370-372 3rd St (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026885 Date 9/16/03
Property Address . . . . . . 370 372 3RD ST
Tenant nbr, name . . . . . . REPLACE WATER SERVICE
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
---------- -------------- -- - - --------------------
HOLMES, MARK DOBSON CONSTRUCTION CO.
370-72 3RD STREET 49 ARDELLA ROAD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-0662
--------------------------------------- -------------------------------------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM TFUS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER- "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
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.
BUILDING OFFICIAL
NJ. CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
800 Seminole Road
Atlantic Beach,Florida 32233
rv)It 9' (904)247-5800
Job Location: Ka � �',
Owner of Property: Telephone:
Plumbing Contractor:
Contractor Address: 7WO/C 41,�,t7X0Z
State License Number: CZ: Cu ��677 C) Telephone: 2_�� 6 C,,,-L_
How many of the following fixtures: El New or El Re-Piped
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS —DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWERPANS
SEWER WATER
RE-PIPE (LIST FIXTURES BEING REPIPED)
,--OTHER A'�F_Z'/
Minimum Permit Fee: $3 5.00
Total Fixtures: X $7.00 + $35.00
Signature of Owner: 11
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
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026884 Date 9/16/03
Property Address . . . . . . 370 372 3RD ST
Tenant nbr, name . . . . . . REPLACE WATER SEWER
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
---------- -------------- ------------------------
HOLMES, MARK DOBSON CONSTRUCTION CO.
370-72 3RD STREET 49 ARDELLA ROAD
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 246-0662
------------------------------------- ------------------------- --------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 42 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- --- ------- ---------- ----------
Permit Fee Total 42 . 00 42 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 42 . 00 42 . 00 . 00 . 00
CN of Atlantic Beach
*** LISTOMER RECEIPT ***
Ope DSMITH TvDe: OC Drawer: I
Date: 9!16/03 01 Rercieipt no- 89857
Descr�'g;tzion Quantity Amount
3 26885
BP BUILDINC, PERMITS
I
�.00 02.00
L:,00-7 26884
a
BP BRLDING PERMITS
1.00 $42.00
Tender detail
CK CHECKS 1486 $84.00 M THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED
Total tendered $84.00 R OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN
Total payment $84.00 -E FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS
Trans date: 9116/07 Time: !@:37:57 TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
%-,I.JL
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
800 Seminole Road
Atlantic Beach,Florida 32233
(904)247-5800
Job Location: 3 :7-0
Owner of Property: Telephone: q(0
Plumbing Contractor: 0 r-- a 4-1
r
Contractor Address: C�kOyAlw' 7_72016- "'A'/
State License Number: Telephone: Z_� (
" 0
How many of the following fixtures: New or Re-Piped
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS SHOWERPANS
SEWER WATER
-F,E-PIPE (LIST FIXTURES BEING REPIPED) e--
V/"OTHER 1�er6a
Minimum Permit Fee: $35.00
Total Fixtures: X $7.00 + $35.00
Signature of Owner: 1)
Signature of Contractor: A
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
CITY OF
4&4.14& Bewr-4-49&UA
Office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date C'
Time A.M.
R*eceivd P.M.
Jo Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL MING MECHANICA�L
'r C�
E�0 &
Rou Air Cond. &
Framing E Footing Rough Wiring E
Re Roofing E Slab Temp Pole El Top Out El Heating
Insulation E Lintel Final 1:1 Sewer El Fire Place
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. WVv e d. Thurs. Friday-PM-
A.M.
Inspection Made RM.Final Inspection E:
Inspector Certificate of occupancy F-
Date
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
fj INSPECTION EMAIL REQUEST:
Building-der)tna,coab.us
Application Number . . . . . 07-00001247 Date 9/05/07
Property Address . . . . . . 370 372 3RD ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5145
----------------------------------------------------------------------------
Application desc
REROOF FL 3574
----------------------------------------------------------------------------
Owner Contractor
----- ------------------- ------------------------
HOLMES, MARK CARR ROOFING INC
370-72 3RD STREET 11309 N COUNTY RD
ATLANTIC BEACH FL 32233 GLEN ST. MARY FL 32040
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc
Permit Fee . . . . 60 . 00 Plan Check Fee
Issue Date . 00
. . . . Valuation . . . . 5145
Expiration Date . . 3/03/08
------------ ----------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ----------
---------- ---------- ----------
Permit Fee Total 60 . 00 60 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00
Grand Total 60 . 00 60 . 00 . 00 . 00
. 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 07-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1,JOB ADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF
.37v 1510P 5;P 143 )02�, 5s�---s
4.LEGAL DESCRIPTIONi 5.CLASS OF WORK 6.U�;OF STRIUCTURE
I� _
11 NEW BUILDING 0 DEMOLITION ErPE 7NT
LOTOBLOCK A-SUB DIVISION 0 ADDITION 0 CONVERTING USE 0 COMMERCIAL
7.DESCRIPTION OF-WORK: El ERATION 11 ACCESSORY BLDG. 8.FIRE SPRINKLER:
&AL\4 VL. REPAIR OPOOL/SPA 13YES 11 N/A
El MOVE E]OTHER El NO
XRE F
U MOPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER:
9 NAME 15�CO 23.COMPANY NAME.
ywa,vt 4AAM-qW-,* 16.NAME: 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
e , CIZZ i IS2 S-11 119
7.75 LA0h,.LAVA---* 18.ADDRESS: 26,ADDRESS:
4-63
FAX NO.:
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: F NO- 27.OFFICE PHONE:
%Aya 160 5 Qca&
13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER�
31.NAME 33.NAME. 35.NAME:
32.ADDRESS: 34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work, Plumbing,Signs,Wells,Pools,Furnaces,Boilers, Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORDW-NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
0 ,NERhr AGENT --)�:)PfTRACTOR
N (kgentA-we f i1tornVor Agency Letter Required) (4u�lffier Only)
Signed: vv �w Date: q it 1197 Signed: Date:
Before me this -day of ,2007 in the county of Before me this A?h /.y of );&�2007 in the county of
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
JV25kAiL JN rO,(K
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and t All statements and declarations are
true and accurate. true and accurate. -DLX\i
Notary Public at Large,State of County of jlk�� Notary Public at Large,State of County of
0 Personally Known 0 Personally Known
Cll!rroduced Identification-
WProduced Identification- L
Notary Signature:
Notary Signature:
ARDESHIREBRAVRO1111111
Notary Putilk State oi ROW8 K.
Comm"10 D 81973
My COMM.ilixores june 05,2011 No"pubk Sko d Fb*
CwnWW E*n FO 21,
k
COAB FORM BLDG01:REVISED:8/2/2007 DO 5=X
knM Ift No*"
NOTICE OF COMMENCEMENT
OWOxAW IN MOWAM
permit NO. Tax Folb No-
state of County of
To whom It may concom:
The undersigned hereby informs you that knprovements vAll be made to certain real prop",and In
accordance wkh Section 713 of the Florida Statutec the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal description of property being improved: ce ZA-1a
Address of property being improved:
General description of impmvernerits:
Owne,
7 A��
Address 1,7 11 ;7r 14-V)
Ownees interest in site of the ImPrOvernent
Fee Slmple Titleholder fit other am owner)
Name
Address
cor�*actor
AddressIlD. Bvic GIC4,_ C,4.. M&xu.. 5-7M'3 —A);L6
PhoneNo. F;,No.
Sturrely(if any)
Address Amount of bond
Phone No. Fax No.
Name and address of any person nvwdng a low for the construction Of the improvements.
Name
Address
Phone No. Fax No.
Nam of person wilhin the State of Fk"W other Van himsell,designated by owner upon whom notices or other
documents may be served:
Nam
Address
Phone No. Fax No.
in addition to himself,umw desjgj�the lonovAng person to receive a copy of the Lienors Notice as provided in
Section 713.06(2)(b).Florida SWU%S.(FBI in at Owner's oPbm)-
Name
Address
Phone Mo. Fax No.
Expiration date of Notice of ComnWIcen"Iefl4t(""--expiration date is one(1)year from the date of recording unless a
ditferent date is specified):
TVMS SPACE FOR RECOR Is USE ONLY
14i a I Date.
Signed'. Date:
of in the
Beforme mee s day Of
County of Duval,State of Florida,has PersOna"Y appeared
FTAIRDIESHREBRAMM
A N I
41
Notary Publir.WO 0I F01do
I_
_ rl
Commissiorill DD681073 Notary public at LSW,State at Florida,County of Duval
M My COM 05,2011
I COM.expires Jurm My commission expires:
Pwonally Known or
Doc#2007284472,OR BK 14168 page 2151. Produced Ideriffication 70:f.�-
Number Pages:I 11:00 AM.
Filed&Recorded 09Q5r"7 at
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY
RECORDING$10-00
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:
----------------
-- --------------------
&-2_2
------------------------
-------------------------------------------------
-------------------------------------------------
Enclosed are the blue copies of the permits.
SINCERELY,
W' 6?"�'
Z_
BUILDING INSPECTION DIVISION
cc:FILE
CITY OF ATLANTIC BEACH, FLORIDA
Appll, APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: j u .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.
Un, k� Cje�-�r,, 63
k
ELECTRICAL FIRM: MASTER ELECTRICIM'SiGNATU& JOURNEYMAN
NAME t4'01 rYNfJ —ADDRESS: —RFD—BOX—
BLDG.SIZE BETWEEN:
RES.(14-1, APT.( I comm. I PUBLIC INDUS.I I NEW( I OLD(PY REW.I I
ADDITION I I TRAILER ( I TEMP.I I SIGNS I I —SQ.FT.
SERVICE: NEW( I INCREASE( REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUM.( )
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.,SIZE 1.. 10 AMPS PH W --)(/OVOLT C RACEWAY
FEEDERS NO. SIZE IND. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 mps.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED I 0.100AMPS.
APPLIANCES BELL TRANSF
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS
I
MISCELLANEOUS Ko_ rrl =77r—T , I.-LL�l
L-4 3 7 -
TRANSFORMERS: UNDER 600 V. OVER 600 V.
- NO. KVA 11 11NO. IKVA
NO.NEON TRANSF. NO. VA. MA, MOTOR SIZE �WITCH TFLASHER
.EACH SIGN
FORWARDED
s
P
ITOTALF
001716
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATIOU LUCAI IU14 INFORMATION
�'Iermtt Numberi 1.716 iddvess: 3'�2 THIRD STREET
Permit Typei BUILDING ATLANTIC BEACH, FLORIDA 32_2-�_,
lass of' Worki REPAIR
LEGAL DESCRIPTION
Constr. Typet N'/A I Block : Sect iorl
Proposed Use: DUPLEX Tawnship: RNG-� 0
OvellIngs: 0. Cadez ubdivision: AB
"atimated Value: $12-500. 00
Improv. Costi $0. 00
To t a i Foe-s, 07. 50
Amount P�I-d:l $7. 50
Date �Psildi 11/29/89
Qgac- i RS-P-OOF CX15TING U COPIKI,
- OW"ER INFORMATION APPLICATION FEES
!;a�nc-z 'STACE PAL,:3YS PERMIT 7. 50
�3'�;12 THIkV STREET WATER IMPACT FEE $0. 00
ATLANI' IC FEACH, FLORIDA -�l SEWER IMPACT FEE $0. 00
WATEP METER 15�0, ('10
RADON GAS -H. R. S. $0. 00
i-ONTEACTOR INFORMATTV'13 RADON GAS -- 5% $0. 00
Namet STAR ROOFING COMPAh' WATER TAP $0. 00
-ddresv�. C-15 16TH AVENUE ',- SEWER TAP $0. 00
JACKSONVILLE 0EACh, FL HYDRAULIC SHARE S0. 00
-INSPECT FEE
RCOC15'302c; Type% 7 RE $0. 00
$0. 00
OTHE4- 410100
NOTES:
7.
Ll 7
NOTICE —ALL CONCRETE FORIVISAND FOOTINGSMUSTBE INSPECTED BEFORE POURING
PERMITVOIDSIX MONTHSAFTER DATEOFISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.55
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PER�11T
r li�-
Owne Address ' 1? -2- 3 '?_)c> ZiR Phone z4c.
Architect Address _ip —Phone
Contractor Stjae 7-ooiF, %&co Address Cis
— 1 Cr*" 14"L 'S_'0v7h` Phone
Contractor's License Number 'QC_ C-2 �_7 iration Date-La
Lot # Block or Section # Subdivision _aX Copy on File
Street Between Zoning�_
and side
Valuation I soe)0.11 Type of Cons truction Q_- j?
Purpose of Building —Number of Units Fireplaces
Utility Service: Water Sewer
If the City if providing water or sewer service, do we need to make taps?
Dimensions: BuildingL_ Lot
Sz. Piers Sz.. sills Size Footings
Sz. Ceiling Joists Greatest Span Sills
Sz. Floor Joists Distance an Centers Greatest Span
Sz. Rafters Distance on Centers Greatest Span
Distance on Centers— Greatest Span
Method of Heating- Solid-Filled Ground Roof
Flood Zone If located within ------
a FLOOD HAZARD complete page 2
SUB�aT: Two complete sets of plans, including a detailed site plan.
Florida Energy Efficiency Code Sheets
Recent Survey
Inspections Required:
I. Mien steel is in place and ready to pour footings.
2. When steel is in place and ready to pour c0lums/liatel.
3. Mien steel is in place and ready to pour beam.
4. When framing, mechanical, plumbing, electrical, .fireplace, is completed and ready
to cover up.
5. Final inspection.
NO INSPECTION WILL BE MADE, IF BUILDING CARD IS NOT POSTED ON JOB.. SETBACKS
In case of rejection, reLnspection MUST be called for after Rear Lot Line
corrections are made.
In consideration of permit given for doing the
work as described in the above statement we
H-F FJ.
11
-orm said work in accordance 0.
,hereby agree to perf
with the attached plans and specifications,
which are a part hereof, and in accordance
rt
with the building regulations of Atlantic Beach.
(D
Signature Owner (D
Signature Contracto
__Yr_o_nE-L6�- In�e
FOR OFFICE USE ONLY
Date..------
__;............197)
CITY OF ATLANTIC BEACH Permit #1�7fi.....Fee$...11J� .......
Valuation .............................
FLORIDA House 3-7,x—
............................................
...........................................................................
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............ ..........1 19...
-----------------------------------------
Owner---/&Z.../_� ifo------------_--Address.... Al ----Telephone No..7
Architect---------- ............................................... -------Telephone
Contractor Builder--- -------------_------_------Address---�5� A/ ---Telephone
Lot ------Block - -----Sub Division...... ------------------_--__...Zone-----------------
.... ... ...... ..............---------Street---------------- ---------Side Between------------------------.........................and----.................................................St's.
Valuation $------_7_fl
,2�o.w.......For what purpose will building be used.-*.I......6_4---------_----Type of construction-Sy.X.......R/Arl
Dimensions of Building--- ...............Dimensions of Lot.... ----_-_----------------Size of Footings-------- --------------
Size of Piers-----------------—---------------Size of Sills----- ----GTeatest Sill Span in ft---------------------------Type Roof_:;IX.��..
How will Building be Heated?_62Z)... -- -----------------Will Building be on Solid or Filled Ground?-----��LA.....................
Size of Ceiling Joists---- ------------------------- Distance on Centers...............Z(..................... Greatest Span-.-.------- ..................
Size of Floor Joists...:::�----------------------------- Distance on Centers.......... ..—---------------------------- Greatest Span............................................
-,_ ,e 6 1P
Size of Rafters.----------------------------------------------...... Distance on Centers ..................I Greatest Span----------/ ......0.................
This rectangle is to represent the lot
Locate the building or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. Z Z
I A " I z
3. When steel is in place and ready to pour beam.
E-4
4. When framing is completed. \
3 1"D jS2 )'�'
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to 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 At ntic B ch.,,
Signature of Builde Address----- /I�"Q7' ..Vz... ...............
- --- - ------------------------------------
Signatureof Owner.. ..... . ........ ..... .................... Address...................................................................................................
CITY OF ATLANTIC BEACH
APPLICATION FOR FLUVIBING PERMIT
PERMIT NO. JS Z� Date :
LOCATION 2w a q!ior' Street
LOT NO.W%. 7L I Z-3 BLOCK NO.. - S/D
OWNER 1>0m. p7z
MASTER FLUT114BER .._ _ _ 'MMMAWD C-: B gn, ma.
BUILDER OR CONTRACTOR P4 64 Saw Bldg.
Pe:rMi t-,V�01.
TYPE OF BUILDING
SINKS-1—LAVATORY ?,-- BATH TUBS URINALSf_.CLOSETS
FLOOR DRAINS 7-- SHOWERS_ 'L_,WATER HEATERS DISH4ASHERS
DISPOSALS 7-- OTHER. L,4) //;I
TOTAL FIXTURES
NO WORK MUST BE DONE UNTII, A PERMIT HAS BEEN TROCURED
PLANS AND SPECIFICATIONS must show a plan and description of the
size ..ai�.d location of all the soil and vent pipes, and the number and
location of all fixtures, (in accordance with Ord'Lnance no. 188 of
the City of Atlantic Beach, Florida) must be shown on back of appli-
cation and be approved by the Plumbing Inspector.
DRA9 PLAN AND SPECIFICATION OF ABOVE PLUMBING ON B.LCK.
Approved by
Plumbing Inspector
Date
ROUG'H-IN INSPECT (FOR OFFICE USE ONLY) ARKS
FII�AL INSPECTION: CERTIFICATE ISSUED:
75' 13. 5"
110 Eo�,, 0 lz
—IOL
I FF 15 ' U)
0
75
'1 -3
C)LD SHEP-P,',�� DP-,, .
LC;T Z ALL 0 F t-05 TI 'C"-5 -,I
ATLA��)TIC �5F-ACH ) PL�� .
H ��SOK)
CITY OF
M144t& BwcA-q14
office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date
Time A.M.
RM.
Received -Mi
Locality
Owner's Job Addres/ Contrac or
IC
Name
MECHANICAL
BUILDING CONCRETE (ELECTR.ICAL PLUMBING E Air Cond. & F-1
Ej Rough
Framing Footing Ej Heating
Re Roofing Stab 11 Te p Pole El Top Out Fire Place
11 Fi al D Sewer
Insulation Lintel Pre Fab
READY FOR INSPECTION M
OM.n Tues. Wed. Thurs. Friday
A.M.
—P.M.
Inspection Made Final Inspecti j
Inspector e o f 2c<.pa n c y E
Date