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331-333 4th St (vault) CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001331 Date 9/24/08 Property Address . . . . . . 333 4TH ST Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc 1 CU 1 AHU ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FOGELTON DONOVAN HEATING & AIR 333 4TH STREET 315 SIXTH AVENUE SOUTH ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 (904) 241-3785 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 3/23/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. s s e } { � a � o 1 ' U.S.DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT 83 / FEDERAL HOUSING ADMINISTRATION HA form 2005 For accurate register of carbon copies. form Form Approved 'A Form 26-1852 may be separated along above fold. Staple OMB No. 63—ROOSS rev. 2/75 completed sheets together in original order. j Proposed Construction DESCRIPTION OF MATERIALS Na. (Ta be inserted by FHA or VA) Obder Construction Iroperty addressp %S 0117 City State "ortgagor or Sponsor (Address) :ontractor or Builder ,8144-Y mr ��2!� t�.c)S Y C. ��tlG'r loD L'r cwes r,,Fe /4 U Gam. (Name) (Address) INSTRUCTIONS 1. For additional information on how this form is to be submitted, number required,then the minimum acceptable will be assumed. Work exceeding f copies, etc., see the instructions applicable to the FHA Application for minimum requirements cannot be considered unless specifically described. iorigage Insurance or VA Request for Determination of Reasonable Value, as 4. Include no alternates,"or equal" phrases, or contradictory items. ke case may be. (Consideration of a request for acceptance of substitute materials or equip- 2. Describe all materials and equipment to be used, whether or not shown ment is not thereby precluded.) n the drawings, by marking an X in each appropriate check-box and entering 5. Include signatures required at the end of this Form. he information called for in each space. If space is inadequate, enter 6. The construction shall be completed-in compliance with the related See mise. and describe under item 27 or on an attached sheet. THE USE drawings and specifications,as amended during processing. The speeifi- iF PAINT CONTAINING MORE THAN ONE HALF OF ONE PERCENT EAD BY WEIGHT IS PROHIBITED. cations include this Description of Materials and the applicable Minimum 3. Work not specifically described or shown will not be considered unless Property Standards. 1. EXCAVATION: Bearing soil, type 2. FOUNDATIONS: /Footings: concrete mix : X Z U ; strength psi 2 O Reinforcing Foundation wall: material b�� JC"c, c7G Reinforcing Interior foundation wall: material A Z Z� cyllj S/S Party foundation wall Columns: material and sizes Piers: material an?del r�e.ii,nforcin Girders: material and sizes ' 'o~ ` Sills: material �e �G�� Basement entrance areaway �+t' Window areaways Waterproofing �,//�-LW�� Footing drains Termite protection C J ��'� i:�L Basemendess space: ground cover .�-" insulation foundation vents Special foundations Additional information: '- 3.,CHIMNEYS: 7oq Material Prefabricated(make and size) Flue lining: material ��L TiA L Heater flue size Fireplace flue size Vents (material and site): gas or oil heater water heater Additional information: 4. FIREPLACES: T solid fuel; gas-burning; circulator make and size) ? Ash dump and cleanout YPe� I�r � 8 g� ❑ Fireplace: facing �.�G�� lining ' G ; hearth �y CA ; mantel Additional information: S. EXTERIOR WALLS: Wood frame: wood grade, and species Corner bracing. Building paper or felt Sheathing thickness width ; ❑ solid; ❑ spaced " o. c.; ❑ diagonal; Siding ; grade type size ; exposure "; fastening Shingles grade ; type ; size ; exposure "; fastening Stucco thickness ; Lath ; weight Ib. Masorry veneer Sills Lintels Base flashing Masonry: ❑ solid ❑ faced ❑ stuccoed; total wall thickness "; facing thickness "; facing material Backup material thickness '; bonding Door sills Window sills Lintels Base flashing Interior surfaces: dampproofing, coats of furring Additional information: Exterior painting: material number of coats. Gable wall construction:a same as main walls; ❑ other construction 6. FLOOR FRAMING: joists: wood, grade, and species ; other bridging ; anchors rnrretn s1ah:M hasrment floor 49 first floor: 0¢round su000rted; M self-suanortin¢; mix : thickness /� "; 21. SPECIAL FLOORS AND WAINSCOT: LOCATION MATERIAL,COLOR, BORDER,SIZES,GAGA, ETC. THRESHOLD WALL BASE UNDERFLOOR MATERIAL MATERIAL MATEIU.+L ;l Kitchen— V- W,d 4_ lf��52Z2 Bath,. r C, r G e w LOCATION MATERIAL,COLOR,BORDER,CAP.Suss,GAGE,ETc. HEIGHT HEIGHT HEIGHT IN LOO Ovta Tus (FaoW FLooK) Bath -E 3 Bathroom accessories: Recessed; material_ '� ; number ; ❑Attached; material ; number Additional information: ZZ. PLUMBING: FIXTURE Numoza LOCATION MAKE MFR's FIXTURE IDENTIFICATION NO. SIZE COLOR Sink I ✓� �� G Lavatory 1 r L V Water closet Bathtub �' r Shower over tubA + Stall showerA 1 Laundry trays A® durtain rod AID Door u Shower pan: material Water supply:10 public; ❑ community system; ❑ individual (private) system.* Sewage disposal: ( public; ❑ community system; ❑ individual (private) system.* *Show and describe individual system in complete detail in u ale drawings and specifications according to requirements. C House drain (inside): ❑ cast iron; ❑ tile; ❑ other e VC I_ House sewer (outside): ❑ cast iron; ❑ tile; ❑ other �� Water piping: ❑ galvanized steel; copper tubing; ❑ other Sill cocks, numbef Domestic water heater: type a f- 4 . ; make and model ; heating capacity ���_. gph. 100' rise. Storage tank: material „� ,: L !e ✓ G� ; capacity gallons. Gas ser4ice: ❑ utility company; ❑ liq. pet. gas; ❑ other Gas piping: ❑ cooking; []'house heating. '"Footing drains connected to: ❑ storm sewer; ❑ sanitary sewer; ❑dry well. Sump pump; make and model capacity ; discharges into 23. HEATING: Hot water. ❑ Steam. ❑ Vapor. ❑ One-pipe system. ❑ Two-pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model Radiant panel: ❑ floor; ❑ wall; ❑ ceiling. Panel coil: material ❑ Circulator. ❑ Return pump. Make and model ; capacity gpm Boiler: make and model Output Btuh.; net rating Btuh Additional information: Warm air: ❑ Gravity. ❑ Forced. Type of system Duct material: supply return Insulation , thickness ❑ Outside air intake Furnace: make and model Input_ Btuh.; output Btuh. Additional information: ❑ Space heater; ❑ floor furnace; ❑ wall heater. Input Btuh.; output Btuh.; number units Make, model Additional information: Controls: make and types Additional information: Fuel: ❑ Coal; ❑ oil; ❑ gas; ❑ liq. pet. gas; ❑ electric; ❑other ; storage capacity Additional information: Firing equipment furnished separately: ❑ Gas burner, conversion type. ❑ Stoker: hopper feed ❑; bin feed ❑ Oil burner: ❑ pressure atomizing; ❑ vaporizing Make and model Control Additional information: - Electric heating system: type_. C11C7 "•J ��� L• Input watts; @ volts; output Btuh Additional information: CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233- Tel: 247-5826 Fax: 247-5877 PLUMBING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24034 Address: . 332 FOURTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FL 32233 Class of Work: ALTERATION Township: Range: Book: Proposed Use: SINGLE FAMILY Lot(s): Block: Section: Square.Feet: Subdivision: Est..Value: Parcel'Number: Improv. Cost: _ OWNER INFORMATION Date Issued: 5/07/2002 Name: 'MIDDLETON, PATRICK& HOLLY Total Fees: 32.50 Address: 332 FOURTH STREET . Amount Paid: 32.50 ..ATLANTIC BEACH, FL 32233 Date Paid: 5/0612002. Phone: (904)249-3003 Work.Desc: INSTALL PLUMBING CONTRACTORS APPLICATION-FEES PLUMBING BY JOSH R MtT 32;50 T � niP T. v y,y W at v 'yt r {rF —az " k _ rNi r W. MEf��.y� ..fi 7�,•..7vqgc , .� - ..0.4 X. '' .saF tu ,�"� � �kr .rte +•,� py�',izli"-y��.a . rMAT'i�.• i� �: �t i5.. .: iif+.-.L• a t�Y�„�+r �� �t,�L.su .a $r �.-�.,�ty �9-,°� �s�c ' � '= z.. �t tz+i '£ta^"^�Y•}�` ��,. �.daa FFr�e�''^�,5iv��'3��"�� ^A`i•�- y' 1ar+;"-r,''�+�,� ->,,.3it.�. � . . t,} • may, � �.;t�+...a�.r5y<r+ ^�afi+� -aS, '`�'.. a ,r a -k � +�7 Mn r,�.'t �Sa g— , r� NOTICE M1 OECTION� ? -. � x�'R.v� �i.tYti�'y��.�'ni'�•'�s�"".t'K.� +J 0 G. y ':r+Six�� a' �kx= a•'` ; i v7. :wi S' S?.iFe 'tr :a 3 ro sr i r k - BUILDING MATE # , r ��t IN PUBLIC. SPACE,AND MUSIz, OWNER "FAILURE TO COMHE PROPERTY OWNER P IkLJO,>jMP .. :.: ISSUED ACCORDING TO APP RO H # # D SUBJECT TO REVOCATION FOR VIOLATION OF.APPLICABLE PJ Aper: JLANIER Type: CC karer: 1 date: 5/98/12 01 ' :Ileoeipt no: 5W - 14 P12NITS-8111L)MG 1' . . $32.59 ATLANTIC BEACH 8UILDNG.QEPT. 9919191322199>< mum STREET. CC CNECI(S Trees date: 5/98/12 Tiae:.1a:38:57 CITY OF ATLANTIC BEACH APPLICATION FOF2 PLUMBING PERMIT JOB LOCATION: 3 3y S OWNER OF PROP��4�✓ l"1 � TELEPHONE N0. PLUMBING CONTRACTOR VI-1&,',J CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: TELEPHONE: ,74� -3,3 'AZO 1 HOW MANY OF THE FOLLOWING FIXTURES RE-PIPED OR NEW SINKS SHOWERS 0 LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER RE-PIPE (LIST .FIXTURES BEING REPIPED) OTHER } TOTAL FIXTURES: x $3. 50 + $15 . 00 MINIMUM PERMIT FEE - $25. 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: J ----------------------------------------------------------------- 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 � Office of Building Officia REQUEST FOR INSPECTION I � Permit No. Date A.M. Time P.M. Received � � , �� Locality Job Address Owner's Contractor Name PLUMBING MECHANICAL BUILDING ONCRETE / ELECTRICAL f ❑ Air Cond. & ❑ Framing ❑ Footi RoughPoWeing ❑ Rough ❑ Heating ❑ Temp ❑ To Out ❑ Fire Place ❑ Re Roofing ❑ Slab ❑ Final ❑ Sewer Insulation ❑ Lintel Pre Fab READY FOR INSPECTION A.M: Mon. Tues. Wed Thurs. Friday ,�1 A.M.P.M. ✓ 11 Y' Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy ❑ v,v Y-)o ��--Cl Date CF s i PermA. No. Rht �- - Jon �•. � SS�-��/l. Owner, Nurn<• � ��caliry — _ __- __ __-- C ntractor BUILDING __-- e, YcRErr - F r imi ry EL C f F ICA ! _ Footing Rp S:;orin9 Slab Poug', Wg hin iv1ECHd'INICAL In alien r ough Un?eTem l P �'cle Top Jut Air Colic!_ Fina; Sewor Heating READY FOR INSPECTION Fire Plan Mon. Pre Fab Tues i Wed. Thurs. � Fnd a;� A.h�. Inspecticn N e _ -__ A.M. 1 P 1281 Off% MENT OF BUILDING , { CITY OF ATLANTIC BEACH -. -'PERMIT INFORMATION - - . ------- - LOCATION' I NFORMAT 14N - P_rmi t. Number; 12013 Address,- 331 FOURTH STREET Pe'rtit Type*MECHANICAL ATLA14TIC BEACH, PLORIDA 32233 "A'ss of Work:*AL ERAtION --------- LEGAL �DE.SCR IPTION C6hi r. Type,WOOD FRAME Block: Lot: � _ {� Px c ed Use:SINGLE FAMILY Section: 4 Subd r Rn ", . D4el1ingSubdivision: . Value. ImPrp . co 0 .00 31 .00 DO " X, ENISER AND AIR HA ION APPLICATIC)N SEES AIfi P PERMIT 3't' 03 E FLORIDA �Pll kr M?Nw..:err C..: R FORY A'r -"yp # v" �""p4NNegd9a9dlm dw.Mro"'°°rk+wwvanr..ap.>ldewb:marwra4gykefi3,e,vurebmkk4M"�'' 'M dc �w�Yw.a.�'aaw� u d,fi yyL4R.I fi/Al2'2 5 Exp: p�,, 4'ix i d; eMpabe�s flnmme�yry.�epAF Nt�'t'SSM f N07 CE ALL OONCRIEM FORMS AND FC3OTWM IVIUST BE INSPIICTEO BE E PoLJI IG`i PERMIT VOID Six MONTHS AFTER DATE OF ISSUE BU,, XN#3 MATERIAL, RUBMSN"AND DEBRIS FROM THIS WORK MUST NOT BE PLACE©IN PUBLIC SPACE,AND MUST BE CLEAR10b Ute.AND HAULED AWAY;BY EITHER iD6NTRACTOR OR OWNER WR TO CID-"' ' . WTH THS MECHANIC'S LIEN " CAN R ULT, � PAY fw TWIC F R'I� ISI . I II.I�fi " 'SUED', CGQRQiNO TCS APPROVED PLANS.WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIONAOR VK)LATI OF APPLICABLE-PROVISIONS OF LAW, A B�BUILD I pI ENI i BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC 8FACH ATLANTIC 09ACH. FLORIDA 33830 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, Il, III, and IV. I. ✓ LOCATION Street Addnp; latas•tKa� ShNh: tletw•n e v W IUNNGAnd 11. IDENTIFICATION — To be completed by all applicants, t" consideration of permit 96on for doing the work as described in the above statement we hereby agree to plrform said work in accordance f good Practice listed Mersin.the a d Plans end specilicalions which are • part hereof oand in accordance with the City of Jacksonville ordinances and standards of aw of wechaaita) - ' Contractors (►aiatJ z, M•sMr "7/ ►�a+s+e e/ ! 4' ►►eprty owner s4mos rre of Owner r ArKera•J AgeH i Si of A,ih(fact or ingteees 111. INFORMATION i A. T of heating bel: 13. 76= . Is OTNER CONSTRUCTION $EINO DONE THIS SUILOINO OR SITE 1 O San—O V ❑ Nahitel 13 CgQhel UtRity ❑ Oil If YES, GIVE NUMSER Of CONSTRUCTION ❑ 00- -. specify PERMIT IV. 1011IGiAN C-AL ,Q{fM1tMIT TO N MIVAUAD t► N.A/T�pE Of WORK / �m�����'a*M�°�� �"'sl Ern or O Commercial tt�l O Sete ❑ Receea� Cenhel O door ❑ ew Buildiidentnp r�14►Caadrti.aip: Q Reese ;/RoiPlacomont Istfn Building g O Owt Som.. we TWa.a_ _ of existing system M"Waft up+db afw ❑ New Installatlon(No system previously Installed). ❑ tAi"tiom ❑ Extension or add-on to existing system ❑ Cooliaq ow-w capacity ❑ Other— Specify ❑ R+e sprinklers: Nomber of ❑ C+te"o I r) TM !/AC! 004 ON" {IfE ONLY ❑ L%castle' laWssber) Rental, ❑ Uer+e1 f✓eaWe Vessel I ❑ O*w — speo* LIR' ALL YQEnPf4ZNT AM COMDIT ION MG AND REF>RIGBRATION EQUR1dEM ?tuas►et Vtslta DMa»lptJea ��Ntas40eS � l W-kTING • PURNACU, BOILERS, FOEPLACEi Shelled t7aly no"N teellbas, Ctio001b, G; s.6— CITY OF Bead - 96ue4 716 OCEAN BOULEVARD P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2396 March 20, 1985 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Street Jacksonville, Florida 32202 The following final inspections have been made and are satisfactory: Permit #3692 - 331 Fourth Street Permit #3691 - 333 Fourth Street Permits issued to Dermis Heat & Air Conditioning & Electric Sincerely, e0m. Widdows .� Building Inspection Supervisor JMW:ra CITY OF ATLANTIC BEAC14 0 7_ ' >- 800 SEIANOM fes.An M=BEACH.FL 3 33 — OFFICE:M4W'/-5826 s FAX Not OMP47-51115 W-MOING,DEPTOCOMUS MECHANICAL PERMIT APPLICATION DUVAL COUNTY 2 ISs TTS'A SUB PEt8Y1R. S:JOB JWDRESS. •r_ 130 33 `-1'93- O +, YYEE S PERMIT Atlantic Beach FL 32233 r... '..p(�pERTY0YY1 5 ADDRESS IF DIFFERENT FROM JOB ADDIS 4.NAME: .0 1-7 tLtEcw►�cal.c:ocTOR: ,-> <: . . a AOD�ss 7.NAME OF c ANV C - ..SS- p / 10.CELL PHONE: 114. } r9.STATE OF FLORIDA LI�SE NO: cGC 03 l 7t!i� � y`I J� Jl� 13.OFFICE PHOf�: _ 12.EMAIL ADORE= D `//-3 7 J, A'pNcetfon is hereby made to obtain a permit to do the work and ins;aRa"OnS as ink. I�y owd al work wN be perfomned to meet the s of all Iwo r in this jursd�ort This Peart bei mill and void if work is Ltd aontrstenoed w"six(6) rte.or 9 aons&ucdon or work is suspended or abandoned for a period of six(6)mords at any t11r1e atter work is COnwv wed. CON R0CTORSSWNATURE: 16.t3lUl OtNG 18s "CODEC 15 q ASS;OF_YMORK: 0 NEW SIDENTIAL FLORIDA BUILDING CODE- 0 NEW INSTALLATION �PL.ACE ENT OF EXISTING SYSTEM 0( IMERCIAL MECtiAIWCAL 13 ALTERATION I ADDITION TO EXIST SYSTEM O OTHER E3 REPAIR r..:. trite., - 19.HEAT. O SPACE D RECESSED XCErffM D FLOOR BURNERS: 20.AIR CONDITIOtGW__: D ROOM WCEWFM 21,oucr SYSTEM: WT—B-4At.: THICKNESS: MAX CAPACITY: dm 22.REFRIGERATION' MAX CAPACITY: allm 23.COOLING TOWER: CAPACITY: 24.FIRE SPRINIO-ER: NUN�R OF HEADS: 25.LIFT SYSTEM- ELEVATOR: fiAANLIFT ESCALATOR AUTOLIFT: 21L COMMERCIAL Hoon WJMBER: 27.FIREPLACE. PREFABRICATED: MASONRY: 28.IRRIGATION: D PUMP DWELL D PIPING 29.GAS PIPING: #OF OUTLETS' 0 GAS AHI: 0 GAS WATER HEATER 30.OTHER-SPECIFY: SOLAR HEATING.BOLERS.LJNFIRED PRESSUREVESSEL.HENNEXCHAMINR ALUE FOR OTHER REJr15- OR COLL R1 DUCIS ETC. :-r: :. ;i31 tXIOtJNGB4UIPM�":} IR CdNIWI IN R APPROVING NUMBER ! MODEL # TONS AGENCY OF UNITS ��-f Pu�/� �33v em •.f �r a s u L. BOiLEi2S`F1LtEF' R777777 G: PPROVING OF UNITS 0 L MODEL# MANUFACTURER BTU AGENCY - F WL TANKS: APPROVING . NUMBER GALLONS CONTAINED SER(AL# AGENCY COAB FORM BLDG03:REVISED:8/1312007 INSPECTION LOG t JOB ADDRESS CONTRACTOR� ;t OWNER BUILDING PERMIT ELECTRICAL PERMIT 9 PLUMBING PERMIT 17' MECHANICAL PERMIT FLOOD ZONE �- DATE SURVEY FILED called in approved JEA Temp-pole Slab - Footing Framing Plumbing (R) 'f `' / / l Electrical (R) '7 Mechanical Fire Place Top Out Other Electrical Final ' FINAL INSPECTION - �) Certificate of Occupancy Issued C COMMENTS - - _ ,,• � t. ��� � ter, _ a �1 ) L F CITY OF 4&4a is BeacA-09"- Office of Building Official REQUEST FOR INSPECTION DatelzzPermit No. Time A.M. Received P, J) District No. C_ Job ress a Locality Owner's Name Contractor BUILDING CONCRETE / ELECTRICAL PLU B G MECHANICAL Framing ❑ Footing 9` Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ As Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTN A.M. Mon. Tues. r}7Wed. /1 uh sa.. Friday P.M. Inspection Made j " �le ` _ P.M. Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF- 4&4494C Ff4&1494C /214,13lt- Office of Building Official REQUEST FOR INSPECTION Date 9A Permit No. Time A.M. Received P.Nkf Distrl t N . Job Address Locality Owner' / y� Name_( _ Contractor"'7f�'�"__ BUILDING CONCRETE ELECTRICAL PLUMBING �/ MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ,F Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. ed. Thurs. Friday P.M. Inspection Made —.t p 'v P.M. Inspector c/^ Final Inspection❑ Certificate of Occupancy Date CITY OF AA rihl�IQ & /�1104410A J� j A Office of Building Official / f EGIUEST FOR INSPECTION Date Permit No. Time A.M. Dist Received Job A drg s Locality Owner's ,r A J Name CCss���G�_-K Contractor BUILDING CONCRETE ELECTRICAL UMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab RE Y FOR INSPECTION A.M. Mon. Tues. ed. Thurs. Friday P.M. 1 A.M. Inspection Made V P.M. Inspector Finallnspectionto� Certificate of Occupancy Date (fie ifirttt� of (Orrupattr CITY OF 00f4h& hQth,- Rai& j9pparfmpn# of Building Jn$pprfion This Certificate issued pursuant to the requirements of.Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following. Use Classification Bldg.Permit No. Group Type Construction_ District...._____— — --- . Owner of Building_ ---_.---Address Building Address — Locality— ------_—__---- —_ By'----- _--.__------._ Building Official Datr:—__ _--__------_— -- -- POST IN A CONSPICUOUS PLACE CITY OF ATLANTIC BEACH, FLORIDA Apprand 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 ELE TRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. L ICA FIR . E T IAN- Aaff IfSlCfNAffJRE NAME r _ ADDRESS: - �^ - 3. .- JY r RFD BOX SLOG«SIZE BETWEEN: RES.( APT.I 1 COMM.I ) PUBLIC I I INDUS.( 1 NEW( OLD I 1 REW. I I ADDITION( I TRAILER( I TEMP.( I SIGNS ( ) SCE.FT. SERVICE: NEW( INCREASE ( I REPAIR I 1 FEE; CONq$&TOR SIZE AMPS COPPER I ALUM. TtII OR BR AKER AMPS PH W VOLT EW EXIST SERV.SIZE AMPS PH W VOLT R CEWAY FEEDERS NO. SIZE IND. SIZE' NO. SIZE UGHTING'OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.80 AMPS, 91.100 AMPS. SWITCHIES 1 ` aDESCENT FLUORESCENT&`M.V. FIXED 0.100 AMPS. I QVER APPLANCES BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS' AMPS IcEIL HEAT: KW-HEAT MOTORS H.P. VOLTAGE ' PHS NO. "�• 1%OI.I`Atlf' PIIS' N MtSC UANEOUS TRANSFORMERS: UNDER 600 V, OVER 600 Y. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT —Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: / - OF Intersecting Streets: Between G-.04S2'6 q S-�;___ /0 — And 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 plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordina and standards of good.practice listed therein. Name of Mechanical r Contractors Contractor (Print) is Matter A Nome rty / /<G / : ProOwner Signature of Owner Signature of ar Avilwrised Agent Architect or Engineer III. 1944111 L llTION A, Type of hating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON � tr;c, THIS BUILDING OR SITE? 0 0 bas—0 LP 0 Natural 0 Central Utility 1F YES, GIVE NUMBER OF CONSTRUCTION 13 OE PERMIT 0 Other — Specify IV. MIICFIANICAL ICU1PMENT TO 01 INSTALLED NATURE OF WORK (Provide complete list of compone*teon back of this form) tResidential or ❑ Commercial Heat 0 Space 13 Recessed "ntsrl O Flow ew,Building Air Conditioning: E3 Room_"' eP6 l ❑ Existing Building `e Duct System: Materia Tbieknam ❑ Replacement of existing system Maximum capacity _ � � c,fns, New installation(No system previously installed) ❑ Extension or add-on to existing system 0 Refrigeration ❑ Other- Specify 0 Cooling tower: Capacity g.p.m. Q Fire sprinklers: Number of head+` 0 Elevator C) Maelift 0 Ewalotor (number) THIS SPACE FOR OFFICE USE ONLY 0 GoWinePumps (number) (Raeeiwd) 0 Ta*ks. (number) Ramark� (] LPG oontainm (number) C) U*find pmaure wssal Q Iatlers Permit Approved by Date -- 13 Other Specify, Permit Feo. LIST ALL EQUIPMENT AfR CONDITIONING AND REFRIGERATION EQUIPMENT Chad p pMfbkff NUMbW Unites ptlat ]No"Number Kanutactaw (lboa)y AgOMW F. ,. / FLORIDA MODEL ENERGY EFFICIENCY CODE FORM sot FOR BUILDING CONSTRUCTION 3 BOB GRAHAM SECTION 9 '9H POINTS METHOD CLIMATE ZONES GOVERNOR DEPARTMENT OF COMMUNITY AFFAIRS NORTH 123_' PROJECT NAME A1GIi1E.E q�ZIE 70—40AMddSF5 JURISDICTION AND ADDRESS 7709.6�ftj.-z),e AIL 13c6/ ZIP32Z55 ZONE BUILDER BI�.Lf� ry1, e2l� Ga�S� CO. SNC. PERMIT NO. OWNER t//1 TGh�F,e/R�ZIE JOln/T Vet4niRE JURISDICTION NO. STATISTICS RENOVATION IF MULTI-FAMILY, NO. OF UNITS GLASS AREA AND TYPE (- COVERED BY THIS CALCULATION.: � CLEAR TINT OR FILM QADDITION (SEPARATE CALCULATIONS REQUIREDIII SGL[] GL[] MULTI FAMILY FOR EACH WORST CASE UNIT VN I TYPE.) SEC. H901.1 _ �DBL� BL[] GROSS WALL AREA AND INSULATION CONDITIONED CEILING INSULATION CBS R= FRAME R= FLOOR AREA UNDER ATTIC SGL. ASSEMBLY 40 -jil 1`3 1 1?11 2.11= 1-3 10 16 1jM 17M. l COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM CENTRAL NONE STRIP GAS NONE RESISTANCE SOLAR UNITARY OIL F-1 SOLAR HEAT RECOVERY HGAS EER SEER -7,® HEAT PUMP: COP ® ® DED. HEAT PUMP: COP=n OTHER: a OTHER: MAX. E.P.I. ALLOWED (from 90 tole 1:0D.[j5] CALCULATED E.P.I.: . CHECK IF COMPLYING BY "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH" (SEC. 903.11)* c CERTIFIED BY: DATE FORM COMPLETION DATE owner/a ent) ,j CHECKED BY: (building official) THIS DATA IS TO BE SENT TO DCA BY THE LOCAL BUILDING DEPARTMENT. 9A MAX. E.P.I. ALLOWED (CALCULATED E.P.I. MUST NOT EXCEED VALUE SHOWN BELOW) CONDITIONED901- 1101- 1301- 1501- 1701- 1 1901- 2101- 2301- FLOOR AREA 0-900 1100 1300 1500 1700 1900 2100 2300 1 ABOVE BASE E P 1 120 115 110 105 100 95 90 85 80 A/C EFFICIENCY LESS THAN 8.0 EER/SEER (7.5 HEAT PUMP) (as of October „ 1982) -10.0 IF MULTI-FAMILY: COMMON WALLS (maximum of 5 points) - 2.5 DEDUCTIONS IF MULTI-FAMILY: COMMON CEILING and/or FLOOR (maximum of 12 points) - 6.0 TOTAL DEDUCTIONS COMPUTE MAX. BASE E.P.I. DEDUCTIONS MAX. E.P.I. ALLOWED 2t s -7-P *RESIDENCES WHICH COMPLY WITH THIS CODE BY THE "ALTERNATE PRESCRIPTIVE COMPLIANCE APPROACH” (SEC. 903.11) ARE REQUIRED TO MEET OR EXCEED ALL MINIMUM PRESCRIPTIVE LEVELS INDICATED BY SHADED BLOCKS ON THIS FORM, AND ALL OTHER APPLICABLE PRESCRIPTIVE REQUIREMENTS LISTED IN TABLE 9B. THE E.P.I. FOR A HOUSE COMPLYING UNDER THIS METHOD IS NOT CALCULATED BUT WILL BE THE MAXIMUM E.P.I. ALLOWED FOR THAT HOUSE SIZE AS SHOWN ON TABLE 9A. THE STATISTICS SECTION ABOVE SHALL BE COMPLETED AND SUBMITTED TO THE LOCAL BUILDING DEPARTMENT. .... ...:::.>•:::.:::;;.>c::::::> :;:. :r':E::;::ii:;:E:;::>:: ::.;;:::::>::<::>«:::> :.; .. .„ >.Ir'EIE�1�i:.k9'I!`I. ;.;: ; :..:>.': :: .'> :::.;;; INFILTRATION: windows/doors 903.1 HVAC DUCT CONSTRUCTION 903.5 WATER HEATER - ASHRAE LABEL 903.2 PIPING INSULATIQN. 903.6 SWIMMING POOLS 903.3 HVAC CONTROLS 903.7 SHOWER FLOW RESTRICTORS 903.4 HVAC SYSTEM EFFICIENCY SECTION X310 CEILING INSULATION ADPL) CAI )ON FOR 1.'A'1 ER CUT-INS. . . . APPLICATION 1S HEYEBY MADE FOR___ 2 _ WMER CUT-1N AT 7 HE FOLI.01:I',G A-DDFESS FORUN1 TS. ___-5y, 1--------------- -- CUT-IN CHARGE OF / C� SIREET N 31- LOT / /Y") BLOCK SUBDIVISION_--� 45 ACCOUNT NU_113ER_ :i. R )•zAILING A-DDRESS - - - BATE )1EIER NO. --- DATE INSTALLED C]']'Y OF Al'J A A C J:,r"cH APPLICIVI'JUN FOR S.T_.'i R AOC:�iJt1I' 1JJ._ 533- 1 rr�rI o vY ----- -- I-or BLD._'Y. RD. �j ------ SU13DNI SJo _ -' 1 IPE of BulLDTIJG - -- -------- -- -------- ---- -- BL=UC DEP IIyZ� BY { a.> DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 5564 it PERMIT TO BUILD U THIS PERMIT MUST BE POSTED ON JOB Date 1.0/1.4J _19 _3 Valuation$ PLURLiING Fee$ 12M 00 This permit not valid until above fee has been paid to City Treasurer,and is 1 l e i5U T subject to revocation for violation of applicable provisions of law. 0 f ti •OOLKT This is to certify that B&G PLUMBING COMPANY has permission tow" Ti�j TAAT PT 1IT'I;1'1vG A-, PI;P PLA��iS Classification DUPLEX Zone RG 1 Owned by HATCHER JARIT1-0 Lot Block S/D ' House No According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE — No 0 Building material, rubbish and debris Zi from this work must not be placed in public space,and must be cleared up hauled away by either con- ��' trac owner. 'I Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER IIS PLUMBING j ELECTRICAL SEWER � WATER CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT OWNER'S NAME p p ( � LOCATION 331 o- 333 l/TN S r MASTER PLUMBER (+,,o ' -- -- ---- - STATE/COUNTY OCCUPATIONAL LICENSE NO. C.G CERTIFICATE N0. CONTRACTOR LI YYI a v1 -----------_----- ----- TYPE OF BUILDING 0A2 SINKS SHOWERS a LAVATORY a WATER HEATERS a�. BATH TUBS ?,--DISHWASHERS URINALS DISPOSALS 6 CLOSETS - WASHING MACHINE FLOOR DRAINS OTHER -3C� TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. APPRjTY �� �. cDJCH PLU:IBING t;OR SHEET r _ SINKS _ SHOI:ERS �- DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE 2 WATER HEATERS � DISPOSALS _ LAVATORY URINALS OTHER Gh- TOTAL FIXTURE COUNT FIXTURE L`NIT BREAKDOI,IN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY EATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) --- — (3 UNITS) _ DRINKING FOUNTAIN (2 UNIT) URINAL, WALL LIP (4 UNITS) _ FLOOR DRAIN (1 UNIT) I•,ASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED _ WATER CLOSETS, TANK-OPERATED (8 UNITS) (4UNITS) _ SHOWER STALL, D0:•`_ESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) _ LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DIST.,.ASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 L'NITS) TOTAL FIXTURE UNITS @ $10._00 EACH h ©. c�C3 Cl 7Y OF ATLANTIC C hEACH H APPL1 CAT)ON FOR l'A'1 ER CUT-INS. . . . APPLICATION IS HEREBY !14DE FOR 0t>2 _ WATER CUT-IN AT '1HE FOLLOWING ADDRESS FOR ---- -- -- UNITS. CUT-1N CHARGE OFl"��' - --- - ---� STREET NQ331"'3,33 /Y� BLOCS: SUBDIVISION^ r ACCOUNT NU'•iBER cv d 333 - OPo /a7 R MAILING ADDRESS DATE 11E T ER NO. DATE 11-.--STALLED CITY OF M11- ,IPJC `:14CH APPLICATION FOR SFv;_ER CON'! FJ(y: S 33 ) -- D ffOla & ACX�OUNI' rr�. 3 .33- _07____ L�C)",_,ATION_5j LCYT NO. �J BLOCK RD. �j-- SIPIDIVISIOd ,�---- TlPE OF BUILTJI?JG 4� -- --- -- --- - ----- BLUING DEPegh nATE M1�� CI'T'Y OF AfIANITIC BFACH APPLICATION FOR SHWER C0NI-,FCTIONS ACCOUNT NO . DA I'E � LOCATION �3s- � 33 -7 •-^ �� LOT NO. Iq BLOCK NO. SUBDIVISION O'l;NER IZ TYPE OF BUILDING #BUILDr- GEPART:"_F_ `T DATE ItiSPECTED BY 5 � DF pARTMENT OF BUILDING PERMIT NO.S " I 1 CITY OF ATLANTIC BCH'�I�D pERN11T'To B THIS PERM UST BE POSTED ON JOB 83 IT MUST Date Fee$ %" ` Treasurer,and is v N., Valuation$ aid to City �7� rovisions of ia`N' Gp�DITIONIN rtuit not valid until above lee has ik been paid p AIR i i This pe N,L•iCs� � A I subject to revocation Eor violatio��pIc that :7 � I�I OvlivG" This is to certifyt ermission to ti� I aSTA -PER pLA�v� hasp Zone Classification AI S/D ' �°r clbE Awned by Bloc6k Lot MS art of this permit ALL CONCRETE FORIN House No 'Plans which are p NOTICE— MUST BE i to approved p AND FOOTINGS URING. According BEFORE PO ONTHS * SPE PERMIT VOID SIX M + DATE OF ISSUE AFTER debris materialrubbish be placed M Building ork cleared nom this 'A publ c pace s w ybyt either Con- 1 d hauled AIR. owner. I frac , Building Official. iCTOR CONTRA � IISI� PERMIT DATE I FOR OFFICE NUMBER USE ONLY IPLUMBING II ELECTRICAL SEWER VII i I)f,p'r 11/29/77 IGE CORRESPO14004 E R 35 33 4�` S-r SUgJECT: En ineerin Division 'S FROM: C.0.8. �-� th Floor $ 38c'j��C TO: Electrical permit N°' _ contractor phone Electrical 2� 'type og Service - ^ , ` „^� "', �'- Electrical C J" tact t to a indicated ✓A: Name - indi project alectricaco rec as return ile tafor necessary please unapproved location InaVection Dep must be to been installed in etc. Meter can has Meter ca gide Ofihouse °r scan t continuous con lo- has on the house. S tom the exthe A tinGgemet*al Underground6 catsd to the Nie �--� with A. Rules raceway install a b cation designated yaccordancs J.E• Engineering Section in I,oad and line gegulationa. incorrectly' has been wired sed. Meter can has are raver -�"� side conn iia address- No service exists o not been installed cn —_—_ Meter can and/or conduit has ole not of ample lenges ,.as as of h ----� orary Service cable from ten transformer• nn actions in permit should rsad to maze CO ��" Service Permitted incorrectly.not �� _---� other Conde C 333 cal correctional=gin the necessary actor Permit wh the electri contr please return this mad by additions have been ma erection completed• Yes Coatracto, notified by J•Z•A' on —� Electrical �L=Ko xc: U.G. Section File Tre-Service CS 179 I DEP4ARTMENT OF BUILDING C566 CITE OF ATLANTIC BEACH.FLORIDA PERMIT NO. J PERMIT TO BUILD THIS PERMIT MUST BE POSTED O ,,JOB ( •' Date / i _ ' ti." 19:.� _ G 1 I+e?5Ci{ !°I �`� 17 4� 1 A I UI/ 6/ f Valuation$ 1_11 5 r1 1 7Ll Fee$ s 1 L� 75 10.J6�i ODUCA � 1/4ii 1 A Ili/e?6/ 3 fThis permit not valid until above fee has been paid to City Treasurer,and is I subject to revocation for violation of applicable provisions of law. This is to certify that -i TT 7 Y M ARZIE CONSTRUCTION CO. , INC. 770 EAST COAST DRIVE has permission to build DUPLEX AS PER PLANS SUBMITTED I Classification I7ITPT i^X Zone RC7 Owned by A.B. 3 2�- ar. Block S/D Lot c �'--,-��-� I,�F House No. 'Ill -223 PLIUR'lli According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material,rubbish and debris zi from this work must not be placed in public space, and must be cleared uled away by either on tract ipowner. J Building O 'al. ir' FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING i ELECTRICAL i SEWER i WATER f rt 1••UIt UFFICE USE ONLY Date....................................19 ...... Permit #-- ------ ------------Fee ................... CITY OF ATLANTIC BEACH Valuation $-----................ FLORIDAHouse #.........................--------------------------------- .........--•------ ------------------••--............................ 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. _ `� ��e //'�Z/E �� �/' •-----• lG -SSxZ3 Date------7 ----------------------------------------------------------- �p - 19. ._. Oaner.4rN/ .... � AddTelep ' z rW. ','e z"E `7 7v E cy95 J2 02 45 4.f z� Architect----- .......__-_-•--------------- Address C T - --------Telephone No.-------•-----.............. 1'fJ. �,�Zl �S /tic �o 07� C�j� 73/— 9Z Z Contractor Builder-- .----------•---....-1--•••----- •-.-_Address---• •-- - j.........................Teleph o.-•---------- ------ Lot No...`2L ¢ .1..�--_---------_._Block No.----CP-------------------Sub Division.............------•----------•----- ----- I-- _ Z�ne.- ------ �.d .. Side Between.........................C(645 T D�----------. . - -------------•----------------------------Street...------- . ..... and -------------- --------------- 1 purpose g i.a�NTiAG-Type F9Rr;IC Valuation For what u ose will building be used.......___._-_ T e of construction___ Dimensions of Building5Z�.�W_ge��..........Dimensions of Lot..�0�_....x..._��J ................Size of Footings..5EC..._. GO_�r.S Size of Piers-._.._----------_--_-__...__.Size of Sills--------__'------.. ---------.Greatest Sill Span in ft.---------------------Type Roof__/�'/... qSS How will Building be Heated?- ELC�CT �G .$oL i c7 ------------------------------------Will Building be on Solid or Filled Ground?___.--_---••--------------.....-------- Size of Ceiling Joists_ Ect>4 5 , Distance on Centers_.........' ...-.._.._................... Greatest Span.___.._._...—...._.... " --------- Size of Floor Joists----- 2X/-D , Distance on Centers... /rC' , Greatest Span_SE - w S. " E acU4S -____.-, Distance on Centers Greatest Span---_-----------------_----- " Size of Rafters_---.-.------ -- ----- ------------- - A - P This rectangle is to represent the lot. RSO-nE [)- Locate the building or buildings in the &EACH right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE .upies ,. plans and specifications shall �v ,ubmitted with application. ,nspections required. 1. When steel is in place and ready to pour footing — /SECT #/ 2. When steel is in place and ready to pour colu ns and/or lintel. Z P��� Z 3. When steel is in place and ready to pour beam. '� "i 4. When framing is completed. Q 5. When rough plumbing is completed,and ready to cover up. .7 W W 6. When septic tank drain field or sewer is laid but before it is covered. q A 7. Electrical inspection by City of Jacksor.ville. m 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 x•ork in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City Atlantic Bea _-....__-•---• Address...�Cb�� C�d �f�X �c_c� Signature of Builder.1-�j`�' ----- _.lr Yt�. -- . ----- -- Sigr.ature of Owner.�.:_��. m r - x/fix Address.---�70 .- ............------------ -----•-----......_..... .............-----.....---• )-A A C7 1,1 CAT.: 00 144 � 1;L'I1.UJ.":G ]'1;1::•I1T l•;l�i:};�13Er:'T �, /♦����1, Per sq. W-A7FD SQUARE FOOTAGE: _ . ���".u_---- @ $ �� �'_""!__• -- DT C',R?GE (t'R1\'ATE/SHED) : - -S� - - - @ $ �� - - - -- - - 7 rl C� F � @ $ _- - -- Per sq. ft. _ $_ 1— ( �� per sq. ft. _ $41-- // v per s q. f t. _ $ per sq. ft. _ $ PA'I10: @ TOTAL VALUATION: $/ PERMIT FEES 'I OTAL V L'AT 1 ON DATA I s t ,76 co (rc _ -_.__,,//---------------------- er thousandRr=':AI',DER VALUATION@ $ ,2SP or portion thereof � TOTAL BUILDING PERAIT FEE. . . . . . . . . . . . . . . . . . . . . . . - . . • • $ �___♦ PLUS z THE BUILDING PERMIT FOR PLAN FILING FEE. . . . . . . . . . . i LTJ TOTALFEE DUE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • - - -- G� ------------------------ ----- - ! PLC-'BING PERMIT FEE: )�,rCP.ANICAL PERMIT FEE: $��_____— _______ _-- ELECIRICAL RESIDENTIAL: ELECTRICAL TE'l-PORARY: $ 3 �/ --- — FEE: $_ � �Q . �� ------------ -- t•:ATER IMETER SIZEOi _-�_ ---- . SE1•:ER CONNECTION CHARGE: SQUARE FOOTAGE: _ -_-- FEE $_ � < " ♦ _ WATER CONNECTION CYARGE: FIXTURE UNITS -iJy @ $10. 00 PER UNIT: $_S-zo&I.- ACCOUNT NO. : �rr'RO\'ED BY: TOTAL BUILDING/PLAN FILING FEES: Atti ;) $ TOTAL WATER '•,EIER CHARGE: TOTAL Z'AlER CONNECTION CF�,RGE: vv -- -- - TOTAL SEWER CO'.':ECTION CHARGE: $x20161 07T GP-AND TOTAL DUE: ----- - _ CITY OF ATLMNTI C };EACH APPLICATION FOR 1-?A'1ER CUT-INS. . . . /C APPLICATION IS HEREBY 1 -ADE FOR WATER CUT-IN AT '1HE FOLLOWING A.DDF.ESS FOR � _ UNITS. CUT-IN CP.ARGE OF_ STREET N0. 33c6- LOTIV (416 ) BLOCKSUBDIVISION ACCOUNT NU•iBER _ UkUrUSl­- - 337 ?:AILING ADDRESS _ DATE 1.1ETER NO. DATE INSTALLED