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77 Shell St (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00026129 Date 5/22/03 Property Address . . . . . . 77 SHELL ST Tenant nbr, name . . . . . . 200AMP, lPH, 3W,REMODEL Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ DAVIS JACKS ELECTRIC 1128 SOUTH FIRST STREET JAX 13EACH FL 32250 (904) 241-0643 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 105 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 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. BUILDING CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE. 200- 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. ELECTRICAL CONTRACTOR: 5-r �torl (i MASTER ELECTRICIANS SIGNATURE: OWNER OF PROPERTY: JOB ADD S RES.(7APT.( COMM.( PUBLIC( INDUS.( NEW( OLD( REW-( ADDITION( ) TRAILER( TEMP.( ) SIGNS( ) SQ.FT. SERVICE: NEW( ) INCREASE( ) REPAIR( CONDUCTOR SIZE AMPS: COPPER( ) AL FEES SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE AMPS PH '!��W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED I OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL SWITCHES 0.30AMPS 3 1.100 AWS INCANDESCENT FLOURESCENT&M.V. 0.100AMPS. OVER -- FIXED �:::T APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING TCEIL. KW-HEAT CONDITIONING COMP.MOTOR OTHER MOTORS AMPS I HEAT 0-1 0 VER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS UNDER 600V OVER 600V TRANSFORMERS: I I NO. IKVA NO. KVA NO.NEON TRANS NO I VA I MA MOTOR SIZE SWITCH I FLASHERS EACH SIGN 800 Seminole Road *Atlantic Beach, Florida 32233-5445 Phone: (904)247-5800- Fax: (904)247-5845 - http://www.ei.atiantic-beach.fl.us Reviged01/17/01 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 oil Application Number . . . . . 03-00026126 Date 5/23/03 Property Address . . . . . . 77 SHELL ST Tenant nbr, name . . . . . . INTERIOR REMODEL Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property zoning . . . . . . . TO BE UPDATED Application valuation . . . . 45000 Contractor Owner ------------------------ ------ ----------------- OUT13ACK FENCE CO. WHITE, ELIZABETH RT 3 BOX 209A 215 WASHINGTON STREET FL 32231 JACKSONVILLE FL 32202 JACKSONVILLE ----------- ---------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc REPLACE HVAC 87 . 00 Plan Check Fee .00 Permit Fee . . . . Valuation . . . . 0 Issue Date . . . . 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 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED -FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN Up AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- S-ISSUED ACCORDING To APPROVED PLANS RESULT IN T14E PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENT WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BMLD��G-0 CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION Date: Owner of Property:_ ct—h - I I- - Job Address: �7 ,( I Contractor: Cc n 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 Citv of Atlantic Beach ordinances and standards of good practice listed therein. 111. GENERAL INFORMATION A� T pe of heating fuel: B. Electric IS OTHER CONSTRUCT�J�G ON THIS ZI Gas: —LP —Natural —Central Utility BUILDING OR SITE? ZI Oil I i ZI Other-Specify_ IF YES,GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE NATURE OF WORK Residential or Commercial INSTALLED Q New Building (Provide complete list of componer,�n back ofthis form) Existing Building Heat _Space _Recessed Central Floor Replacement of existing system Air Conditioning: Room (77nw—al-D 4 New Installation(No system previously installed) Duct Svstem: Material Thickness— ZI Extension or add-on to existing system Maximum capacity cfim Z) Other-Specify C3 Refrigeration U Cooling tower: Capacity -------.gpm C2 Fire sprinklers: Number of heads THIS SPACE FOR OFFICE USE ONLY • Elevator: — Manlift—Escalator— (Number) (Received) • Gasoline pumps _(Number) 0 Tanks (Number) Remarks U LPG containers (Number) Q Unfired pressure vessel Permit Approved by_ Date_ ZI Boilers ZI Other-Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer rca�pac�ity Approving (Tons) Agency 1!-�-Toqrr'L 6L4 4R -yrrA ne— HEATING-FURNACES,BOILERS,FIREPLACES Number Units Description Model Number Manufacturer apaci Approving 12 1 CC,( Agency \grl . TANKS How Many Nominal Capacity Type Liquid Nameof Serial Approving And Dimensions Contained Manufacturer No. Agency 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone:(904)2471-5800*Fax:(904)247-5845- h"p://w-ww.cL atlantic-beach.fl.us 1/14/03 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-587d7 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 18030 Address: 77 SHELLSTREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 2233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 4/05/1999 Name: ROBIN WHITE Total Fees: 25.00 Address: 77 SHELL STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/05/1999 Phone: (904)730-3077 Work Desc: INSTALL SEWER CONTRACTORO APPLICATION FEES --------- ATLANTIC COAST PLUMBING & TILE PERMIT 25.00 ... .... Inspections 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. $25.0014 Date: 4/85/99 01 Receipt: 0046336 CHECKS 23240 A 0018ON3221IN 11 �- CITY OF —All Bea4r,44-A;"4 Office of Building Of icial TION REQUEST FOR INS �C z 1 Date �5- 9 A. it No. Timeale 'me R I eceived 17,17 1 ,--,Loca�& jo ddress 0 w Contractor wner's 'I — MECHANICAL Name ELECTRICAL PLUMB F- Air Cond. & CONCRETE PLU BUILDING Rough Wiring F��- Heating Framing Footing Temp Pole E Top Out Fire Place Sewer Re Roofing Slab Final Pre Fab Insulation Lintel RE R INSPECTION j� .0." Thurs. Friday Mon. A.M. P P.M. Made Final lirispectiony inspection Made 0" Inspector e I ic.Ze. Occupancy E: Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMAtION -- --Pe-rm-k Number: 20443 Address: 77 SHELLSTREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: O Book: Proposed Use: Logs): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est.Value: Parcel Number: - ------ Improv. Cost: OWNER INFORMATION — Date Issued: 8/03/2000 Name: ROBIN WHITE Total Fees: 25.00 Address: 77 SHELL STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 8/03/2000 Phone: (904)730-3077 — Work Desc: REPIPE CONTRACTOR(S APPLICATION FEES -AT—LANTI-C-CO—AST PLUM13ING &TILL PERMIT 25.00 Insp@g#,ons,FtqquIred 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 OFLAW. - ------------ --- $25.00 14 Date: 8/03'!00 01 Receipt: 0077968 - -C t& CHECKS 25849 A NT16 B�;H�BUI-��D5EPT.� CITY OF ATLANTIC BEA APPLICATION FOR PLU14BIWG PERMIT JOB LOCATION: OWNER OF PROPERTY: TELEPHONE NO.,?V-,I:, R PLUMBING CONTRACTO Ala.Z, CONTRACTOR' S ADDRESS : STATE LICENSE NUMBER: TELEPHONE: A4-53 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER REPIPE OTHER L'o, TOTAL FIXTURES : x $3 . 50 $15 . 00 MINIMUM PERMIT FEE $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: A A zy"'t ----------------------------------------------------------------- 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 PRIOR TO COVERING UP - (904) 247-5834 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road - Atlantic Beach, FL 32233 - Tel- 247-5826 - Fax: 247-5877 PLUMBING PERMIT iN INFORMATION PERMIT INFORMAT—ION---- �-O—ermit Number: 18030 Address: 77 SHELLSTREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: O Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: OWNER INFORMATION Improv. Cost: Date Issued: 4/05/1999 Name: ROBIN WHI I t Total Fees: 25.00 Address: 77 SHELL STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 4/05/1999 Phone: (904)730-3077 Work esc: INSTALL SEWER CID R& APP U. ON FEES CA 25.00 ,ATLANTIC COAST PLUMBING &TILE PERMIT tjispoo )ns Recltdre&. 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 TV410E 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. Dite: 4/05/99 @1 Receipt: 0846336 CHECKS AT NTIC LCH 8816m3ppliles 23240 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMI JOB LOCATION : OWNER OF PROPERTY : 03 PLUMBING CONTRACTOR Ate AJ6 . aAl Liofzll I CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: --TELEPHONE : 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: ------------- ------------------------------- ------------------ ND FIXTURES MUST BE IN ACCORDANCE WITH INSTALLATION OF PLUMBING A 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 PRIOR TO COVERING UP - ( 904) 247-5834 .0 CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FIL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT WFORMATION LOCATION INFORMATION--------.------.---..-,- Permit Number: 17990 1 Address: 77 ��H LL TREE�T Permit Type: UTILITIES ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION ..::.::': Date Issued: 3/30/1999 -Name-: ROBIN-WHITE Total Fees: 1,250.00 Address: 77 SHELL STREET ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 1,250.00 Date Paid: 3/30/1999 Phone:--(904)730-3077 Work Desc: SEWER IMPACT FEES C T S APPLICAMON FEES SEWER IMPACT FEE 1,250.00 ;jL"pq!#jons. R _pquired... ........... 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 AGCORDiNG TO APPROVED PLANS VVHiCH ARE PART OF THIS PERMIT AND SUBjECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW-.---- $1256-8859 Date: 3/31/99 01 Receipt: M45581 CHECKS 4845 ATLANTIC BEACH BUILDING-DEPT. 41MM3435209 PSR-3844 12763 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ---- ------- LOCATION INFORMATION ---- Permit Number : 12763 Address : 77 SHELL STREET Permit Type :FENCE ATLANTIC BEACH, FLORIDA 32233 Class of Wark:NEW --------- LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block: Lot : Twp: 0 Proposed Use : Section: 0 Subd-O Rng: 0 Dwellings : 1 Subdivision:ATLANTIC BEACH Est . Value : 0 .00 Imvrov . Cost : 796 . 00 Total Feftz 10 .00 10 . 00 Amount ;PR PLAN5- �,MtATION APPLICATION FEES Nam%ew� T'r if? on -H r �,�NREET FLORIDA 124, R""FORMAT T Name : A-1" Fv MFG. INCt JACKS00 FLORIDA 32246 Li Exp ' T-v 15 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS99 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: I APPLICATION FOR FENCE PERMIT Owners name 1 --R D-� ' ---- --n---- Wk "±e—----------Phone- Job Address -2 k t I :�t---------------------------------- Lot- '-L...Block and/or Unit Subdivision nc-'ecol Contractor if different from owner--,6---j ----------------------------------------------------------------- Valuation of fence Corner or interior lot Type construction----Q 0 e- ------ Show location and height of fence as well as location of street(a) . Owner signature------------------------ -------------Date-------- /1'C. /9 Contractor signature Date Z- A-1 FENCE MFG. CO. PROPOSAL F] Residential and Commercial 10913 Beach Blvd. Jacksonville, FL 32246 (904) 642-4800 STATEMENT El Fax (904) 646-9126 PROPOSAL SUBMITTED TO: DESCRIPTION OF JOB: Job Name Address -77 City At Phone Date EJr hrrrhV 5111bMit specifications and estimates for _C� NOV(e LN 4-k lue —7&rTbV Frapaor to furnish labor and materials complete in accordance with the above specifications, for the sum of S With payment to be made as follows: NOTICE SERVICE or FINANCE CHARGES are Authorized applicable on all accounts 10 days past Locate# Signature due at the rate 1 1/26/.per month,which is equal to an ANNUAL PERCENTAGE Fitting Bag # Note: This proposal may be with- RATEof18% drawn by us if not accepted within days _kuptana Of VMFO8Ztj The above prices, Signature specifications and conditions are satisfactory and are hereby CUSTOMER HEREBY�SSUMES FULL RESPONSIBILITY FOR THE LOCATION OF THE LINE acce'oted.You are authorized to do the work as specified.Payment UPON WHICH SAID FENCE MATERIALS ARE TO BE INSTALLED AND LOCATE ANY AND W:!I be rnade as oWI;ned above. ALL UNDERGROUND CABLES OR PIPES,AND AGREES TO DEFEND.HOLD HARMLESS, AND INDEMNIIFYSELLER FROM AND AGAINST ALL CLAIMS,LIABILITIES AND EXPENSES FORTRESPASS AND OTHER DAMAGE OR LOSS ARISJNG OUT OF THE LOCAT1ON OF SAID Dale Accepted FENCE MATERIA1 S ON THE LINE SPECIFIED RY THE CUSTOMFIR ',-A? TO SHOW BOUNDARY SURVEY OF 0 7, Block 7. according to Plat of Ocean Grove t "nit No . 1 as recorded in Plat Book 15, Page 82 of the current Public Records ot Duval County, Florida. Fort .e e,r A1 97 I-_5 0- 10 C�s jro*y -Asommy it C' 7- 0 _Z0 aL I"I.P. 'p. L W. 4to H'97-fK 9F'a IVL Y Z 2,/1 d?4, 7-0 f-P IAV,#.f dr V_�-IWOAI 7-J JA 10447 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOCATIO! ATION -------- ;ress - 77 SHEL T L TT _T PERMIT INFORMATION ---- ------- LOCATION INFORMATION -------- Permit Number: 10447 Address : 77 SHELL STREET ATLANTIC BEACH � FLORIDA 3223'� Permit Type: PLUMBING ---------- LEGAL DESCRIPTION --------- -lass of Worki ALTERATION Lot ' Block- Section: Constr . Type: WOOD FRAME Township: RNG, 0 Proposed Use: SINGLE FAMILY Subdivision* ATLANTIC BEACH Dwellings : 1 Code: 0 Estimated Value: 90 . 00 Improv . Cost : $0 .00 Total Fees : S25 .00 Amount Paid: �1425 - 00 Date pai,41 : 7/13/95 Work Dezc . ,� TNSTRLL UISWASHER ---- APPLICATION FEES ----- OWNER INFORMATION --------- PERMIT 525 .00 Na�- F.c)BIN WHITE WATER IMPACT FEE SO .00 '77 SHELL STREET r FLORIDR SEWER IMPACT FEE P ,R D T22-21 TiTLANTIC BEACH , T I' WATEF METER/TAP Phone /I 904 " , lo- 3077 RADON GA-c-H .R . S . F 0 ---- RADON CAB 5% $0 . 00 ------- CONTRACTOR INFORMATION CAPITAL TMPROVE. MOO -T PLUMBING SO .00 Name , FIR-ST SEWER TAP Address , 6254 POWERS AVENUE #84 CROSS CONNECTION SO .00 JACKSONVILLE , FL 3221-1 SEC H IMPACT FEE $0 .00 TjCenSe' cpco5C672 Type : 0 a_i CONST . SURCHARGE $0 .00 SCHARGE/ATL.BCH. $0 .00 NOTE& 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 FCL:EA:RED:UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER H THE MECHANIC'S LIEN LAW CAN RESULT IN 66FAILURE TO COMPLY WIT PROVEMENTS15 THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IM ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ISSU L VIOLATION OF APPLICABLE PROVISIONS OF LAW. 00 00OCKKKOO $2!rj.00 14 LATLANTIC BEACH BUILDING DEPARTMENT 7/13/95 01 Rept: 0067515 %?&W3221000 Byl c 14-ss PJLLtn6,"n 0, 4e-- !Rl� CF-7(