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369-371 3rd St (vault) 13 ,5r i I i i I r-- 1 � 7 ( 1 FF 15 � �3 13 OLD t) i E P.-PYDP,,, , VAI. Va- LOQ" Z-L LCT -E l , ATLA N T I C BEA\C., N FLA\ , SCA,.L E 1 1 " = lob PAK) 0 D0E-1�soK-) FOR OFFICE USE ONLY 7 Date----•--_�}/ -.--------19 .l...Y /Y"' - moa Permit # 1. 7.�.....Fee$... �.._..-..... CITY OF ATLANTIC BEACH Valuation $.-s��00 ............................. FLORIDA House # ( �� ........a-`f_yV#-' .......---••- 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. �- Date..............................3 Z•---Z-!?-------------------------, -- --/ _ 19-----•• 2— Owner Owner--- h-----------•------------•-••--•----..... Address_P! ---•-•-4ti�-- Nt-•. �Tele hone No. _�.� •-- !- — - -s Architect. .-----------•..................•......--••-------------•-•--•---••••-----------------Address----...........-......--•------••-......-•`......-----...Telephone No---------------------------_ Contractor Builder llA'_�`'s/iP�/'FCt.. _._��'--_._._.._AddressC_. Z-eeX2�/!✓!t_!r._�_Telephone No.r _.ZY-/S j�/L�.e ZL/,6/ � Sub Division ��[!4........��A-------------------- one. Rw�. -Street - -----------and------------------------------------------------------Sts. Lot No.-- -------•---. Block No. Side Between Valuation $ 2-V a5?5z.......For what purpose will building be used--- _______________Type of construction_,3/ic«.!�.....3.LIC-_ Dimensions of Building__._A __A.4--------------Dimensions of Lot.- ..._�s_X4R0...........----- ---------Size of Footings.___�!�.ZG.............. Size of Piers_-_-____- ______________Size of Sills------------- -------Greatest Sill Span in ft............---------------Type Roof__Zar."rS!j!K Cir How will Building be Heated?_._ � ..__ v!._44c.t_---------------Will Building be on Solid or Filled Ground?_.___.Sftll. _._..._........ Size of Ceiling Joists---------_7_X G_____________________ Distance on Centers..__.........._.--r____._.._..._.____, Greatest Span-.---_._. �. ....._..._...__......... /6 0 Size of Floor Joists------....................................... Distance on Centers.. .. --. --------.-------_.-._._-.-.----- Greatest Span............................................ " i� � „ Size of Rafters.-----------------.ZX._4.---------_--------, Distance on Centers ��---------------- ----------, Greatest Span ........40 ..........._......_........ 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 71' 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. 4. When framing is completed. E• /2 F 5. When rough plumbing is completed,and ready to cover up. a !1 a 6. When septic tank drain field or sewer is laid but before it is covered. q A 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. 7S 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 attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of tlantic Beach. / Signature of Builder1 ..._i`...... ............... Address.-. �.� .Z.._.11➢� �A� GS.... h-------- ----•--- Signatureof Owner.--------- Address--------------- -----•-••--•.........................................................•......._--• • CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT NO. 1 y77 Date : LOCATIOTv - 3 ?� .,�7� Q �-� Street LOT NO044":OCK i?0 .! /4 OWNER I>O P.l F TO to hl MASTER PLUMBER Bldg. BUILDER OR CONTRACTOR TO kVI T • N Permit_No., TYPE OF BUILDING �_SINKSLLAVATORY 2 BATH TUBS URINALS - CLOSETS FLOOR DRAINS 7,-" SHOWERS 2, WATER HEATERS DISH4ASHERS DISPOSALS 2, 9TH TOTAL FIXTURES Lr **1 .00 NO WORK MUST BE DONE UNTIL. A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size .-.and location of all the soil and vent pipes, and the number and location of all fixtures, (in accordance with Ordinance no. 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SPECIFICATION OF ABOVE PLUMBINO '`ON BXCK. Approved by Plumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTEDl=�c-72� REMARKS�� FINAL INSPECTION: %G-;,6 CERTIFICATE ISSUED• CITY OF 800 SEMINOLE ROAD ---- -- - - ATLANTIC BEACH,FLORIDA 32233-5335 1 ELEPHONE(901)237-5800 FAX(904)247-5805 May 2, 1996 Mary Beth Koechlin 205 Yoakum Parkway #1706 Alexandria, VA 22304-3843 Dear Ms. Koechlin: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: Re: 276 Third Street a/k/a Lots 4,5,6, Block 29, Atlantic Beach RE#170200-0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-7, i.e., abandoned, unregistered VW411 Green. You are hereby notified that unless the conditions above described are remedied within ten (10) days from the date of your receipt hereof this case will be turned over to the Code Enforcement Board. Under Florida Statutes 162.09, the Code Enforcement Board may impose fines of up to $250.00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah cc: Public Safety Director VIA CERTIFIED MAIL RETURN RECEIPT REQUESTED PSR-3644 8076 a DEPARTMENT OF BUILDING u CITY OF ATLANTIC BEACH -- PERMIT INFORMATION ----- ----- -- LOCATION INFORMATION ------- Permit Number . 8076 Address : 369 THIRD STREET Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 :lass of Work: ALTERATION ---------- LEGAL DESCRIPTION7--------- Constr . Type: WOOD FRAME Lot : Block : Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code: 0 Subdivision: ATLANTIC BEACH Estimated Value: $0 .00 Improv : Cost : $0 . 00 Total $25 .00 Amcun, $25 . 00 r, r OWNER INFORMATION -------- ---- APPLICATION FEES ----- Name : BETTY EILERS PERMIT $25 . 00 Address . 339 THIRD STREET WATER IMPACT FEE $0 . 00 RTLANTIC BEACH . FLORIrA 32213 SEWER IMPACT FEE $0 . 01 Phone : ( 904 ) 241-3735 WATER METER/TAP $0 . 00 RADON GAS-H .R. S . $0 . 00 ------- CONTRACTOR INFORMATION - RADON CAB 5% $0 .00 Name : DONOVAN HEATINO AND AIS. CAPITAL IMPROVE . $0 .00 Address : 315 SIXTH AVENUE SOUTH SEWER TAP $0 .00 JAX BEACH : FLORIDA 32250 HYDRAULIC SHARE 80 . 00 License : CACQ39761 Type : ' CROSS CONNECTION $0 .00 SEC , H IMPACT FEE 50 . 00 CONST . SURCHARGE 150 . 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." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT Operator-. HELEN Date: 3/24/94 14 Receipt: 4041078 Iotal payment By: c BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, ll, III, and IV. 1. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve 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 the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL INFORMATION A, Type of heating fuel: B. I IS OTHER CONSTRUCTION BEING DO ON ❑ Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MWHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat Cl Space ❑ Recessed Central O Flow ❑ New Building ❑ Air Conditioning: ❑ Room ❑ Central Existing Building ❑ Duct System: Material Thickness ❑ Replacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously installed) ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g•p-rn• ❑ Fire sprinklers: Number of heads_ ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (ReGiii ) ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Permit Approved by Ds+e ❑ Boilers Q Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Cling y Apprav Number Unite Description Model Number Manufacturer (Tons) �►Y�c3r HEATING - FURNACES, BOILERS, FIREPLACES Capadty ApP>rovfnt Number Units Description Model Number Manufactures (9m) A94W7 TANKS flowM=y Nam>,nal Capacity Type Lquid Name at Serial Approving and Dimensions Contained Manufactures No. Agency ADDITIONAL 3/4"METER FOP, DUPLEX BETTY/HERBERT ELLE 369 3RD STREET 249-8309 FOR ESTIMATE ONLY k tl � A f JOB COST RECORD :. DESCRIPTION QTY; MATERIALS LABOR TOTAL a =r ,� . 2" X 1" T.S GALV. 1 _ 8.00 1" CORP STOP 1 22.36 1.5 3/4" CURB STOP _ 1 $11.60 _ i t: r 1" X 3/4" MLLE ADAPTS, 1 $0.23_ .� ,. PVC 1" 90 L PVC 1 0 27 1" COUPLINGS PVC S-T 2 $0.80 1 r 1" MALE ADAPTERS 1 $0.77 3/4" METER ENDS ,^i 2 $6.60 '4" RUBBER WASHERS 2_ $0. 16 CONCRETE METER BOX/LID 1 _$21 00 3:/4" X 5/8" METER 1 $85 00 B TOTAL $156.79 0.rI. $15,68 .i AL 172 47 ,, r 414, F- R. N ($27.45/HR) FOR 6 IRS. $164 .70 30% O.H. $49 .41 TOTAL _ $' 14 .11 4. r I —MATERIALS LABOR TOTAL ! TOTAL $172147 1 $214 .11 $386.58 MISC. JOBFXPF.NSES AMOUNT OTHER JOB + yPENSES $60.00 S 4. 1 TRUCK ($1_0.00/HR) F R 6 HRi. TOTAL COST 44 .58 + 60.00 'TOTAL SELLING PRICE LESS TOTAL COST a rr GROSS PROFIT LESS OVERHEAD COST ® \ • __•. OF SELUN6 PRICE � ® \r� TOTAL $60.HO NET PROFIT 44 .5 r : _ r... FEB i 8 1990 CITY OF ATLA°.I I _----- __-._-. PUBLIC WC ".KS D�PF..i6:. !T PQlcF. CQUOS-m APPLICATION FOR WATER AHD/OR SEWER TAP APPLICANT NAME ------------------------ MAILING ADDRESS_ �_�_ L'[Z --- L�-�---- -PNONE NUMBER NUMBER_g{ q'GDATE- SERVICE _/_ O�D ---------- DATE_ _ ). - ----- SERVICE REQUESTED__ � ---------------------------------- SERVICE LOCATIOH___5_�-_7__ - - --- ZA�a- ------------------- ----------------------------------------- DATE SENT TO DATE RETURNED PUBLIC WORKS I/ _ _______ TO BUILD. DPT. DATE OWNER HOTIFIEDV�a__________ V-o RECEIVED JAN 2 21990 pUBL.IC WORKS 7 0 Mw*ft -m DD 1CF. Quoo APPLICATION FOR WATER AND/OR SEWER TAP APPLICANT NAME__ � L� � ----------------------- MAILING ADDRESS_ � ____G/[7L�°,G -- ----- - ----------------- c PHONE NUMBER _D1C>5-__-___-____ DATE__ SERVICE REQUESTED --Jy --� ----------------------------- SERVICE LOCATION__/---_/?L« -_! _Sy -------------------- - ----------------------------------------- DATE SENT TO DATE RETURNED PUBLIC WORKS_1 TO BUILD. DPT. DATE OWNER NOTIFIED --------------------- au- V-0 �.� ��- CITY OF ATLANTIC BEACH �• BUILDING DEPARTMENT INSPECTION REPORT .� JOB LOCATION 389 THIRD STREET PERMIT# ATLANTIC BEACH, FLORIDA 32233 SUBDIVISION OWNER NAME BETTY EILER PHONE (904)241-3785 mw LEGAL DESC: LOT BLOCK SECTION PERMIT TYPE MECHANICAL w CLASS OF WORK ALTERATION U� PROPOSED USE SINGLE FAMILY ¢ CONTRACTOR WILLIAM DONOVAN INC. S w y e. z w�ftr Q. WORK DESCRIPTION CHANGE OUT OF 2. 5 TON HEAT PUMP z INSPECTION REQUIRED 7 ROUGH MECHANICAL INSPECTOR AM z .. z� O r �`L APPROVED REJECTED 2 DATE INSPECTED Z �ft, COMMENTS 4 000855 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION L( j)N INFORMATT('1#4 Permit Number : 855 AddLeas. 363 THIRD STREET Permit Type: MECHANICAL ATLANTIC BEACH, FLUkibA Class of Work: ALTERATION LEGAL DESCRIPTION Constr. Type: N/A Lot: Block: Section: Proposed Use: SINGLE FAMILY Plat Book: Page- is Dwellings: 0 Code: 0 Subdivisioni Estimated Value: $0. 00 OWNER INFORMATION Improv. Cost - $0. 00 Name: BETTY ELLER Total Fees: $20. 00 Address: 369 THIRD STREET Amount Paid: $20. 00 ATLANTIC BEACH, FLORIDA 322 Date Paidl 5/25/89 Phone. (904)241 3785v 1 ai',HGF 0!,11' OF ". 5 TOU HEAT PUMP f�nH1'kACT0i APPLICATION FEES I DnN(YorAN TW., PERMIT $20. 00 WATER IMPACT FEE $0. 00 SEWER IMPACT FIFE WATER MLTER $0. 00 FIADON GAS -H., ii. S. RADON GAS - 5% ;"U. uu WATER TAP $0. 00 pnec- SEWER TAP 2060f� $03 JA - F , HYDRAULIC SHARE $0. RE -TNSPECT FEE $0.1 1A ENGINEERING $0. 00 OTHER $0. 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 IMPROVEMEV %1.55 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT —(5W.5 NUMBER IMPORTANT — Applicant to complete all items in sections 1, II, III, and IV. I. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof anLin �co�iance with the City of Jacksonville ordinances and standards of good practice listed therein. --r Name of Mechanical Contractors Contractor (Print) Master 2817 Name of Property Owner Signature of Owner Signature of or Authorized Agent Architect or Engineer 111. GENERAL INFORMATION A' Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? Cl Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. IIIECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or EJ Commercial -)� Heat ❑ Space ❑ Recessed �K Central O Floor ❑ New Building Air Conditioning: ❑ Room Q'\Central 5< Existing Building ❑ Duct System: Material Thickness Replacement of existing system Maximum capacity c.f.m. F-1 New installation(No system previously installed) ❑ Refrigeration O Extension or add-on to existing system El Other — Specify ❑ Cooling tower: Capacity g.p.m. ❑ Fire sprinklers: Number of heads ❑ Elevefor ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Re�e;red) ❑ Tanks (number) Remarks ❑ LPG contain*'s (number) ❑ Unfired pressure vessel (3 oilers m Permit Approved by Da ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT City A roving Number Unita Description Model Number Manufacturer (Tons) cy G HEATING - FURNACES, BOILERS, FIREPLACES Capadty ApprooVfns Number Unita Description Model Number Manulactursr (BTU) A VOQy TANKS – Aon Many Nominal Capacity Type Lquid Name at Serial Approving and Dimensions Contained Maaufacttasr No. Agency 001978 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOGATIUN INFORMATION Permit Humbert 1978 Add�eas! 369 THIRD STREET Permit Types MECHANICAL ATLANTIC BEACH, FLORIDA 322;,_ "lass of Work: REPAIR i -------- LEGAL DESCRIPTION Constr. Type: N/A Lot: Block Section- Propose'd ,Use: SINGLE FAMILY Township: RNG- 0 Dwellingia; . 0 Code 0 3ubdivisioni 1;-'Bti*ated Value: *0. 010 Improv. Cost: $0. 00 Total Fees: $20. 00 Amount Paid% $20. 00 Da t 'Paid: 1/29/90 44ANLIE OUT EXISTING SYSTEM OWNER INFORMATION APPLICATION FEES Pd kn BETTY EILER PERMIT $20. 00 361-9 THIRP STREET WATER IMPACT FEE $0. 00 ATLANTIC REACH, FLORIDA SEWER IMPAs, T FEE $0. 00 , WATER METER A0. 00" RADON GAS-H. R. S. $0. 00 JN'f'f-,A IR INFORMATION RADON GAS $0. 00 Nanny WATER TAP 90. 00 SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 Types 0 RE-INSPECT FEE 510. 00 ENGINFERTINIG �o. 0{1 OTHER c,n 0 NOTES: 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. "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. ATLANTIC BEACH BUILDING DEPARTMENT By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, ll, III, and IV. I. LOCATION Street Address: ( rd �^ OF Intersecting Streets: Between And 1,2aa2lc BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve 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 the City of Jacksonville ordinances and standards of good practice listed therein. Name of MechanicalI Contractors q�& Contractor (Print) Master Name of [7 I� D � Property operty Owner C 19 Signature of Owner Signature of or Authorized Agent Architect or Engineer 111. GENERAL INFORMATION A' Type of heating fuel: B' 15 OTHER CONSTRUCTION BEINGONE^OryN Ekecme THIS BUILDING OR SITE? 1:1 l)C ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED �N,/ATURE OF WORK LA (Provide complete list of components on back of this form) Residential or ❑ Commercial Heat ❑ Space ❑ Recessed ❑ Control O How ❑ New Building (� Air Conditioning: Room Central Existing Building Replacement of existing system ❑ Duct System: Material Thickness New installation(No system previously installed) Maximum capacity c.f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity g•p.m• ❑ Fro sprinklers: Number of Mads ❑ Elevator ❑ Monliff ❑ Escalator - (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps -(number) (Received) ❑ Tanks_ (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Permit Approved by Date ❑ Boilers [3 Other — Specify Permit Fre LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number Manufacturer ( )Y App > y —TUCULI HEATING - FURNACES, BOILERS, FIREPLACES Capacity Appy Dumber Units Description Model Number Manufacturer (NM) A&MICY TANKS Now any NomInsl Capacity Type Liquid Name at Serial Approving ]m and Dimemdoos Contained Manufacturer No. Agency 17?7 W Z 37-1 0 v= o o � w C � � m � m a° Z. 3 p N a (A rcn0 C, w o O , Z a cn CD a r d 3 oo m -n -i v. g � D I m s N O , D o:0 v -i O (7 T m o c f ° c C r Z Cp cJ ° 0 0 p w o CI n 7 w w I V � CDw , m r ir' —A DATE• 5 — —� 7 PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS ) HAVE BEEN MADE AND ARE SATISFACTORY : ----------------------------- ------ ------------------------------------------------- ------ ------------------------------------------------- ------------------------------------------------- ------ ' ------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, Af L_/'_' _''�-,./\J BUILDING INSPECTION DIVISION cc:FILE 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. i i ELECTRICAL FIRM: MASTER ELECTRICIah SIGNATURE JOURNEYMAN NAME f/ XLXI-47' /� /��S ADDRESS: l ek(l 5" RFD BOX BLDG.SIZE BETWEEN: RES. (-) APT. ( ) comm. ( ) PUBLIC ( ) INDUS. ( 1 NEW ( ! OLD ( REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( 1 REPAIR G FEE _ CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( SWITCH OR BREAKERAMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 4Ve2 1, 4 AMPS PH W 6 VOLT `G 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 ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO, 1 H.P. VOLTAGE PHS MISCELLANEOUS G 7774777"` TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. I KVA HNO. �KVA NO. NEON TRANSF. NO IA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED PLO TOTAL FEES - PSR-3844 12683 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION ------ --- LOCATION INFORMATION ---- Permit Number: 12683 address : 369 THIRD STREET Permit Type:UTILITIES ATLANTIC BEACH , FLORIDA 322_%. "lass of Work:ADDITION --------- LEGAL DESCRIPTION ---------- Constr . Type:WOOD FRAME Block : Lot : Twp: Proposed Use: Section : 0 Subd:O Rna: 0 Dwellings : 1 Subdivision:ATLANTIC BEACH Est . Value. : 0 .00 Improv. Cost : 0 .00 Total -f. 25 .00 Amr,,,rt -- fATION -- -------- APPLICATION FEES ----- --- - Name: 1PERMIT 25 Add r: A�+Ts'AN 1* PLP7-^II FLORIDA X 2 2 Phoria° ------ C4TR d RFORMi.'i 4ameu.,s...AMER L..°. ILtRIGATTON I?. 2157 TH'> SODS DRIVE 1ON �, FL 32246 Liv Exp: 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 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 FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00 i b2tev _1730796 01 Receipt: U91283 CHECKS 1620 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMB NG PERMIT JOB LOCATION: (9 L OWNER OF PROPERTY: PLUMBING CONTRACTOR: CONTRACTOR'S ADDRESS'/'e- �? [ STATE LICENSE NUMBER: L� TELEPHONE: HOW MAW OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS 15 OTHER TOTAL FIXTURES: X .50 + $15.00 MINIMUM PERMIT FEE = $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: I ------------------- ----=----------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. _ A_ CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: OWNER OF PROPERTY: CONTRACTOR: / /ems CONTRACTOR'S ADDRESS: Z1P: STATE LICENSE NUMBER. cS TELEPHONE. DESCRIBE WORK TO BE PERFORMED: VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED: , ' tC ��- SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR SWORN TO AND SUBSCRIBED BE ORE ME THIS = DAY OF NOTARY PUBLIC Liability Insurance Supplied w 041mmf E Wcr<ers Compensancn Insurance Supp.hed (PIPAuguN27,2= a°�°e°n�u'"°rr�wNNp,Ny�MI6 Contractor License Information Supplied Occupational License Information Supplied / PSR-3841 -^~ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH Permit Number : 15'795 Address : 369 THIRD STREET Permit Tvpe:RE-ROOF ATLANTIC BEACH . FLORIDA 32'.2 .-lass of Work:NEW --------- LEGAL DESCRIPTION Constr', Type:WOOD FRAME Block: Lot : Twp , Subdivision :ATLANTIC BEACH Est . Value: 0 .00 improv. -Cost , 21, 0W00 Total Fees : 115 .00 Amount Paid; 115 . 00 Name '. BETTY ETLERS PERMIT Phone: 9114) 241- 3785 ------ CONTRACTCI� INFORMATION Name : MILLER PAINTIN;"y Addr: 2138 WRIGHT STREET PN NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BU I LDING 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.5 9 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDI��EP TMENT ------- t CITY OF ATLANTIC BEACH APPLICATION FOR PLLUUjMBINGG PERMIT JOB LOCATION: 3 (L OWNER OF PROPERTY:. PLUMBING CONTRACTOR: parley's Plumbing Inc. CONTRACTOR'S ADDRESS: 3552 St. Augustine Road, Jax FL 32207 STATE LICENSE NUMBER: CFC056702 TELEPHONE: 448-2040 HOW MaY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS _DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES:_ X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. f PSR-144 15846 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ------- LOCATION INFORMATION Permit Number ,., 15846 %ddress - 346 FIFTH STREET Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 3223-3- lass of Work :ALTERATION --------- LEGAL DESCRIPTION --___-__ Constr. Type:WOCD FRAME Block: Lot : Twr : Proposed Use : SINGLE FAMILY Section: 0 Subd: Rng : Dwellings : 1 Subdivision: Est . Value : 0 . 00 lmrrov . Cost : 0 .00 Total Fees : 25 .00 Amount Paid * 25 . 00 Date Paid! 1112" /1998 c-H E R OWNER I NFORMIAT 1 ON ------- APPLICATION FEES Name , RRIA'S PERMIT 25 00 Addr: 146 FIFTH STREET ATLANTIC BEACH , FLORIDA 32-11 :71n-re ( 904 ) 24? 969 CONTRACTOR INFORMATION --- Name : DARLEY ' S PLUMBING INC Addr : 3552 ST. AUGUSTINE RORI.-, JAI'''.KSONVILLE ,, FL L-4 ,7' C-FL' Exp: 11 Type : 4 NOTES: NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 9' i ATLANTIC BEACH BUILDING DEPARTMENT By: