1830 Sherry Dr (vault) CITY OF ATLANTIC BEACH
r 800 SEMINOLE ROAD
r� ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
03-00025737 Date 3/24/03
Application Number - . 1830 N SHERRY DR
Property Address . • • . ' REPLACE HVAC
Tenant nbr, name - . MECHANICAL ONLY
Application description . . . TO BE UPDATED
Property Zoning . . . . • • • 0
Application valuation . . . .
Owner Contractor
--------------
----------------
_____
----------
HERBERT, SCOTT OCEAN STATE HEAT & AIR
1830 N. SHERRY DRIVE 1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE
BEACH
FL 32266
-----Permit .
• MECHANICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee . . . . 79 . 00
Issue Date . . . .
Valuation 0
Fee summary Charged Paid Credited ----Due- -
_ ---------- ----------
Permit Fee Total 79 . 00 79 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 79 . 00 79 . 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
RIN THE PROPERTY OWNER ESULT
PART OF THIS PERMIT ANDSUBJECT TO REVOCATION FOR VIOLATG TWICE FOR BUILDING NION OF APPLICCAB S-ISSUED ACCORDING E PROVISIONS FTO RO W. PLANS
WHICH
BUILDING OFFICIAL
737 - 7- �4 Co 9
BUILDING
AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLA!(Tic•IA-M FLORIDA 0X237
APPLICATION FOR MECHANICAL PERMIT CALL•iN NUMBER
IMPORTANT—Applicant to complete ail items in sections I, II, III, ant IV.
I. 1
LOCATION st"•t Adar.,,:
CF lahrpetlnq $fr..h: 3.rrpn
BUILDING '^"d
sus-dLidon
II. IDE.IITIFICATICN —To be completed by ail appiicants
fn -on,id.'61;- .1 permit giran (or aoinq the rerk at ae,cribed in th. above ,Iatemenf re'�.reay agree to
rilh rhe att.e11rd oiena ,no ioeciiiu Fiona rhich .,a . p.rt h.noi .red in accordant. —is !h. Clly of.'eci3O—i:*m_�inenc�iir,end cd.na.rda
of good.practics tided I.r.m,
Nem. of Meei.eiee(I Cantncror,
Contractor Printl 1
Mnr.r
Name of
)re rorty Crnv I � I �
Si A014.e(Orals I Sign.hrs of
W Aulhoritad All., - Arcnihct or Engia.v I
Ill. GENERAL iNFCRMATICN
A. Type of hosting wait 8.
Bectric
IS OTHER CONSTRUCTION BEING OOMC
I /`LTNIS 3UILOING OR SITET
f [,r•_au—❑ V J.evnl ❑ Gn+re1 Utility
1 r, Cli IF YES, :IVE:NUMBER OF=NSTRUI-;:N
PERMIT
.. Other — Spwfy
IV. 'AW>4ANM".AL MUIPM04T b lE 'NSTALLED MATURE OF',YCRK
;Orovido compote Ilst of eomeonoett on brei of this fmmI Remosntlai or i_: COmmer7tal
Heat ❑ Space " Aelclin edCentra u Aosr ❑ New 3uliding
Nr Conddhasinq: ❑ loam ! GMnI Existing 3wlding
SyTt" Mshns: TMk6„„a Replacement of existing system
M..imvm easseity �� �. New installation(No system previously Installed)
+lo(rigaranoa �. Extension or add-on to existing system -
i_ Other—Specify
+ ❑ Coaling 'a 0. capacity
Are t9rinklant Numb.' of header
❑ Efayorer ❑ Meniift ,^r Esulehr Invmbsr)
—HIS 'FACE POE OOFICi US&ONLY
C.Bowline Pvmna Invmb«J (R+r1.+d)
❑ T.nim ;nvmaner) Remans .
C LOG eanh7We Invmbar)
❑ Unilnd pr.sswa vaaaw
❑ WIN$ 11's-0 Aopm—j Sy Vie..
❑ Otho►—Specify Oormit Fall-
UST
..UST ALL aQUIPMEN:
AIR CONDITIONING AND REFRIGERATION EQUIPMLfr
Yum DorL'altaDarertpuoa Yodal:Iualber Manufacturer Canae(ty ��T
(Soot)
I. LAIL—
HEA^.`IC - FURNACr:S, 30ILFR3, FUUM AM
Ntaml,ar Mittel ( t,, A
I)secripticsa Yoda1 Number Yaaufa.ccurer +air
I
TANXS
Now Many sad Dtma�XtT T` •Liquid Name of Serial Approvint
Contalnad %taaufXatvrQ `(o. Agmc�
_ I
PSR-3844 11874
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
FERIA_T. 1NFC,HMA`1 i v:,i - ---- LOCATION INFORMATION ----- - -
Permit
---- - -
Permit Number : 11874 Address : 1830 SHERRY DRIVE NORTH
Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 3223 '
-'lass of Work:ALTERATION --------- LEGAL DESCRIPTION --------- -
Constr . Type:WOOD FRAME Block: Lot : Twp: C
Proposed Use: SINGLE FAMILY Section: 0 Subd: Rng: n.
Dwellinas : 1 Subdivision:
Est . Value: 2 , 400 . 00
Improv . Cost : 2 , 400 . 00
Total Fees : 25 .00
Amount P 25 . 00
„a t- Plt-, 5_ 1996
- - OWNER TNFOP.MATION APPLICATION FEES -------
Name: ,SCC* T HEFBEFT PERMIT 25 . 00
Addr - ' 01 ) NORM' Z`TERRY DRIVE
.: Ti LANTI C '` .r.(_'H FLORIDA
Phone, : 904) 21. v
m.B.
--7- R'J]N FORMAT!ON -
Name: MON HAN ° ROOFTNG
Addr, 470 i.L�StjS1i .0 u'r
JACKSON E. FL _
Lic RC004734e�
Tvp4.
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION&& 14
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Dale: 5/03/96 01 Rcpt: 005A497
001(Ym 1000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
I \
I
�tl .
rc
c, vt L
kw ov ?oQF
���e �z.\ek��Q FOS' ^�,y�;•�`e�
i
x
i
APPROVED
CITY OF ATLANTIC BEACH
BUILDING OFFICE
OCT 161989
t� 1 A
WSJ
oc-
�(,,\F of � _o
�.�OF -�� FSS -cC �CC�OS�CQ COµ^ / �. - e�_ ���•`"�
XinS X IL
114 / 0
S
i
5�-\�S1�cS
ckk
i r
I_
Qa
z 2-
i
�je�roowN
o�
22,
� 10
i
�d
I
t
i
a
a�x �
i
12-
cl-4 .q- _ 4
Apuj
J
4
f
I
O
s
o co
L
A-1
_ f
f
�eK1G �r2rC/rn
r
bar,,
i
7 68 S-F, 24
4
I �
i '
I
C
CIAL
AD" CR
2o'D'
APPROVED
CITY OF TLANTIC BEAC;I
BUI ING OFFICE
2 9
i
r.
-
_
4V-
APPROVED APPROVED
OF ATLANTIC BEACH
--BUILDING OFFICE
`OCT 161989
Lc
�e4r�s be�.r- ora �
� Y
-• - _ _ __ __�.. ";_ . .._ . . 1. .
,b.S
I .
r
GALA aY�
Tr
440
cla
t
Y
a.
,rte k. 'o
AO
c.
r .
Y
l000
-ir�aVI-�
A'cco
Rw L
q
On.���h
r J
�a4L; _-
_4.
N '
I{
l ,
I ' �
_ Q
N
Ai
....ter+.. _.. � ^\\ .. _. - ..._.._. ..rr - - - ..... .......• _..�. , ....__ - ..-_ .._..
+S
aw
A I Q
ell
,a
bi
r4 .
s�
J
,
a�
00
7::70-ze -rte
CITY OF
Office of Building Official /¢-T S
REQUEST FOR INSPECTIO
Date `s�� � �\ C
J Permit No.
Time Q
Received P.Nf.—
Job Addres ^ Locality
Owner's w
Name Contractor —
BUILDING CRETE ELECTRICAL PLUMBING MECHANICAL
Framing ❑ Rough Wiring ❑ Rough E Air Cond. &
Re Roofing ❑ Slab ^ 5/---Temp Pole ❑ Top Out G Heating
Insulation ❑ Lintel / Final Sewer F- FirePlace
e L Pre Fab
READY FOR INSPECTION
A.M.
Mon. Tues Wed. urs. ) Friday
2 3 ��
A.M.
Inspection Made - --P.M.
Inspector Final Inspection
Certificate of Occupancy i
Date —_-- —_------
CITY OF ALANTIC BEACH
ROOFING PERMIT APPLICATION
Owner(s) : 7cc t-1 'I--I�erbe( -
Address: G N Che,r-` r, -Phone: y
Lot # Block or Unit # Subdivision:
Contractor:
Address : L-1 --) o
City, State and Zip Phone 22 ( -GGS
State License # PC L
i
Describe work to be performed: 2 r rc) C'
Valuation of Proposed Construction:? G U
Materials to be used:
Signature of Owner;
Signature of Contractor:
Liability Insurance Supplied
Workers Compensation Insurance Supplied
License Information
001570
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
-,?rmit Number - 1570 fdreas: 1830 NORTH SHERRY DRIVE
Permit Type; BUILDING ATLANTIC BEACH, FLORIDA 32233
lass of Wear k2 ADDITION LEGAL DESCRIPTION ----- --- -
`;onstr. Type: WOOD FRAME )t : 6 Block: Section: 10-B
Proposed Use: SINGLE FAMILY Plat Book: Paget 0
nwellingst 0 Code 0 ubdiviaion: SELVA MARINA
:�timated Value: $10692. 00 OWNER INFORMATION
Improv. Coati $0. 00 Name: CHARLENE PALANGO
Total Fee77,,- $58. 14 ddress: 1830 NORTH SHERRY DRIVE
Amount P,�sid: 150. 00 ATLANTIC BEACH, FLORIDA 3223.-�
r) 7t f ,. P� t I s Phone- (904)241 --1470
TRUCT NEW ROOM ADDIT.1 PER PLANS
CONTRACTOR(S) APPLICATION FEES -- - -
r--1-1,1L'.RTY OWNER ;-,RMIT $55. 50
':TER IMPACT FEE $0. 00
"WER IMPACT FEE $0. 00
.%TER METER $0. 00
:11 DO N GAS- H. R. $2. 51
fiADON GAS - 5% 190. 13
ATER TAP $0. 00
i"WER TAP $0. 00
iDRAULIC SHARE $0. 00
2-INSPECT FEE $0. 00
4GINEERING $0. 00
THER 90. 00
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.55
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FC R
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILD NG DEPARTMENT
By:
A P P L I C A T I O N F O R B U I L D I N G P E R M I T
CITY OF e
REQUIRED SUBMITTALS vc=41 - ¢u
716 OCEAN BOULEVARD
Each application for building P.O.BOX 26
permit will be accompanied by ATLANTIC BEACH,FLORIDA 32233
two complete sets of pians, including TELEPHONE(904)249-2396
a detailed site plan indicating location
of utilities, parking, size of yards and O
other pertinent data; one set of Florida Energy
Efficiency Code sheets; recent survey (on new constr
(20
SCHEDULE OF INSPECTION �dP
a1
Requests for inspections will be accepter.{ from 8:00 AM 0til
4 : 30 PM. All inspections will be made the following working"'d,
Pay-
1. Footing
2. Rough Plumbing/Sewer
CALL IN WITH PERMIT
3: Slab NUMBER FOR EACH
TRADE
4. Framing, Rough Electric,
Mechanical, Top Out Plumbing
5. Insulation
G. Final Inspection/Issuance of Certificate of Occupancy
------------------------------------
BUILDING CARD MUST BE POSTED OR NO INSPECTION WILL BE MADE
Pour no concrete or cover any work until
building card is SIGNED by the inspector. You
will be required to uncover any work that has not
L inspected.
X10 fee is required for all re-inspections.
e4--V—
CH Y UF -t_CHruF
PROPERTY DESCRIPTIO14
uq',-�'- 10 ala,Z�da
716 OCEAN BOULEVARD
Lot # Block #_-__--__Section #-______- P.O.BOX 25
ATLA N'I IC 11 KA('I I,F•1,0111 DA 1229:1
Subdivision: TELEI'IIONE(904)249-2395
Street Name__ A 1 r �� DESCRIPTION OF WORK
or Address:- (J I�/ J ______
^, If in FLOOD HAZARD
-_---_-
Flood Zone: f'V A_____area complete page 3. Brief
Description:_ beoQ roc rr,. r
Class of Work:
(New/Remodel/Addition)
ZONING INFORMATION
Type of
Construction:__
Zoning Proposed
District: Use Ce%' _� Estimated Value S �
Exceptions or Materials:
Variances Granted:
-------------------------
Solid or
------------------------------------------- Filled
Ground:_ Y /4_______Roof:-----------
OWNER INFORMATION
Method of Heating:_ L'-----------
Property Owner:---�Q'-� L°_1�e �Q C=��-��------------- Phone:--)LYH fro
----------t-
Mailing c1 -
Address 1i63 C) ----- --
- -
----- r
f-
--- ---------------------- Zip:----------------
CONTRACTOR INFORMATIO14
Contractor: Sq/11e QrS �� _____ Phone•______________
Mailing
Address:
------------------------------------------------ Zip:---------------
A/
Expiration
License Number:
-------lv � - --------------------------- Date:--------------
In consideration of permit given for doing the work as described
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 all rules and regulations
of the City of Atlantic Beach.
Owner Signtura - - ---------------D -��--------
Contractor Si na r.. ___ ______ Date_��_�,�_ _�
FLUUL)PLAIH DEVELOPMEUT INFORMA7'IUN
Type of Development :
--------------------------------------------
Flood Zone
Required Lowest Floor Elevation:
---------------
If building is located within a flood hazard zone, a survey must
be made AFTER THE SLAB HAS BEEN POURED, certifying that the
LOWEST FLOOR ELEVATION is equal to or above the base flood
elevation established for that zone.
No final inspection will be made and no certificate of occupancy
will be issued until the survey is on file with the Building
Department.
COMMENTS:
Applicant Acknowledgement : I understand that the issuance of
this permit is contingent upon the above information being
correct and that the plans and supporting data have been or shall
be provided as required. I agree to comply with all applicable
provisions of Ordinance No. 25-7-11 and all other laws or
ordinances affecting the proposed development.
Date--------------Applicant's Signature
--------------------------
----------------------------------------------------
Department Use
Required Lowest Floor Elevation
As Built Lowest Floor Elevation
Survey Filed Filed with Building Department
-----------------------------------
Building Department Representative
page 3
Address 1153 t)
Heated Square Footage @ $ per sq ft = $ Q °�
Garage/Shed —T-
@ $ per sq ft = $
Carport/Porch @ $ per sq ft = $
Deck @ $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL VALUATION: $
16 11P fz
TotaiVaivation lst $
7z,
Remainder Valuation $
3.00per thousand or
portion thereof
--------- Total Building Fee $ 337
ADDITIONAL PERMITS and/or FEES REQUIRED
+ k Filing Fee s'3�-
Mechanical ; Fireplaces @ 15.00 $
Plumbing BUILDING'PERMIT FEE $ SS
Electric/New '
Electric/Temp _
Septic 1'ar�c
BUILDING PERMIT $
Well WATER METER CHARGE $
admning Pool SEWER IMPACT FEE $ —
Sign WATER IlKPACT FEE $
Water Connection MISCELLANEOUS $ —
Sewer Connection � $_
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $ ��
---------------------------------------------------------------------
CALCULATIONS and/or NOTES
°3
PLANS REVIEW CHECK LIST
--- 0
Address_L�,��_�- Owner � _ _
7 Legal Description_ Y Contractor rl -1Lt- J
---------------- ----------------------------
License Number
License on File YES NO
Section 24-101 * Zoning Re - lations
Zoning District _ Proposed Use
Required Lot Size _1Lr______- Actual Lot Size_
Setbacks Required Provided Section 24-17 ----�
------- ----- _
front
_ _--_ ------ CORNER LOT INTERIOR LOT
rear
i Flood Zone
side-1 _1Q---- ---- -- ---- -----------
side-2 AL
i Required Elevation_
Max. Height Allowed_j__2Q_'',- Proposed Height
Section 24_82 * Minimum Lot Coverage
-- --- -- -- - ----- - - ---
Required Heated Area _- Proposed Area_-A-y?/
Section 24__161 +� Offstreet Par ing
------ ---- -
Number Spaces Required_-7�t__ Spaces Provided
Section 24=82 * Duplicate Buildings
Is there a similar building within 500' of proposed building?YES NO
Utilities
Water and sewer service is to be provided by:
Buccaneer Utilities
----- City of Atlantic Beach Utilities
----- Private Source SEPTIC TANK WELL
Plans Reviewed by : ------------------------------Date
Building Permit #---------- - ISSUED DENIED
I
�t
DEPARTMENT OF BUILDING 4 618
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
E Date kareii 3, la I 136360 TL
f .��1CKTIa
Valuation$_5Ll_Csnn Fee S 136-50 /42( IA 3/04/81
4615 .3DCAC
This permit not valid until above fee has been paid to City Treasurer, and is 7420 1 N 3/04/Ul
snbject to revocation for violation of applicable provisions of Lw.
This is to certify that tial 1 Ln 217, Co. _
has permission to build jingle Family Dwelling.
Classificatio7nne Selva?Marina
Owned by Valle Const.
Lot #6 Block S/D
House No IQjC1 Taortl-, �:herry Drive.
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
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
t or owner.
t
gill 14D^vi S
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
E
FOR OFFICE USE ONLY
Date.-----`3, ---------19
Permit ----Fee $__Z�
CITY OF ATLANTIC BEACH -5-6- `0
Valuation $--------- I...........--------...................
FLORIDA House #...lAf%f
,DAC_ (Af�--------------------------------------------------
APPLICATION FOR BUILDING PERMIT
............................................................................
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. '? J_yr
Date---------------------_-------------------
_fOl---------Telephone
Owner -----Addres
^-----------------------
Architect- -----Addres&---------------------------------------------------------Telephone No----------------------------
Contractor Builder-/r_,(,-/4 -------- --------Telephone No399-01-9.--Z-
Lot No...--------------4----------------------------Block No-------AMC2---------- Sub Division---
.4.......
-------Zone-------------
Ao16 ------Street---- ----- ---- _------Side Between----- --------------------andk,
A/e�Z��< `S�f
-----__...For what purpose will building be used_./40-,-.,7_2...............Type of construction....1.4.-)---0_0�a--------_--
----------
Dimensions of Buildin9 !P
g__2_/k_.,<__!F_(--- - ----------Dimensions of Lrot__V91__X..../ -_/------------------------Size of Footings
Size of Piers_...... AIIA------ ---------Size of Sills_._...._-_ ------ -- --._-.___.Greatest Sill Span in ft---------------------------Type
l
Lgr -------------_-.___Will Building be on Solid or Filled Ground?..4Cj4.4-e-,v...............
How will Building be Heated?4-I
Size of Ceiling Joists. 8i..__/_.._._._----- , Distance on Centers___....... N/
Greatest Span.--/.---2
-------------I.................
Size of Floor Joists----------------- -----------Distance on Centers--...._.... e�...............-, Greatest Span---------------A)10----------------
...........
Size of Rafters.---- ------L ...... Distance on Centers. ?6 .
.... ....................., Greatest Span---------- ...------------------------
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
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 pour footing. Z
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam. a
4. When framing is completed.
s
5. When rough plumbing is completed,and ready to cover up. Pq
6. When septic tank drain field or sewer is laid but before it is covered. Q
7. Electrical inspection by City of Jacksonville. M
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
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 attach plans and specifications, which are a part hereof, and in accordance *th the building
e,-
regulations of the City o ti tic a
...................
i� F
......... Addresf/---- -- ----- ------------
--
Signature of Builder-.. . . ...... ........................................ --------------
?WA ... -2 L/--V.f
A .. ------------- Address..— ........... -------fo-- ------
Signature of Owner. ------- - -- --------- ----I.. ................ ------- 7S� 3"det�
CITY OF ATLANTIC BEACH b
WATER CONNECTION CHARGE �P
DATE 31 AP/
LOCATION
OWNER
PLUMBING FIRM
MASTER PLUMBER
BUILDER OR CONTRACTOR ���� f1R •
TYPE OF BUILDING �,���,,�►f�rl,�/f✓,i/r�[
02 BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC ( 2 UNITS)
WATER CLOSET,LAVATORY AND BATF
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 (2 UNIT)
URINAL TROUGH EACH 2'SECTION
DISHWASHER ( 2 UNITS) ( 2 UNITS)
FLOOR DRAINS ( 1 UNIT) _�_WASHING MACHINE RES. ( 3 UNITS)
KITCHEN SINK ( 2 UNITSN" WASH SINK EACH SET OF FAUCETS
-- ( 2 UNITS )
KITCHEN SINK W/WASTE GRINDER 3
( 3 UNITS) � WATER CLOSETS, TANK- OPERATED_ '
v2— ( 4 UNITS ) G/,L
_ LAVATORY (-.,-I UNIT )
WATER CLOSETS, VALVE OPERATED
_ LAVATORY,BARBER,BEAUTY PARLOR ( 8 UNITS )
( 2 UNITS ) _
LAUNDRY TRAY ( 2 UNITS )
LAVATORY, SURGEONS ( 2 UNITS)
DEPARTMENT OF BUILDING 4625
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD 149130 TL
THIS PERMIT MUST BE POSTED ON JOB 140OCKT
-444 1A jltf4I81
Date � v _ls y iy .Ci3CACC
Valuation$ plumbin Fee $ 14.00 7445 IA 3/G4/01
i uua l
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.
This is to certify that ED. WINTERS PLUMBING CO.
has permission to"aJd install 1 SINK,4 LAVITORY,2 BATH TUBS,3 CLOSETS,
1 WATER HEATER,1 DISHWASHER,1 DISPOALS,1 WASHING MACHINE.
i
Classification S/F RESIDENTIAL 7,nne
Owned by MR. & MRS. igINER
Lot �ti Block S/D SELVA/)<1ARIPIA
House No 1830 NORTH SHERRY DRIVE.
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
C �
► O 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.
"r
13ILi,M VI.-,
Building official.
FOR OFFICE PERMIT DATE CONTRACTOR
F USE ONLY NUMBER
E
PLUMBING
ELECTRICAL
SEWER
i
WATER
a. �/
Cl TY OF ATLANTIC BEACH
ATI XT ON FOR PLQ_ BI NG PER41
DATE
LOCATION
PLU431 NG FIRM ..
MASTER PLU,tBER
CITY/COUNTY OCCUPATIONAL LICENSE
STATE CERTIFICATE NO. ✓ _ /��
BUILDER OR COt!TRACTOR
TYPE OF BUILDING '
_SINKS SHOWERS
LAVATORY
WATER HEATERS
-� BATH TUBS
DISHWASHERS
URINALS DISPOSALS
CLOSETS LWASHI NG MAACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT
1 NSTALLATI ON OF PLLt1031 NG AND FI XTURES MUST BE I N ACCORDANCE WI TH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLLI11,73ING CODE.
CITY OF ATiANrIC BEACH
APPLICATION FOR SEWER CONNECTIONS
AUNT ND- #040110
DATE 2/24/81
LOCATION 1830 NORTH SHERRY. ATLANTIC BEACH FLA.
LOT NO. #6 BLOCK N0. 10-B SUBDIVISION SELVA MARINA
OWNER
TYPE OF BUILDING VALLE CONST. CO. INC.
MASTER PLUI OBER
LATE
INSPECTED BY
t
CITY OF ATLANTIC BEACH
APPLICATION FOR WATER CUT-IN
APPLICATION IS HEREBY MADE FOR VALLE CONST. CO. INC. WATER CUT-IN AT
THE FOLLOWING ADDRESS FOR SIF RESIDENTIAL UNITS (S)
I
CUT- IN CHARGE OF $85.00 & $4.00 CONST, WATER
STREET NO. 1830 NORTH SHERRY
i
LOT #6 BLOCK 410-B SUBDIVISION SELVA MARINA
ACCOUNT NO.104O11O
i
I
MASTER PLUMBER
i
i
i
I
DATE
METER NO. CIlf DATE INSTALLED -
fe-PA 500 K 4 vhpAt K{ ti
F .., ° '`�`•. kLearr�fMttluOF HOUswq AND URaAw OE11tlOP1�M�+ Pf '� V
_. aY ctt�dnE .: !'f:OeRAL Idotalaec AgYIMISTRATIdI
A Orta 2005 far aeesnte register ed carbon copies. Form Appro�ad
r Forte 26-1851 .L. may be wparaad aloe` above fold. Sts p�e . .__.., -.. _ --• --OMB No. 63—ROOSS '{
r. 2/74 - -- -_ s:- completed sheets together is origiaa) order. . . _.
Proposed Constn,ction - DESCRIPTION OF MATERIALS No,
(Te be inserted by FHA or VAI
Unddr Consfnrdion /jam
'roperfy address .tJ. S s�L'/ur.X dr. city AZ 11 Au?iG ' BLS-L.-1-1 StopA'1, 4 .
WorW9or or Sponsor.
t?ni OCfOr Or Btll(dK P/k-i L:y: a d�sf3S7� C�. �/?e,
(Name) 4 )
INSTRUCTIONS
1, or additional information on bow this fom is to be submitted, unless required, then the minimum acceptable will be assumed. Work
number f copies, etc., see the instructions applicable to the FHA exceeding minimum requirements carrot be considered unless speciflcally
Applicat on d
for Mortgage Insurance or VA Request for Determination of describe
ReasoValue.ns a Vae,s the case may be. 4. Include no alternates, "or equal" phrases, or contradictory Liens.
be all materials and equipment to be used,whether or not (Consideration of a request for acceptance of substitute materials or
shown c the drawings, by marking an X in each appropriate check-box equipment is not thereby precluded)
and enc , the information called for in each space If space is 5 Include signatures required at the end of this form. -
ineul.quit , enter "See miss" and describe under item 77 or on an 6_ The construction shall be completed in compliance with the related
attached sheet. THE USE OF PAINT CONTAINING MORE THAN FiVFr drawings and specifications,as amended during processing. The specificm-
TENMO OF ONE PERCENT LEAD BY WEIGHT IS PROHIRTED. tions include this Description of Materials and applicable Minimum Pro-
3. Work not specifically described or shown will not be considered perty Standards
t. pCCAVATi01 _ - _� "z 'r':� ��. - Y :; � _.� •*_. .�`
Bear'xeg soak,hPe SAw
FOUNDATIONk
rtiotings: concrete mix �• ;^strength psi Reinforcing + S �lr STIt'EL
)'oundatioo wap: material ter Reinforcing
,t///9
Interior foundation wap: material /✓ �9 Party igundatiom wap S
Colu�ns: material and sizes Piers: material and reinforcing ^&lo q
Gird : material and sizes A6 Sills: material A&21
Raseiment entrance areaway window areaways AaA
%vaterpeoofia6 .006., " V�S a"i/-PZrAJ Footing drains
Teradix protection �/CS v!diG �'.QCATit-1�T /�5� l3a[JVOC/� �11T�lZf-Ii.eJ i
Bananentess space: ground cover insulation ; foundation vents
Special bundations
Mtfitioeal information:
3. CI#IiA1sm
Mase ' Prefabricated(nwkt and rite)
Flue fusing material Heater flue size Fireplace flue size
1.' (mskrW caved rite): gas or oil beater water heater -
AddG ;nformatioa:
'R r1.cfl
Type• aaibd fad.❑s+a-b�Ms: O��►(atrt..rr/tial d� 4.
. Ash tittrnpyyan�d� �onc
+r�►'i•tad)e: Gteisg r t .cpy `i11 �Ck.k'f' Saks& .yi'�►,"y"y'u Iyl�l�lafth��'`iC - 1i�•'T�^^''; �1�.ra-«•l�i�•+r. F ' 4.]
„�'r".,�"���' 7 a[.;.!:`.,-`»C��.�_•;ti�tj�E!'r�c^++.41�"'"e'�l�'7.C�il.S."M`".:w=.��dllt^3^�1t7 4A:',�,' ,.+��MY!�_
3�' ;,venal'itJormafna:� 'r.
WA" FACTORY ASSEMBLED PANELS 2"X4" STUDS 16" 0.C.
Woai frame: wood grade,and specks Stild ar @ SPF -' O Ownerbrackw,.Huiltling pope or felt
MbeatKq tr : w ;' f_Q , thiCleettss `l width 3 solid;Q spaced O,e.; ❑diago";
swim STV e-e.-a grade ; type ; sig ; eupostm •; fastening ••
- , Rads i type . Rile ; e3gp0t%M '; fastening
thickness ~ lith AL
re.esrJ
Silk 1b i. kab Steel Ancle/ i weight-AL
Q soYd Q Geed ❑ stuccoed; notal wap thickness. . ,..�'i�dtiCIt asOO muterLl
- ;thas���'; badtng LL
Gal. Wa11 Tles
Backup material iclm
—MPS
Dass.
Impiimr morficeO dnlppr00ling, 00ad f.o s- .r ; `w, •y�� -.� •- v +rt r
..r+.,kx».iM+4'Ycrn�ia�Y�'vrry...,,tix'c�.
Adiditi --- iaJor>aui0a:" -7777-7
V xtmior painting: material ; number d own —If «j
.able wall Construction: E3 Osamu as main walk; ®�construction , Fact. Ass6me-Truss Gabe Coverage to res
::fix a ,.: -fit Wtiw s .{fie - .�:, a. ,.-.t. .. ;.e'.:,t. •.++.- -sv'-. . 1;:.�. �-�, ,�r��,.., ...�i.nrr�s
visor wood, grade, and apxiet ,Outer , bridging . anchors
4 :cr:aYte slab: Q basernent Atom Mt door;G%V dnd supported;Q self-supporting; mix • thickgeo ;
� ; inwlation . membrsno
Fib slab maaserial ;thickness—'. Additional information: g
}
(Duma"tr Wwfi o►ing for gpe"floors wx1er item 21.)
Material: grade and species , size . type
kaid: ❑ first floor;❑ secand Boor;❑attic sq. R.;❑ diagonal; ❑ right angle. Additional information:
i. MM FLOONNO.-(Wood only. Deta**oiler finish AoorinB under►hen 21.)
IAe Tl= Roos Gawis arm= Tsrauvsm WIVM I ■aa.?ARS Foca
rust Goon G
Second Boor
Attic Boor sq. R.
t.didi,' etai imfoernauom:
A Feivis 2005 hr* 26-1$52 REGUI:AR 1-1-77 DESCRIPTION OF MATEWAIS
i
DESCRIPTION OF MATERIALS
9, PMmION F*Amp4(�: FACTORY ASSEMBLED PANELS :
Studs: wood, grade, and species spatting 2"x4" 16 tr O-c. Otter
Stud Gr. Hem—Fir .;u and
Additional information: -
'0 CF]IIMG FRAMING, SEE TRUSSES BELOW
joist,: wood, grade, and species Ocher Trusses Bridging-
Add i tional i nforrution:
t. ROOF FRAMING FACT R A SEMBLED TRUSSES : or x RAFTERS - 1 1/2 STORY
xAsilk"wood, grade, and species 12 SYP-19% Max- MC Roof trusses (see detail): grade and species Stress_grade or
Adduonal information: construction grade ner MPS .
1. R0()FIH0: CD Plywood w/grain right angle to w/plyclips
Sheathing: wood, grade, and species trusses ® solid; ❑spaced—__"oz.
Roasng Asphalt-Thickbutt ;,rad, Class C -; size , tr� Plyseord _
Underlay 15# As ph. f e 1 t ; weight or 2 3 5 ; sine 12 x 3 6 ; fastening
Built-up roofing number of plies ; surfacing material (n a i 1.i
Flashing: material ; gage or weight ❑ 6:avel stops; ❑ snow guards
Additional information: Seal Tab
3. GUTTERS AND DOWNSPOUTS:
Cutins: material gage or weight ; sin shape
fbwispouts: material ; gage or weight ; size shape number_.,
Downspouts connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry-well. ❑ Splash blocks: material and size
Additional information:
4. LATI4 AND PLASTER
Lath ❑walls, ❑ ceilings: material ; weight or thickness Plaster: coats ; finish
" - all M walls,® ceilings: material Gypsum ; thickness ; finish Painted ,
•int treatment Taped & spaekled Ceiling ( ) Walls ( )
S. DECC ATING: (Point, wallpaper, etc.)
Rooms WAIL Ftwm MATsatAL AND Ar+ucAT10N Cz, No Fistm MATuLtAL ANd AnucATsox
Kitt!-en 3Com A 7G�JC - G S- T/ "OL CO -
Rath f- ,L r
Other 2 CJ04rl 6146AM LL04AWAZI
Additional information:
6. INTERIOR DOORS AND TRIM:
Doors: typeFlushH-C- - Other: ; material _ Lauan Mahog. Other; thickness 1-3/8"
Door trim: type 2" Teardrop. material W•P• Base: type Teardrop ,material W.P . .; size 3"
Finish: doors Natural. Otfler: ; trim Same as walls. Other:
Other trim (item, type and location)
Additional information:
r WIN)OWS: Aluminum Single Hung or Slider as per plan per - -
Wood ouble HuP'g Per Plan n Alum. . 062
Wind.3ws: type Per �i teres Mara 3 r ; material Alum. or Wood/ptaasuh thickness
Glass grade SS or DS ❑ sash weights; ® balances, type See Details ; head flashing
Trim: type material PaintAs walls-other • number coats MPS
Weatherstripping: type Continuous material Vinyl Storm sash number
Screens: ® full; ($half; type AIS reguired , number All ; screen cloth material FG - Alum.
Basement windows: type Per Plan maie Same above ; screens, number—;Storm sash. number
Special windows
Additional information:
I. ENT ANCES AMD EXTERIOR DETAIL: SEE PLANS
Main entrance door: material width 36" ; thickneu
1—3 f 4 Frame: material DF ; thkkncs L:5.Al 6"
Other entrance doors: material width 2 s -8" ; thickne131-3 �4 Frame: material DF thickness X16 m
)!cotes flashing Alum. Weathentripping: type Tension Alum. ; sadder Arum.
Screen doors: thickness 1=1/1$number l ; screen cloth material A1-11M- Storm doors: thickness "• number
or
Combination storm and screen dos: thickness "; number ; screen cloth material '
Shutters: ❑ hinged; ® fixed. Railings Per Plans Attiel uvea Vented Soffit - MPS
Exterior millwork: grade and species Exterior DF or RW pain,Alodine Prime—Plus, number coats MPS
Additional information: 2 Field Coats
t CJM AND INTERIOR DETAIL
AR► e CabineE a ai
K t;}wan cabinets, wall units: material Wood & Plywood ; lineal feet of shelves MPS . shelf width 12 n
Base units: material Wood & Plywood ; counter top Form ca edginQ Same
Batik and end splash 4" Formica Finish of cabinets Sealed for Natural Tonqumb.. coats 3
Medicine cabinets: make Kent model L2328 Other:
Other cabinets and built-in furniture All closets have S elves and metal hanger rods. "
Additional information: Linen closet shelves are 14" with lineal footage per MPS.
1. STAIRS:
Tacuss Rurau STWNW HAvuwL SAt.usTs is
STAta
Material Thickness Material Wckneaf Material Size Material Siwe Material Sine
Basement
Main
Attic
Diiappearing: make and model number
Additional information:
2
REGULAR 1-1-77
r y
1. SpAL, FLOORS AND WARMOT:
I.oa►rsow MATtasAt,OOLAM Doanst.51221R.GAo�Era TeasassLAL WALL Ass Ueeoaartooa
MwrsasAs. MwnaJAx. Mwruru
Kitchen
r.
L,oeAT 1 MATanus, C�rxna, 9001011A.CAP. Basra,GAGE, ETC. HetJO T Hssosrr H•puss Ten (Fsso cry SMov Flooeea)
Bath <1
Bathroom accessories: K Recessed; material number ; ❑Attached; material �rr2Atit/` number
Addi-ioal information:
FIXTURE Nuusea L.ocAreon MALA Mrs's Ftxsvaa lDeswrmncwrson No. Stzz Cocoa
Sink
Lavatory
Water closet "
Bathtub
eho%er over tubo
Stall showerA
Laundry trays
00 CurWn rod A❑ Door ❑ Shower pan: material
Fater supply: ®'public; ❑ community system; ❑ individual (private) system.*
Sewall d�u oaal: apublic; ❑ community system; ❑ individual (private) system.*
*Show and desmbt individual system in complete detail in separate drawings and rpenfiiaatront according to requirrnsmts.
Hoar- drain (wide): ❑ cast iron; ❑ Me;Q other Nouse sewer (outside): ❑ cast iron; ❑ tile; ❑ other
%A-'ester piping: ❑ galvanized sted; ❑ copper tubing;M other Sill cocks, number
Domestic water heater: tYK y; make and model heating capacity
gph. 100' rise. Storage tank: material ; capacity gallons.
Gas service: ❑ utility company; ❑ liq. pet. gas; ❑ other Gas piping: ❑ cooking; ❑ house heating.
Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump; make and model
capacity ; discharges into
O Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system.
❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model
Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: materia:
❑ Circulator. ❑ Return pump. Make and model ; capacity gpm.
Boiler: make and model Output Btuh.; net rating Btuh.
Additional information:
Warm air: (3 Gravity. ❑ Forced. Type of system .e G til
Duct material: supply return %1A 5S Insulation , thickness ❑ Outside air intake.
Furnace: make and model Input Btuh.; output Btuh.
Additional information•
❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.;output Btuh.; number units
Make, model Additional information:
Controls: make and types
Additional information:
Fuel: ❑ Coal; ❑ oil; ❑ gas; ❑ liq. pet. gas; electric; ❑other : storage capacity
Additional information:
Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑;bin feed ❑
Oil burner: ❑ pressure atomising; ❑ vaporizing
Make and model Control
Additional information:
Electric heating system: ty Ad Input watts; @ volts; output Btuh.
Additional information:
Ventilating equipment: attic fan, make and model ; capacity chn.
kitchen exhaust fan, make and model ,[aAJ4Arl - !)/SL�.QW_'GLi
Other heating, ventilating. or cooling equipment
1. ELECTRIC WIRINd: pp
Service: Ig overhead; ❑ underground. Panel.' C] fuse box; Z csrcnst-breaker; make AMP'S �S No.circuit—If
Wiring: ❑ conduit: ❑ armored cable; ❑ nonmetallic cable; ❑ knob and tube; ❑ other
Special outlets: Q'range; awater heater; ❑ other
Q Doorbell. [g-Chimes. Push-button locations Additional information:
S. UCOMNG FIXTURES:
Total number of fixtures Total allowance for fixtures, typical installation, f e:20b
Nontypical installation
Additional information-
3 DESCRIPTION OF MATERIALS
REGULAR 1-1-77
DESCRIPTION OF MATERIALS
b: 0,MPLATION:
[oc.nrrc�a T1rrr:Nsas Mwessuwt,7rn Ar+o MrrMcw M lrnrsuanoM --- VAPOR BAsarra
Rmf
Ceiling
Fiberglas Batts w va . barrier. Other : ZZ-/
Wall
Floor __-- —
HARDWARE: (make, moleHal, andf;nish.) Lock and Latch Sets — Weslock - Anodized Brass
Finish.
SPECIAL EOUIPMENT: (State material or make, model and quantity. Include only equipment and appliances which are accept-
able by local law, custom and applicable FHA standards. Do not include items which, by established custom, are supplied by
occupant and removed when he vacates premises or chattles prohibited by law from becoming realty.)
*, MISCELLANEOUS: (Describe any main dwelling materials, equipment, or construction items not shown elsewhere;or use to provide
addit onal information where the space provided was inadequate. Always reference by item number to correspond to numbering
uswd on this form.)
r1,ysPf- T)nnrc- Per Plan, Other:
PORCHES:
Fon' ings• Com C
Foli slot-i on• G•6,7 C-
Slal)•
TERRACES:
Footings:
Foundation:
Slab:
GARAGES: ( X CARPORT ( ) PARKING PAD ( )
Footings and Foundation: Co,IL .
Framing:
Coverage:
WALKS AND DRIVEWAYS:
Driveway: width base material S,4u thickness A _ ; surfacing material C622 G thickness
Front walk: width_: material t��'SI]L thickness". Service walk: width ; material thickness
Steps: material treads—"; risers . Cheek walls
OTHER ONSITE IMPROVEMENTS:
(Spertfy all exterior onsite improvements not described elsewhere, including items such as unusual grading, drainage structures, retaining toalls,Jena, radirgs,
and accessdry structures.)
LANDSCAPM, PLANTM, AND KNISH ORAD044: SLG e.✓A a c,rd
Topsoil " thick: ❑ front yard. ❑ side yards; ❑ near yard to feet behind main building.
La vas (senfid,seddid,oripnWd): W'Eront yard <o n ; []side yards So D [}-ear yard -.567-S
Ptanting: ❑ as specified and shown on drawings; ❑as follows:
Shade trees, deciduous, " caliper. Evergreen trees. to ', B h B.
Low flowering trees, deciduous, ' to Evergreen shrubs, to ', B & B.
High-growing shrubs, deciduous, _o �' to Vines, 2-year
Medium-growing shrubs, deciduous, to '
Low-growing shrubs,deciduous, to
lotxnrtGT1oN.—This exhibit shall be identified by the signature of the builder, or sponsor, and/or the proposed mortgagor if the lat,7 is
Gr»wn at the time of application.
Date /{ � Signa17,
Signature
A Fwim 2005
k r ,rn 26_1852 4
REGULAR 1-1-77
....
AV
CITY OF
Office of Building Official
7-21-81 REQUEST FOR INSPECTION
Date 43081
Time
Permit No.
Received 9:00 AM A.M.
III DUVAL
District No. /
1830 NORTH SHERRY DRIVE. j
Job Address
Locality
Owner's VALLEY C NSTRUCTION
Name contractor WILLIAMS ELECTRIC Co.
BUILDING PLASTERING ELECTRICAL PLUMBING
Foundation HEATING
..{] Wire ❑ Rough g .,❑ Rough
Chimney ......❑ Lath g Wiring gh .....
Framing """'...❑ Finish Wiring ❑ Final ❑ gh ""'•. ❑ P ,
inal ..,,, ..match .......E3 Fixtures .......❑ Sewers ........ nal
o� �srown .•.•.••.❑ Water Heater 9---
F P
Footing .....❑ Finish ..... ❑ Motors ❑ Gas ❑ "❑
Slab ........:.O Wallboard .....� Fnal IInspection.�p--out I ......❑
Lintel Beam ❑ /
Water .........❑
READY FOR INSPECTION
Mon. ues. Wed ThA.M.
Thurs. Fri, p M
Inspection Made M.
P.M
Inspector
pO I
W.pe of
Of
W96
0i 13U0109 C110%
�A
IR ItASPE- per"-%t T40.
f:o tq
(I.,)f-s o"ISIV VC, 0,
!:1 jll�o
-Time ac
Contract()( P`EFko
dress ...... f�10 140ater..
o ob o()9Water
h............
BOU
,ring Fina .......
VA009t,NN. Ing' Sewers........
5 `S SERENE -,Ojsr% jq,f se%,,
Gas —pjA-
ownel
,4,Me
ujj-j3%tAC3 y4ilfe-...**'*"*" — r% ........ COSS9,
B, 0 ............ Motors....
fouOdSt.%on....... .........
08V
cvviro ........ efo%.J". ...
Ming....
rr d
Brown
....*....... PeCTIO" rwrs-
pM
d
IFOV'
SGS
3%moa, J)" rovt
vt d
Vt_p
0,01
-Tues-
$AOO.
Wks&
j,spel-tion
ww-ctol
a-A.2
CITY OF
04.6,
Office of Building official
REOUEST FOR INSPECTION ----
Permit No.
,44 A.M. c)istrict
Date
Time p JA.
Received-------- 1-0calitY
4
1dr-
contractor------P-LUMBI.NG HEATING 0
Owner's �ELEC�TRICAL ...... Rough..-.-.-.-.-.,.,.,-,-0
-in.1.....
aING 0 sough
Name PLASTERING 0
BUILDING .....0 sough Wir.ing ❑ F Inal. ............... 0 Heater-
0 Wire............. D
Finish Wiring C3 sewers...............0
Foundation.,... C3 Lath..................0 Fixtures..........0 Gas... ...............
Chimney...........
......... 0 Scratch..............0 Motors............ cesspool ...........0
Framing............ 0 grown.......... 0 A.M.
�L.calit�Y
Final......... Finish................
wallboard ........ INSPECTION F ri.
READY......--FOR 'Thurs.--
Wed.
Tues.
Mon.
Inspection
Made
inspector
SA.2
CITY OF
,04 &4d%
Office of Building Official
REQUEST FOR INSPECTION 3081
Date-3/4/81 Permit No.
Time A.M. District No.
Received P M'
/ck�
1 829 NORTH S-HRRRV DRIVE 'yT
Loca ity
Job Address
WILLIAMS ELECTRIC. CO.
Owner's VALLEY CONST. contractor
NameELECTRICAL PLUMBING HEATING
BUILDING PLASTERING
Foundation.......❑ Wire..................
❑ Rough Wiring.❑ Rough...............❑ Rough............11
❑
Final................. ❑ Final...............
Chimney........... Lath..................❑ Finish Wiring.-E3 El Water Heater.. 1:1
Framing............❑ Scratch..............❑ Fixtures..........
Sewers...............
Gas
Final................. ❑ Brown...............❑ Motors............
❑
Finish.... Cesspool ...........❑
�yI /
Wallboard .......❑........El -�-� J_ A.M.
READY FOR INSPECTION Thurs. Fri.--- P.M.
Mon. Tues: Wed,
Inspection Made
Inspector
B-t.2
CITY OF
v.. *t4.& �tac+k A ida
Office of Building Official
REQUEST FOR INSPECTION
Date
2 ?S� Permit No.
Time A.M. District No.
Received P.M.
/ �� J/•fGX;i / A&A� - cality
Job Addre s r
Owner's �rd �o�f; Contractor
Name HEATING
BUILDING PLASTERING ELECTRICAL PLUMBING
❑ Rough...............❑ Rough............❑
Foundation.......❑ Wire..................ERough Wiring.❑ Final................. ❑ Final...............❑
Chimney...........❑ Lath..................❑ Finish Wiring.. ❑ Water Heater.. ❑
Framing............❑ Scratch..............❑ Fixtures..........❑ Sewers...............
Final................. ❑ Brown...............
❑ motors............EJ Cesspool ...........❑
Finish................❑
Wallboard ........❑ '-A.111f—
/ READY FOR INSPECTION Thurs. Fri. P.M.
Mon. Tues. Wed. f 07
Inspection Made
Inspector
B-1.2
INSPECTION RECORD
BUILDING PERMIT k �/e ELECTRICAL PERMIT ILI
PLUMBING PER4IT#_ekv5es
JOB ADDRESS 1830 NORTH SHERRY DRIVE
CONTACTOR VALLE CONSTRUCTION CO.
OWNER VALLE CONSTRUCTION CO.
TYPE DATE REMARKS INSPECTOR
FOUNDATION
FOOTING
SLAB
PLUMBING (R)
SEWER
1E�TORARY POLE
LINTEL/BEAM
COLUU'InT _ /
ELECTRI CAL(R) Zs� .� GCi�
PLUMBING (F)
FRAMING 3 �y'/
ELECTRICAL (F) � E��-�
OTHER
FINALIfo?/ _
i
i
r
BUILDING AND ZONING INSPECTION DIVISION o N
0 CITY OF ATLANTIC BEACH, FLORIDA Z
OD
cD
U) ELECTRICAL PERMIT Q
Z
Date_�: ��e Fee $ T: Permit No. 30
J
W
m
Location
Between +� � and
This is to certify that 0.
t _ ♦ .♦ . -
'' '" (Etectticbt Con♦ractor' U.
E
(Moitei•tectiicion)
has permission to install Electrical Construction as described herein in ofa
accordance with the provisions of the Electrical Code and regulations v '
of the City of Jacksonville, and subject to the information shown on the W
application, drawings and specifications which are made a part of this 3
m
permit. F-
for (4:
:.
oc
W O
Type of work: p
SERVICE: J
Coz-l.:c.tor iza i 1S ;!,"':
:s i:i::1t2 I.`t"1 P.',.1P 0� 12:1 4 i :t:LT C;-%1. rY.: -.;k
N
Feeders'
Outlets: O
Receptacles: - u
W
rJ` m
Switches: (n
Incandescent: �.
Fluorescent:
Appliances:
Liz
Air Conditioning: ' ,••-
Motors:
Transformers:
Signs:
Miscellaneous: FINAL INSPECTIONS — 7-21-81 — G.A.EDWARDS
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
MONTHS PERIOD, PERMIT Ete tritol lrispeNiort Svpervisor
BECOMES VOID.
4
b}
� .t, �• a. r..
f �
716 OCEAN EOULEVARD—DRAV.ER 25
` - ATLI NTIC ErACH. FLORIDA 32233
E _.
JULY 21, 1981
PRE-SERVICE SECTION
3RD FLOOR
JACKSONVILLE ELECTRIC AUTHORITY BLDG.
233 W. DUVAL
JACKSONVILLE,FLORIDA 32202
DEAR SIR:
THE FOLLOWING LISTED FINAL INSPECTIONS HAVE BEEN MADE AND ARE SATISFA-
CTORY:
PERMIT NO.#3082 - 1830 NORTH SHERRY DRIVE. ATLANTIC BEACH FLORIDA 32233.
WILLIAMS ELECTRIC CO.
I�
Sincerely,
GAE/REV G.A.ED NIARDS
DIRECTOR OF PUBLIC WORKS
S HO:.'EL.L JAL^ES E. MIHOON ALAN C. jENSEN L. W r It.T CN, JR. CATHERINE G. VAN NESS
._IC.,-..rriSSioner Commissioner Co-rmss;pnef Co•~.".ISS,c-er COTmissioner
D:=,VIS OLIVER C. BALL "'RS _ DE P. TUCKER. C. _ ZZ_ TJCKI rt
Hager City Attorney Ciry lice D , ctor of Pt iC 1 or.S
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION ---- ------- LOCATION INFORMATION ---- -
Permit Number : 11968 Address : 1830 SHERRY DRIVE NORTH
Permit Type :BUILDING ATLANTIC BEACH, FLORIDA 32233
Class of Work:ADDITION -------- LEGAL DESCRIPTION ----------
Constr. Type:WOOD FRAME Block: Lot : Twp: 0
Proposed Use: SINGLE FAMILY Section: 0 Subd: Rng: 0
Dwellings : 1 Subdivision:
Est . Value: 2 , 400 . 00
Improv . Cost : 3 , 850 . 00
Total Fees : 45 . 00
Amount Paid: 45 . 00
-------- OWNED INFORMATION - - ------ APPLICATION FEES ----------
Name: SCOTT HERBERT PERMIT
Addr: 1830 NORY"H SHERRY DRIVE
ATLANTIC TEACH, FLORIDA 32233
Phone - 904) 2'-'1- 0059
----- CONTRACTOR INFORMATION -
Name: FLOYD N. CARPTNI COMPAN'
Addr: 239 LEE ROAD
JACKSONVILLE, FL $2225
i c: CBC)56160 Exp: /
Type
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJEPT-g 1REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. 5
ATLANTIC BEACH BUILDING DEPARTMENT
By: CONTRACTOR COPY
MAP SHOWING SURVEY OF
LOT 6, SELVA MARINA UNIT NO. 10-6 AS RECORDED IN PLAT BOOK 36, PAGE 61
OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
LOT 19 I , .
V
SELVA MARINA UNIT NO. 10- C �: ,i
PLAT BOOK 37, PAGE 40 ( 1„',t;f 2t 1996
�, --------- � wilding ar d Zoning
I
I.
0 T 5
0 7 4 1
WOOD "L_ S 8913'07” w 101.59' FIELD O
_ _
�8 W 101.54' FOUfO x-CU, z
FOUND 1/2 ORGN EDGE 10' EASDAEN--
_�` 0.D RPE •LB ,048_ cD 1D _ \ o
I _ — c cEh as VE O
i24.4' 10 WO-.DING R CT1GN UNE �j 2
Ln 00NcAE1E
;a p = I
O I I O o
o x D , n
W 2' 2.2. �J / !
' 2 STORY it �N
I STUCCO I � ' - m
RESIDENCE °o
0 r 3 m i N 1830 L
vO
2.7'
00
v Ir
4
n
P �, 2e.4' 00
0
17.5 "°°° DED(_ 52.6'J —
N
% #L 10_SLI DING RESTRICTION LINE -- -J V Y 1 '
C 0 NGj G�
FOUND / � p
POPE NO CAPS F
N 89'15'24" E 94.68' FI Q- .. d
°S N 89'10'34" E 94.f�,� Pllk
L 0 T 2 T
V
THE PROPERTY SHOWN HEREON APPEARS TO LIE IN FLOOD ZONE "X"
NOTES AS WELL AS CAN BE DETERMINED FROM FLOOD INSURANCE RATE MAP
- THIS IS A BOUNDARY SURVEY. COMMUNITY PANEL NUMBER 120075 0001 D, REVISED APRIL 17, 1989
- BEARINGS BASED ON THE WESTERLY FOR THE CITY OF ATLANTIC BEACH, FLORIDA.
RIGHT OF WAY UNE OF NORTH SHERRY
DRIVE AS PER PLAT. THIS SURVEY WAS MADE FOR THE BENEFIT OF R SCOTT
-BUILDING RESTRICTION LINES SHOWN & KRISTA K. HERBERT; JAX NAVY FEDERAL CREDIT UNION;
ARE AS PER ITEM 7 ON SCHEDULE B OF GIBRALTAR TITLE SERVICE, INC.; AND COMMONWEALTH LAND
COMMONWEALTH LAND TITLE INSURANCE TITLE INSURANCE COMPANY AND IS IN COMPLIANCE WITH
COMPANY COMMITMENT NO. 864-366399 THE MINIMUM TECHNICAL STANDARDS SET FORTH IN CHAPTER
VOLUME 4704, PAGE 1090.
VUSTED IN OFFICIAL RECORDS 61 G17-6 OF THE FLORIDA ADMINISTRATIVE CODE (REVISED 1996).
O
UNLESS IT BEARS THE SIGNATURE AND –d /'�'
THE ORIGINAL RAISED SEAL OF A FLORIDA MAXINE C. CLARKE. P.S.M.
LICENSED SURVEYOR AND MAPPER THIS MAP L;C, SURVEYOR AND MAPPER No. 3117
IS FOR INFORMATIONAL PURPOSES ONLY AND
IN NOT VALID,
SCh: I" - 20' BOATWRIGHT LAND SURVEYORS, INC,
DRAWN BY: JS _ 1711 5th STREET SOUTH DATE:APRIL 19, 1996
FILE it 96-279 _ JACKSONVILLE BEACH. FLORIDA 241-8550 SHEET 1 OF I
jS-96-1 G
r � �
l _
v
W I
1 �
rill
i
L!
--Si-0 I
ca
m /
I
V
f .
7
E I
4
O
U
l;
E -41 ,l
r t1
� ll
r .
` D
1
r
f'
FLA LAWS
FS 713.�.13 n eYfCO/0414 aM
sr
t,c� orf V-&,jax = rnWrtf
owrsrw�f w ouruera�ar
ZVI CA= it mug
The undersigned hereby informs all concerned that improvements will be made to Certain real
property, and in accordance with section 713.13 of the Florida Statutes„ the following information
is stated in this NOTICE OF rCOMMENCEMENT.
Description of property. A. ....1........... .`......-..1 t....l.. z—,l.......... Y.Lu»c l! ».1.......
....^ ..........`.....».` ......»......»��........�1 l:��..,�...�:._....`��»_. »...»..».._. .»..». ..»». _........
n _
r
General description 't ...,. ., r r /M
pl of improvements....... �......`..5....�....(..� .......4.,
c
......................................................._...»............................I....... ................ ......» .. . . .».
Owner.......).... ..:,?.......r....l......... ......... ...`:.�..»��....�... �...° ............. .. .is» ..`,»» i2_ .._.. ......
Address........... ....... .. :............ .................................. ....E S..�'».. /� r�, ...._.....
Owner's interest in site of the improvement..........»..��».`..!..!....'<..............»_....»..»»..._..... _.... _ _.......
Fee Simple TWO Wdw (if other than owner)
Name ..........................................
Address..........................._..................................................._............................................._...............
...».
t:ontraaor......I........�. .`....�.. ....»... 3.»1...». ..t:c.»'..i:'»t..:t!............... ....................................»..
.�I.. J
Surety (d any)......__...................................................».....».».........................................................».........
»
Address...........»»..».................................................................»........................_ ......._. ........ ..A+ +ti of boed
Name of person within the State of ,Florida desipnNed by owner upon whim nofiae or atthar doawwre owy
be served:
Name .......................»........».....».............»............................................................................
.....» .._.
Addreu..................................................»...................................»....».....................................
»._ ....»»...... ».» _�.... _
In addition to himself, owner designates the following person to receive a copy of the Lienors Notice
as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option).
Nam. ..................................................................»......................»..........................................
»
Address.............................................................................................................. _.._. . .,... .� .»»...___.._...._ _.
•Hrs erACC FOR oxconOsf1'e use ONLr
.» .....»...d....... _
Ownw
Sworn to and subscribed aye 11tis......_......_............
_»
9q(�'
i CC 799718
:a=`�EXPIRE8:M& 26
gp�ded Toru NotuY RANO lktderv�tlSxs
CITY OF ATLANTIC BEACH PERMIT CALCU ATION HEET
Address ( ?3() NC, aCC-F
Date S—L 3 -- � (, ___
Heated Sauare Footage per sq ft = $
Garage/Shed .�� (� S per sa ft = S
Carport/Porch S _per sq ft = $
Deck �\ Ca $ per sq ft = $
Patio f S per sq ft - S
TOTAL VALUATION : S 3 d s�
SO
Tc `al Valuation 1st -$ 1000 _~u
.?W,0-0 !r $ !�
Remaining Value $-r. per thousand
or portion thereof
TOTAL BUILDING FEE $ 3 O
+ 1/2 Filing Fee $
( ) Fireplaces @ $15 . 00 $
BUILDING PERMIT FEE $_
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL IMPROVEMENT
SEWER TAP S
RADON (HRS) . 0050 S
SECTION H PAVING ( j $
HYDRAULIC SHARES S
CROSS CONNECTION S
( ) SURCHARGE . 0050 S
OTHER $
GRAND TOTAL DUE S
ADDITIONAL PERMITS OR FEES : Mechanical Plumbing
Electric/New Electric%Teml: : SwimmingPool
Septic Tankwe'll _ Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
r,
7c /
c�� �r r .4
'1
�0 ,4
r
r
Ra
Lli
4�� 1
�1
Now -�w a
Q k
N
o
1
_j Dc, s,
1
4 ` V
1-4
3 �
It-4
' o
j
CA
C
ti
t7-
n
cp
ia
Ll
�� oz0
o 10 e-
m�<
� m
t C' �
Av
x
x�
r.
PSR-3844 Q 5 8
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- ---- PERMIT INFORMATION --- --- LOCATION INFORMATION ------
Permit Number : 11958 ?address : 1830 SHERRY DRIVE NORTH
Permit Type:FOUNDATION ONLY ATLANTIC BEACH , FLORIDA 32233
lass of Work :ADDITION -------- LEGAL DESCRIPTION ----------
Constr . Type:WOOD FRAME lock: Lot : Twp:
Proposed Use: SINGLE FAMILY Section: 0 Subd: Rno "
Dwellings : 1 Subdivision:
Est . Value: 2 , 400 . 00
Improv. Cost : 3 . 800 . 00
Total Fes 25 .00
Amount - 25-. 00
r� A -6 � /I nor,
TION -- -- APPLICATION FEES ------_-
HamE ,a � er. � 'MTT 2nn
Addr . 18_ RRY DRIVE
4
B ft, FLORIDA 3:2'
Phon r n g
---- RA R UFORMATTf -
Mame FL M b �ARD"!N CO.
JACKSON 'T FLORIL..
L� c %CBQ5r51 £ Exp: /
TyP '' 1
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AbR SU@t§§qj Tj? RE\Qh� dtf i
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 6819
ATLANTIC BEACH BUILDING DEPARTMENT
t.
By:
PSR-3844 11968
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
-- -- PERMIT INFt-hMATION - - - - -- -- LOCATION INFORMATION -----
Permit Number : 11968 Address : 1830 SHERRY DRIVE NORTH
Permit Type:BUILDING ATLANTIC BEACH , FLORIDA 32233
~lass of Work :ADDITION --------- LEGAL DESCRIPTION --------
Constr . Type:WOOD FRAME Block: Lot : Twp:
Proposed Use: SINGLE FAMILY Section: 0 Subd: Rnq:
Dwellings : 1 Subdivision:
Est . Value: 2 , 400 . 00
Improv . Cost : 3 , 850 :00
Total Fees,: , 45 . 00
Amount P , 45 . 00
t
-- WNEF. I!dFr�)RATION - _ -- --- APPLICATION FEES ----------
Name,-f` SCOTT HEREERT PERMIT 45 . 00
A,idr - 1830 NORTH SHERRY DRIVE
7"TLANTI BZAC1 .�;. FLORIDA 322
L✓i, ' '412^1'0�'�"
------ C",NTRA,?TOR I FORMATT
Name* FLOYD M."CARDIN COMPP.11''
Addy',- ,39 LEL ROAD
JACKSONVILLE, FL #2225
Lic : CBC)56160 Exp `
mvr-;
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT Afi4SU§�§fyj if) REWRAj*t8R
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS 6825
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS
DEMOLITIONS
-t ` I
Owner(s) : �C- J 11 ,�, Sg T'1Y
Address : � Q S �} K? 1 Phone : �j
Lot # ILL Block or Unit # _ Subdivision:-�� 4414 cc/
Contractor :_ ,��� C� ►��
1j.42 r? !� i rJ
State License # C
Address : � � �J r� � �) � F(
z Phone No:
Describe work to be done:.
'
Present use of building: __ P .F 1 '� �L C `
Valuation of Proposed Construction:_
Proposed use : S
Is this an addition?(- If yes , what are the dimensions of
the added :ace
s ��
P ft . X ft . Will the added area
be heated and cooled?-,L,2� New electrical (or increase)?11---,Ir
New plumbing fixtures? /✓G New fireplace?11�Q_New Heat/AC? (V0
SUBMIT TkAX COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY ,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER,: Date:
Signature CONTRACTOR• —Z-- /"
License Supplied: � c�1
Ma
Liability Insurance:
Worker ' s Compensation Insurance : ��
vi1 i c;rF
Office of Building Official
REQUEST FOR INSPECTION /
Date _% Permit No. //[ 76k,
Time }OV A.M.
Received M.
_ o
J dress orality
Owner's
Name _ Conhaclor
CONCRETE ELECTRICAL PLUMBING MECHANICAL
Footing Rough Wiring Rough ❑ Air Cond. &
Re Roofing ❑ Slab C Temp Pole i Top Out ❑ Heating
Insulation ❑ Lintel Final ISewer ❑ Fire Place
Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. Thurs. Friday P.
A.M.
Inspection Made PM.
Inspector 011Final Inspection ❑
Certificate of Occupancy F--
Date
Date ___
i
26' i.c. q ,u 4 ♦ 7 6 a S:IC Z4'
i
L
Live one -
CT At _
r- C1AL
;
/ r; n
F1
� .:V '
2o'D'
- _ E
APPROVED
CITY OF TLANTIC BEACH
BUD ING OFFICE
2 9