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387-389 4th St (vault) C�lzLVC CITY OF Oq&42 r& BeacA 4414& Office of Bugding Official REQUEST FOR INSPECTION ` Permit No. Date f � A.M. District No. Time Received Localit Job dress Owner's ,� r Name PLUMBING MECHANICAL BUILDING CONCRETE E CTRICAL ❑ Air.Cond.& ❑ ring C] Rough Heating Framing ❑ Footing Top Out ❑ ❑ Slab ❑ Temp Pole ❑ Fire Place Cl Re Roofing Lintel ❑ Pre Fab READY FOR INSPECTION A.M. Wed Thurs. P.M. Mon. Tues. A.M. Friday P.M. Inspection Made • J v--,. Final Inspecti Insp onp � Certificate of Occupancy (2 (/L Date , ~ ` . DATE: pRE-SE8VICG DIVISION ' JACKSONVILLE ELECTRIC AU]'8O811'Y 233 WEST DUVAL ST8EE'T JACKSONVILLE, FLORIDA 32202 ` THE FOLLOWING FINAL INSP2CIIOW(S' ) HAVE BEEN MADE AND ARE '.'&TISFACTO8Y: ' --------------------- A-it- ' _ | _ __ _________________________________________________ _____________ _________________________________________________ ` SINC28GLY, � 8UILDI0G INSPECTION DIVISION cc : FILE ` _ CITY OF ATLANTIC BEACH, FLORIDA A,p.a»eer APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1943: NVORTANT 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 PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF III om N ' F►0.BOX 330130 16lNnG BEACH,FL 32M-010 — ELECTRICAL FIRM: MASTIER ECTRICI SIGN TUR ,� JOURNEYMAN NAMEke I ��S ADDRESS: ��y ��,� RFD BOX BLDG.SIZE BETWEEN: RES.I ) APT.(,V- COMM.( 1 PUBLIC( ) INDUS. ( ► NEW( ! OLD ( 1 REW.( 1 ADDITION( ) TRAILER ( ► TEMP.( 1 SIGNS ( ) SO. FT. SERVICE: NEW( INCREASE( ) REPAIR FEE CONDUCTOR SIZE AMPS COPPER 1 ALUM. /S "� CH OR BREAKER AIDS PH W VOLT RACEWAY Z EXIST.SERV.SIZE AMPS PN W LT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O•SO AMPS. r.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. fuCEo 0.100 AMPS. ova" APPLIANCES I BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT q'E OVER MOTORS H.P. I VOLTAGE PHS NO. I N.P. VOLTAGE PHS LLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NA I VVA CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 09-00001197 Date 8/20/09 Application Number 387 389 4TH ST Property Address . Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------- Application desc FUSE AC ---------------------------------- Owner Contractor --------- RSON AMERICAN ELECTRICAL CONTRACTOR IVE IVE4TH STREET Q/A:GRASS, ROBERT 389 ATLANTIC BEACH FL 32233 5065 ST. AU USTINE RD JACKSONVILLE (904) 737-7770 -----Permit . • ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee 70 . 00 . Issue Date . . . Valuation 0 Expiration Date . . 2/16/10 ------------------------------------------------------------- Fee summary Charged Paid Credited Due ----- ---------- --------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 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 08- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 # OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.U S ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 7YESNO MIT#: 4.NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: 7 ; 8.ADDRESS.: 9.STATE OF FLORIDA LICENSE NO: 1 ] /_ 10.CELL PHONE: 11.FAX NO.: 12.EMAIL ADDRESS: / 4/v/J 13.OFFICE /'j� 14• 15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be pe r ed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and 'd if work is no comr - within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months In time after work is mme CONTRACTORS SIGNATURE: 1-11-141, 1 .G4A884 � F 1T. . „ ❑MU I FAMILY-#OF UNITS: eO RESIDENTIAL INGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR ❑ALTERATION ❑SIGN LD ❑NEW 0'05 NATIONAL ELECTRICAL CODE ❑REPAIR ❑POOL/SPA ❑REWIRE 113 OTHER: 20.TYPE OF SERVICE: 0 OVERHEAD ❑ UNDERGROUND ❑UNDERGROUND UP POLE 21.NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22.SIZE OF CONDUCTOR: AMPACITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: PH: / W: `z VOLT:_-Z_Vo RACEWAY SIZE: 25.FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.: 27.FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28.FIRE ALARM: ❑YES ❑NO 29.31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29.SMOKE DETECTORS: NUMBER: 30.RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS. #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT KW: .pa .:o. ..."G;: -77277,7777"T *.; NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: S A,Ja k,�� w,ut •�' UNDER 60OV: NUMBER: KVA: OVER 600V NUMBER: KVA S $ .ui r r+vas..i, tw., `.' u4 R ice.reams""°1 ,xJ ",'fi:; •gw,;r.., +},,, -.a„ DESCRIBE IN DETAIL: ,! 08 COAB FORM BLDG02:REVISED:1/10/20 AUG-20-2009 12:30 AMERICAN ELECTRICAL CONT rorr,v�� •.... CITY OF ATLANTIC BEACH e no SEh9NOLE ROAD,ATLANTIC SEACH.FL 3M% 00- OFFICE:"JU74M•FAX NO.:(9a WT-6816 FULDING•I)EFTOWAILUS ELECTRICAL PERMIT APPLICATM DUVAL COUNTY NO DYES PERMIT 1121 rCAIAME: ADOREss IF DIFFERENT rFOM me AWREW: 6.PHONE: T�1.6`'s0 ..•F •�'w. /I 9.eTATE OF FLOMOA LICENSINO: 1�.s��Z// 19.CELL PHONE: 11.FAR NO,: •tWMILADae: ta.ORFID6 /� ORB 15.AppftmWn is hereby made to obtain a pemrit to do the work and Insta(Iallorls as in Wd&d. 10 that am work wig be d tD moat the standards of am Taws te9ula&V oorlstmeow in Elis Wsd cbw. This pemdt becomes num if work Is oom in oix(6) months,or if Dons&uct3on or work Is suspended or abandoned for a period of six(e)mon time after watt s coNTR,Ir+.oNs slcNAnxls: a. '..r. MU J F -0 OF UNIT : RESIDENTIAL firlINGLE FAMILY O TEMP SERVICE O COMMERCIAL ❑ADDITION O TRAILOR CODE 0 ALTERATION O SIGN 0 NEW "OS NATAL rtLECTRrAl. 0 REPAIR O POOL I SPA 0 REWIRE 0 OTHER -Z0.TYPE OF SERVICE: OVERHEAD 0 UNDERGROUND G UNDERGROUND UP POLE CONDUCTORS PER PHASE: a POWER IS ON o POWER IS OFF 21.NEW SERVICE: Yl•$129 OP CONDUCTOR: AMPACITY: 13COPPER Cl ALUMINUM I&SWITCH OR BREAKER SIZE: PS: PH: W= VOLT: RACEWAY SIZE: 9!A.EXw11Nfi SERVICE SIZE: AMPS: PH: / W: ``� VOLT:�Q RACEWAY SIZE: ,9f-40, � 25.FEEDERS: A OF AMPS: A OF AMPS: P OF AMPS: 2&LIGHTING FUCTURES: INCANDESCENT: FLUORESCENT 6 M.V.: 27.FIXED gppL1ANCt8lMPS: 31-100 AMPS: OVER 100 AMPS: 2L FIRS ALARM: S L3 NO 2st.8MOKE DETECTER30.RECEPTACLES: MPS: 31.100AMPS: OVER100AMPS: 31.SWITCHES: MPS: 31.100 AMPS: OVER 100 AMPS: -- i#OF'UNITS: COMP.MOTOR HP RATING: AMPS: MEAT KVw III OF UNITS: COMP.MOTOR HP RATING: AMPS: HEAT IC1fY: Ac =NUMBEW- KVA: HP: —_ INA: __— VOLTAGE:VOLTAGE: HP: --- KVA-NUMBER: OVER 600V: NUMBER KVA .: ... DESCRIBE IN DETAIL'. C cors Fom Bum=ft-4"o-mala TOTAL P.03 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r' s? ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001167 Date 8/18/09 Property Address . . . . . . 387 389 4TH ST Application type description MECHANICAL HVAC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ------------------------------------------------- Application desc 1 cu 1 ahu ----------------------------------------------------- Owner Contractor - ------------------------ ----------------------- IVERSON OCEAN STATE HEAT & AIR, INC. 389 4TH STREET 1476 ATLANTIC BLVD. ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266 (904) 249-8251 ----------------------------------------------------------------- Permit . . . . . . MECHANICAL HVAC PERMIT Additional desc . . Permit Fee . . . . 71 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 2/14/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 71 . 00 71 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 71 . 00 71 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 08/18/2009 09:01 FAX 9042498949 OCEAN_STATE_A/C ; AILANIII,'ocn�n �---• CITY OF ATLANTIC BEACH 09- 600 SEMINOLE ROAD.ATLANTIC BEACH,FL 32885 OFFICE-(0002 471"25•FAX No';("247-5a5 WLbIr''G43fiFrr000 B-"6DUVAL COUNTY ' MECHANICAL PERMIT APPLICATION .., '.0 . 3-1.1 ONO �/ O Y6S P4[RMIT! !!I„` ... pa•!gh1Y41'•hnl.4„W�•�4 V . ,d�,". .r w^a!Y' 7 1 f .�,'h''skn::.R"'7.1;4 yv PHONE: x r y,•. y.••y Iti ., 1 If'-, Ir ,-T-'• 6 AOORt Sa IF AFFERENT FROM JOa ADDRESS' 1.NAME /� /� *2 70 Vi.- •�� JI/`t •Ts .y,i7;;"i "ri'� !'i� ,•!w�"111 i41''�Y m, ti S 6.ADORES ., 7.NAME OF COMPANY' Air- / y® f1J lL L G Jr17WLv 1V PAX NO.,,. ,o.CELL PNDNE: '�Ys–LEY' 6 STATE Of FLORIDA uCSNsc�93/O ,8 OFFICE PHONE 11• 12 EMAIL SS; �,iYF7 f l Application Is hereby made to obtain a Parmlt to do the work and InsW stlons as lntlioated. I cadIN that sit work will be performed to meet the s jurisdiction, This permlt baaomes nup nd vold 11 work Is not commenced within six(B) Standards Of aN laws repLllsUnp construction In thi months,Or K construction or work It suspended Ot abarmdomad Im a perlOd of six r CONTRACTORS SIQNAT Em ,••�rt4S e+: d"" :a •d Cl'O6 FLORIDA BVIL N ODE- NEW INSTALLA N • N W (� EXISTING REPLACEMENT OF EXISTING SYSTEM q COMME M CHANICAL Q ALTERATION/ADDITION TO EXIST SYSTEM p OTHER 17 REPAIR ;, `..'• ,..,...M..,14 M o�•,' • ` {. •: �•Y. CENTRAL O FLOOR BURNERS: ` 19.HEAT:• D SPACE ❑RECESSED At 20•AIR CONDIYIONING: ❑ROOM CCENTRAL Ch 21.DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: 22.REFRIGERATION: MAA CAPACITY: �hn 23.COOLING TOWER: CAPACITY: QpmINKLER• ADS' 24.FIRE SPRNUMBER OF HEAUTOLIFT; 96•LIFT SYSTEM: ELEVATOR: MANLIFT; ESCALATOR: 2•CORCIAL HOOD NUMBER: 27.FIREPLACE: PREFABRICATED: MASONRY: 29.IRRIGATION: O PUMP 0 WELL o PIPING O GAS WATER HEATER: 29"GAS PIPING: i OF OUTLETS: O GAS AHU: — 30.OTHER-SPECIFY: SOLAR HEATINO. SOURS,uNFIREO "~r.VESSEL,HEAT HI CHANOGA OR COIL INDUCTS ETC ALUE POR OTHER ITEMS: a APPROVINO MB CY OF MODEL! MANUFACTURER TONS AGEN UNITS DESCRIPTION yr. .;.� ; t y1N:t•;r ` rr-.��, `�••L1'rilly'v ?�'� � .. .. r r•wCs;` ^.L Il�yyri,�„�:(�:y!„ •,¢:;«�c,> ,ir !� N Y r OF NIT DESCRIPTION MODEL! MANUFACTURER - CQ,yJ..r /ccs )?—,F3&1 ivy ��I•w M. } .i .:,ti � '•i.�ll',1•.„r. . .7>4�IC r�-” „ •45•:;' ., Y NUMBER GALLONS CONTAIN MANUFACTURER SERuLI IIIA Y eLOdW PWWI APP OW MGM REMSEa 12116aW6 se. CITY OF ATLANTIC BEAC 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 BUILDING-DEPT@COAB.US DUVAL COUNTY MECHANICAL PERMIT APPLICATION 1 JOB ADDRESS: 2.- 2*' :IS THIS A SUS PERMIT: 3 .DATE: pt�NO 4 p ❑YES PERMIT# rj ��S O f PROPSR MER: 5,ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE. 4.NAME. _. 270 MBCHANIGi4LC' TRACTOR: 8.ADDRESS. 7,NAME OF COMPANY' C,c�� .�'��- �- ,4�►� /V7(, 10.CELL PHONE: t 1.FAX NO.: 9.STATE OF FLORIDA LICENSE NOU4/a Al�•�tT! J 13.OFFICE PHONE: 14 12.EMAIL ADDRESS: ' Z�r 5'-.o z..t-I Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null nd void if work is not commenced within six (6) months,or if construction or work is suspended or abandoned for a period of six ny Ime a er r is d. CONTRACTORS SIGNAT E: 164'CLAS&OF WORK: 1B:BUIL DINGi.' 1 ER1IIf:E:.'`+, 18;,CURE3ENTCOR `. ❑ NEW INSTALLATION ❑NEW R ENT L ❑'06 FLORIDA BUILDING CODE- 0 AI REPLACEMENT OF EXISTING SYSTEM EXISTING ❑COMMER MECHANICAL ❑ALTERATION/ADDITION TO EXIST SYSTEM ❑OTHER ❑REPAIR MEDtdANICAL EOUlPMENT TO.1 1NSTALh£D: 19.HEAT: ❑ SPACE ❑ RECESSED ] CENTRAL ❑ FLOOR BURNERS: 20.AIR CONDITIONING: ❑ ROOM CENTRAL 21. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm 22. REFRIGERATION: MAX CAPACITY: cfm 23.COOLING TOWER: CAPACITY: 9Pm 24. FIRE SPRINKLER: NUMBER OF HEADS: 25. LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT: 26, COMMERCIAL HOOD NUMBER: 27. FIREPLACE: PREFABRICATED: MASONRY: 28.IRRIGATION: ❑ PUMP ❑WELL ❑PIPING 29.GAS PIPING: #OF OUTLETS: ❑GAS AHU: ❑GAS WATER HEATER: 30.OTHER-SPECIFY: SOLAR HEATING, BOILERS,UNFIRED PRESSURE VESSEL,HEAT EXCHANGER OR COIL IN DUCTS ETC VALUE FOR OTHER ITEMS . 3M. CNJktlF�s I11PMNTa t < A d DI.pRil� R RRI 6R4 �5": 1PUfENT CONDENSCR .ETC.' APPROVING NUMBER OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY © -ei�- T Z If I ZS 32.1 32=kItTING !„UIPMEN7: F. }t1 ACB BOILS FIRE x ES AI ANDLER ""ET APPROVING OF UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY L Com= "�.-- J'Kms' 2 S 3 L 'INKS: e . AFWROVING NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY BLDG04 Permit Applicaton Meth:REVISED:12/1B/2008 FOR OFFICE USE ONLY A!!�) - i Date---- ...=------------/-/195__ Permit #....�41_YlFee 0 TOWN OFATLANTIC BEACH Valuation --------- ---------...... ------ FLORIDA House # -------ri--------------------4 ----- _4................ 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town 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 Town 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. 'ILI--------- ------------------ Date--------------------- -4�A_Telephone NoC-t+..---f_­ 19 -------------- ... ....... -------- ----------- ------------- Architect------------------------- ------------------------------------------------.Address----....- ------------------ -----------------------------Telephone No. -- ContractorBuilder----------------_---------------------------------------------------------------Address----- ---------------- ---------------------------------------------Telephone No. Lot No J -----------------------------------------------------------Zone-------------- �r__"BTock No.---.--- -------------Sub Division_----------------- ---------'Sts. _z� -----------------.-Street... Between --------and-------j�,- ------------ Type of construction Valuation $.. ---------For what purpose will building be I Dimensions of Building--- -------------Dimensions of Lot.--- - --------------..---,Size of Footings---4----zX----;�k_p----------- __/J �P ' ra Span in ft..--- —-----._-.-._Type Size of Piers----- ------------Size of ---Greatest Sill Spa 11 Z How will Building be Heated? --------------Will Building be on Solid or Filled Ground?--- ---------------- Size of Ceiling Joists----A- .X---6------------------- Distance on Centers---------- -------------------------.-, Greatest Span_..___ --------- a. Size of Floor Joists___-_ ------------__........ Distance on Centers_­... ------------------- Greatest Span-_____ /'_A-------------------------- Size of Rafters------------�_A_4----------------------I Distance on Centers......../"Ilt --------------------- Greatest Span----- /__:'- p-------11--------- 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 3. When steel is in place and ready to pour beam. E-1 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. V2 V2 8. Final inspection. Note: In case of any rejection,-re-inspection MUST be called for after corrections are made. oow� 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 area part hereof, and in accordance with the building regulations of the Town of Agantic Beach. y 47 7---------- .... .... ... ------------ Signature of Buil&3611�1 Address----­ 41e� Signatureof Owner- ------------------ --------------------------------------------'- CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD =' r ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 05-00029843 Date 3/09/05 Property Address . . . . . . 387 389 4TH ST Tenant nbr, name . . . . . . TIMB GAF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5845 Owner Contractor ----------------- ------- -------- ---------------- IVERSEN, IVER CHAMPION ROOFING SERVICES INC 389 4TH STREET 3734 SPRING PARK ROAD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 247-7217 (904) 396-4642 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 90 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5845 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90 . 00 90 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 90 . 00 90 . 00 . 00 . 00 a pERMIIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. P BUILDING OFFICIAL ri CITY OF ATLAN'T'IC REACT PERMIT CALCULATION SHEET Date �• a dS Address 3 e l— A TI-i ell MT Permit fee based on dollar evaluation as indicated on permit application. Heated Square Footage @ 5 per sq ft= 5 Garage/Shed @ 5 per sq ft = S Carport/ Porch @ 5 per sq ft= S Deck @ S per sq ft= 5 Patio @ 5 per sq ft= S TOTAL VALUATION: 5 S �$� $35.00 1st 51000.00 S 535.00 Total Valuation S Remaining Value Per thousand or portion thereof: CONSTRUCTION TYPE: TOTAL BUILDING FEE S �O ZONING: + '/z Filing Fee S FLOOD ZONE: ( ) Fireplaces @ S35.00 S . INIPERVIOUS SURFACE: BUILDING PERMIT FEE S �( WATER EMTACT FEE S SEWER IMPACT FEE S WATER lYIETER/TAP S CAPITAL INIPROVEIYIENT S SEWER TAP S C ( )RADON HRS .0050 S SECTION H PAVING S CROSS CONNECTION S ST ( ) SURCHARGE S OTHER <17r, = S -- t rL�'ry� CITY OF ATLANTIC BEACH cc: S BUILDING / ZONING DEPARTMENT Higgins 800 Seminole Road S. Doe Atlantic Beach,Florida 32233 �-J3 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # Sf 2-q S l 3 Property Address: u,tyN S� Applicant: �-V C V -'CVe V-- -- Project: Project: A-(! 1OO-f— This permit application has been: &2 Approved 13 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: I Date: zip fe) Date Contractor Notified: FROM CHAMPION ROOFING FAX NO. : 904 396 5343 Mar. 08 2005 01:21PM P1 CITY OF ATLANTIC BEACH N ' ROOFING PERMIT APPLICA.TYO F t (r-,crPry, Pre) Date- Job Address: owm f Property: _']Z Addrfs '1 '�"' �`"'`- '� Telephone: n-t. ,, -L-- Q,...�� ,��PyV tCe,S-� Sta'te License Number: — contractor: S -2,'7 U� Contractor's Address: 1 Telephone: PDX: U Scope of Work: zeckfl 1 Greater than 2:12 Less than 2:12 �' Valuation of work: ' Product Name(Example:Timberline): Manufacturer(Example:OAF): ( ASTM,Designation(s): Required Inspections• eathing and Final 'bate: 2.1l o Signature-of O42Q 1a Signature of Contractor: Date: 0 � AS TO OWNER: Sworn to and subscribed before me this day of Notary's Signator®: ' (ir'Personally known ►p ` •Ems, ❑ Produced identification Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this_ dayof C-h ,20 State of Florida,Cowty of Uttval Notary's Signature: e,% ova+.OKL=d Y -My Camille e M r-rl 27 -Personally known a F.�p�es Am 05,2W Produced identification Type of identification produced $00 Se"inele Road -Atlantic Beach,fUrlda 32233-S"s Teleph' : (404)247-580 •Fast. (904)247-5"S •bttp://www.ci.atirntic-beacb.Las oft ttc"+sod 2/t lID3 Page 1 CITY OF f4&4aa C Bea 4-0;&U4& Office of Building Official REQUEST FOR INSPECTION c � Z. Permit No. Date Time f L� � M District No. P Received Looalty Job Address � Owner's .�,��„Z c Contractor Name PLUMBING MECHANICAL BUILDING CONCRETE I ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Framing ❑ Footing Heating Re Roofing ❑ Slab Temp Pole ❑ Top Out ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECT A.M. WedThurs. Friday Mon. Tues. A.M-11 inspection Made ° ,, t` � �� A Final Inspection Inspector Certificate of Occupancy 010/i vyLf _”_�-1 t.G Date CITY OF Official Office of Bulldl,NSPECTIO REQUEST FOR / C�- �" Permit No. A.M. Date_. _P.M. - Ftecslily Received pd Tess d ra MECHANI�L •/L°� PWMBtNG Owner's "L.. . Air Cond.& V i Name CONCRETE ELECTRICAL Rough Heating CONCRETE irin Top Out n Fire Place BUILDING n 0 Footing Temp Pole n Sewer Pre Fab Framing n Slab �, Final A.M. I Re Roofing O LintelP.M. REA R I�NSPEG'1'ION Friday insulation 'A Thurs. I Wed. Tues. A.M. P.M. Final Inspe�ro Mon. '-- ction Made t Certificate of Occupancy --_— Inspe inspector pate A _ n c__P J�Llin�"� 11557 DEPARTMENT OFSUIL DING CITY OF ATLANTIC BEACH FORMATION LOCATION INFORMATION PO a, NAL II Address' ��'; OU TH 'STREET P 'Y , ' EL CT ICAL ATLANTIC BEACH. FLORIDA 32233 e e� ADDITION N ---- -- ItZOAL DESCRIPTION T P ' WOOD FRAME Lot : 5et,ion; P c t SI CLE PhML `I'c r P RNID L € 1 Code i�bc�i vic�r�.� A'1��►AN"'�I�` BEACH ' ted Valu Sv t Total Fees : s,2 S .0 Q �o 2 J . Da 31; 6 9,6 TLET AND RECEPTACLES ION .'- � � APPLICATION FEES OF -PER1�I X25 a I AeI- R STI IES': NATER IMPACT PEE $0,. 0, ACHE 'LCIL3 S IMPAC `PEE RADON GAS-H.R.S.e . PIIIAT QN _ IA1CIti CAB S} QCT `R . '.I, SERVI Ia CA.PITAL TMPRQVE. 00 ddr" ss - ORO PARK. FLORIDA 2C? SEC SH IMP TT TFEE 00 .; CNSt.SURCHARGE NOTES. i . 't x fi- i y� R NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST SE INSPECTED BEFORE POURING t PERMIT-VOID SIX MONTHS AFTER DATE OF ISSUE 61UILC31 IG MATERIAL,,RUBBISH AND'DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,ANO MUST CTE' C1.EA x D l P AND PULED A1+1iAY BY EITHER CONTRACTOR OR OWNER �'FA , IRE TO COMP :Y LITH THE MECHANIC'S LIEN-LAW, CAN RESULT IN ' ROP E PAYINGTWICE WICE l Ll ll�l a!I IPRt YEII ENTS* IS UE 7 ACCORDING TO APPROVED FLANS WHICH ARE PART 4F THIS PERMIT ANC?SUBJECT TO REVOCA'�"ffjR - VIOLKI`ION OF APPLICABLE PROVISIONS OF LAW. Wes 3/06/9601 s.0038617 OUiI»1440 ATLA iiEACH BUILDING DEPARTMENT By. } ` .,1J.1,11n�: CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: n 19 q 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 AREA PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 1)ES Ell- c T/K.- G ELECTRICAL FIRM: MASTER ELECTRiciAA SIGNATURE NAME 1141"S .AISDRESS: 9d 9 RFD BOX BLDG.SIZE BETWEEN: a c,� ✓F 1 a c d 4 vj RES.(W APT. ( 1 comm.( 1 PUBLIC ( 1 INDUS. ( 1 NEW( ! OLD ( 1 REW.( 1 ADDITION ( ) TRAILER ( ) TEMP.( 1 SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR l 1 FEE CONDUCTOR SIZE AMPS COPPER f ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE o AMPS PH '7 W Zyo VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS Z CONCEALED OPEN TOTAL RECEPTACLES 2 CONCEALED OPEN TOTAL 0.90 AMPS. 1 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES 3 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 C1 1) OF /a 9--2,d 4 Aea r.4-q&ud4. Office of Building Official REQUEST FOR INSPECTION Date - /L 'f� Permit No. ------ - -- — Time A.M Received P.M. Job Address Locality Owner's -7 / hR�l z>e✓.5/1 Name �L_��"�-�--l�--��---- _�Contractor T BUILDING CONCRETE LECT� PLUMBING MECHANICAL Framing i Footing Rough Wiring C Rough ❑ Air Cond.& C7 Re Roofing ❑ Slab C! Temp Pole ❑ Top Out ❑ Heating Insulation ❑ Lintel C-,. Finales Sewer ❑ Fire Place Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. A.M. Inspection Made __ r —P.M. - �- Final Inspection Inspector__ __ __.. _�-�`----✓--------�� — Certificate of Occupancy C Date -- k Q S f ©IePRT 00 15IwLDt" —3 8 a�.A'ri.ANT#c , « .., No 7 ACtdr+t8+L F'OURTFi STREET ' ! ra m+ " " ATLA T EE CR, FLORIDA" 32233 r ni Type, EL CT CA --- L AL DZSCRIPTION Cl Work ALTER 'It31�1 Lot : Block. Seot on+ �`ol aS 3G x ' � LX '1t 5 i31,S ATLANTIC C mel lea ncs 9 1 Cade 4 el Value�' $0 .00 t A4dtc STREET DA id *It&05 A All IMPEL ROY ATIgN NTP. IMPACT FEE $6.0th r RrA OF S�� " $0 .00 T V RMATTO 14e,' LECTRIC SERVICE 73 CAPITAL IMPROVE. ${�'.�3t1 ldrse C AVENUE 4RTH SEW, TAS' $0 .00( a Ac sit) 322 C COS CONNECTION ,CB a � �E CONST.SURCt A tvE $0 .00 e SCHA.RGE j A'TL.BCH. 4 1+�?TES; i F N©"#'iG -- ALL GONCAVE FORMS AND F©OT#NGs MUST BE'INSOECTEG!BE POUR NG PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUIL MATER#ALY RUBBISH ANI?DEBRIS FROM THIS WORK MUST NOT BE P1 ACED'IN PUBLIC SPACE,AND MUST BE CLEA D UP APIA HAULED AWAY BY --ITHER'WNTRACTOR 4R�4tI�BR i URE TO GaMW WITH THE MECHANIC'S,LIEN, L.A�1 CAIN, RE l�LT � E T PROPER",OVER PAYING TWICE FORT 13 IL�D�NG IMPR I MOM ISSUED ACCORD ING To APPROVED PI.APIB WHICH ARE PART OF THIS PERMIT�►h1D SUBJECT TO REVE3CAT#�F�?#� N.OF APPLICAI�I,„E PROVISIONS QF LAW. $awl 14 s 1017, tit ; 5100 ATLA C BEACH BUILDING DEPARTMENT n �t a CITY OF ATLANTIC BEACH, FLORIDA 10 Approvwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 1(44 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. - 0, ELECTRICAL FIRM: NAME11���a n�, __.ADDRESS: Agiai" l -_,_ RFD-----BOX BLDG.SIZE BETWEEN: RES.I ) APT.(YI COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( 1 OLD( ) REW.( 1 ADDITION ( ) TRAILER ( ) TEMP.t J SIGNS ( ) S0. FT. SERVICE: NEW( 1 INCREASE( 1 REPAIR 1 FEE CONDUCTOR SIZE AMPS C PP M. SWITCH QR BREAKER AMPS P VOL EXIST.SERV.SIZE AMPSPH W ?_ O VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS ,CONCEALED OPEN TOTAL RECEPTACLES CONCEALED ' o.so AMr�. OPEN TOTAL SWITCHSS 81.100 AMPS. INCANDESCENT FLUORESCENT&M.V. FIxtD 0.100 AMPS. ovcR APPLIANC[s AIR H.P.RATINGBELL TRAN8F: CONDITIONING COMP,MOTOR H.P.RATING OTHER MOTORS AMPS CEIL HEAT: KW-HEAT MOTORS 01 H.P. VOLTAGE PN$ OVER NO. 1 H.P. VOLTAGE PNS MISCELLANEOUS TRANSFORMERS! 1��unen 10815 DEPARTMENT OF BUILDING x CITY OF ATLANTIC 8,EACH ,» PI RNIT INVORI ATION ------ ------- LOCATION INF'ORXATION m Euat I t 1 +ddrest : 387 FOURTH STREET ATLANTIC REACH, FLORIDA_ 32233 Permit Type: PLUMBING ----- . --- - LEQALSSCRIP�ION 3ajjct mark: ALTERATI R B . 'Section: Goluistr f. Type: WOOD FRA R tot lack t I vopos�d Use: S I NG'I<LZ PANI LY T ownthi P: RNG: ubdivision: ATLANTIC', BEACH st i tedK.Valne: $0 .00 ' lmpt� v . .Capt #?.Q+ ' $25.(34 Am nt 25.00 00, ,+ O APPLICATION YRRR ION �. PRRMI' 5 2 5.t34 Na cd °> TRRT CT F {} st .' f FLORIDA ' /TAB � TAP Phi a RADON GAS-H.R.S. $4.00 :. GE3 AC; I �fi1O y. --�-- -- RADON CAB 5S S4.Et4 d 934 IDR i3LEV, RD SEWER TAP $0 .44 t = ACKS;O 'If FL 32216 cRO S dO NECT I ON $0 .00 Pen Typ a: SEC H I PACT FEE ".0 'NOTES. i NOTICE---ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 8,t11LDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE GLEAf D UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER I=AI .UI E T"4 C MIRLY WITH THE MECHANIC'S LIEN LAS CAN RESULT IN THEIPROPERTY OWN P�►Y NGTWICE FORTHE BUILDING IMPI"tC��IEME� ISSUED AC,CORDINO`TO APPROVED PLANS WHICH ARE PART OF THIS:PERMIT,AND SUBJECT TO REVOCATION FOR , VIOLATION OF APPLICABLE PROVISIONS OI`LAW. i;i;�, 916195.01 i 4iB ATLANTf C BEACH BUILDING DEPARTMENT 1000030004 _.r . CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: !3R7 46 Zi; . OWNER OF PROPERTY: BUILDING CONTRACTOR: PLUMBING CONTRACTOR LARRY AND ADDRESS: � ,�� --,-:5,71 rr TELEPHONE NUMBER: STATE LICENSE NO: CFC _ TYPE OF BUILDING: TYPE OF WORM: -r HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS _ WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $15.00 S ---------------------------------------------------------------- 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 BEFORE COVERING UP - (904) 247-5834 O y/ � CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: w _192L 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. L/ ELECTRICAL FIRM: MASWR ELECT ICIAN SIGNATURE JOURNEYMAN NAME__L C��2 (f�-- ADDRESS ; RFD BOX BLDG.SIZE BETWEEN: RES. APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW( ! OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ► SIGNS ( ) SQ. FT. SERVICE: NEW ( ► INCREASE ( 1 REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ALUM. /`� od SWITCH OR BREAKER AMPS PH W /�VOLT RACEWAY EXIST.SERV.SIZE AMPS PH I? W Z-)65VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 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 OVER MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS CITY OF .A_ 44 /e �& L.,/ Office of Building Official J`R�VEST FOR INSPECTION v Permit No. DateA.M. Time--r/� P.M. Received: Locality Job Address Owner's � I -,, _Contractor MECHANICAL ' LUMBING f. Name ELECTRICAL Air Cond. & G CONCRETE h Wiring Heating Rough ❑ BUILDING El ❑ Rough Top Out � Fire Place � 0 Footing Temp Pole Framing Slab ❑ Sewer Pre Fab Re Roofing FD Final Lintel Insulation READY FOR INSPECTION pM Thurs. Friday W0. Mon. Tues. C� ( A.M. F J -P.M. 4 Final Inspection Inspection Made Occman Certificate of up cy r Inspector Date .q_ CITY OF a� I Office of Building Official REQUEST FOR INSPECTION Date Permit No. 16 e / g — -�— -- Time A.M. Received _ P.M. s -- Job Address Locality Owner's Name —.{�_-s— �- — --Contractor — BUILDING CONCRETE ECTRICAL� PLUMBING MECHANICAL -~— Cl Rough i] Air Cond. & D Framing ❑ Footing Rough Wiring 9 Re Rooting Slab Temp Pole Heating ❑ Top Out ❑ Fire Insulation 0 Lintel Cl Final L] Sewer Pre Fabce READY FOR INSPECTION A.M. Monk. Tues. Wed. Thurs. Friday �M• A.M. Inspection ade -- ------P.M. - -- -- Final In Inspec r __ _ __ - --- Certificate of Occupancy l:! — Date _ e DATE: / J PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: Vic) S! ------ ---- '-2--- � £_-- ---- --- ------ 1U3 _ 1 ' ------------- -------------------------- -------------------------------------------- ---------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, s B ILDING INSPECTION DIVISION cc: FILE CITY OF i 4& /seeds-991ouu& V Office of Building Official REQUEST FOR INSPECTION Date ` — 9 L Permit No. Time A.M. Received � �� � strict No. Job Address )/r Locality T OWner�B � , �I'l r .Contractor,Z/�l Name �7 BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Footing 11Rough Wiring 11Rough ❑ Air.Cond.& ❑ Re Roofing ElSlab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel 11 Pre Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. ey Friday P.M. Inspection Made � ..� P.M. Inspector_T .e�, Final Inspection❑ Certificate of Occupancy Date //CITY OF /3aA'0; Office of Building Official REQUEST FOR INSPECTION �7. 0 3 -93 Permit No. DatekIA— _ I Time � M. Received Locality 1 Job Address Owner's Name _ LUMBING MECHANICAL BUILDING CONCRETE ELECTRICAL ❑ Rough ❑ Air Cond. & ❑ ❑ Footing ❑ u in g ❑ To Out ❑ Heating Framing Temp Pole p ❑ Fire Place ❑ Re Roofing ❑ Slab ❑ Final ❑ Sewer pre Fab Insulation ❑ Lintel READY FOR INSPECTION QAMFriday Mon. Tues. Thurs. Wed. `�, A.M. J P.M. Inspection Made Final Inspectio Inspector n Certificate of ccupancy ❑ j 1 Q_ �c m y -F Date r—A-Cr) DATE- PRE-SERVICE DIVISION JACKSONVILLE ELECTRIC AUTHORITY 233 WEST DUVAL STREET JACKSONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE SATISFACTORY: 1s0 --- --. ----------------- ----------------------------- ------ -------------------------------------------------- Enclosed are the blue copies of the permits. SINCERELY, BUILDING CTION DIVISION cc:FILE . R baa " 7,630 DEPARTMENT O BUILD040 CITY OF ATLANTIC BEACH » ` 'INFORM ��___T ------ LtCATIOH IN `?�TIDN �1cll aer: S3D A dress* 3S?' m ,FOURTH STREET P ` m T`YP BUII,DIN ATLANTIC $EACH, FLORIDA 32233 Work: .•ALTERATION - - LEGAL DESCRIPTION _-__ �. Type: WOODFRAME MI' L :_..3 Block: 'I` 6 56ct.� ern: A 'I;o , d �1� SINGLE FAMILY T wnsh�p: PRO: � I ,z L C d .: t? Subdivision: ATLANTIC BEACH .�A,� I.mtk `ed Value: $450-.00 Arun , .. ft t. . ; 3 DSWITH BOOR PERT PLANS ,.: TION ^ APPLICATI+ON FEES ,.. «� » . . �t ERMIT it 0 c � NRTH STREET WATER IMPACT FEE 0 ,OD FLORIDA 3 ro ;F �S WEA434PACT; E SCI.Dt} Pion i w ! It r � RADO 50 :00 ATION ------- RADON OILS 5$ $0,0 N ,m < P . RR §OW CAPITAL IMPROVE. $0 �00 d5 A � SEWER TAP $0 .4 HYDRAULIC SHARE $0 .00 Type., 1 CROSS CONNECT ION - . SEC-H IMPACT FES' MOTE'S: h 4 .f NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED SEFORE POURING PERMIT VOID SIX'MONTH$AFTER DATE OF ISSUE Bu .9iI G MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE LI�Af Et 11P AND,,HAULED AWAY BY EITHER CONTRACTOR OR OWNER P fFILtRE TQ G3MPLY WITH THE MECHANICS' LIEN LAW CAM RESULT IN Tl PROPERTY,OWNER PAYING TWICE FOR BUILDING 1MPROVEMENTS." 1B$tlE ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR Ot.dA 13N ORAPPL:ICASLE PROVISIONS OF LAW. A11.ANIIC'BEACH BUILDING DE ART ENT ators.CRWAL utet IE! 193"00 eipt. OOl6 Total Ra}► rt Y' ti Y � x Ell' II� 31993 CITY OF ATLANTIC BEACH Building and Zoning PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS Owner(s) : IvL R- 1 L/E2 SEL Q GftVNG-j'j V( V--A Address : 30 -15V1 Lf fk S7a-cx Phone: 2 u 2 + Lot # Block or Unit # Subdivision: Contractor : �" co Address : S 2 �-c �� 6c a 9 Phone No: 3 .5 5- 1>0 3 Describe work to be done: Pu 1w 4 poo .2 A <Lou•l'- � A-GG G-'SS -r0 NL V-/I-t 6UII- —I 7kiF Oaoa IX/1 Lc- jZ A W 1 A-i0o-e/ Present use of building: Flim [L 4 i Ix,,tF i/-6- Valuation of Proposed Construction: L4 5-° Proposed use: Is this an addition? 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)? New plumbing fixtures? New fireplace? New Heat/AC? 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: u-e� Ul�� Date: l2I 3 I9 3 Signature CONTRACTOR: Date: R A F CkIN OVpTL RV g F AC yi �v MAP S116 -dNG jjoUNj)Aj?jr S,,_ I?VEY 0ji' Co I" 37 7.3 fEFr LOT- J11 SHOWN ON MAP 01" _/4TLAAJ7/_c'__G�;4cr/ 5�/fsG'/!%SUS tCG7/UN /1 ____�----------- AS ff-f COROED IN PIA I' ROOK )1 Illy Of 1)1ij!4L C(.)(fN7)'.* ft0f,'I[)A AfUx'r eo. 75.00' op r f4' 54. 3 ffeleK CoMe. ffzoeK r'r'oME 367 3' V. Q% 0 c obi :3 I'LOZIR7'11 74? /07- VALID UNLESS EMBOSSED W774 SEAL OF THE UNDERSIGNED. I IMREHY CFRI?f-Y THAI' 711[-- -1.17._!;fjOKN lif.P(ON IS IN Mr SPFCIAL I-(.001) 11AZARV ZCWr. ON Q000 INSURANCE RATE FOR 4;r,�,4.f r,i-' -OA10A, VA IFO 8i n. 1 OWNER BUILDER PERMIT AFFIDAVIT tate of Florida ) City of Atlantic Beach ) BEFORE ME, the undersigned authority, personally hppvarvd -__ --------__. who upon fizat being duly sworn, deposes and sayst I, lvc=`2 IL, IES Pv4-Gig IX .__.._�_..___.._...._..-------------..__..• and the legal owner-ot the follawin� property Subdivision A Block -6--- ----- Lots 3 y AKA _3�P�„3 '9_�yTf sT2C-ZZT- 471.._r3�N - I am applying for a building permit pursuant Lo the Owner Builder exemption set forth in Florida Statute, Section 469. 107. Florida law requires that I have been provided with thw following DISCLOSURE STATEMENTt DISCLOSURE STATEMENT •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 an 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 cor a term outbuilding. You May also build or imprQuo a commercial building at a cost of 025,000. 00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. It you sell or loofas, more than one 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 a violation of this exemption. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make aura 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 mayeth not. c2/ � 153 Property Ownar Sworn to nd sub ribod b m this day of , _ - - f2?/ `i 7544 1 10. 4: D5PARTM9NT of RUMOING A CITY OF ATLANTIC SEACH, 4 1120.T 10 W dumber; 7544 Address 387° POTIRTx STfIEtv :`Pe,ra#t T"YPe BUILDING ATLANTIC BEACK I FLORIDA 32233' l C n ar .' - .-__. ._- . a LEGAL UESCRIPT101 z + Section.'akAT £ 06D FRAM4 Lot , t . r oV s ed U O/ �E � P: RSC:SQ r* subdivision- ATLANTIC BEACH ' J = I ode E t 'ed Value: ISI ) CSN_ C 0 s t a Total Fees; $30 .100 j "ount Paid 0 .00 TIN at 10 tit, ptft"131- "At 24 ,. k d arcX#wcRM I ., ddre � 3'R�"'' TA IMPACT FEE { , } ! FLORIDA 3,2 2 3 SEWED IMPACT PEE $0 .00 F e. 7 ;NAT ���iETEF/ AF � O 00 O S 4RMAT ION �� _ e RRITTE£7+iS- CAPITAL° .IiRt3Fs. a D ddre E AES ROAD""° SEWER TAP �}'.C1I� J CES . ILLE l F L _a ..w ._ w..._v. R"YORAU°SIC SHARE . _ SC '+ T rpe p Ca CROSS CONNECTION SEC,H: IMPACT FEE ` ; CCN.SC--OTHER "N{TES Y, n. I ' t NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE f BUIWJNCa MATERIAL;RUBBISH AND DEBRIS FROM THIS WORK MUST NOT.BE PLACED IN PUBLIC SPACE,AND MUST Be CLEARED UP AND HAULED AWAY BYEITHER CONTRACTOR OR OWNER `ILIIE ' `fl CQMP .Y WITH THE MECHANI+ S' L1Eh1 LAV1F AN RESULT IN �'! tf�PERTY C?WNER PAYING TWICE FOR BUILDING IMA, W EMENTS." t>$8U ACCORDING TO APPROVE{} PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VOLA ION Of APPLICABLE PROVISIONS OF LAW. k ATrC B ACH eurLDlrr D e A�rtARTMENT *KfiOh 001100 +► '� " __ CIT`w OF ATT,AWT I C BEACH PERMIT CALCUL.AT I ON SHEET Address Date Heated Square Footage @ Der sq ft = $ Garage/Shed @ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck 1 @ $ Der sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ 1&(50 is--.o O $_ Tot 1 Valuation 1st $ (on d � $ s- Remaining Value $ per thousand or portion thereof TOTAL BUILDING FEE $__,_ + 1/2 Filing Fee $ ( ©) Fireplaces @ $15 .00 $ BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) .0045 $ ( ) RADON (CAB) .0005 $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE .0050 $_ _ OTHER $ GRAND TOTAL DDE $ ADDITIONAL PERMITS OR FEES: Mechanical Plumbing Electric/New Electric/Temp ;SwimeingPool Septic Tank ; Well Sign Finish Floor Elevation Survey ; other CALCULATIONS and/or NOTES: ftf ' . 81993 and Zo,nina CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEMOLITIONS -r- Owner(s) : Uel �c; ^, Address : .�A 1 `fit Phone: Lot # Block or Unit # Subdivision: Contractor: C- QJ-(� fy, Address 1 J co .,) or 0C,A� � t=� Phone No: Described work to be done: �� A 6)C Present use of building: (Le-5 Valuation of Proposed Construction: y Proposed use: Is this an addition? C) 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)? New plumbing fixtures? New fireplace? New Heat/AC? 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: Signature CONTRACTOR: �-- Date:J �- - ' O,IE'90 - �y MAP SHOW.I,�V'Car BOUNDARY SURVEY OF ear jz � fiEr LOT.....,_ 4 BLOCK to AS SHOW ON MAP OF " �r�,4,ur�c $a�.acw sveoiYs enc AS #1900RDED /N PLA r Book'. .�,,.�„PAGQ's ,ar we Pusuo memos of DUVAL 7NIX FLORIDA V 77RED FOR; / l 00, S� a9 y rs• 8 1993 , ''t t3; nd Zo,-iii, x �ry`• . •S"• • ' • .� •1 p D• war id' MOW 57004yo J G c? �o s4 df1eA,• cam xwew " Al !d7 « .. •• • UD UNLESS WOMD W7H SEAL Of INC UNDeRscm. me Pnopore Pow Raw APPEARS To U! gymN nDoo HAZ4;W •OWE AS GAUD FRom l'�GbO IMS'tIRANGE RATS' MAP.0 001 FOR 4 TGAA/T/G $r:''A�GW� IRORJDA, DATED ..*..7A2-jt G� lj� 01 A L A, L4 �- �— C11 a �v c DI tt ! 032-0 o 'a0 mI m CO" �:' W CO cL '� Co U co r— .�.. CL ,� L .- u 0 �o y L Irt 0 N i K.- L' Ag Ccyn� U 9 o m CIS V T3 � a a � C-11 b tr 19 ` Q : 0 i _ v i6 Ar- 0 SS a• a � O M �n ` o (v A C I •_ _ _ - -- ------------ - -- - ..y lip. M l c' ` o f� 1 L. C i rA Xt h _ _ _ b CITY OF ATLANTIC BEACH, FLORIDA `\ VC L4 �E E RICAL P17QCVLC TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19f 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, ANP IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF P. 0. BOX 330150 ATLANTIC BEACH,FL 32233;0150 ELECTRICAL FIRM: MASTEELAUTRIfila§IQN6lUflg MAN NAME - lC�'��� ADDRESS: 3';7 �� � RFD BOX__-__ BLDG.SIZE BETWEEN: RES_X_ APT.( ) ' COMM. ( 1 - PUBLIC( ) INDUS.( ) NEW( ) OLD REW. l ) ADDITION ( ) TRAILER ( ) TEMP.( 1 SIGNS ( ) SQ. FT. SERVICE: NEW( INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER f I ALUM. 6WITCH OR BREAKER .�j P W VOLT C EXIST.SERV.SIZE 16S d! AMPS PH W ZMOLT RACEWAY �- FEEDERS NO. SIZE N0. SIZE NO. SIZE r f. LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AUtIi. X1.100 AMPS,SWITCHES INCANDESCENT i FLUORESCENT&M.V. _ FIXED 0.100 AM��, OVtll - APPS ANCESl- _ _ BELL TRANSF.=- AIR H.P.RATING N.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW•HEAT 0.1 MOTORSH.P. VER VOLTAGE PHS N0. 1M.P . VOLTAGE PHS MISCELLANEOUS I - i - - � DEPARTMENT OF BUILDING Ci fYP ATLANTIC BEACH -- PERM I T 1141FORA,10 _-" LOCAT I O INFORMATION m Number; .2 ddress : 37 - 389 FOURTH STREET er it T ' e: RE ROOF ATLANTIC 'BEACH, FLORIDA 32233 Iasslof W6rk: NEW L11SL3AL DESCRIPTION I r ° C ?aE 0a. T P WOOD FRAME Lot: Block:ack: Sect i Qn: P ga+ed Use: DUPLEX � 'TcW��biP: RN+�: � � bwell ng a. I code: 0 ubdivizibn: ATLANTIC BRACH value: Im ivoy- Gast: $0.00 toaLai Fees: $22 . 50 Aibount P : i 22 #',54 DDste 24/93 , k ` X PER. PLANS -- APPLICATION FEB," �1422 . 50 2.,_.5. CNa e A Bnuou p+ 2M Adds RTH STREET WATER IMPACT FEE $0.00 H, 'LOB I I}A 3 i3 13E MPACT I SU EE o'.00 AV 'tj ORMATIO RADON Ga - 5% $0 .010 R Via. WATERTAP D Adelr .s SER,,_I'AP .I� QQ HTDRAULIC SHARE Dice n0: CAPITAL IMPROVE. $a 00SEC.H IMPACT PEE .`00 OTHER o.00, NQt'ES: t P j . NOTICE--ALL CGNCRETE'FORNISAND FOOTINGS MUST BE INSPECT€D'SEFORE POURINGPERMIT VOID SIX MONTHS AFTER DATE OF ISSUE Y BUILDING MATERIAL,RUBBISH ANG?DEBRIS FROM THIS WORK MUST NOT BE PLACEDIN PUBLIC SPACE,AND MUST BE CLEARED UP ANL?HAVLEL)AWAY BY EITHER'CONTRACTOR OR OWNER "FAiLuft To (. MPLY`ITH THE MECHANICS' 'LEEN LAW CAN RESULT IN :H�, PROPERTY , EA PAYING'TWICE FORBU�L�' NG lM ROVtMtNTS." ACCWROING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT ANQ SUBJ -TORE �T� R .. i CILA4ON.OFAPPLICABLE PR ?VISIX3NS OF LAW, ` vo *AI+t BEACH BUILDING DEPARTMENT > .z.<