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332 3rd St (vault) ADDRESS .33 2 � ti BUILDING PERMIT NUMBER INSPECTIONS: FOOTING UNDER SLAB PLUMBING ,� � -� SLAB r FRAMING COVER-UP (ov INSULATION J ' FINAL BUILDING .3 '" a CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # 2 -70 / INSPECTIONS ROUGH FINAL f s, MECHANICAL PERMIT # / PLUMBING PERMIT # IO01 NOTES : t PERMIT WORKSHEET Certificate of occupancy Job Address: 3 Type Work: RgIq Property Owner: Phone # Contractor: Phone # • r.l l� � - � t �e� 73 7 a Permit#: Date Issued: CP�✓�L.�- �Z-/.3�0 Building Inspections: Footing Slab Opely F l oa Tie Beam It& eq Lintel Nailing / Sheathing Framing / Cover Up 0 Insulation Final Building Tree Permit# �— YES NO Electrical Permit# Date /Copy to JEA Temp, Pole Permit# Date /Copy to JEA Temp. Power Letter Received: YES NO Inspections: Rough Electric Released to JEA Temp. Power Released to JEA Temp. Pole Released to JEA Final Released to JEA Mechanical Permit# Inspections: Rough d ) Final �— Plumbing Permit# Topout Inspections: Rough / Undersla Water/ Sewer Final Drainage Inspection: —� Pool Permit# Final Inspections: Ste Final Roofing Permit# Inspections: Nailing /Sheathing Final —� Fire Inspection: Failed Inspections: roun�(�, 23 -� Date Paid: Date Paid: � 100,14- 'DEPARTMENT OF,BUILDING :x CITY OF ATLANTIC BEACH . .. EMIT INFORMATION LOCATI{3N Il�t '€ TIC I. Perms `N r t lf�l l4 Address : 3'32 THIRD STREET Pe m t, Type 'PLUMBING ATLANTIC I9ZACH t FLORIDA. 32233 ss + Wcarls AI 13ITION, _� . _.._, LEGAL ,DESCRIPTION C6 tr. Type: SOL PRAMI Lcrt : El c�c c Suet on I�r�p e+d Use: MINGLE *AMILY Township*. RNC : fl > w 1<I ings: 3 Cade: 0 Subdivisi n ATLANTIC 1,2EACH Utix fisted Value: $0.00 1,0 Dov. ost . Sys. iI Total . es# ' '' $54.00 + 54.00 »- TION44 , ESL'" ' .QB ,.4xk ` Adcl es STREET NAT, , ; IMI+ACT, E � ,I t x T CAH, FLORI t •}y `{� 4 ¢ ��' Vl­ RADON 4AS >R y $0.00 NICO MA ON RADON $0 .00 IR LUMB 114 CAPITAL T 1 Rt3 Ufl AC ILLE `BCH ,o PL 32240 1558 CROSS CONNECT tON* $0 .QB Typet, 0 ,^SEC H Itp+���I'yA+�} }� IMPACT FEE 00 , 1 i NOTICE.--ALLCONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEIFORE.POURING PERMIT VOID SIXMONTHS.AFTER DATE Ot*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 OFF OWNER "FA AE TO COMKY WITH THE MECHIANIVS L1E !:A' ` CACI: R T IN TH IRC3PERTY,OW-NER PAYINGTWICE FORTHE SUILDII I4`i I P C VES 1SSkJEI ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND Sl1BJECT" REUOC#TI M SDR 1 I AAAAA ION OF APPLICABLE PROVISIONS OF LAW, ATLANTIC BEACH BUILDING DEPARTMENT ` 14' 1/12/94 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT 10,9 JOB LOCATION: OWNER OF PROPERTY: BUILDING CONTRACTOR: 61 PLUMBING CONTRACTOR F. W. FAIR AND ADDRESS: Jacksonville Beach 1 . 2240-1558 TELEPHONE NUMBER: 904-241-7191 STATE - - STATE LICENSE NO: RF 0037503 TYPE OF BUILDING: TYPE OF WORK: 'PT.TlMRTN(; HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS / SHOWERS .Z LAVATORY / WATER HEATERS ,[ BATH TUBS DISHWASHERS URINALS / DISPOSALS 02 CLOSETS F WASHING MACHINE FLOOR DRAINS - SHOWER PANS OTHER TOTAL FIXTURE COUNT:-�_ x $3.50 + $15.00 = $� ---------------------------------------------------------------- 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 FLA. 1967 LAWSeAMCo FOAM a" FS 713.13 it � 41, 1►11t►AR9 IN PUPLICAT60 to W4= it Wn >rps'[t= 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 NOTICEOFCOMMENCEMENT. Description of property........4cJ../X.. .. .. ......Zo"e. ....... .... !at' .'. . ....L0, ....... ?.l.Tti!......a��°"................ �0�. .5. ...{ ......5� .�.�,...... r , .:.�. _ k; ......w.. ........ — . . ......&qe........ .i4c ................... 01. ........... ...... ....t............. ._.' ................................ �............ #G.... ....... ...........F ?L`Qn`Lr....t�.., .Rr ...... .....1�- - ..... Lrrr...Q,aok 5 Pr.-c�c �0 9 .... ........ ......_.. ...t.........s........................... General desuiption of improvements.............................�:..�......�� ....`.. .`.��.;. .........+1....... .!-4 .�...... �.....��?..t.TH...... e.,...4.2��- �cA� ,4�2 c 1 t�ouI ..r.. .................... �...�...... J.0W...�........... Owners.5.)...'..'.°.C.�-... .:.... ,. .f ..........a�!..2....... A�C!J�..,....T ti e �.-scz...... , .!°4.................................... .. Address._...3.. ..s?.. ....... 7711A.I.9—A» I �l l 1 ±4,,T►c ..rz ,h �L. .� Z 2 .... 3 r.............. . t...,... ...._ .. . ............_............. Owner's interest in site of the improvement.......... .to..................................................................................... .................................. Fee Simple Title kidder (if other than owner) Name... Address..................................................................................................................................................................»..................................»..................., Contrador......................................................................................................................................................................................................................... Addrau................................................................................"....................................................................................................»......»..»........»..............._ Surety (if any).............................................................».................................................................................................................. »............................. . Address...................................................................................................................................................... Amourd ddress........................:............................................................................................................................Arnaxw of bald S................................ Name of serr.d:person within the State of Florida designated by owner upon whom notices or other c6miments may !!I IName...........!oto.u. .........................................»............... Addreu............................................................................... .....................................................................,.................... ............................................. additionIn to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 17113.13 (1) (F), Florida Statutes (Fill In at Owner's option). l Name -�-pgP pr ......2: THIS e.ACrs FOA I ....»... "Co""CIVe Uee ONLY 1 «............................. Book. 8581 Pg" 2363 Il w. 3.93III* 1.wws AAKCO FORK mors 7'13 Njuxurr of Commetirtsment 1"11tA114 1M DUPLIQA191 fuhum it Mq ra><W= The undersigned hereby informs all concerned that improvements will be made to certain real t property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Descriptionof property.....................��....»....... .....•�•r........ -...'....j.......,...........................................»...»..................»........•,............. ........................................................».....A-7 LS�............ Z�33 I.00/L L...............»......... r w . QeL .. .......................... ......... ......».......................I................................................................... .......,.......................... General description of improvement$....... ......_..., ./X,•J„i§»�5 c�!c,ep » oac�1 •oC?r1........N................. ..•.........�/.,......�....•......................,............,.,........ .•...................... ....... »........... ,..... ........ .... »....... Owner......... Addreu.,...... .3Z..... L�.... �............. ..../` »3..... ....».....»............. Owner's interest in site of the improvement............ ........,•........•.•...................................».........».......»..» ».................... Fee Simple Title holder (if other than owner) Name............................................................. Address......»................................................................... .................,...........................•.............•.................».....»..........»..»..».......»................»•......... Contrador............. .�N _............................ Address.................................. .........»....................,......_..................•,......,...................................................,..».......»....»»........._......».............»......» Surety (if eny)..». ..... � ....».......»................................................... ..»..._...»..».....»...»........................ Address.............»...........»..................................•.... ..»............•.....................»............................_.............Amowy of band s....................»....•..... Name of person wdhin the State of Maida d•sowed by owner upon whom notim or other doasm s may be served: Name............. .......... • .,........N �,:»......................»................._.........•...........................................»....._............._..».....»..»................»......».»...».......... Addrest In addition to himself,owner designates the following parson to receive a co the py as provided in Section))71P.13 (1) (F), Florida Statutes. (Fill In at Owner's options i. ienot's Notice Iq Name-.............................. .1J.. .....,...............................».............,....••.••...........................................................»..»»»..__.»...._................I............ Address"IS •PARR Fon RRCORoRR'e YeR 6HI.r................:.__>^ �.....�,ry...«.._..... ...._ ...........» .. .».....»............................. Gap �f�0a �• aC� o Oo LaDaL�� �L��d �� OGS THE WEST 112 OF LOT 9, ALL OF LOT ii 6 THE EAST 10' OF LOT 13, ATLANTIC BEACH AS RECORDED IN PLAT BOOK S. PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. Tiq IRO STREET 40"R I CHT OF WAY 4' CONC. SIDEWALK _ _ 85. 00 H 225.00' 10.00 'Z 60.00 25.00 2500 �� �• X00 FOUND /NO+O CAPON P'PE FOUND 3/4' IRON PIPE �O O 1 1 NO CAP Op,l . •�+ ' I oi0 I ',. a I In In I I . I.Z. I x I IQ u SFENCE I C 4' WOOD I I W t FENCE 127.7 sR o J2ui p> m� 4.9 14.6 16.4 z x Jmy �y / •. uW � LL �N I OLO I8 �z O I � ONE STORY FRAME I� �~ 81 BLOCK4 LOT 15 u w O I ., N0. 332 I o o BLOCK 4 I" �� LLQ `z IM LLo ~I ~o 1 27.7 29.I 111.6cd I �� IW Z N sste�G JTa/u �Z x I4.6' I o I,�a;X x 11.71 I4.6 1 I °al Lo I 90• X 1 4— 0.00 50.00 25.00 ! !' 25 00 _ FOUND 1/2' IRON PIPE 85. 00, FOUND 1/2' IRON PIPE NO CAP ( I NO CAP 1 LOT 16 I I LOT 12 I LOT 10 I LOT 8 BLOCK4 LOT1 BLOCK4 I BLOCK4 I BLOCK4 BLOCK4 I CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address ) 3 2 S7- (S1 k''k(.rz- 0,0P I l 104d to Date 3 Heated Square Footage @ $ per sq ft = $ Garage/Shed ^I1��� @ $ per sq ft = $ Carport/Porch , I 1 @ $ per sq ft = $ Deck C �r� @ $ per sq ft = $ 0S Patio @ $ per sq ft = $ TOTAL VALUATION: $ S'a c- Total Valuation 1st $1 1 C)6) CL) ) 'I �o0 [ SS .— $ Remaining Value $,15-. per thousand or portion thereof TOTAL BUILDING FEE $ 1 0 + 1/2 Filing Fee $ ( ) Fireplaces @ $15.00 $ BUILDING PERMIT FEE $ a 5 .t- WATER IMPACT FEE SEWER IMPACT FEE WATER METER/TAP $ CAPITAL IMPROVEMENT SEWER TAP $ (� ) RADON (HRS) .0050 SECTION H PAVING HYDRAULIC SHARES $ CROSS CONNECTION $ SURCHARGE .0050 OTHER $ GRAND TOTAL DUE $ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: e/ CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s ) oca.a ��1 rZ2. �.� Ccxao Addre/ s Phone : Z �+9'-I`74 Lot #Au- /l Block or Unit # 1D/ /� _ Subdivision: Contractor: , Address . & Phone No : ' '_qck- -7-1y 1 Describe work to be done :_SCLc-o"D CGu,es_r Present use of building: L+4+Crst�t Valuation of Proposed Construction: 3Z.000 Proposed use: (.Dcde%; 4-saw5t Is this an addition? )(C-% If yes , what are the dimensions of ' ci the added space: Z. ft . X 2 b. (8_ft . Will the added area be heated and cooled? C.S New electrical (or increase)? New plumbing fixtures?-4r.-a- New fireplace? too New Heat/AC? \J`.- _ SUBMIT THREE 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 : a^ // 7 T Signature CONTRACTOR: _. . - : , A *°iF FLA. 1947 LAWS "r FS 713.t3 QAMCO ROAM AOe of T-n-matruirruwnt 1111[PARU IN DUMICATZ) it Mix= 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 NOTICEOFCOMMENCEMENT. Description of property.......0 ../X.. ...�...........zoN...Q.......Z.... ! +^ I 1.�.O.,Q....S.�....{ ......S!. Lo Description ....... .I.—. !.....d.ad ............... ......... .........'1....................... ............................................ ..........t....j......�.-.i.�„.».°-�:�o....�-.Po...T. ............... , ..... . r ...�..� .m..c.... �.o1 .`.�j.c..T.... ............ ........ti... .V �� !..... r ....................................... ....._...».......................................... General dews ption of improvements.............................. .`�.. �3�. '...?w�.t ................................ ........ .... w �..� a.oU, ...:...... . ............. ...s-�e..� o f............ .... - ...:......,.,................................................,..........,........ .. .. � .►Q�....`z'...�..... ..�L T L !o+c................................................. Address..... ... ....... Owner's interest in site of the improvement..........1..qq f o..................................... Fee Simple Title holder (if other than owner) Name.... Address.................................................... Contractor......................................................................................................................................................................................................................... Address•.....................................................................................................................................................................................«.... ».«. .. ».............« Surety (if any).......:....................................................................................................................................................»............. ..,.....................« Address........................`...........................................................................................................................Amaxw of ........ bond $. ...... ............... Name of person within the State of Florida designated by owner upon whom notices or other be :•rued: docwr»nts may Name...........8o•u.>~.........................................«................................................. Address In addition to himself, owner designates the following as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option).n'to receive a COPY the l.ienor's Notice e ... :.....4.,ra.AQ................................. ................................................... ...... ��....... ................... ....».......«................................... THIS & I. ,, RAC[ Re■ ■fnnrw��._ .._ ' 099: 4 04 °`r 00000w var AOD DEPARTMENT OF BUl� � I000000 p 3tll> M CITY OF ATLANTIC BEACH . PERMIT INFORMATION` --- Ockt Off`' .t,'*FORMAT I ON Permit Member: 5934 Address332 'THIRD, tAZXT Petmit Type: BUILDING ATLANTIC BEACH FLORIDA A (;* 5i of Work: ADDITION _---- .. --- LEGAL Dit, It'IPTICIN Constr. Type; 'FOOD FRAME Lot : + Block: 'A : S otion. � Prof sed Use: SINGLE FAMILY T0vnshi Dwelin9s : 1 Ccrcl C Suk�divie# a i `AT ANTI BEACH t t cl Value: $32000 ,00 1a rov. Cost Total Fees,* $2125; 40 Amount �Id� $21.25 4 ..,� D 4/ 3/95 Npark D „ KSECOND FLOOR GUEST ADDITION TO 2-CAR, GARAGE RAD -• 3� ,. ...« R1�lTIOP ,w APPLICATION Fif EES IOL. V rvT W qC ! .+�"i ,�A r S*,,�`� PERMIT 02; 55-0-0 .Ad ���. � . „"� TREET ., WA `ER, IMPA' FEE � £� SCI v,00, _. � EACH, FLORIDA442 3 SFE IMPACfi� FEE ! C�, �� Y'o"4� �i 6`, q 4"M1V"m ° # P, b v,',w 10P RA INFP' P14AT ON -- � RADON GAB 'S Name0 NER CAPITAL IMPROVE. $32511`00 Acddrss v M "> GROSS GflAINECTIQM t?.. tl ". Ll be e F Type: 1 Stit H IRP CT "PEE `� CC3NST.SI43 C R rpt p 7 ,.,.�;� `4� ,�,�.� °"s`•utn' 'sraar�x�a'�M., r... 4hY;x,&..e M .� .e aaa.;::x .°°nm..�i rr 's�c� m� � , PAI` I�ty of Ail�ntic 8c�' NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE;POIIRiNG PERMIT VOID SIX MONTHS AFTER DATE OF.ISSUE UlLflIN MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN,PUBLIC SPACE,AND MUST BE LEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER " VIA)RE TO COMPLY WITH THE MECHANIC'S LIEN `LAWAW CAN RESU XTIN , E I Rt PERTY OWNER PA' IN TWICE FORTHE BUIL©ANG IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION'FQR r lIOLA'TI N OF APPLICABLE PROVISIONS OF LAW. J";AiVTid B EPART gly 57 Q011%01 ►.. CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee . FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE _SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) cb WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) ,WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF KITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTED - ENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (2) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) f LAVATORY, BARBER/BEAUTY =_ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS Q $20.00 EACH =__ JOB INFORMATION 7 -3 2 OW14ER BUILDER PERMIT AFFIDAVIT =lata ut Florida ) City of Atlantic s*ucts ) BFOR ME; the undersigned- authority. personally &PPwarvd svorn, deposes and says -_-_»• who upon fix 49t toLny duly _ owner of the Sollowino propertyi-`------"'' and the legal Subdivision rA?Laws. ��h Block -- AKA _J�.14L.. Lot ,.X /1 I bm applying for 4 building permit pursuant to Owner Builder exemption set forth in Florida Statute, Suction 489. 100. Florida lav requires that Z have been provldvd witto thv tolloviny DISCLOSURE STATEMEIM DISCLOSURE STATEMENT State law requires construction to be done by licwnsed contrectoss. You have applied for a permit under on exemption to that law. The exemption allows you, as the owner of your property, to ,act assn your own contractor even though you da not have a license. You must supervise the construction yourself. You may build or improve a one - or .two family residence or a farm outbuilding. You snay also build or improve a commercial building at a cost of 023, 000, 00 or less. The building must be for your use and occupancy, It may not be built for sale or lease. If you sell or leabe more than one, building you have built yourself within one year atter the construction is complete, the law will Presume that you built it for sale or lease, which is w violation of this www"Ption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make Burr that people employed by you have licenses required by state law and by county or municipal licensing ordinances. I hereby acknowledge, that I have read the above DISCLOSURE STATEMENT and that Y comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant cayeth not,.---`"- Property 'n.tr --- Svorn, to and subscribed before me this _-fir%- d y PSA 3844 102 5 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH INF6 ATION LOCATION INFORMATION Ple r i Ir Number: 10 Address:: 3,32 'T14IR0 StRI ET Prit. p :: CITAIICAL .ATI�A1' Ir' 3EACH . FLORIDA Class of Work : ADDIIf1014 ---------- LEGAL ------- Coo-$,te Type: WOOD MW tot Blcask: Section : Priwaos-ed Use: 8 INGLE FAMILYc n l I R14G:' el l inQ I Cade: 0, Subdivision, ATLANTIC BRACH Ettated Values i ov. Cost o m00 To 'yes�� 47 .00 WlNDENS R AtM AIRHANDLER . 1091 �� .�� �� �,� �. , x A ? ICA"TIOi 15 . -.._ PERMIT $4s7 �00 Ad de D STREETWA"T IMPACT FE; aC? .0C3 " FLORTu ,s RADON GA9-11.R.S. v x Kee vw..y w+d+r y.r§'. .r w.5•w!+w aw.w., '.i T `T NP`OR1+iA 091 RADON CAR .00 I+tm+ O91 A'TI91G A 1? AIR i'API"TAL IMPROVE } .04 VH 7AX' kl FLORIDA 32260 CROSS CONNECTION, . ?0' L . •. � I Type, BEC IMPACT )FE .DLJ e Y +s »8 _ "091ST. S11 t 3ARC E 6`4,00 i &^, 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 I3Y EITHER CONTRACTOR OR OWNER `FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CAN RESULT IN TIME PROPERTY OWNER PAYINGTWICE FOR THE BUILDING IMPROVEMENTS " ISSUED 'ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR; VIOLATION OF APPLICABLE=PROVISIONS OF LAW. ATLANTI �1iDB1 BEACH BUILDING DEPARTMENT 4000 40000w $47;0 14' ;i 1338 By, 1 " BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH .ATLANTIC BEACH,. FLORIDA S2233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT -- Applicant to complete all items in sections I, Il, 111, and IV. i. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING BUILDING Sub-division II. IDENTIFICATION -Tobe completed"by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached pians and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good.practice listed therein. Name of Mechanical Contractors Contractor (Print) Master Name of , Preparty Owner Sigeatun of Owner 775 Signature of orAnthorised Agent Architect or Engineer Irl. GENERAL INFORMATION A, T of heating fuel: B. IS OTHER CONSTRUCTION BEING EON Electric THIS BUILDING OR SITE7 Im ❑ 'Gas—❑ LP ❑ Natural ❑ Control Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ OS PERMIT Q Other- Specify jaCKANICJIS EQUIPMONT TO SE INSTALLED NATURE OF WORK (Previdocomplete list of compoeerrts on beck of this form) Residential or ❑ Commercial most ❑ Space ❑ ReeaaedGntrnl O Hoon ❑ New Building Air Conditioning: E3 R ntral -- ExistingBuilding �Ouef ,System: Material. ThiekmH 54 Replacement of existing system. e.f.m ❑ Now installation(Igo System previously Instetted) Maximum capacity ❑ 'Extension or add-on to existing system ❑ Other—Specify Cooling tower. Capacity Q Hro sprinldors: Number of hands Q Elwatm d Marrlift ❑ Eseabto. (number) THIS SPACE POR OPPICE{ISE ONLY 0 :t*aline pumps, (number) h« I –_(number) Remark: 13 VG containsins (number) UN&W pressure vo" Permit Approved by Deco 93, Rogers ❑ Other — SpaKify Permit Fee USTALLEQUIPMENT Alit CONDITIONING AND REFRIGERATION EQUIPMENT City d� Ifttataalioes VnRa Dercdptkon No"Number Stanutaotures (boos) CITY OF Office of Building Official REQUEST FOR INSPECTION Date �r A� 7 Permit No. Time �'.. `l A.M. -- Received r�C_(J _ PM. - — -- - c -- Job Address -- cality--- ------- Name BUILDING CONCRETE LECTRICA PLUMBING Framing - MECHANICAL �_� Footing I_l. Rough Re Roofing Slab Temp Pole Fl lop Out AirCond. $ _ Insulation -i Lintel Final F, Heating Sewer Fire Place READY FOR INSPECTION Pre Fab Mon. Tues- Wed. A.M. �. Thurs. Friday _P.M. Inspection Made -__ _ t C/ '' A.M. — --— --- PM Inspector -___ Final Inspection F' Certificate of Occupancy I Date DATE: 62,I_ PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: ---------------- ----,- ---^'----�---�-=..�-c C / -- ---------------------- ------ •------------------------------------------------- ------------------------------------------------ i ------ ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING INSPECTION DIVISION cc:FILE 1� •reap Lm o� THE NEST 1/2 OF LOT 9, ALL OF LOT li 6 THE EAST 10' OF LOT 13, ATLANTIC BEACH AS RECORDED IN PLAT BOOK 5, PAGE 59 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. TM IRD sTREET 40'R IGHT OF WAY 4' CONC. SIDEWALK 85. 00' 55 _ 225.00' 10.00 0.0 60.00 25.00 OO FOVN023N0'CAPO 1 E FOUND %4 CAPON PIPE .•W',• �O r! I •• K•. 1 � I i •:W: I I I> Iccz c L, InI cn I = cn O Imo., I 6'FW000ENCE 1 I6 I•. I t / CED W I I C' FEN I Yi- 127.7 v 1 0> Yw m 16.4 _5¢ % 00 N o i 8 ONE STORY FRAME �� I LOT 7 o� BLOCK4 LOT 15 I� o N0. 992 �� o -'= stl BLOCK 4 LCA I I LCO w �I 00 _ \w 16.4 I hu i o I 27.7 29.! 111.6 .1 1 �Z N n�etsrf �o �z I I • I16 I X 11 7 I 11.6 1 x 1 I �1 ui - 9• x i ---_ — — 0 0 60.00 / 25.00 26.00 - FOUND 1G0 CAPON PIPE 1 / { 85. 00' �+ /`/`J^1 ( FOUND t/2' IRON PIPE NO CAP LOT 16 I LOT 14 I LOT 12 I LOT 10 I LOT B B 1 BLOCK4 I BLOCK4 I BLOCK4 BLOCK4 ROGER B. KJAR NOTES : I HEREBY CERTIFY TO: CAROL F. KJAR NO BUILDING RESTRICTION LINE BY PLAT. PROFESSIONAL LAND TITLE SERVICES, INC. TH18 PROPETY LIES IN FLOOD ZONE '%' THAT THIS SURVEY NETS THE NININUN TECHNICAL BY FLOOD NAPS REVISED 4/17/18"8. COMMUNITY PANEL N0, 120075 0001 D. ^^ _� _ _ STANDAADS AS SET FORTH BY THE FLORIDA BOAAD CITY OF 0ifice of Building Official _-- 'REQUEST FOR jNZ-)PE:-Grom Permit No. _. ---- Date— -- — A.'M Time P.M. Received _---- _-___ Locality Job Address -- --- Contractor owner's - CNAdN ELECTRICAL UNIBING . & CONCRETE it - BUILDING �Tio+��. --.--� Heating Footing Top Out TeFire Place mp Pole Slab Final Sewer Pre Fab Re Roofing Lintel Insulation CSPETION A.M. ed. REA Wed. Friday Thurs. y P.M. -.--- —- - Tues. I Mon. A.M. j RM to 11 __ Inspection Made - Final Inspection �;ertiticitc of O.:cupancy Inspector o;itr - -- /�CITY OF B ` .,�- fY � -"//��t�C Office of Building Official REQUEST FOR INSPECTION •- ' �� Permit No. --- Date Time l A. Received P.M. ocality Job Address -• ^Vy Owner's Contractor Name _- O CR TE ELECTRICAL PLUMBING MECHANICAL BUILDING Roug P, Air Cond. & ❑ Framing ❑ F ting ❑ pole ❑ Top Out ❑ Heating Re Roofing ❑ lab ❑ Temp ❑ Sewer ❑ Fire Place Insulation ID Lintel ❑ Final Pre Fab READY FOR INSPECTION A.M. Tues. Wed. Thurs. Friday P.M. Mon. C•-�-���--� � 's L Inspection Madefj ��Y 11 0 ...Inspection Inspector rtrficate of ccupancy ❑ l �l date n1�� ����,,�� 1C�ITY OF /1 ,—� :•,��- 4&4l`K& BeacA "tAI� Office of Building Official REQUEST FOR INSPECT N Date Permit No. �J� Time A.M. Received P.M. Job Address y Owner's Contractor Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL ; Framing _ Footing L Rough Wiring [i Rough Air Cond. & ❑ Re Roofing Slab ❑ Temp Pole Fj Top Out ❑ Heating Insulation _ Lintel C Final _� Sewer ❑ Fire Place Pre Fab REA INSPECTION � A:M Mon. Tues. . _ /� Wed. Thurs. Friday � A.M. o Inspection Made P.M. __ Final Inspection Ell Insp or / --- Certificate of Occupancy Date nn � /nCITY OF 4&4a4a !3W444- � Office of Building Official REQUEST FOR INSPECTION Date `< 9 Permit No. A.M. Time mReceived 'r l0 P.M. 1 Job Address Locality ti Owner's Contractor Name BUILDING C CRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air Cond. & ❑ To Out ❑ Heating Re Roofing � Slab ❑ Temp Pole Sewer ❑ Fire Place ❑ Insulation Lintel ❑ Final Pre Fab READY FOR INSPECTION A Mon. Tues. Wed. Thurs. Friday 5— A.M. P. Inspection Made Final Inspection ❑ ector Ins p Certificate of Occupancy ❑ Date j t P$R,,Am4 13693 DEPARTMEN' OF BUIL MHO CITY OF AT Nft BEACH ' P ERM I T 1 NF RMAT I OR LOCATION I t FORMAT I O --� Permit Nunvb e r 13593 Address : 332 THIRD STREET tVerit Type*REMODEL.INC ATLANTIC BEACH , FLORIDA 3,2 2,33 of Work;ALTERATION � LEOAL DESCRIPTION . Con#,tr. Type:WOOD FRAME Block: 4 Lot: ft 12 Twp; 0 Proposed Ose: Section: 0 Subdt0 Rnq: 0 Owellings: I. Subdivi sion:ATLARTIC BRACH Est. Value: 0 .00 Improv . Cost . 61000 .00 tai zv 60 .00 Amdu;n t 6().4 0 TION . _ APPLICATION FEES ----------- OL KJAR PERMIT 60.00 �aT 4A. i,r4?i�,El r -^ ` ' a` `� "e^� �;cr d— I ry RAd%' R fWPORMAT I Cfi1}. Name �#ROPEF T� NEFt dA > as a' T pr a � ' �, ',ri .";lr.9a.rx;% ,:'k..r 9.a ,a ,•+k -a ate. ���:"r" h sTM.;., i ?, F NOTES.' .= "TICE —ALL.CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUtLDtI+IG MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACEDIN PUBLIC SPACE,AND MUStSE CLEAFID UP AND HAULED AWAY BY EITHER CONTRACTOROR OWNER 46FAILURE TO COMPLY"WITH THE MECHANICS' LIEN LAW'CAN RESULT IN THE;PROPERTY OWNER PAYING TVIl1E FtR BUILDhNG 1MPROEMENT$." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION F� - LIOL0,I0N.OF APPLICABLE PROVISIONS OF LAW, MCKS L w ATLANTIC BEACH BUILDING DEPARTMENT iN818�8 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address 33 3 Date �3 - "IG ` l Heated Sauare Footage �@ $ per sq ft = $ Garage/Shed �@ $ per sq ft = S Carport/Porch 4� ` @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio bN @ $ per sq ft = S 0 TOTAL VALUATION : /S- alb Total Valuation 1st $ o o c-) ;-S.O a S 2 S-, O O Remaining Value $g-.alper thousand or portion thereof TOTAL BUILDING FEE $ -� + 1/2 Filing Fee $ D .O� ( ) Fireplaces @ $15 . 00 $ n BUILDING PERMIT FEE S G�O.aa WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( ) RADON (HRS) . 0050 S SECTION H PAVING ( $ HYDRAULIC SHARES $ CROSS CONNECTION $ _ ( ) SURCHARGE . 0050 S OTHER $ GRAND TOTAL DUE $�_� ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) '� 3 1A A,4.0 Address: 33Z. 3Ra ` ATL.P�>cti. rL. Phone: 24'7-O$Z8 Lot # / Z+ Block or unit # �'f Subdivision: A-T"*.rn.e_ Be.*tj Contractor- State License # Address: l Phone No: Describe work to be done: p►c\d cam m (Z0gcaeq 0Qr-" 45-4 ---tft ` Present use of building: �c¢5ou,a�, "wnc. Valuation of Proposed Construction: Proposed use• �csa-cK Is this an addition? 40-S If yes, what are the dimensions of the added space: 12, ft. X "6"9' ft. Will the added area be heated and cooled? k\0 New electrical (or increase) ? Trio New plumbing fixtures? Fk) New fireplace? t`6 New Heat/AC? tCG SUBMIT 27DUM (CCMERCIAL) TWO (RESIDENTIAL) C0I61PLETE SETS OF PLANS, INCZUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMTCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: & an Date: Z1 CL� Signature CONTRACTOR: !�� 'Z Date- License Supplied: Liability Insurance: . ��y � ,,�J ' RECEIVED Worker's Compensation Insurance: MAR 19 1997 City of Atlantic Beach Building and Zoning CITY OF >�a�rtic �eac( - �wr.�da 800 SEMINOLE ROAD �--- — -------- - - ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED_ BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE.„ THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228(l). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OW PERMIT. PROPERTY O NER/BUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF '�IP►R.r: 197 -4- Lm��) NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: ARE EMPHASIZED BY THE BUILDING '}SMIy DONNIE LCOLLEY DEPARTMENT. * My Commission CC336577 EXpM40s Dec.15,1997 Bonded by HAI k, *F;;e 800-422.1555 CITY OF ATLANTIC BEACH; FLORIDA Approval by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH'THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC, P. 0. BOX 330150 ATLANTIC BEACH FL 32233-0151 ELECTRICAL FIRM: MASTER EILIfCTR`ICIA-kSlJOURNEYMAN dNATURE I_ cd C NAME -�- �- ES ADDRESS:_ S -� �r -� RFD BOX BLDG.SIZE BETWEEN: RES.* (VAYM comm. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW } INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE '2 AMPS DD COPPER ( ALUM. M SWITCH OR BREAKER 160 AMPS PH L5 W 40 VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS, OVER APPLIANCES BELL TRANSF: AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS WIZigJ71. , F 722042VIZE TRANSFORMERS: UNDER 600 V. OVER 600 V_ CITY OF ATLANTIC BEACH FLORIDA '` ` Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:- 19 9S IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC, A�7_/"1 925; ?5 ATLANTIC BEACH FL32233, X/� ELECTRICAL FIRM: MASTER 9Lf.CT`hIC_lkN,4RG_NATURE JOURNEYMAN NAME�V- ��0�t' - ADDRESS:_ � � r� �� RFD BOX BLDG.SIZE BETWEEN: RES.iD4- APT. ( ) COMM.( ) PUBLIC ( ) INDUS. ( ) NEW ( ! OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 ?��AMPS� REPAIR ( ) FEE CONDUCTOR SIZE COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE l AMPS PH W t< VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING-OUTLETS CONCEALED OPEN TOTAL -- RECEPTACLES OTAL--RECEPTACLES CONCEALED OPEN TOTAL : 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT _... _ FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER :.... APPLIANCES BELL TRANSF: - AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT. MOTORS H.P. VOLTAGE PHS N0. I H.P. VOL YLH TACEE PHS' MISCELLANEOUS + - _,..._. . TRANSFORMERS: UNDER 600 V. OVER 600 V. _, .. CITY OF eeWA -k a Office of Building Official REQUEST FOR INSPECTION l �� Permit No. Date—1 ).� ,2Q -I AM Time Received n _ [ — Localit Job Address Owner's i Sf r -_ Name --� PLUMBING MECHANICAL BUILDING CONCRETE EL CTRICAL _ Rough Air Cond. & Footing Top Out Heating Framing Slab �' Temp Pole ,_ Fire Place - Re Roofing Final Sewer Pre Fab Insulation Lintel READY FOR INSPECTION OAMWed. ` ' Thurs.n7 Tues Friday A.M. — P.M. inspection Made _ Final InspectiX --- 6 cu Certificate of ccupancy Date ----------- Cl- ��' CITY OF Z Office of Building Official REQUEST FOR INSPECTION Permit No. Date_— ------------- — Time M. Received ----��—�� —�c'I--- ::��cality Job A — Owner's r� ( .js--��—tContractor d Name _. ---- --p'-- MECHANICAL CONCRETE ELECTRIC PLUMBING BUILDING Rough Air Cond. & - Footing Rough Wiring g Heating Framing Temp Pole Top Out Re Roofing Slab Final Sewer Fire Place Insulation Lintel Pre Fab READY FOR INSPECTION CP Tues - We . / Thurs. Friday-- A.M. lk l 6�. � S � J -- ---_..P.M. Inspection Made -- Final Inspectio (/ Tt4 Inspector _-.___ ---- - �"'�-"` Certificate of cc pancy Date _ —--- ---- e DATE PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE: SATISFACTORY: ---------------------------------- -------------------- ---- ' ------------------------------------------------- ------ ' ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, " f L.7 BUILDING INSPECTION DIVISION cc:FILE F ` �a IrMwT of v LCING CITY OF ATLANTIC BEACH ,." T INFC LMXTiON INFORMATION � t Nu er.- Addresses: 3,32 THIRD STREET P rtn#t Ty + PENCE CR ATLANTIC BEACH I -FLORIDA 32233 Clas$ f Wa,tkk: WE14 __------ LEGAL, DE CR PT�bW Cis- tr. Type: 0100b,VIZ Lot : c Seatic+n r i c + d CI �ER+CI�L `OTIFi t 'Towothip. RNG I 11 n sss: t? { Subdivis' ATLANTIC BEACH e tl!,hated val uue: $illko -,00 I tPrbv. cent '60400 Tcital + e $10. 4 44 los KJA'R . 10.00 o ykM"4' $ RESt, F SE $01 .001 1;"`, 3 [rF -rLoR3�., y,dy{yCy$yy� i ": +FFr S ik `n` " .ek'+ri h4tii• iY vl iii i m >�RQ NI R t nip, ��u VW-, � CROSS CONNECTION $o 00 tic` fiylre l SZC R IMPACT, 04 s CON ST-SURCH {; C;�. D MOTES: t NOTICE-ALL CONCRETE ftJRAAS ANCA FQOTINGS MUST INSPECTE©BEFORE P'OUAINQ 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 GLEAAft)UP AND HAULEDAWAY BY EITHER TRACTOR,OR OWNER RE TO COMPLYVITH THE MECHANIVS LI,EN ILAW CAN RESULT IN' PERTY OWNER PYING WI E FORTHE # I ; NG lPRC31 ENT � ISSUE[ 4CCf)RDING TO APPA©VES PLAN, wI�ICH ARE PART aF THIS PERMIT AND SUBJECT TC?REVt3 T� �t VIOLATI N OFAPPLLCAB4f `"SIONS OF LAW, r :000000w,- ATLANTlBEACH BUILDING DEPARTM NT tlilYll'II di s tib r CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owners) : -K A,4o Address :' ^Z_l4( C) S-. Phone: 1 Lot # 1 Block or Unit Subdivision:_ Aae-�S c_ Contractor: Owu'(./) Address : MSA • Phone No: _ S Describe work to be done: Ti 8,<< e 14 Present use of building: 61 Valuation of Proposed Construction: � lpp Proposed use: �.cous'r2via� Is this an addition? 1-(0 If yes, what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? 140 New plumbing fixtures? NO New fireplace? AM New Heat/AC? h�� SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: DaL� te: E� Signature CONTRACTOR: Date: Its.u111AWf w nANCo PUMM Asp 1/ 111 u N11vAe1 IN I1►11.I/AIf1 ill �ul�ulll it Illn� rvllcelll:. 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I'larldf 144111191, IrIll lot of Uwliel's 01111u11i. .+ 011ie fl �i�71L►��a 11��, ,'�► f�, iclf�=•___..-.-y..�... �+,i�c•ii�f 14✓.•..•P++...•i"•r.iP►i/"t'ttl•.1.•••1fi.iNi•••..••!••.f 11...111••..i..41//1 F y i� 1 2Ad1i19119 1'i 1i1`11.f•I/`2 . ....1/'I•..X1A O./H1�/••!/•//1r/,,,.....f....►1..111 i VOW 1FAb1ton 111aunuen11 UIe 811tH PAT BONNIELCOLLEY •►•f�.•-,Fi 1411•iI..ICI�f�iv.v,N»r....i11/111.11 . I * ♦ M)'Commission CC336577 1 - MIG? �fflfflm 0- mm mmmmm)Zmv c%mmdmv MIF THE WEST 1/2 OF LOT 9, ALL OF LOT 11 6 THE EAST 10' OF LOT 13, ATLANTIC BEACH AS AECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. T1-f LRD STREET. 40'R IGNT OF WAy 4' CONC. SIDEWALK 85. 00' _ 225.00' 40.00 0.0 50.00 26.00 25,00 — — 0• ,p0 FOUND 3/N,0 CAPON PIPE FOUND 3N0 CAPON PIPE .p I �.I . •_W � I a ( I Ln - I.o.. I x I I I � u BFEHCEIn I t- I' 4FENCE ( I W 1 UW 110 27.7 ' ' " I 1 !6 6 o Yy mwh 4 A 14.6 16.4 = x mm 1 (cBLOCK4 y F-F- 0 \ h O Vl Lor 15 1CD LLz I � ; ONE STORY FRAI E = BLOCK 4 I" ooQ Lo g ( NO 332 I u CD cZI Z 16.4 h v 1 ~ I 27.7 29.1 1 o I z io ml 11.6 L x 14.6 I � 11.7 1 1I I 1 10.00 60.00Q 25.00 ! !' 25 00 `I FOUND !(0 CAP N PIPE I 85. 00' I FOUND 1/2• IRON PIPE �+ NO CAP 1 LOT iG BLOCK4 LOT 14 LOT 12 I LOT 10 LOT 8 BLOCK4 I BLOCK4 I BLOCK4 I BLOCK4 ( �UG� dL�� OGS THE WEST 1/2 OF LOT 9, ALL OF LOT ii 6 THE EAST 10' OF LOT 13, ATLANTIC BEACH AS AECOADED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. LRD STREET 40'R rcNT of wAy 4' CONC. SIDEWALK — — — — — 85. 00' H 5 �.TPP ' 225.0 . 40.00 �a0 50.00 25.00 23/91 1 FOUND 3/41 IRON PIPE OOO FOUND N0•CAPON PPE NO CAP 0 • ,t„ �O I a•' 9 I I I I• W I I �> CC Ln — � I6 i I•u 1 OFENCED 1 a c 4'FNOOD 1 i W ENCE Q W z7.7 mm 16 6 '.:..,•,•,.; UW 16.4 MWh 1.9 l/.6 = I m� I 1 ~ , OW n y = O y Is sZ_ ` I ' � a ONE STORY FRA I Z I o o� s LOT CK4 U. BLOCK 4 U. O V I NO. 992 I O �z �) $� o aW. W IY U I Se•Cff� k �O ~ I 27.7 2e.1 1 a I Z Z 11.6 W- 1 1sra� �z ' I I ,� I ..'14.6• ' I . . X I I, 1 11.7 1 11.6 1 1 19 ±Cipo.02 60.00 25.00 ! 3' 26.00 FOUND !/0 PON PIPE CAI 85. 00' I FOUND 1/2• IRON PIPE rN+ NO CAP LOT 1 BLOCK4 I LOT 14 I LOT 12 BLOCK4 1 BLOCK4 1 BLOCK4 i BLOCK4 I uwrrc.rl tlll.[I_.Uf:►i r'R:liliXT' Af'l:•lU/4V17' CItY ntxr►nt:f ' ,1 f►.rXr�rr � -'-__ ���� Ilr;.r th•• a ►clt,-nA _ tt�w,rd �trf,l►rit Styr t""rxM►crth�.,f Fvvrn, + rinr+ frr,� yro,..�.�2_: .,. Whn tror .ixl�lipt)14 tk hY �pt,Nr+X-vr� flet rr,Ar 11'T 1-0 lip tolAcit►AMy t'►'r'1+ort I _ __...___.... And tit* lwpal Y i 1.J IJ r.I�V�.►f�rJ I 1 /_, lL,' `V I l'�.s,..... ,1�� \ nitn 3. _ Lour _ C v, X rwrn rll,l►.a�, r nu fr�r at Iw11.l.lrf c►► - -•____ -• � _ ftuild�r .►•rRmt,tlr.rw roRl. tr, �fr to 1+1rr'mAt puxntJrvnt tit*f'lor�1r1� 1 „,r x'�rltl + fi'tfw Gln ►`lc+r.f do Sthttic" r� Uan•rr tltr►t t 1►nv.. • .aactA<,r► {©�. lCl , Uf3CLU^ll►tr' S'Inlf:llr. '►^"rn t'r'ovAdwlf NAth tit- a(aAluv�r►y Il r, Imsci..f.sum., STnTFafF,'Nr •St.rt� .xrX'r x-rfell,rfror Coll"f-w-trc,t..f.ctn tri l:,1r rfon"r l,y A�r.�,nncrd cor►trr,r.-tits,m. You Itwvnr rw a►<rrmt�tic.Jr► tr, thnt .lnt.r 1>I'Alacf �[c,r rl► P9111-191t u►tcfrrr all 1'h•+ a►�crrmf,t.ian 8101A►JMek you, An �h•� r>N►t,r►• .,t your t>rr,rrnw tYi to cont► nc4tr+r n «rr► t hnu h ,"tit "a' your ov11 y yc,u cicr not hwva n .11rnvtr. You . . . mttnt rXuf►�rx va lora thri� -t+nratx uUk�.rtn yntlx•am.Ra(. bui.td car ?�.n�r�xr,vn n tyn., tvrt a(wnrily You may o F)r tnX m ou/.I,tXi. ►.,fAfill. Yc+tr M-r aRno build .►r 1mrrc,v.r A r-ornIn-rr1In�, I,tItldAr►q Thar I'tlAjtf.f.n►r ►Hulot R,cr �(nx yr,►►x uwrr a i• Uc►c,c.:u�a„►cy, IaRI� n+1y r►c:Jk 1>'► I� 111t a(c,r rrhArr r,x, lamp". Ifr ycau arR� Jl it itiXrr nll' rr "I'sort eanrtr httlArAf.rrq you flNvo btrAlt yatuerwa.1.I or vithaln h►t^r y.-.w x• ►%Matz• 1.11 rc,nretrurtlarr In crtmplatwr tha lnH w(Al Prrr,urna that you 1•I141t It, for r*rw.R..► or Aw.wa,r, vhAvIl Are rs.11ratAa►X c,t cLhInX Rf/r►hr�wkJi.nrJ• Your r,nlr+txur t(r.,n rn"t br► efc�►►rt n,►da►rdlnp to hu.lAdf.rtp c ,,dom *ncf -enn:AnN x "t7ttla�tlnnr.. i f_ Ilo rnJtltlr Hurt* tl+nt f,nrcJt►in errnl►.11. A 0 ycatrr irllrrffrnrtrrlbilalty to r wqut.x-rrtf by nkat►► Ani, nr►r► Y Yau htfvrr uACrrrlrtSI Is c�pu,Xty car' n►unlc.w.pJ1A 11aarnrrAnt7 ardtnnnrsr.. I hwx'¢by "oft it wr)ump tl►+wt x hnvw x nhd LIXa "bova R>f SCl USU1iF: 3T,;7Ettfti'NT' nttr.l tltht .x cnarnf,Ay ►.ItI► wAA tltwwr rwquAr-amwsnt►�r JT p,- th,r IaauMnga rat ren t)N►►•*w -bu�ldar I+wxnrr.t. Furthnoc rtf.I.1r„wt raalywt10 not— a Pelf Her Sworn to and mul,tscx 1bltd t [J a 1 Q r iv Irl f M i l o d w y P' BONNIE gpNNiE L COLIEY IC�GC75 _ _ o tjCLCS. My Commission CC336577 Expires Dec. 1997 Bonded by HAI ` �h�n 800-422.1555 I � 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, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRICAL FIRM: MASTER ELECTtdCIAN SIGNATURE JOURNEYMAN NAME )' ADDRESS: `'` RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN: RES. O\ APT. ( ) COMM. ( 1 PUBLIC ( 1 INDUS. ( ) NEW ( ! OLD ( 1 REW. (;- ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) 6AAlAlh-)2,V SO. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE L h AMPS COPPER f ) ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS IL CONCEALED OPEN TOTAL RECEPTACLES Q Q CONCEALED OPEN TOTAL c 0.90 AMPS. 31-100 AMPS, SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF, AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0 1 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 1162 c DEPARTMENT OF BUIL DWG CITY OF ATLANTIC BEACH' . FSM NF � ON ------ -------- LOCATION INFORMATION P r i . Number: 11022 Address,*_-33,2 THIRD STREET Type: PLUMBINGATLANTIC BEACH, FLORIDA 322,33 PerinitCl of Work: ALTERATION _---- „ .��_ LEGAL DESCRIPTION ---- Cons,t Type: , WOOD FRAME Lot : >3� cask: Section: Prap a d Use'.; SINCL1� PA ILC 'o n hip`. RNG; Q Dwe,l Ian gs: i Code; O Subdivisi��: ATLANTIC BEACH $0 .00 dotal 123.00 r # APPLICATION FEES -- -__ TION . « : , . PERMIT 00 Addr.j S'S'PEET WA IMPACT FEE P $CI ,CID 2 T i Paz AP kIN C3AS-H r . S w0.00 y T� � NIC�RMA } 1 �-�- RIII3C i4 CAB 5% $0.00 AL o .a, ,., .. SEEN TAP $0.00 QAC I LLE BCH PL 32240-1558 CROSS COI+INECT I ON $0 .00 Type, 0 SEC H IMPACT FEE .CICI CONST, -SURCHARGE Sty . 0 NOTES. fr r =: , 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 `,TFAI .URE TO C �t�LY W1TN THE II�ECHAI�IIC'S LIEN LAW CAIS RESULT IN i THE PR PERTYOWNEA PAYINGT ICE FORTH, 13U�LI�►IMG IMPI #'I��ENT�” ISSUED-ACCORDING TO APPROVED PLANS WHICH ARE FART OF THIS PERMIT-AND SUBJECT TO"REVOCATI t VIO A' ION`OF APPLICASLE'PROVISjONS OF LAW. �' �.,�? tl t � t ; ATLAN1 OeBEACH BUILDING DEPARTMENT 0 b. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : OWNER OF PROPERTY: PLUMBING CONTRACTOR F w FATR PT,TTMRTNG (_n_ CONTRACTOR' S ADDRESS: p n BOX 51558, Jacksonville Beach, Fl. 32240-1558 STATE LICENSE NUMBER: RF 0017503 TELEPHONE: 904-241-7191 HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORYWATER HEATERS BATH TUBS lL 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 i � _ k �rn Q) O Nss N � N d � o o � o k N O o a s � o CITY OF I Office of Building Official aREQUEST FOR INSPECTION f G'�, Date_ _—_— — — Permit No.Time /f n Received ""7 r 7 Job Address Locality Owner's f ZI _ -- ---ContractorD(NG CO ETE ELECTRICA PLUMBING MEC HANIC Lam' Framing � Footing – Rough Wiring r Re Roofing - Slab Temp Pole Top Out .Heating Insulation Lintel Final Sewer - Fire Place ❑ Pre Fab READY FOR INSPECTION &Tu.,s A.M.t4an. Wed. Thugs. Friday P.M.A.M. nspt;ctior Made _- –_�—- - P.M. Final Inspection Certificate of Occupancy �' t U'3te --- -- – Date -S Permit N--. Time - - —� !L� A.V. Received __ � _ ---__ Rte'"` Job Address Locality Owner's pe Name 1L1 L_ -_---- CortracTor - _ --- - � DIN CONCRETE E E T RiCAL PLLIP413ING PJECHANICAL Hinges Footing Rough,`:dirinc Rough Air Cond. & - Re Roofing Slab Temp Pole Top Out Heating Insulation C7 Lintel Final Sewer Fire Place �ff-(?-( C READY FOR INSPECTION Pre Fab Mon. Tues ('—We, Thurs. Fri day------ -RM Q� <T A.M. Inspection Made Find „ispernor Inspection----- - �-- - -- — - Certificate o Occupancy Date ---- - ----- CITY OF � 4 Office of Building Official RFf T FOR INSPECTION •-- �� Permit No. A/90/Date Time / ` ' A.M. / Received / — M' 16� Jcb Addr ss ` Locality kOwner's Contractor NameBUILDING CONCRETE ELECTRICAL PLUMBI— N— MECHANICAL Framing Footing Rough Wiring ❑ Air Cond. & i_: Re Roofing - Slab f-' Temp Pole C'. Top Out ❑ Heating r Insulation _ Lintel C Final C! Sewer Fire Place Pre Fab READY FOR INSPECTION :)Mon. Tues. Wed. Thurs. Friday L _ 2 ) Inspection Made A. P.M. — Final Inspection ❑ Inspector_ ertificate of Occupancy Date -- US i "Dfi�A//7.4 G 40 CITY 4F ^ ' e / { ha office ai Building Official REQUEST FOR INSPECT'ON 1 Permit No. ---- Date-------— Time —P.M. --- --- Received afdy --—__Job A ss - _contractor —---- MECHANICAL Owner's __ — PLUMBING Name --- - ELECTRICAL Air Cond. & RET Rough Heating BUILDING Rough Wiring To Out Fire Place noting ! Temp Pole Sewer Pre Fab Framing -, Slab Final I,JSPECTIP: Re Roofing r- Lintel OA.M Insulation READY Friday Thurs. We Tues. A.M. Mon. P.M. inspection I — Final Inspection MadeOccupancy — xtiticatc o. nspFctor - — — Office of 13uiiding OfficCTl®1`I RVOIJEST FOR INSPE ? Per 1 0- pateAM _ j 3 0 P.M. n Time "iI` _—--— � �/ ------ Recelved --- 00ting _--- 1'dy --- Job Addre -------- Contractor — IECHANICAL PLUMBING Ovmer's _ — Air Cond. & Name ---- ELECTRICAL Rough Heating Rough Wiring Top out Fire Place BUILDING Temp Pole Sewer pre Fab Framing Slab Final q,M Re Roofing Lintel Insulation READY FOR INSPECTION Thur--. Wed. Tues. A.M. Mon. 1Inspection - Inspection Made Certiticate of Occupancy -- .� r-='y'= inspector_ — Date o (ic{3 c, Building Olficia! REQUEST J:OR INSPECTION (� Q Permit PS o. !I yrs' _ < - ---- Date — - ----- A.M. Time - _-_--P.M _---- Received ------ 2 - ------------ Locality —Job Address _ owner's contractor --_------- -- ------- tJiECi-IANICAL --- - -- PLUMBING Name ------_-_--- ELECTRICAL CONCRETE Air Gond. & UiLDINCa - Rough Wlring Rough Heating -_ Fooling Top out Fire Place Terr!{i Pole Sewer ' r, Slab Fina. Pre Fab Re Roofing Lintel Insulation - INSPECTION READY FOR INS Friday — _P.M Wed. Thurs. n. Tues. A ^!- Final Inspection rsFa;ctior Made - - \ - Certificate of occupancy Date ._ -- �c LAN 0% y .. .�_ ._ .tXF I F— - NTI i V OR r � 5 OF ADDITIONS or CORRECTIONSE D• NOT REMOVE JOB ADDRESS DATE 21 3 5" 2s" C5— THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted 1 rJ� 1 Ff3C $!t2 REINSPECT FEE 3117 It is unlawful for any Carpenter, Contractor, Builder or other persons,to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the officefrom 8:00 a.m. to 5:00 p.m. Monday through Friday.. BLDG �c P�`ANr�c v F�OR10Q' OF DATE JOB ADDRESS -33Z- 3ap THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be accepted L S $14.00 REINSPECT FEE It is unlawful for any Carpenter, to be coverred�a Bupartrof thework other persons,to cover or cause with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. After additions or corrections have been PLUMBING made, call 247-5826, Building Depart- ment for an inspection. Field Inspectors EHEC are in the office from 5:00 a.m.to 5:00 BLDG p.m. Monday through Friday. V1LD//y � = NOTICE OF OFAq RTM� ADDITIONS or CORRECTIONS DO NOT REMOVE JOB ADDRESS DATE THIS JOB HAS NOT BEEN COMPLETED The following additions or corrections shall be made before the job will be acce ted. t 5.00 REINSPECTFEE 0NO CHARGE It is unlawful for any Carpenter, Contractor, Builderrrofther persons, to cover to cause to be covered, any p art the work with flooring, lath, earth or other material, until the the proper inspector has had ample time to app installation. After additions or corrections have rMECH_ G been made contact the Building Dept. C_— at 247-5826 for an inspection. Office hours are Monday through Friday ___________ 8:00 a.m.to 5:00 P.M. WATER IMPACT FEE WORKSHEET ADDRESS: DRAINAGE FIXTURE UNIT FIXTURE TYPE VALUE AS LOAD FIXTURES UNITS Automatic clothes washers,commercial 3 Automatic clothes washers, residential 2 Bathroom group consisting of water closet, lavatory, Bidet, and bathtub or shower 6 Bathtub (with or without overhead shower or whirlpool attachments) 2 Bidet 2 Combination sink and tray 2 Dental lavatory 1 Dishwashing machine,domestic 2 Drinking fountainHcemaker Floor drains 2 Hose bib I Kitchen sink, domestic 2 Kitchen sink,domestic with food waste grinder and/or dishwasher 2 Laundry tray(1 or 2 compartments) 2 Lavatory 1 Shower compartment,domestic 2 Sink 2 Urinal 4 Urinal, 1 gallon per flush or less 2 Wash sink(circular or multiple)each set of faucets 2 Water closet,flushometer tank, public or private 4 Water cioset, private installation - 4 Water closet, public installation 6 TOTAL NUMBER OF UNITS= MULTIPUED X 20.7N TOTAL$ 14LA 0 $15.00 REINSPECT FEE CE COMPANY mney Street 1, Florida 32211 It is unlawful for any Carpenter, Contractor, Builder or other 743-7175 Persons, to cover or cause to be covered, any part of the work with flooring, lath, earth or other material, until the proper inspector has had ample time to approve the installation. ei//e, for oVer 2f years After additions or corrections have been made, call 247-5826, Building Depart- PLUMBING ment for an inspection. Field Inspectors ELEC are in the office from 8:00 a.m. to 5:00 Date 7^ LT-- `;'J_ P.M. Monday through Friday;, BLDG Phone ay`�=fly b'frob'-6G.,1 ,fit q Length: -269 t ,. �/ s Height: t '�k(p +' �A i� �z / u Gt �1/, / / M9 i W/Gates: DD/Gates: T-Posts: L-Posts: T-Rail: K-Up: Barb-Up: Special instructions: �b Total Price: Method of Payment: 2 � ..� z Customer's Signature: We do want and appreciate your business.