488 Skate Rd (vault) PSR-3844 11430
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
------ PERMIT INFORMATION -------- LOCATION INFORMATION
Permit Number : 114�0_ Address : 488 SKATE ROAD
Permit Type : RE-ROOF ATLANTIC BEACH . FLORIDA 3223
,.'.lass of Work : NEW ---------- LEGAL DESCRIPTION --------
Constr . Type: WOOD FRAME Lot : Block: Section:
Proposed Use: SING'LE FAMILY Township: RNG: 0
Dwellinqs : 1 Code : 0 Subdivision: ROYAL PALMS
Estimated Value: $2400 . 00
Improv . Cost : $0 . 00
Total ,.. es $25 . 00
Amo
825 , 00
OWNER INFORMATION APPLICATION FEES -----
ADELLE N . 141tEY PERMIT $25 .00
Addres- 48�, SKATE ROAD WATZ IMPACT,,-- FEE SO - 00
FEE
TkAj;ACH , FLORIL� SE14j JW ,T
' n
3 WAftPik
PO 40�i��TAP
RADON GAS H . R , S .
------- T TO RADON CAB 5% 80 .00
C-NSTRU ' CAPITAL IMPROVE . SO . 00
Name : ALA , I'll , �?� 111 11 - 1,-, ---I- __
-AP
Addrests�7� X,'_frz,7 SEWER
JA- ILLL CROSS CONNECTION SO . 00
L i c Type , r SEC H IMPACT FEE 00
99"14
CONST. SURCHARGE
NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECTTO REVOCATIOffiheun
Rept: Qn3
1/07/9G 01
VIOLATION OF APPLICABLE PROVISIONS OF LAW. J
rifFIXg 26f
ooloo003221000
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOB LOCATION : -488 -<E�Vilcnze- lf!�aj
OWNER OF PROPERTY : .. 1,7 1Y, MllleV
CONTRACTOR
CONTRACTOR ' S ADDRESS : J*zf 2Z�, z,�
STATE LICENSE NUMBER: e145L11 TELEPHONE :
DESCRIBE WORK TO BE PERFORMED:
Z
VALUATION OF PROPOSED CONSTRUCTION
MATERIALS TO BE USED:
'SIGNATURE OF OWNER :
SIGNATURE OF CONTRACTOR;
Liability Insurance Supplied
Workers Compensation Insurance Supplied
1,icense Information Supplied
DEPARTMENT OF BUILDING 9696
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PEPWIT MUST BE POSTED ON JOB
79511 TL
Date May 19 88
7*9OCKV
7.50 3526 1 P, 5/03/0f,
Valuation$ 1, 171.00 Fee$_ —
9996, 900CAV
This permit not vabd until above fee has been paid to City Treasurer,and is 3520' 1 A 5/03/111
subject to revocation for violation of applicable provisions of law. 000
This is to certify that— DW CONTRACTING COMPANY
CGC 029616 8803 Yeoman Drive Jacksonville
has permission to b4y_ Re Roof
Classification p-agi douti 23 - Zone —
Owned by Acle!1-44H e Roy 1 Palm #2
Lot 24 Block 19 S/D
House No. A99 SKATE ROAD
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
No. 0 Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
,-.-up-,and bauled away by either con-
ct or owner.
0
Brdi�official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR ROOFING PERMIT
BUILDING OWNER -PHONE
JOB ADDRESS
3je. 1?d
LOT# j BLOCK OR UNIT # jq SUBDIVISION
CONTRACT01i2) 4 M PHONE
ADDRESS
LICENSE NUMBER- EXPIRATION
JOB VALUATION
MATERIALS:
6c)
(�o !
vo
SIGNATURE OWNER
DATE
SIGNATURE CONTRACTOR AT
D E
CITY OF
4&44dx Beac,4
Office of Building Official
REQUESTFOR INSPEMON
Date
Time Permit No. ?
Received A.M.
RM.
J J Address
Address
Owner's Locality
Name �2 Contra
CoNr �,r:
NG
BUILDING CONCRETE ELECTRICAL MBING ECHANICAL
Framing D Footing E Rough Wiring El Rough 0 Air Cond. & El
Re Roofing Slab 1:1 Temp Pole 11 Top Out Heating
Insulation Lintel 0 Final 11 Sewer Fire Place
READY FOR INSPECTION Pre Fab
Tues. A.M.
e Wed. urs. Friday RM.
Inspection Made - r A.M.
PM.
Inspector al Inspectio
Certificate of Kc-upancy 0
Date 7777�-
q7 4&4A& Be"4-11OU-44
Office of Building Official
REQUEST FOR INSPECTION
'r to
Date Permit No.
Time
Received RM.
-V
498
Job Address Locality
Own:r's
Nam C� .—Contractor&,�a���
BUILDING CONCRETE PLUMBING MECHANICAL
Footing 11
Framing <
I �Atg E- Rough 1-1 Air Cond. & El
Re Roofing Slab 17� Temp Pole E. Top Out El Heating
Insulation Ll Lintel El Final �] Sewer 1-1 Fire Place 0
READY FOR INSPECTION Pre Fab
Mon. hurs. A.M.
Tues. Wed. CD Friday_RM
Inspection Made A.M.
Inspector Final Inspection 0 119le.4sQ—
of Occupancy E
rA Date
"3
DATE:_ Z,� 9-
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE'
SATISFACTORY :
I�&_�� ��'�� ',A- --7-
1 )4�J" '� Z'
----- ---------- ------- --
-- --—----- --------- ------ ------------------------
--------------------------------------------------
Ai
---------------------------------------------------
--------------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY,
r
BUILDING INSPECTION DIVISION
cc:FILE
PSR-3844 6912
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- -- PERMIT INFORMATION -------- LOCATION INFORMATION ---------
Permit Number : 6912 Address : 488 SKATE ROAD
Permit Type : MECHANICAL ATLANTIC BEACH , FLORIDA 32233
�'lass of Work: ALTERATION ---------- LEGAL DESCRIPTION ----------
Constr . Tge: WOOD FRAME Lot : Block: Section:
Prmsed I se: SINGLE FAMILY Township- RNG: 0
Dwel ings : 1 Code: 0 Subdivision:
Estimated Value: $0 . 00
Improv . Cost : $0 . 00
Total Fees : $37 . 00
Amount Paid : $37 .00
Date Paid : 6/ 7/93
fh=zil� RrIeLAI;L f2ENTRAL HEAT AND AIR
--------" OWNER INFORMATION ------ ---- APPLICATION PEEN
Name : ADELL WIELLY PERMIT S37 .00
Adr1ress : 488 SKATE ROAD WATER IMPACT FEE S0100
ATLANTIC BEACH , FLORIDA 32233 SEWER IMPACT FEE $0 . 00
Phcne * ( 904 ) 387-21106 WATER METER SO .00
RADON GAS-.H . R - S . 80 .00
- ------ CONTRACTOR INFORMATION ----- RADON GAS - 5% $0 . 00
Name: TAYL�DRS HEATING & AIR COND WATER TAP $0 . 00
k1dress : 538 LOCUST STREET SEWER TAP $0 .00
-JACKSONVILLE , FL . 32205 HYDRAULIC SHARE $0 .00
License : RA00221191 Type : 2 CAPITAL IMPROVE. $0 ,00
SEC ,H IMPACT FEE so . of7l
OTHER.
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95
Vw_TDQTT0N DATE. 06=93
TIME: 12:14 PIII
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJETP&TO REVOCATI(4y.WR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $37.00
Dag;&
RECEIPT RMBER: 090333
ATLANTIC BEACH BUILDING DEPARTMENT
BY:
_77'
WILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTiC igE^uH, FLORIDA, 3.2133
APPLICATION FOR MECHANICAL PERMIT , CAU-IN NUMBER
IMPORTANT — Applicant to complefe all items in sections 1, 11, 111, and IV.
Street Address:
LOCATION
OF intersecting Sireeti: Z),ey-I'Vel And
ENTIFICATION — To be completed by all applicants
In ronS;J*,atjon of pormif cliven for coing the w(Drk at descr;bR,d in the abovp statement we �t�feby rig To fc, perform so�d work in accor�anca
with the affachpizi plam and SpeCjf;t;aj;ons which are a part kefeof and in accordance w III the City of JaclksonyiII9 ordinances and standards
of good.pracf;ce I;Sioj f6r0;n.
Name of Mechanical --- " .1 Contractors a 0) 11
Contractor 1print) — ? Matter 9z
Name of
Pirop6rfy Owner
Signature
hafgr# 9f Owner of
11 1
fliorIlLed Agent ei 1 Architect or Engineer
LIL;g ilft_�——--- I
Ill. L NFORMATION
A' Type of hoatinri fuel: B. IS OTHER CONSTRUCTION BEING DONE ON
THIS BUILDING OR SITE 7
Gas—0 LP Ej Nottiprol E3 Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION
on PERMIT
C) Other — Spiocifir
IV, MICHANICAL FQUIPMINT TO it INITAU" NATUAE OF WORK
(Provide complete list Of comp"onts on back of this fam") P"O'Residential or 0 CornmqrCiat
D- Heal 0 Space 0 Roeftwd 0 F16W 0 Now Building
C)--9t Conditioning: [3 R96M Er"Centirfil P--Eistlng Building
3 Duct, Systaim Matoriel ThIcinow— Q-�eplqcomont of exiating system
mallimilm c4pq0+V c.f.m. 0 Now installation(No system previously Installed)
LJ Extension or add-on to existing System
0 10699wCon Ot her — Specify
CooliAo toweir: copacity
Fiew eprinklers. Number of head, P
(3 E6y&i*r Q Monlifil 0 THIS SIPAC* FOR OFWA UN ONLY
48wine PUMPL---
Took-- thumbee) Rernmris
(3 LPry 0"Itainers
Urifiried ptw"uf*vow[ Permit Approved kry
0 1916"
Permit Fee
b Swify
PEIT ALL EQUIPMENT
AOL CONDITIONING AND REFRIGERATION PoUlPMENT C% ApPMUS
if;ty )2
DwrlpUon Model Numb-or Manutsictu"r
Number VnItA Avow
z
dJ
HEATING FURNAICUS, BOILERS, 17.11REPLACES
N=ber Vrlta Voiscription Xodoill,NUrAbeir manufactwe" (BTU) A#MW
//LI F)OOT--k—d—&7L '36-ocir'. ZT."j—
TANKS serw A Vir
sw many NOMIlin, Capacity Type LAquid Name of PPM 9
6" rftnsbdms Contained No.
------------------------------------------------------------------- ------ --------------------
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
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,
Vl'HICH ARE A PART HEREOF, AND IN ACCORDAN Wj H EELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES. -ORDAN i
W
�E �nj&,
COIAJ 7. IAJC
�STIE L
ELECTRICAL FIRM: MASTER EL CTRICIAN SIGNATURE URNEYMAN
NAME T'-"-� �—n 0, —ADDRESS:'- s - SV-/D':T-c ��61RFD-Box
BLDG.SIZE 0 c) BETWEEN: L P, f,)A T G:-
RES. AP"T. comm. ( PUBLIC INDUS. NEW( REW.
ADDITION ) TRAILER ( TEMP. ( ) SIGNS ( ) SCI. FT.
SERVICE: NEW( INCREASEt4' REPAIR FEE
CONDUCTOR SIZE (c) AMPS D-N-') COPPER ALUM.
SWITCH OR BREAKER PH -a- -W -�-(OVOLT -�;L /---I"MCEWAY
EXIST.SERV.SIZE AMPS PH W K
�qC-'VOLT
RACEWAY
FEEDERS NO. SIZE NO. SIZE- NO. SIZE--
LIGHTING OUTLETS CO
CONCEALED_ OPEN ---- TOTAL
RECEPTACLES CONCEALED_, OPEN TOTAL
0.30 AM�8-- 31-100 AMPS, I
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES
AIR - H.P. RATING H.P. RATING BELL TRANSF.
CONDITIONING COMP-MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
"S -3 C) c
MOTORS H.P. VOLTAGE P S NO. OVER VOLTAGE PHS
H.P.
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. KVA
NO. NEON TRANSF. NO. VA.
EACH SIGN SWITCH FLASHER
FORWARDED
TOTAL FEES
FOR OFFICE USE ONLY
Date----- ------19 ......
Permit #-----/,_�9�__Fee $210.9110.....
CITY OF ATLANTIC BEACH Valuation $.-15-0-Doet.......................
FLORIDA House #---Of........11r.4__rA.r.......
---------------------------------------------------------------------------
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. /- 16- 171
Date...................................................... ---------�' 19.
go p wf /5 r. .o.,r fx 0
Owner----- - --- -- ----- - ------------------------------------Address---- ---------I-----------------------------------.-Telephone No-----------------------------
-_--------------------Addres&-----------------------------------------------------------Telephone No.....-----------------------
Architect.--------------------_-----_-----------
I . e r
T e hi ------------
-�T=
Contractor Builder---- . ..... ---------- - - ------ ---- . ... .......--Address....... . --------------------- Dne No.
------------
----------- Sub Division_�_&----7_-------------------- --------------------------
Lot No----------- -----------------------------------Block No. - 7 -------Zone
4W-.� n ------------Sts.
--- -------- - -------Side Betwee ........ ------------------and----4�,e
---------------- -------
--------------------------------Street
s ---- ------ - . ......Type of construction
Valuation $-----Z04W----------For what purpose will building be used ----------
Dimensions of Building--._340_)kJf_)t-----------Dimensions of Lot----li-y-OP-----------------------Size of Footings—.... -----------------
Size of Piers-- ------- ---------------------Size of Sills----- - -- -----Greatest Sill Span in ft---------_----------------Type
How will Building be Heated?---- ------------...Will Building be on Solid or Filled Ground?_- -------------------------------
------------------------------- I�' I :L ff
Size of Ceiling Joists-------------4LA-4---------------- Distance on Centers..........0----------------------------I Greatest Span-------------------------------------------
Size of Floor Joists----------------------------------------------- Distance on Centers......... --------------------------------- Greatest Span-------------------------------------------- of
----------------- Distance on Centers ...... -----------------------, Greatest Span----------I_. ........................... it
Size of Rafters -----------------t-.'X..6..
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 oN
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam. 04
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
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 fegrm said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City oL Atlantic eae
Address.. -----------0-7-o--- ---------------------------------
Signature of Builder......----- ---- --------
_k�---------- . .....V W,
............ Address....................................................................................................
Signature of Owner--------- ------ ------------------
4Z7.- -- / —
BUILDING 7064
DEPARTMENT OF CH.FLORIDA PERMIT NO.— i
CITY OF ATLANTIC BEA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB 1b.up
1500c,
Date__A_W�Ust 1�0 19 B�L__ 7894 /03/
15-00 7064
1 738-80 Fee
7394
Valuation to City Treasurer,and is
This permit not valid until above fee has been paid .. f law.
subject to revocation for violation of applicable provisions 0
This is to certify that ADUL 'VM-�"y
488 Sl'�ate Rodd
has permission to build S reen Pordi as Der :),a-Is stftdtte(I
residmtial Zone RS1
Classification Adell Wilqr
Owned by Block----S/D --------
Lot
House No. ich are part of this permit CRETE FORMS
According to approved plans wh NOTICE—ALL CON
ITINGS MUST BE IN-
AND FOC POURING*
SPECTED BEFORE
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
ing material,rubbish and debris
0 Build iot be placed
A must I
z frorn this W(
blic space, and must be cleared
in pu
up and hauled away by either con-
c ner.
Building Offic""
CONTRACTOR
PERMIT DATE
FOR OFFICE NUMBER
USE ONLY
PLUMBING
ELECTRICAL
SEWER
WATER
CiYY OF AIT)VUIC MACH
APPLICATION TO MKE, ADDITIONS OR ALTERMONS
i e 2
D.,:ter Address
__�hoi
A-cchitect-- Address Phone
Cont-j-'actor Address— Phone
ConLractor,5 M-cense/Certification. NLEbers
E:..piral-ion Date
Property Address_�"/ Zoning
Lot # Blcok or Unit # Subdivision
Valuation of Construction $ Type of Construction
Describe Work to be Performed S el-,-
Materials to be Used
Present Use of Building-
Proposed Use of Buildin&_
Flood 4 '75 -1 R .0 V E D
l!'C BEAM
Dir-pansions of NlewArea:
HEATED 1) 10.185
CARAGE OR STORAGE
CA1U:1ORT OR PORCH
DECK
PATIO YES NO IqUlBER
will there be an increase in number of units? Jor
Will there be a decrease in number of units?
Any additional pluijbing fixtures?
Any new fireplaces?
SUBMIT M OC)',',IPI= SETS OF PLANS INCLUDING SITE PLAN
Signature 0.�,NER /Vea/� J
Signature COINFRACTOR. Date
DDRESS
PLUMBING PERMIT
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT
TEMPORARY ELECT.
eated Square Footage @ $ per sq ft = $
arage/Shed @ $ er sq ft — $
arport @ $ _per sq ft = $
C7
:)rches @ s per sq ft $
2!ck @ $ —per sq ft = $
Itio @ $ —per sq ft = $
TOTAL VALUATION
-73 o $
)tal Valuation Data lst
7
-mainder Valuation @ $ 6107) per tbousand
or portion thereof
TOTAL BUILDING FEE $ 0 .
+ -k FILING FEE $ Is
FIREPLACE @15 . 00 $
TOTAL BUILDING PERMIT $
------------------------------------------------------------------------------
�UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
ECT. TEI-EPORARY $ ELECTRICAL PERMIT $
TER METER SIZE $ ACCOUNT NUMBER
WER IMPACT FEE -$
TER CONNECTION $ (@10. 00 p.er fixture unit)
PROVED BY: TOTAL BUILDING/PLAN FILING FEE $
TOTAL WATER METER CHARGE s
TOTAL SE14ER IMPACT FEES s
TOTAL LATER CONNECTION CHARGE $
MISCELLANEOUS CHARGES $
GRAND TOTAL DUE:
10 At-
.............
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