1810 Sherry Dr (vault) ., 'rS y�.►y.rl J3',
s, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00031749 Date 12/06/05
Property Address . . . . . . 1810 N SHERRY DR
Tenant nbr, name . . . . . . REROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 15450
Owner Contractor
------------------------
LESESNE, GAYLE ATLANTIC COAST SALES & SERVICE
1810 NORTH SHERRY DR. 1008 CORING AVENUE, STE 14
ATLANTIC BEACH FL 32233 ORANGE PARK FL 32073
(904) 396-4005
---------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee . . . . 165 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 15450
Fee summary Charged Paid Credited ----Due---
----- ---------- --------
Permit Fee Total 165 . 00 165 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 165 . 00 165 . 00 . 00 . 00
PERMIT IS APPROVED ONLV IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
v
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET
Address L `ro l Skk47-9.(—j Z
i
Date 12- 5-
Heated Square Footage @ per sq ft= $
Garage/ Shed _.,(aa $ ND T per sq ft= $
Carport/Porch �@ $ per sq f = $
Deck @$ per sq ft= $
Patio @ $ per sq ft= $
TOTAL VALUATION: $
Total Valuation l s` $ !CCC, $ �
q H5a
Remaining Value per thousand
or portion thereof
CONSTRUCTION TYPE: TOTAL BUILDING FEE $ t
ZONING: + 1/2 Filing Fee $
FLOOD ZONE: _ ( )Fireplaces @ $35.00 $
IlviPERVIOUS SURFACE:
BUILDING PERMIT FEE $ ��
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER TAP $
CAPITAL IMPROVEMENT$
SEWER TAP $
C ( )RADON .0050 $
SECTION H PAVING( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
ST( ) SURCHARGE $
OTHERCx-
$
GRAND TOTAL DUE: S
sS l:La rfc CITY OF ATLANTIC BEACH Cc.
I f BUILDING / ZONING DEPARTMENT L.7Hi800 Seminole Road S
Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
www.coab.us
PLAN REVIEW COMMENTS
Permit Application # 5
Property Address: 8/ 0 r
Applicant: r
Project:
This permit application has been:
Approved
Reviewed and the following items need attention:
Please re-submit your application when these items have been completed.
Reviewed By: LN— Date: (Z(5 f OSS
Date Contractor Notified:
RECEIVED
CITY OF ATLANTIC BEACH
BUILDING R ZONING
DEC 0 5 2005 CITY OF ATLANTIC BEACH
�n ROOFING PERMIT APPLICATION
%ter r BY Date: l Z -5/0,5'
Job Address: j`6 J D
Owner of Property:
Address: S!l 0 I'll 57)2 cy-`T_�� 1�r ���1 -Telephone:
Contractor. �r a r A l e v K �' I G r k State License Number. r L f o S
A✓eContractor's Address: /w o e l L r 1�
#1`f �)rc�` 1�Gr/r FL 3 2-6 7-3
Telephone: (9v y� 3JIG - Y06 '5- Fax: (170 c
Scope of Work: Sh)'I xa3 c'S
Deck Slope: 5 = / Z, Greater 2:12 C Less than 2:12
Valuation of work: 5, v
Product Name(Exam p e:Tim ire):
Manufacturer(Example: GAF):
ASTM Designation(s): Z_
Required Inspections: Shea mgandyinal
/ Date:
Stature of�vuer: _..
AS TO OWNER: 1l��al ck
Sworn to and subscribed before me this— ' day of _P-Q C--e r 20 D5
State of Florida, County of Duval
Notary's Signature:
JEANNE M.SHAW
; = MY COMMISSION#DD 435986 p rsonally labown
EXPIRES:Not May 31,2009 �oduced identification
''.�'of�°•• Bonded Thru Notary Public Underwriters
Type of identification produced FL-1-
Signature of Contractor: Date: �5
AS TO CONTRACTOR: iaA lc K rto rc C lam k
Sworn to and subscribed before me this -nom day of _,2001-5
State of Florida, County of Duval
Notary's Signature:
=:+4�'n'r'•? ;. JEANNE M.SHAW
=.: MY COMMISSION#DD 435986 personally know
EXPIRES:May 31 2009
•'•;;of i�, Bonded Thru Notary Public Underwriters [produced identification
Type of identification produced �7
800 Seminole Road •Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 •http://www•ci.atiantic-beach.CLus
NOTICE OF COMMENCEMENT
State of—F l o h r d A Tax Folio No.
County of D uva 1
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 in this NOTIC OF COMMENCEMENT.
Legal Description of property being improved: 0r
z
D
0
Address of property being improved: t'+" r
J
P-
General description of improvements:
cli O
M Q
�U
Owner's interest in site of the improvement: 10 U 7a N `°~
Fee Simple Titleholder(if other than owner): CO C-4 cc
t
01-
0 0 a�g
Name: t, W o
_ 0--i Ju;
Contractor' U(ZD
r cr L 3'zo73 M gW
Address: 1009' Lod I r16- ' /V�Eq-a �--� -�-� N a -j 0
Telephone No.;�a�)3�G-�00 S +ax No:�04� Z 3(7'"L Z SS E 0
ele
U
— W
Surety(if any)
Address: Amount of Bond S
Telephone No: Fax No:
Marne and address of any person malting 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 himself, 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): y,
THIS SPACE FOR RECORDER'S USE ONLY OWNER (�/J
011a::�-J�2-���—
Signed: Date:
Before me _day of -`Pa in the County of Duval,State
JEANNE M.SHAW
MY COMMISSION#DD 435986
Of Florihas personally appeared
•° a EXPIRES:May 31,2009 Notary Public at Large,State of Florida,County of Duval.
Bonded Thru Notary Public Underwriters My commission expires: 31 a-BO
or
Personally Known:
Produced Identification: V-7�— :KD(r.I LV-C
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I HEREBY CERTIFY TO: ?��NESnTA `INCE OF
THAT THIS SURVEY MEETS THE MINIMUM TECHNICAL
STANDARDS AS SET FORTH BY THE FLORIDA BOARD
OF LAND SURVEYORS, PURSUANT TO SECTION 472.027
FLO
RASTATUTES
:CHAPTER
HAPTER
2.�1,HH-6 FLORIDA IDA
N. ASDURDEN ADMINITRATIONCODE
�, j �.ASODIATES INC. LORIDA
RSGI.T[R[ 11RYC'' Nn �. 7
FORM 900- 123 FORM 900 AND 901 -123
Of 1HP ST�Tf
FLORIDA MODEL ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
O
BOB GRAHAM SECTION 9 GOVERNORIS ENERGY OFFICE
GOVERNOR POINTS METHOD LEX HESTER,DIRECTOR
"OD w F T P
PREPARED BY: BRABHAM KUHNS DEBAY - CONSULTING ENGINEERS
PROJECT NAME Mr . W. G. Helfrich JURISDICTION
AND ADDRESS 1810 N. Sherry Drive Duval Group III
Atlantic Beach Florida BUILDING PERMIT NO.
BUILDER Eberling Builders , Inc .
OWNER to 91 FILLED IN Gr ORSIS sCtA
lA
STATISTICAL DATA
A QR M 4 IECOP
Z01K [PI
HEATING SYSTEM TYPE TWATER SYSTEM TYPE ,cwN NUMBER Of UNITS
STRIPtEATP GAS OIL SOLAR ELIC. V. I SAS I OIL SOLAII It RAM[CBS W N�INS I T
❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑
THIS DATA TO SE SENT TO THE GOVERNOR'S aNEMY OFFICE BY THE SKIILpINS OFFICIAL UPON Ra011EGT
BASE BUDGET COMMON WALLS COMMON ROOF MAXIMUM ALLOWED
XI! _
FROM APPENDIX E n R TOTAL NTS MAW SINATUR GAVNN$ EPI
CERTIFIED BY: DATE, EPI
12/29/ 5
9D DESIGN CREDIT POINTS(CP) 19E DESIGN PENALTY POINTS(PP)
CEILING FANS FIN COHb.MAC[) 1 ►[R FAN WASHER AND DRYER (IN CONS GMCE 3 3
MULTI ZONE A/C `OPPIM"AL[ODOOR) 5 MAX-OPENING Of *LASSO 40s1(i 5
OPERABLE WINDOWS aN t oR NORE�
sIGE a Roots PER ROOM 3
WHOLE HOUSE FAN (I.5 CFM/SF► 5 TOTAL 3
9G PERSCRIPTIVE MEASURES
CHECK FOR COMPLIANCE SECTION CHECK
HEATING SYSTEM EFFICIENCY 503.4 ❑
AIR CONDITIONING CONTROLS 503.7 ❑
A/C DUCT CONSTRUCTION 503.5 ❑
//1111CNLATINi\ 503.10 ❑
PWM INSULATION 1 sylvan$ J
MATER HEATER IASHRAE SO-76 LABEL) 504.2 ❑
SWI INS POOLS 504.2 ❑
TOTAL 3 SHOWER FLOW RESTRICTORS 504.5 ❑
F.
DEPARTMENT OF BUILDING
4567
L CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
`
Date 12/24 is 80
Valuation$ 69,2.9._1.52 Fee $ 169-50
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.
i
This is to certify that lberling Builders
has permission to build n ning12 farti 13Ldwelling arrorcling to 11 anf;
submitted.
Classification Residential 7.one
Owned by Eberling Builders
Lot Block S/DSelva MarinalOB
House No 1:210 Nortll Seierr* nrixre
i
According to approved plans which are part of this permit j
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
-� AFTER DATE OF ISSUE J
� I
— � ► 0 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. 1 6b,bU TL
{68obUCKTO
/c3/bb�l++
Building Official U
J`_y"•i/L 1
FOR OFFICE PERMIT DATE CONTRACTOR -
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
a..
FOR OFFICE USE ONLY
Date----/ ,1 _ .---------19
SCS
Permit # .....Fee$.Ile.F.Q..
CITY OF ATLANTIC BEACH Valuation ...............
FLORIDA House #/.?/
-7
...............
APPLICATION FOR BUILDING PERMIT
74...E .................................................
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. 6) J------------.................... 19_._....
Ef;�>G_r RD�-r>ir�5 C-----------.-Address...... :---------Telephone No-----—
Owner.................................................................... ............
Architect_-� 3 Co 0 o-ems
................................ ...........................................Addres&...........................................................Telephone No.............................
Contractor Builder.5�!Po------- -Address---I.I.I 2.. .3..Q rP :!:3r.............Telephone
Lot No.-----a......................................Block No................................Sub Division... -.2one.................
........................... ........ .....what
Side Between------- i�................................and............................... .....................ft.
Valuation ;p------------- ................For purpose will building be used..................99T�6.�t....Type of construction---F.2
. .......e I..........
Dimensions of Building._M.�/--------------------Dimensions of Lot----- 0 ..........Size of Footings........ ......................
Size of Piers-----------------------------_-_--Size of Sills------------- ---- -----------Greatest Sill Span in ft.......----------........Type Roof...��kAe�...
How will Building be Heated? •.........Will Building be on Solid or Filled Ground? .............
Size of Ceiling Joists___________________________________________ Distance on Centers.__.........._...__.._..............__.--..-, Greatest Span.._.----____-__-_----_-.__.____._.--___-___. pp
Size of Floor Joists----------------------------------------------- Distance on Centers----..... ................................. Greatest Span--------------------------------------------
Size of Rafters---- --- --------------------_-------- - - ----- Distance on CeAeRP.R-O..V--E-.D................., Greatest Span-------------------------------------------
CITY O.F ATLANTIC BEACH
BUILD14QIOFFICE This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
Q 219 all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to po po
2. When steel is in place and ready to you I or lintel. Z
3. When steel is in place and ready to you
4. When framing is completed. I - _J
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid b b
7. Electrical inspection by City of Jacksonvil�' M
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FR6NT OF LOT
In consideration of pe . -given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance wi the at ched plans and specifications, which are a part hereof, and in yac dance ..ce with the building
regulations of the City of tl e e
.......... .... \
.... .......
Signature of Builder----- --- --- Address-----
............
Signature of Owner. --.... ...... ... ... .. ..t.................... Address..................
CITY OF ATLANTIC BEACH
WATER CONNECTION CHARGE b D
DATE
LOCATION /�/� '� � SY 2z-4o ,t j
OWNER � � '
PLUMBING FIRM
MASTER PLUMBER �/,� � S=Z eZ2���
BUILDER OR CONTRACTOR
TYPE OF BUILDING L5
BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS)
WATER CLOSET,LAVATORY AND BATH-__
TUB OR SHOWER STALL.(6UNITS) SHOWERS GROUP PER HEAD ( 3 UNITS)
BATHTUB ( WITH OR WITHOUT OVER SURGEONS SINK ( 3 UNITS)
HEAD SHOWER) (2 UNITS)
FLUSHING RIM SINK ( 8 UNITS )
BIDET (3 UNITS)
SERVICE SINK TRAP STAND ( 3 UNITS )
COMBINATION SINK AND TRAY ( 3 UNITS)
POT,SCULLERY SINK ( 4 UNITS )
COMBINATION SINK AND TRAY W/FOOD DIS.
( 4 Units) URINAL, PEDESTAL,SYPHON JET
BLOWOUT. ( 8 UNITS )
DENTAL UNIT OR CUSPIDOR ( 1 UNIT)
URINAL, WALLL LIP ( 4 UNITS)
DENTAL LAVATORY ( 1 UNIT)
URINAL STALL, WASHOUT ( 4 UNITS)
DRINKING FOUNTAIN (Z UNIT)
URINAL TROUGH EACH 2'SECTION
DISHWASHER ( 2 UNITS) ( 2 UNITS)
FLOOR DRAINS ( 1 UNIT) /� WASHING MACHINE RES. ( 3 UNITS)
KITCHEN SINK ( 2 UNITS) WASH SINK EACH SET OF FAUCETS
( 2 UNITS )
KITCHEN SINK W/WASTE GRINDER
( 3 UNITS) WATER CLOSETS, TANK- OPERATED
( 4 UNITS )
LAVATORY ( 1 UNIT )
WATER CLOSETS, VALVE OPERATED
LAVATORY,BARBER,BEAUTY PARLOR ( 8 UNITS )
--- ( 2 UNITS )
I-Ab DRY TRAY ( 2 UNITS )
LAVATORY, SURGEONS ( 2 UNITS)
DEPARTMENT OF BUILDING 4566 1
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 12/11 19 8J
Valuation$ P.l ulnh7 Y1g— Fee $ 11 d0
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of Lw.
This is to certify that &a P1 timbi n ry
61
has permission to build + --,Ink,3 1 n ` t s, —L buhh f lih.2 shower,1 water
heater,l dishwasher,l disposal-,I washing mchine.
E Classification Residential Zone
Owned by
Eberling Builders
a Lot Block _S/D
t
House No 1310 ?North Sherry Drive
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
I AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIR MONTHS
AFTER DATE OF ISSUE
0 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.
1 1 •tela TL
Bill 11. Dguis I I eGUCKTC
j i J Building Of%ctf;C nC w
r 1
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
t
PLUMBING
ELECTRICAL
SEWER
i
t WATER
w
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
Date
Location
Plu,nbing Firm �n(/n? �f
Master PlumlUer �l ���,r,�.l (s-
City/County Occupational License No.
State Certificate No.
Builder or Contractor
Type of Building (°IPS )S
d
SINKS _ SHOWERS
LAVATORY _WATER HEATERS
STH TUBS j DISHWASHERS
URINALS DISPOSALS
CLOSETS WISHING MACHINE
FLOOR DRAINS
OTHER
41D= FIxl'CJRE COUNT
INSTAL;[_ATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
i
DEPARTMENT OF BUILDING 7901
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date If)-10-86 19
no f_ee
Valuation$ Fee$
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.
j This is to certify that GAYLE LESESNE
has per to build tl/
ClassificationZone
Owned by � r ✓ i'`r`'–"
Lot_ _ lock U S
House No.
According to approved plans which are part of this perm'
NOTICE—ALL CONCRETE FORMS
= AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
„ AFTER DATE OF ISSUE
: o Building material, rubbish and debris
z from this work must not be placed
in public space, and must be cleared
up and hauled away either con-
tractor qwl owner.
Bu' ing fficial.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
M
FEE $10.00
APPLICATION FOR FENCE PERMIT
CITY OF ATLANTIC BEACH
PROPERTY OWNER
Name: (,f �� Day Phone 2�i(J
t — k 76
Address: wo fi , �l�lX.f2/�f 6,6,,4 Zip Code Z 2-
-or
APPLICANT,, IF OTHER THAN OWNER
Name: Day Phone
Address: Zip Code
JOB INFORMATION D� ,
Address or Location:
Lot Block Subdivision
lo -
APPLICATION
o-APPLICATION MUST INCLUDE SITE PLAN SHOWING PLACEMENT OFFENCE
E,.
l
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUT-IN
APPLICATION IS HEREBY MADE FOR WATER/�_� WATER CUT-IN AT
THE FOLLOWING ADDRESS FOR UNITS (S)
CUT-IN CHARGE OF D d
STREET NO.
LOT- BLOCK BLOCK SUBDIVISION J 72
ACCOUNT NO.
MASTER PLUMBER
DATE 3-��
METER NO. ( ;t;to SL DATE INSTALLED /- 3
�d. C9
CITY OF ATLANTIC BEACH
APPLICATION FOR SEWER CONNECTIONS
ACCOUNT NO.
IOCATION
LOT NO. BLOCK NO. SUBDIVISION �Sl�
OWim12
TYPE OF BUILDING
I,VLcff ER PLUMBER
DATE
INSPECTED BY
C[T`( OF AT LANTIC BEACH
ROOFING PERMIT AFIRLICATION
JOB LOCATION: *�-
OWNER OF PROPERTY: 13�
CONTRACTOR: Ucu o&
CONTRACTOR'SADDRESS: �
ha,�vot- ZP 2 2 v
STATE LICENSE NUMBER: TELEPHCNE: 5 �_ S
DESCRIBE WORK TO BE PERFORMED:
VALUATION OF PROPOSED CONSTRUCTION
MATERIALS TO BE USED: o� .-`'f
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
SWORN TO AND SUBSCRIBED BEFORE ME THIS �� DAY CF)/ 19�/
,
NOTARY PUBLIC
Liability Insurance Supplied
E� Patilds MionettA
My COWASSION
Wormers Ccmpensaticn Insurance Supplied AugguUst t 277,,2000
81 EXPIRES
•.
BONGED 1NRu TNOY FABI IISIBi11NCE.DIC.
Contractor License Information Supplied
Occupational License Information Supplied-Ul)
PSR-3844
17629
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION ---------
._mit Number : 17629 tress : 1810 SHERRY DRIVE NORTH
��erffdt Type :RE--ROOF ATLANTIC BEACH , FLORIDA 322 '
Ass tit Wock:NEW LEGAL DESCRIPTION
instr , Type!WOOD FRAME s=-lock: Lot , Twp : 0
roposed UsetSINGLE FAMILY :!ection: n Subd. Rng: 0
Dwellings : 0 �'�--ubd i v i s i on
Est . value , 0 . 00
,nprov . Cost : 2 , 490 . 00
Total Fees ,. 25 ,00
Amount Paid"�'-.- 25 . 00
Date Pa 99"?
2
ON
I ON
----- - APPLICATION FEES ---------
?
A E*"
IVE
Ar- C7
JOR 1 D
ATL A 32'"
,one
2,
N#OXATION
CON R-I" & SONSCLAUDY
ir: 3644 PHILL HIGHWAY
1Xd1K—S0—NV--dt*.j, FL... -2i 2 0
Li c : CP
¢29744 Exp : 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 REVOCAjgjRR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date•: 1/12/99 01 Receipt: 0025558
CASH
00100003221000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PE I
JOB LOCATION:
OWNER OF PROPERTY:
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS:__ (_
STATE LICENSE NUMBER: CA!01501 ✓ �o TELEPHONE: Jep
HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORIES WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: X 3.50 + $15.00
MINIMUM PERMIT FEE _ $25.00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:
a:l
-----------------------------------------------------------------------------
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.
PSR-3844 r15415
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-- - PERMIT INFORMATION ---- ------- LOCATION INFORMATION
=ermit Number : 15415 %ddress : 1817 SHERRY DRIVE NORTH
Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA 3223_
"lass of Work:ALTERATION - -- ------ LEGAL DESCRIPTION -------
Constr . Type :WOOD FRAME Block' Lot : Twp: `-
Proposed Use' SINGLE FAMILY Section: 0 Subd: Rna'
Dwellings : 0 Subdivision :
Est . Value: 0 . 00
Improv . Cast. : 0 .00
Total Fees 25 .00
mount Paid, 25 .00
OWNER I NFORMA'I`I Oh _ ___ __ _ . APPLICATION I CATION FEES
Mame ; WELTER MCDER.MOTT PERMT-41
2 5 0„
i 177 SHERRY DRIVE NORTH
ATLANTIC BEECH FLORIDA 322-
!?horse: 904 °249-5381
CONTRR-Tn-R INFORMATION
:'Tame : ATLANTI " '"OAST PLUMBIN & TIL'
Addr 322k 9TH AVENUE NORTH
JACKSONVILLE BEACH . FL 3225G
Lic CFCA21529 Exp : 1
n�
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 REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.68 14
--
Date:e: 5 i 1 tteceip : 0003660
CHECKS 15356
ATLANTIC BEACH BUILDING DEPARTMENT 88188883221868
By: