Loading...
1886 Seminole Rd (vault) i DEPARTMENT OF BUILDING 3723 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 5/25/78 19 r Valuation$ 39.094 Fee $ 109 24 I EThis permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. C This is to certify that Gerling Rui i rr, s nc t I C k has permission to build 8 residential Classification 5/F Dwelling zo 109*2 4 TL Owned by l�erling Builders Lot 12 Block 1 1.886 Se-ninale3eacRoad lh Rd 3723 *OOCACG House No 4445 18, 5/225/7 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 X 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 contractor or owner. Building Offfeial. R FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER F PLUMBING [ ELECTRICAL k SEWER WATER FOR OFFICE USE ONLY Date-----------------------------------19 ---•-- J 7 � Permit #----------------•- -Fee $----•1��..�- F ATLANTIC BEACH q (� Valuation $----3--q j--0_Q /-------•--------•-- ;,�uY U w 1978 FLORIDA Xe # /._ d� . = sti - CITY OF ATLi'tNP40I0N FOR BUILDING PERMIT Ct, uu 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--------------------••_..�p ..... ---_-----------► 191?... --- ...__.Owner... UES / C....Address ..----Telephone No...7-� -Z5 Architect----------------------------------.............................................................Address-...........................................................Telephone No----------------------------- -------------- Contractor -----------•-------•-------- �>L/ti� [J/_51.2.iE71 r Address.._t J��:.�CX � .�� TeleNo_- .......... ��✓S 7 Contractor Builder 1 .�.! - Phone Z ,� .....-•-Sub Division �22!UCL7.........,-----.•--------Zone----------------- Lot No................ n f Block No. �* �hJIrVO�G...rL� ----'Side Between r 1 to C'_ Jc + ---Sts. Street- -1 -- L and ..........:4... Valuation $ 2 11 OU For what purpose will building be used...._I GS._-!�^-:?� .Type of construction.:�E4i ..4._�:ii:'.�d GG cc// Dimensions of Building_-_-___.._--___-----_-.-_.-_---.Dimensions of Lot---_-._:f./X.�d.G..........................:Size of Footings.-.1, k5; _// ___ Size of Piers-_- -__-__-______----_____-----Size of Sills-----------__ �C`4� ' S... /.a ------- ---------Greatest Sill Span in ft.--------------------------Type Roof---•---............................... O How will Building be Heated?------- ------ Will Building be on Solid or Filled Ground?.._.._i .'*' .............. Size of Ceiling Joists------------------------------------------- Distance on Centers---------- --------------------------------- Greatest Span-------------------------------------------- " Size of Floor Joists-------._-_.---------------------------------- Distance on Centers---------- ................................. Greatest Span--------._--..._-__-......_----....____._._ " Size of Rafters------------------------------------------ -------, Distance on Centers ..--- ----- ------------------------._, Greatest Span--------------_---•---------------------- This rectangle is to represent the lot JLocate the building or buildings in the APPROVED position. Give distance in feet from CITY OF ATLANiIC BEACF lines and existing buildings. BUILDING OFFICE REAR LOT LINE Two copies of plans and specifications shall be submitted with application. MW 2-4 1978 _ Inspections required. O 1. When steel is in place and ready to pour footing, 2. When steel is in place and ready to pour columnsy Z Z 3. When steel is in place and ready to pour beam. 04 � ' i 4. When framing is completed. O s 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. q' A 7. Electrical inspection by City of Jacksorville. m 8. Final inspection. �- Note: In case of any rejection,re-inspection MUST be called for after 2 corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. -. Signature of Builder__ ,'C/Tt 1/`/ :%i'j Crit`_ �G/�J �© �,y �...-•------ .L_�� r _. ......_. Address......••••--•-- , ` J Signature of Owner-- � ,...• .. __. ... �r � =� Address /............................................. V QTY O AMANTI C BEACH 716 OCEAN BOULEVARD MAW=A a C C SEAi4, FLOR QA � xM S 1. Basi 1 di cess t� i ot*:_ , ,,... _. .__ 3. jha attached p G an for they armee tui i di ng 1 s a r wed SUbJGct 10 o Wfl r g it* f of l oei rzg 1 i a F er cxfatr'octi+ace regwi r~t s. a. s of B be Conti Mious concrete sander 4kteri or we 8 s, reinforced on lrh� tags 5/8" defer rei cnforci nag Mde for oft-st til 1 di rags ewod three SIVI ftfermd rot nfarcifig f0d8 for t ft bui 141 m1s. ft1 nforci nq r oft SMI l be placed 1" the iower . •thtrd of tho _ foots cqs, pr-*er l y P l aoced and fastened ca NOW saddles with mire. F( rigs slml 3 be s�.a €rcha s ei der as asch Si de than the+ a&E 1 ansa, sttal � be at C*met 01#* l w •iv 1 ck and stall rust 00 firs SWI at l art ivol ve Inches Cat aaw ooadi storbed sol 1. b. In W low gait cogaton i®nL �h unit 0611 Starl 1 tis roinforce5d tlfta at 1 east am go. 5 bar" at al l eornors, powvd adnd " eri th cone rwiv; e=.j rei nfacl r.g ;tel 1 be properly tied i aft the foaming SP9ndMl hese. C. bjLL WxAd tow 1 (rW cesce •icn) SMI 1 be secur'®ly fastened to ibe exterior teal i s with approv0d ieWrl same 8nChQM or e l l ps. d. Co nstr uci l a n of naerby farm Dy #X011 f l ngs, Warta ire dk1pl i agates 0-, i 0tee"l y slams lar, shall l be avoided. Stents similarity coteeidid "to eoetarcl conflqumtiOrt� and appeerataa g i „+a., roof, os , oaal l ceeXtaeri*1 6, wl ndw sl rs and deel gnt and other 1 f.Vises :uaa+cter i sties) of structures. 4n o ccwd With th* faregeai ng, sitai ler or dupQ ieuied h stop1 t bo. cwnstra ed ofthin doers prOximity of each artiaer, and shell F be 0+ bOwt SW facet aoPaa't if OW WO Simi lar d wel 1 i ng i s vi sl b i e frcmoo WV other" sl cel 1w, .*i I i nf- 6. Sow ami ce cannS&i an vwwai th c 1 -+xrt refs i a tf» Pressince of s City l inspector. f. '¢hp fiate1 connoq'iore bwtWeen tho #souse pluoing drain and the see" SWVIco deegNCti a Qarf #lis pra1p4c ► 1 i net wsi' be i by Cl _bd1 s "parte. Tt e i groad herby csrti f i as iteart he abWe and UW the+ this oddest" takes irrecedenC R +rweN' + ity c rit derhoi Is i0 ties plow ares spocifiestions and IV- -to cowly with tho i of This • /Oetoaer Deco f FEPARTMENT OF:BUILDING3719 ITY OF ATLANTIC BE,4LCH, FLORIDAPERMIT NO.ERMIT TO BUILD ERMIT MUST BE POSTED ON JOB Date 5/19/78 19UMBING, Fee $ 13.00 valid until above fee has been paid to City Treasurer, and is revocation for violation of applicable provision of law•fy that B� 11 Jacobs Plumb in f 2 lavatories, 2 bath t has permission to buil t� install 1 Sint' 2 closets, 1 water heater, R dishwasher, 1 dipposal, Classification res'de tiof1 sone Owned by n 13 Bloc'- 1 S/D SM#9 j Lot Carri n[fl a Beach Road House No ooh According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS �. AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. TL PERMIT VOID SIR MONTH /73 s AFTER DATE OF ISSUE pr. t �_♦ 0 Building material, rubbish and.debrw Z from this work must not be placed in public space, and must be cleared up- I and hauled away by either contractor or owner. Ir Building Official. 1 PERMIT CONTRACTOR FOR OFFICE NUMBER DATE USE ONLY PLUMBING I' I ELECTRICAL I SEWER I WATER U 11.�"Y.�Lfhq.,,�.,YF..�M1w.�.-L.6�1...._...��Q L�.�....r�...�.,...����iK•KvX-�':r:(.�,n=s".d -L��..� ..+.,�u...,�fl�,�d�0fe���6����7V loo LI h9 1P y f'fl ++lfr" sE' {sFA �'I<P4 LICENSE MY, ��eC...-,e.o...a...��lGJ-!.._ �_o �,.......,.,..,,....a,..��.....•,.•,...,,..,,�...�..a,<.,,.,.....,.m T.,K.,�........_.�.�...�-.... ?I'�,s�a�,E OX5lii.�.t3 dF�i:.....,.�, �.J���is...�..�,...�...�.�....W.ssF,..n..,a........7.....,..._..,._..,-e.,...�z..,.R...__.c.+w.�..,.d...,,,:.,....e..-�......_,,..�_�........� rL l�.st I;° f'��i3�d ..._o-/,:.,,..{/•1 ow,Sill�,i Dl i-vS4 .s P Td.'E n ff 0 S c 61'dS MS t AL WIGS Or az f..U..V8 7 d'G AW, ►s'3',ruftf•s MU :l J36 fiv AC:+C`URr.+';t Ftc N' rI., "I`H IC 51vc��4" RE'CEAW d`11t'ffION OF i ftp' .SfiVTHERN ST44CARti M iMl9IRc`.-, "Mm. CITY OF ATLAST 3C BEACH TvATER CONNECTION CHARGE PLIMBING STEP, PLUMBER c� BUILDER'. OR CONT.U, ,CTOR�d� -- TYPE OF 3UILDII3Gga BATSR 0M GROUR CONSISTING OF a_ SAOMR STALL, .DOMESTIC (2° unit WATER CLOSET, 3-Ai .VrORY A BATHTU-: OR SH014ER STALL (6 units) SHMERS (GROUP) ,,pER MEAD (:3 units) BATHTUB (WITH OIt WITHOUT OVER HEAD SHOWER) (e Units) SURGEONS SI117F BIDET (3 units) � FLUSHING RLI .13I : (8 units) COMBINATION SINE � TRAY SLAVICE SINK-TRAP STAND units) � (3 units) COMBINATLON SINK TRAY W/FOOD _.� SERVICE SINN-P (2 Units) DISPOSAL UFMIT (4 tt -its) --- - POT, SCULLERY 'SINK (4 Units) DENMU UNIT OR CUSPIDOR. (I unit'; - �" _ URINAL, PEDESTAL; SYPHON JET DENTAL LAVATORY ((i units) BLOWOUT (8 rmdts DRINKING FOUbTAIN (1/2 unit) URINAL, WALL. RIP (4 units) DISHWASHER (2 units) URINAL STALIN, WASFOUT (4 units) FLOOR DRAMS: (1 unit) URINAL TROUGH (TACH 2-FT: SECT= FON (2 units) KI`l-'C SEN- SINK Q2 unit-s) 1 r . �.�_ �LWASHING MACHINE (3 -jai't'as RLTCHEN SINS: W/F00D WASTE GRINDER (3 unitts1n,;,SH SINK, EACH SET OF FAUCETS v (2 tlkd" s) -LAVATORY (I unit Z�F� °EIt CLOSET, ` `A:+IK OPERATED L,:AVATOWZ, BARBER, BEAUTYP�� O� (4. Units) (2 units) T,♦p CLOSE' tp�p�v VALVE-OPERATED � y; �. v ��p� qy IA�}.�a'�:'OR�1.'P SURGEONS �"a t;���.''�>3 y ._....._ . e.� . (8 Units) LAUNDRY TP-AY (2 -nits) ,1a �e J7 CITY OF ,vd 97 4&ao4c fieac.4-99&UZ& / Office of Building Official REQUEST FOR INSPECTION C Permit No. Date Time A.M. Received PNL i I � Job Address Locality /� I Owner's Contractor t/ C ,m Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL v - Rough Wiring h C Air Cond. & Framing ❑ Footing Temp Pole G Top Out r Heating Re Roofing Slab Sewer G Fire Place El Insulation _ Lintel Final P7Fab-9 READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday o A.M r, Inspection Made / / u Final InsgeCtio inspector i Certificate of Occupancy G Date ;�5 1 ,Ly \v� , CITY OF ATLANTIC BEACH I 800 SEMINOLE ROAD J ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028627 Date 7/09/04 Property Address . . . . . . 1886 SEMINOLE RD Tenant nbr, name . . . . . . 150AMP, 1PH, 3W, 120/240V Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ----------- ------------- ---- -------------------- HARTLEY, R. K. R & R ELECTRIC COMPANY P .O. BOX 60665 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32236 (904) 768-6166 ------------------------------------------- --------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 I PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH i+ �^ 1 ' ELE TRICAL PERMIT APPLICATION _J J Date: ' Property Address: 1886 Seminole Rd 1\ Owner: a K_ Hart 1 PU Telephone#: 94r,_(9n5 Contractor: R & R Electric of North Fl. , Inc. Telephone#• 764-5555 Contractor Address: P.O. Box 60665 Jacksonville, Fl 32236Fax#: 768-8240 - In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Building: Bu lding Type: C3 Trailer I Service: If other construction is O New !�Residence ❑ Temp. ❑ New being done on this building k' Old Ll Commercial C3Si ns ❑ Increase or site,list the building Signs Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALUMINUM El Switch or RACE Breaker AMPS PH W VOLT WAY 'D Existing Service /1 '�)/�j,) RACE Size AMPS l (/ PH l W V�'1l/ WAY D Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets J CONCEALED OPEN Receptacles [ CONCEALED OPEN 10 AMPS I I 100 AMPS Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS ovER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845- http://www.ci.atlantic-beach.fl.us CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 04-00028589 Date 7/02/04 Property Address . . . . . . 1886 SEMINOLE RD Tenant nbr, name . . . . . . REPLACE HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HARTLEY, B.K. SNYDER HEATING & AIR 1886 SEMINOLE ROAD P .O. BOX 16826 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32245 (904) 246-6905 (904) 641-0600 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 87 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 87 . 00 87 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 87 . 00 87 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING ODES. BUILDING OFFICIAL y � CITY OF ATLANTIC BEACH -- MECHANICAL PERMIT APPLICATION Date: Property Address: / mo Se o-i i vicic R4 Owner: 13 . P�, H d r 4 l E'-V Telephone #: Contractor:_�C( r CG y+-t ,or1 ✓L Telephone #: ( V Contractor Address: Po, 12C': Fax#: KL y In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heatin Fuel: If other construction is being done on this building ti site,list the building permit number: Electric ❑ Gas: LP _Natural _Central Utility L ❑ Oil ❑ Other–Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK �XAir at _S ace Recessed �e tral Floor /P — t GYResidential Conditioning: _Room entral ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm ❑ Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Fire Sprinklers: Number of Heads �Exi�tirig Building ❑ Elevator: _– Manlift Escalator (Number) O- Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel L1Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other– Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number'Units Description Model# Manufacturer BTU's Agency 7-W E:-o V8 O Dl- TANKS Nominal Capacity Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845 • http://www.cLatiantic-beach.tLus CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 2475877 PERMIT INFORMATION LOCATION INFORMATION _ Permit Number: 17796 Address: 1886 SEMINOLE ROAD Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: 'Improv. Cost: 4,200.00 r OWNER INFORMATION Date Issued: 2/12/1999 Name: B. K. HARTLEY Total Fees: 70.00 Address: 1886 SEMINOLE ROAD Amount Paid: 70.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/12/1999 Phone: (904)730-3077 Work Desc: REROOF ----------- _____ CONTRACTORS} APPLICATION FEES - FIRST COAST ROOFING PERMIT 70.00 (PERMIT FEE DOUBLED/WORK COMMENCED PRIOR TO PERMITTING) Inspectiom Required 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. PAID Ca _ FEB 1 2 1999 ATLANTIC BEACHUILDIN EPT. Bch- CITY OF ATLANTIC BEACH ROGFiNG PERMIT AFPLICATICN JOE LOCATION: ld exp �� �HG/C� OWNER OF PROPERTY% - WOW-P 1 y 1 CONTRACTOR: CCNTRACTCR'S ADDRESS. LIP ATE LICENSE NUMEER: �C GO J��O 7 C 7TEL=PF-CNE: O b 7'T 7- DESCRIEE WORK TO EE PERFORMED: /�r �UB rC VALUATION OF PRCPCSED CONSTRUCTfC ey 00 _ civ MATERIALS TO BE USED: SIGNATURE OF CWNE.R: �- SIGNATURE OF CONTRACTOR: ��.•� S'vVCRN TOAND SUESr-RIBED BEFORE ME THIS l DAY OF NOTARY PUBLIC Pattida Amomfl9 Liability insurance Supplied MY COMMISSION 0005=1 EXPIRES `a• a August 27,2000 BONDED TM M FAIN INSUR XF,INC. Wcr<ers Ccmpensaucn Insurance Suppliec Contractor License Information Supplied Occupabcnal License Information Supplied Q PSR-3644 J-t'y 3 7 O DEPARTMENT OF BUILDING `K/ CITY OF ATLANTIC BEACH ---- PERMIT INFORMATION - - - - ------- LOCATION INFORMATION -- ermit Number : 9370 ddress : 1886 SEMINOLE ROAD Permit Tvre , PT.f7MPTn;n *STT-n-r•TT- BEACH . FLORIDA 322*11 lass of Work : ALTERATION -------- - LEGAL DESCRIPTION ------- Constr . Type : WOOD FRAME ot : Block - Section: Proposed Use: SINGLE FAMILY Township: RNG: 0 -,4ellinas : 1 Code: 0 ubdivision: .st mated Value: 50 . 00 Imrrov . Cost : 80 . 00 Total Fees : 518 . 50 Amount Paid; $18 . FO D1P::Ii€ - 11 ' 1Q101 _ HER - OWNER. INFORMATION -- - _ APPLICATION FEES ----- F_ FI 1-H ":FT1,EY PERMIT 518 . 50 ' F M*MOLE ROAD WATER !MPACT FEE SO .00 BEA H , FLORIDA SEWER IMPACT FEE fin 00 WATER METER/TAP - RADON GAS-H . R . S . S . )NTFA:—TOR INFORMATION -- RADON CAB 5% 50 . 00 'LASS PLUMBIN` CAPITAL IMPROVE. 50 .00 `FRS AVENUE #r.4 SEWER TAP 50 , 00 _LLE . FL 32217 CROSS CONNECTION $0 .00 -sense : Type : SEC H IMPACT FEE SO . 00 CONST. SURCHARGE SO . 00 S^HARGE/ATL. FCH . SO 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 Date: (111// 00000018/94 O1 018.50 14 Date: 1 Rcpt: 0013029 CHECKS 1168 By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCAT I ON: IR86 m)i�o / .<-'L> OWNER OF PROPERTY: 7'Af BUILDING CONTRACTOR: PLUMBING CONTRACTOR 7- 6 La, ,J AND ADDRESS: 5�/ ,maavif TELEPHONE NUMBER: -73o -30 7 - STATE LICENSE NO: C'�C U 5 TYPE OF BUILDING: TYPE OF WORK: Jgg-,o ,•,�-� / Ly HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3 . 50 + $15.00 = $ f •s ---------------------------------------------------------------- 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