: Date: Signed: Date: Before me this day of 2009 in the county of Before me this day of ✓N 2009 in the county of Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of ,County of Notary Public at Large,State of .(c County of p L ❑Personally Known LYPersonally Known ❑Produced Identfcation- ❑Produced Identff ti n- fJotary Signature: Nota y Signature: �� - ,•`aY'PL� jaineS T. Beecher =� G�mrrussion#DD598116 2(7 C expires pctaber 27 l I BLDG01 PermitApplicetrion Bldg:REVISED:1211812008 'ee� 9uadedT.a9 am-Inwrance Inc �p.385.70t6 �� ` F r J�' 800 Seminole Road Atlantic Beach,Florida.32233 7 Telephone(904)247-5800 r FAX(904)247-5805 19 Construction Site Management Plan Compliance A construction site management plan conforming to Atlantic Beach City Code See 6-18 has been approved as a part of this building permit. The Construction site management plan was approved based upon the following information. 1. Parking plan—parking plan showing how site will be accessed and all onsite and abutting street parking areas. 2. 3. Location of construction trailers,loadinglunioading area and material storage area. 4. Location of chemical toilet area.(chemical toilets must be kept out of City right-of-way and not further than 15 feet from structure under construction) 5. Location of dumpster. Dumpster must be from an approved waste company (in accordance with Chapter 16 City Code) as of 2009 the permitted dumpsters are Advanced Disposal,,Reaico Recycling,and Shappells. Dumpsters will have tarp covers or rigid covers on windy days. Dumpsters must be removed prior to issuance of Certificate of Occupancy. 6. Traffic control plan, showing access with dimensions,area to be stabilized, narrative on phasing of construction with adequate parking and delivery of materials. 7. Site cleanliness. Contractor must have the entire construction site cleaned by Friday of each week. This means removal of scrap lumber,concrete remnants and other such construction debris including cans, metal,plastic and paper. 8. Erosion and Sediment Control. Contractor must maintain all elements of the approved Erosion& Sediment Control Plan(silt fence,catch basin filters,etc.) until sod or other stabilization has been placed and approved by Public Works. 9. Other activities,where special conditions are identifed by the Building Official. Failure to comply with the Construction Site Management Ordinance may result in a Stop Work Order being issued in accordance with City Code Sec. 6-17 (3) RZVi--t4 5/1,WI Doc # 2009131476, OR BK 14895 Page 1033, Number Pages: 1, Recorded 06/03/2009 at 12:22 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY RECORDING $10.00 NOTICE OF COMMENCEMENT State of_/LV,°SL)A Tax Folio No. County of L7+t VwL_ To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of the Florida Statutes,the following information is stated m this f OTICE OF COMMENC MENT. Legal Description of property being improved: 1765Bmz NO/Pi �i'l�TTL g24�l�. ► Z Address of property being improved: 7(o ZZ 3 General description of improvements: Re R66-r Owner Address: 1265 Op_ Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): i Name: Contractor. W.1�{ ROotrr 1Nq C.:, 1C�` Address: .545 Telephone No.: Fax No: Surety(if any) Address: Amount of Bond$ Telephone No: Fax No: Name and address of any person making a loan for the construction of the improvements Name: Address: Phone No: Fax No: Name of person within the State of Florida,other than himself,designated by owner upon whom notices or other documents may be served: Name: Address: Telephone No: Fax No: In addition to himsel& owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Signed: Date: �;;'2(, 'd9 Before me this day of o in the County of Duval,State Of Florida,has personally appeared Notary Public at Large,S] �Qf Florida ounty f val. 6 My commission expires. r r .Z " f� �' Personally Known: m B _or Produced Identification: 61 IT, W1 MAP SHOWING SURVEY OF Lot 9 3, as shown on the Plat of Ocean Grove Unit No. 2, as rocord,, _' in flat Book 20, Pa t20 of the Current Public Records of Duval County, Florida. For: Tore-King, Inc. Nf / N L if ,47 - GOU.vjr .(c.'O No.6n6 /00'.f�y✓ R•Oi✓5 n 54/7. 74' --- -- ---- .v 20•.o �'yV x/. 83 , � w 2n" ff R y 4 I /o o.4' 0 0 r„ • a cove.E�J oral k L t9 �• yam..`:. � 0 0 Q N 1\ 7 2 V A W Q G� .,u • JV r J � `�u �• �'" Oro 42 �__� ,_ . _----- ----. _- ------- m i N/,TN W/TN s'GNA/N L/NK O / FLNLI ON uJ � NW, Ir Vj CITY OF ATLANTIC BEACH s 800 SEMINOLE ROAD J ATLANTIC BEACH, FL 32233 r INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001184 Date 8/28/08 Property Address . . . . . . 1765 SEMINOLE RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc REPLACE BAD U/G SERVICE FROM POLE TO METER ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ COALSON, JAY BILL THOMPSON ELECTRIC CO, INC 1765 SEMINOLE ROAD 49 WEST 7TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/24/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. • 410.*0 wo CITY OF ATLANTIC BEACH 07- 10 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US ELECTRICAL PERMIT APPLICATION DUVAL COUNTY A.-JOB ADDRESS: 2:IS THIS A SUB PERMIT: 3.DATE.a;? 1 �, NO NO Atlantic Beach, FL 32233 DYES PERMIT#: PROPERTY OWNER:-,i4,,,_,L 4.NAME 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 14 If e At _,70S6 Ii_-. : `.,,En 1,5501 Rim 7.NAME CSF %,TMEAN 8.ADDRESS.. W C61y\ I,f &4-)� Cz- V 0 9.STATE OF FLORIDA LCENSt NO: 10.CELL PHONE: 11.FAX NO.: 12.EMAIL ADDRESS' 13 OFFICE PHONE: 14. L 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time aft�er7,rk is commenced. CONTRACTORS SIGNATURE: A 17q-SERVICE n'W.1*_q% ;*W,$- CLASS OF WORK: IN' METER NUMBER61.t4Ai,'0,% • 0 MULTI FAMILY-#OF UNITS: )CRESIDENTIAL V-SINGLE FAMILY El TEMP SERVICE 0 COMMERCIAL •ADDITION 0 TRAILOR 19.BUILDING; 'IL: 19.CURRENT CODE: •ALTERATION 0 SIGN �r�LDRrw_ 0 NEW 0'05 NATIONAL ELECTRICAL CODE 0 POOL/SPA IR E 0 OTHER: .......... 20.TYPE OF SERVICE: 0 OVERHEAD 1:1 UNDERGROUND W-UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: 0 POWER IS ON 0 POWER IS OFF 22. SIZE OF CONDUCTOR: AMPICITY: OCOPPER 0 ALUMINUM 23. SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24. EXISTING SERVICE SIZE: AMPS: :zak,-) PH: W: VOLT:,Zy 0 RACEWAY SIZE: 25. FEEDERS: #OF- AMPS:- #OF_ AMPS:- #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT& M.V.: 27. FIXED APPLIANCES: 0-30 AMPS:— 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: 0 YES 0 NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: Wi M CONQITIONING;`,-it �' 020.1"aft-1,I'M #OF UNITS: COMP. MOTOR HIP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HIP RATING: AMPS: HEAT KW: � -MOTORS NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: T��4K- .1.*34;'TRANSFQRMERSI,*MWLWAMMM' ;t41gi I fu UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 100 WPhOIIII�J,4�ji3S.IMISCIELAN i6w • EOUSREPAIRS, 1 rz:1 DE BE IN);ETAIL: Sc COAB FORM BLDG02:REVISED:8/13/2007 3634 DEPARTMENT OF BUILDING A CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION -- ---- -------- LOCATION INFORMATION ----- - Permit Number : 3634 Address: 1785 SEMINOLE ROAD Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA JZ�J_ Class of Work: ADDITION -------- LEGAL DESCRIPTION Constr. Type; WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 Dwellings: I Code: 0 3ubdivision: Estimated Value: $0. 00 Improv. Cost : $0. 00 Total Fees: $22. 50 Amount Paid: $22. 50 vate raid : 4/ r R L)E'S C- : K1!;-KULJt- EXIESIINU HL!z� J !7F-1F-F OWNER INFORMATION ---- APPLICATION FEES --- Name : COALSON PERMTT $22. 5u ,.Aldress; 1765 SEMINOLE ROAD WATER IMPACT FEE $0, ATLANTIC SEACH, FLORIDA SEWER IMPACT FEE $6. 'hong : (904 )241 -2374 WATER METER $0. 00 RADON GAS-H. R. S. $0. 00 CONTRACTOR INFORMATION RADON GAS - 5% $0. 00 Name: ROMANO BROTHERS ROOFING WATER TAP $0. 00 Address: 1601 MAIN STREET SEWER TAP $0. 00 ATLANTIC BEACH, FLORIDA 3223:3 HYDRAULIC SHARE $0. 00 icense: RC0039983 Type: 7 RE-INSPECT FEE $0. 00 SEC. H IMPACT FEE '0 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.99 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CF -.L I CKWW WaIVI ATLANTIC BEACH BUILDING DEPARTMENT By: (�6- , -) i i CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) : Address:— ; ®�� Phone: Lot # Block or Unit # Subdivision w Contractor: Address: 47Z, Phone:= State License No. Describe work to be done: Materials to be used: Signature OWNER: • Date: Signature CONTRACTOR• 0003248 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH rERnIT r"r0RnA' Za" _ _ -- r..q]CATIC]N rNT'tG►rsnATlnra ------ _ _ ddr'ese: 1'Ton 3Lr'l7INY1Ln ROAD ermjLt Number : c�i98 ATLANTIC MMAC"' r'lLOftlDA rermzt -type: nE+CHANICAL ------ --- L.MAL L?rt3CRIrTXO" ---` Class Ox worm: NEMHlOCK: 'Section: of C,,a'Lr. Type:&t oon rnAnE tovnsn2p: RHO, Proposed use,. "-IMOLE rAnILY upolvislOn: '�9ELV'h nARINA vellings: 1 Code: to stYmated value til,etp 9rf,00ImprOv. COst : .�37.OX) TOtftl freest Amount rend: DalLe Pa td: 1-21,19 t'!40 arK pesc. : INtlTALL ,�T�C3fl -- Arri-JUATION C.weft r"lrvlrtrlATt_1 IN - - - ---- - tUk I pL"ftriYT �C1. bl'1 Name: 1. R!°tL.`9L'1N NA 1 kwR 17rAC r 1-N IsEnrNal-fl, ROAD 150.Cit 1v'Ia Addr ess; �ErfEfti 1r'ff'hk"1 tf`I✓r s•� ret lartID 21}'�'j Vit.LtiC� A"TLAfa"!"Iti�� !!EA_.H, WA7s3r't r'r11CTr�4dt t °pC1s!?.29�i-ri"F 3 ?t1#lrivj 0A It. i. 5W. Ob rriont4: .fib, �.f RADON 00,5 050.Kik► ---- CONTRACTOR OR I"fOftnAT XO" WATER Thr' flame: Btc ;'5t0tvllct5GwVft 'Thr 1%<l1 Address: '-19 pr `r NIN'TM t3TREET 150.too r322'-" ..,. YfY'IJrt14vLIC '�irihRE ATLAIITrC: DeACH, r'r'L r32''1"S `4U. 00 L2CefSS�: q As �i i'�'f �s TYpel Eti•. H InPAUT IrEE EDO. (30 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 DEER EITHER CONTRACTOR OR FROM THIS WORK MUSTOWNNOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY FAILURE TO COMPLY WITH THE MECHANICS' LIEN -p►IMPROVEMENTS-99 AN RESULT THE PROPERTY OWNER PAYING TWICE FOR BUILDING F SUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR OLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT ATLANTIC BEACH FLORIDA CITY OF ATLA Approved by APPLICATION FOR ELECTRICAL. PERMIT � TO THE CHIEF ELECTRICAL INSPECTOR: DATE:_ 19�p 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 BEACHLORQINANCE§ BILL InurrraviV LLQ 1 L. P. 0. BOX 50398 JACKSONVILLE BEACH, FL 32240.0398 ELECTRICAL FIRM: MASTER E ECTRICI SIGNATURE JOURNEYMAN NAME C� ZfifiL/ - ADDRESS: 'ZZj� S— -" !,4, RFD BOX BLDG.SIZE BETWEEN: RES. APT. ( ► COMM. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLD ( 1 REW. ( ) ADDITION TRAILER ( 1 TEMP. ( 1 SIGNS 1 ) SO. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR_ FEE _ CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( 1 � ) v SWITCH OR BREAKER AMPS PH W VOLT RACEWAY 7 44 C2 EXIST.SERV.SIZE �S�U' AMPS PH 62 VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL ZX S 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 p_1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCF,LLANOUS nVER 600 V.