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265 3rd St (vault) (3) J DEPARTMENT.010 CITY OF ATLANTIC BEACH PERMIT INPOMATIO9, ------ LOCATION INFORMA -------- T16N ,l PeMiX, Number: 13,358- Addresil ", 265 THIRD STREET PLUMBINO ATLANTIC BEACH, ' FLORIDA 32233 nit ,Type* Cil asal, of WOrk:ALTERATION --------- LEGAL DESCRIPTION ---------- T�pe;VOOD FkAMLP Block: Lot , Twp: 0 "P d Use: roppse Rng: Section..' ' 0 Subd:O' 0 j Doe'l 11 9s : Subdivi'sion.-ATLANTIC BEACH ' Es V�alue: 0 Impr V., Cos t 001'' To 25.00 S.00 Amo 't P4, 2 IN& ION APPLICATION rEEs ------- P XMIT 25.00 Addr. EZT B 6R'I 6 L DA 44p oa 0'_. 44, ph 4 fill RM P + C A �R 91 Name. -F. FA 'PLO "IWO' "Coilt, Ad VOW JACKSONI aCH IPL, 32240-1558 Six ft INV, � p T t NOTICE—ALL CONCRETE fORMSAN0 FOOTINGS MUST 00,INSPECTED BEFORE POURING ............. PERMIT VIOIDSIX MONTHS AFTER DATE OF ISSUE BUILDINO MATERIAL,RUssisH AND:DEaRIS FROMTHIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEAREP UP A140 HAULED AWAY 6YfITHER CONTRACT014 OR OWNER 4tFA%!JR,E'T0 COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN, lrHET"OPt�RTY'OW14E,R"�IPAYIINGLirwicE.FoRsuLott4G IMPROVEMENTS A ISSUED SSUED CORDING TO APPAOVE15,�PLANSWHICH ARE PART OF THIS PERMIT AWUBJWV*:RE%, 'T 0 N OF APPLICABLE PROVISIONS OFLAW. one, IL OTES.. ,;yXT TMENT LANTICiBEACH BUILDING DE By z; CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 194 OWNER OF PROPERTY : PLUMBING CONTRACTOR -p- w FAIR PT.TIMIRTNr. CONTRACTOR ' S ADDRESS : p- o- BOX 5155 J ck onville Beach, Fl. 32240-1558 STATE LICENSE NUMBER:---Rp on-175():l TELEPHONE: 904-2 41-7191 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED -SINKS SHOWERS ,LAVATORY _WATER HEATERS TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE ---FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3 . 50 + $15 .00 MINIMUM PERMIT FEE SIGNATURE OF OWNER:- AJ 4- r--,, (Z- SIGNATURE OF CONTRACTOR:- q ----------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - ( 904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 PSR-38�4 11129 DEPARTMENT OF BUILDINO' CITY OF ATLANTIC BEACH PERMIT INFORMATION ------ -------- LOCATION INFORMATION -------- Permit NuMbek: 11129, Address,: 20 THIRD STREET Peimit Type,: PLUMBING . , AtLANTIC BEACH, FLORIDA 32233, Class of Work. ALTERATION, ---------- �LEOAL DESCRIPTION ----------- C on� Type: WOOD FRAk-t Lot , Block* Section* � Proiosed use . UTILITY Township: RNG: 0 Dwe I Code, 0 Subdivision- ATLANTIC BEACH Es t i 4a t ed Value: Woo Improv. Cost. 00 zotal Fees : S25.00 o i DA W.ork -IGATION SYSTEM APPLICATION FEES - jio CAOl T PERMIT Z25.00 Ad Ad' STREET, 'WATER IMPACT FEE to '�o T W P 0 40,0 CH, FLOR I D&I PE M A('- 01 PEE 7 ell'A?l��#, , T-,� OrAfr 40 'RADON GAS-H.R-$. $0 .00 T T NFORK? ON, ------- RA D64 CAS 5%, N I TOATTO INC. CAPITAL IMPROVE� 90 ,010 , Ad, JAC ILLE, PL 32211 CROSS CONNECTION $0 .00 Lice Type:� 0 SEC IMPACT FEE -00 CdNST. SURCHARGE 0 NOTES: NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST 139 INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE sUILDIN%MATERIAL,,RUBBISH AND DE6RISFROM THIS WORK MUST,NOT BE Pi,!ACED IN PUBLIC SPACE,AND MUST BE UPL AND HAULED AWAY 13Y EITHER CONTRACTOR OR OWNER -'FAI�ARE T0,COMPLY WITH THE MECHANICf$ ,LIEN, LAW CAN R op ESULT IN 'ME ERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMEN TS M CORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT, AND SUBJECT TO REVOCATION FOR N OF APPLICABLE PROVISIONS OF LAW. IN C` AtLA I EACH BUILDING DEPARTMENT NT CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: OWNER OF PROPERTY : PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: TELEPHONE: :P"-/ HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: x $3. 50 + $15 .00 MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ...... ---------------------------------------------- ------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - ( 904) 247-5834 0003048 DEPARTMENT OF BUILDING ---CLTY0FATLANTJQBF.AQId- vocATrum xmPuftnATrax --------- rw3lmzt mumbvx-3 30,46 AcxurO002 zoo YKXKD 01 rarmi-t Typal ftm-ROOF ATLAKTrc baAcn, IPLDRrDA '32233 Close o:r Works KtA ---------- LWAL DftmcftrPTram ---------- Consltr. Type& WOOD P*AnE Lots blocks soctions rroposecT Use% orMULS PARXLr Townships Runs 0 DV011ingus 1 Code 2 %3 SUbCTIV1010112 Estimated vftlu&2 *a.00 Improv. Conts 00.00 To-tal frees% *22. *0 Amoun,t Pelcf: 022. 30 DftT.e Paid% 1t)t1ftt"-P0 Work Done. 2 ffit-ROUP Wt PX89:ftOLAWS Sn HOLLPS -------- OWURR Iff"RHATZOK --------- ---- APrLrCATXOK rZE0 ----- Mo I cWtImmm PERFIXT 1022. Mo Aduremus 263 TnxftD ST WATER rRPACT Pftft 00.00 ATLANTX0 BRACH, FLORXDA n22-2-3 sewftn xnPAcT leftit so.MO Phones VV*4)Z*"-"aa WATER naTeft 00.00 RADOM OAS-fto ft.ft. 00.00 ------- COMTRACTO* ZWFORRATrOK ----- - RADON tIAS - OX *0.00 "owes ROMANO BROTHERS ROOPrua WATER TAP 00.00 Addrems% 10101 ffArm STREET SEWER TAP 00.00 ATLAmvrc &EACH, FLORrDA 222,1*3 HYDRAULra mftAnft 00.00 License i RCOOZ"W3 Types 7 Re-r"Pavt Pam 00.00 SEC. ft r"PACT r*Eft 00.00 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.5y ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS O'F LAW. ATLANT BEACH BUILDING T By: 1 "U4 84 JOB COPY 0003048 DEPARTMENT OF BUILDING ----C[TYOFATLANTJGBF16GU- LIOCATX10H X"PURnATION ----- ---- Aaaress! Zoo rrfrnv TIT Type: ATLAffTXC btACH, PLORXbA Class oX Work% 14PA ---------- LEDAL Dt5Cft1PYXX3H constr. Type% wooD PRAtTLr, Lot I 1510CIK*. mecti on- rroposed Use: t5XROLLP frAnXLY Townshipt. Rue. V Ovellings. I Code 10 1-alubcylvision j Estimated value: Wo.i3fo improv. costi 150. 00 Total Pees: !WZ2. Vo Amount paid: Date Paid; Work Deac. -. ftE-ROOP Wt PXDZftU1LA15--4 15H THOLEIM ---- APPLZCATxo" risris OWK9!R Z1#P0ftftATX0K ---------- Hame I CROMER r=Nr11,r p Z Z. ;jv Address 1 261:3 T"Iftv !ST WATER XnPACT PEE $0. 00 ATLA*TxC nZACH, FLOhXDA n22'-23 SEWER X"PACT PEE CAU.010 Phone% V 1104)21-4"-"M6 WATER "ETER 010.0XI) '0,�,�- RADO" OAS-tf- ft- !E5- $0. 00 ------- CaNTRACTOR RAPOR OAS 00. 010 WATER TAP %0.1313 Address% 1001 ftht" SEWER TAP 00 ATLAKTXC BEACH, FLORXDA '32Z;Y-I HTDRAULM nhARIM 010 Typel fte-IMISPECT PEE 00 IffrAcy pet !00. ack 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 IMPROVEMENTS. THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANI C BEACH BUILDING T By: CONTRACTOR COPY 4', 0003048' 71, DEPARTMENT OF BUILDING ---CITY OF ATLANTIC BEACR: --------- rejoi-t jrypw 01604 ot Works I*t4 ---------- ---------- constr. Typw% Wtmv vp*Afvt % rro"o I Uww 1 code's a valtiamiteef Ya4LU41P I -'cost tm prov. outei ,raid v Work VvsQ14114§11w'lJ* rx"Zita""s 1511�nmm Acter as X"^CT oot RK 0 tow" 13 sewn" IrAp Ad r as "*Zg:v 4 7* IffrAc4r Pee NOTES: U NOTICE—ALL CONCRETE FORMS AMOFOOTINGS MUST BE INSPECTED BEFORE PO RING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH ANDOEBAIS FROM THIS WORK MUST NOT BE�PLACED IN PUBLIC SPACEIAND-MUIST BE I I CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. FAILURE TO COMPLY WITH THE MECHANICS' LIEN, LAW CAN RESULT 111, T IP H E, ROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENT'S MUEO ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOW, -v IOLATION OF APPLICABLE PROVISIONS,Of LAW. ATLANT BEACHBUILDING T 0003048 DEPARTMENT OF BUILDING -CITY OF ATLANTIC BEACH - l_VVA'Tl0ff l'"PVff!nATX"t4 RK-ROOF ATLAWrl(.� I�WhIGH, PLON10A k"'Ilaea 01 vctrk : uf A LtIBAL DV'.13CfttPTTk1ff 'C�ovostf . T-ype-,. WIDUP PRAME. 1'.cIt "I cjc.k: rrc_vpont�d Use*. ZT103LE. P'A"MT Yov ri es h 3 p; Cw t,)W el,1,-t(v 9 S� I Esi .1 04a t ed vbI xle z 0*0 I mvwl-ctv, 'Cowt 1 100 Total, f`eeS% "110 Amcmi-A t P&I a- Z2. nr_� 0 ot e r a 1,(1 . I"� I.ca" -.Io v� vese. t ftZ-ft0r1fr W,,, PTBZ1Tt1LAt31_`i '0W NULE"� APPLMATTIO" rEE'Vi Ptykni-r Acilress T"rho IMT WATrft IftPACT Pet 150. 0" ATLANTIc Ischr", pi-CINXVA 02"14"13 "Ewrn rnPAVT rtE 00 P tL�. 1010 tM4,o4)2*1f"-2* 131it- WAYeft nCTEK R A V00 M3 C,0tfTftA1C TOR IMPORRATION 0A.'3 -,Yn- "*awes R00ANO VIROT"ERS ROOVZ"O WATE" TAP Addx eecs t 1601 "At" t�5TRZeT 4�MWE% TAP vo. *10 T y pe WEE %0 1 Mi 241SIC. " lMrAcT MIKE Vic). "Ici NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANT BEACH BUILDING P ART7ENT By::: 0003048 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH it A k0�1� t I t t A t�, 4,z: rI 1 14 1 tl P I T"; ft I e0l"Iff" 9,'Al fill,I C t, v 10 w,)��t'� 144f i,,.m r t jV t,'d -1 1 1,40 A w o 4-1 V P�,tfl A k t j I JR t� R,Ott V, ,0 '1." 1 1 m,r-,,M L� ti tit.It V'1�1 ow" p T"i4l,,3#1 P, I'V k I fIl APf'! V A I 1�kltl f,F IS� z6n "rtiton W A I'llAq T M t',A. p:�t�, vow W j"," I"I,rt -I,r p,t�l r ATL,ARTXV� VCAV�H, f"tk.'�Vtgrtj�_"r�� III 104*4 "If" 42�*14"X-11 IN AT rl,C Tl V1 V�ft�' VA L)Otl A, il v 11 A T I I M t'Al:A-10 k.�A. , ria P-.-I,L.�f t rAla �'p 1. r",w v it,1, I A MY`A J F NOTES: NOTICE -ALLCONCRETE FORMSAND FOOTINGS MUSTBE INSPECTED BEFORE POURING PERMITVOID SIX MONTHSAFTER DATEOF 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 9 3 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. ATLANTj_Q BEACH BUILDING DtPARTtIENT CASHIER COPY CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s): 'Address: Phone: ' Lot # Block or Unit # Subdivision Contractor: T7, 4-�OC�7--e e�e-'-4hone: State License No. C OC�,Z 5 7 ,Describe work to be done: el� pbbotz- 'Materials to be used: Signature OWNER: Date: ,Signature CONTRACTOR: 2-2 Jeffrey K Hulsberg,P.E. 2955 Hartley Rd., Suite#202 Jacksonville,Florida 32257 (904)886-2401 FAX (904)260-4367 August 17, 2001 Mr.Don Ford City of Atlantic Beach Building Dept. 800 Seminole Road Atlantic Beach,Florida 32233 PROJECT: Love residence Permit No. 22256.000 365 3rd Street To Whom It May Concern: On the subject residence the contractor has changed the typical header from the(2)2xI0's noted on the plans to(3)2x8's No. 2 SYP. This is an acceptable change If you have any questions please contact me. Sincerely, 'K Jeffrey K. Hulsberg,P.E. ......................... F T C,D X SHEATHINC-7 ON EAGH SIDE OF HALL/ GOVER E3LCG< ING / HITH SIDING . :�Ix4 No .2 5'-rF 0 t 2 4 11 0 cl . FLASHING TRUSS TOP GHORD E3LCG< ING NAIL STUD TO SIDE OF TRUSS N/ (6) 151 '' x 5 /V411 NAILS (T"rFIGAL) - DETAIL OF WIDOWS WALK K_ MULLICA-N- LOVE JEFFREY K, HULSBERG, P.E. 2955 HARTLEY ROAD, Ste.202 JACKSONVIUZ, FL. 32257 rCALE: 3/4" f-o" PH. (904) 886-2401 FAX (904) 260-4367 DJM 11