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275 5th St (vault) JOB ADDREM Z )�14- TSE WOR PROPS=OWNER PH® CONMC'OR tZ �'F7.a�.p$ONE n PERI'ja-T NCmBER ,� 1 77/ DATE LVSPECTIONS.• EOOTLVG SL4B TlE BEAM Ll ri. NA UYG/SBZ43'M FRAARYGICOVER UP iI i f' F9 .LVSUL4.TYON -��-' PEVAL BUSING CER=CA37'OF OC=ANCY EL -=C4L PFJUIM 17VSPECTIONS ROUGE P22VAL 1WFCFAA7C4L PERIM 12VSPEC17ONS ROUGE FBVAL PEING PERIM I VSPEC170NS ROUGH/UNDER SLAB TOPOUT WATM? EWER SIAL NOTES: C _ �Q . rn f yip_,. quaff ate � POOi nef 9eoej�ea `I •© pq� p /CQ O �F QUEST e`''/a;,,9 � ow '10b Uq�A p ;C; ,ne Aggress l��/ p M •1/S�p�M/ N /Ru 9op9 permit No ,J ati 9 n• ° Giry ed �,° tpspe, Q Q 9oF�FCTR'ntraCtor 40°airy \ thspecjorol?Maoe Tues Fry�u oe,9q4 <p �C, II y,0 z AFq�Y F0 O q 9,NSAF�/O Seweo4 O 70 gl) MFC H O Air hqN/ r O Neat�onq C4 hers Fjre h9 B M11 pre lb ce O ' Friga y � i Cej7itipatepection O \�M pate of pCoupancy O CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FI 32233 - Tei. (904) 247-5826 ROOFING PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 24628 Address: 275 FIFTH STREET Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 Class of Work: NEW Township: 0 Range: 0 Book: Proposed Use: Lots): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 4,645.00 OWNER INFORMATION Date Issued: 8/12/2002 Name: KUBIAK Total Fees: 53.00 llk s: 275 FIFTH STREET Amount Paid: 53.00 - NTIC BEACH, FLORIDA 32233 Date Paid: 8/12/2002 P -0000 Work Desc: REROOF CONTRACT I ,.X,`�ARFLICANON FEES ROMANO ROOFING SE ES53.00 J gR z� j4 NOTICE- INS . CTIONS �S 'BE REQUESTED AT LEAST 24 HOU , PROfT NSPECTION BUILDING MATERIAL, RU STRAND �111t THt�:WORK O � PLAC N PUBLIC SPACE, AND MUST BE CLEARED UP AN&V BY "FAILURE TO COMPLY WITH � R Lf RESULT IN THE PROPERTY OWNER PAYING TWIG IL ! MENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 10 t: 6/13M 61 �o S1 o c 4 IX 1 353." C OF TIC CH a mms 2961 15306 Tyrant 11W 1W1v rift: 13:11:N CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Address %Z�S %T Date 6 Heated Square Footage �@ $ per sq ft = $ Garage/Shed @ per sq ft = $ Carport/Porch @ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ 44- `` S .0J � $ l • �� Total Valuation 1st $ foe() 3'M5 , 62 $ Remaining Value per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ - ( ) Fireplaces @ $15 . 00 $ . BUILDING PERMIT FEE $ 5 3. WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT. $ SEWER TAP $ ( ) RADON (HRS) . 0050. $ SECTION H PAVING { ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ 22 O GRAND TOTAL DUE $ J ADDITIONAL PERMITS OR FEES : Mechanical ,; Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: ri MO. 'RETURN Book 10612 Page 5 PHONE# �"� ,��'`-` OTICE OF CO MMENCEMENT (PREPARE IN DUPLICATE) Permit No, Tax Folio No, State of County of To whom it may concern: The undersigned hereby Informs you that Improvements will be made to certain real property, and In accordance with Section 713 of the Florida Statutes, the following Information Is stated In this NOTICE OF COMMENCEMENT. Legal description of property being improved:_a7S P', Address of property being improved: Z 7 5 f�� S�,^e �� �,� t� D General description of improvements: fle ro ------------------ c o )r r c�, Owner r Address _ P75 141 Owner's interest in site of the improvement —' Fee Simple Titleholder(if other than owner) .. Name Address Contractor .ate o s e 1 l�'11!GC'3 Address— p `� �'� f� Phone No. tau Z'-t6 64y Fax Na urety(if any) Address Phone No. Amount of bond.$-------- Fax No. Name and address of any person making a loan for the construction of the imprgvements, Name Address Phone No. Fax No. Name of person within the State of Florida, other than himself, designated by owner upon whomnotices or other documents may be served: Name Address Phone No. Fax No. In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.06 (2) (b), Florida Statutes. (Fill in at Owner's option). Name ------------------- Address Phone No. Fax No. Expiration date of,Notice of Commencement (the expiration date is one (1) year from the date of recording unless a different date is specified): Rw SS 2p ? City of Atlantic Beach Building and Zoning City of Atlantic Beach • 800 Seminole Road• Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • FAX (904) 247-5805 • httpa/ywww/ci.atlantic-bWARS CITY OF ATLANTIC BEACH BUILDING OFFICE PERMIT APPLICATION FOR ROOFING AUG 12 2001 JOB LOCATION -� J ,bra I r~ �l. YZ-Z 3 3 =f--- OWNER OF PROPERTY PHONE it 7 t CONTRACTOR A CONTRACTOR ADDREss 30 0 ' S' - Ail &I, Ff ZIP 3Z 233 CONTRACTORS LICENSE NO. PHONE# 9y Z46 5'6`t 1 SCOPE OF WORK � f� ..........-..-,,, 7 DECK SLOPE GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL VALUATION OF WORK $ y , 0& MATERIAL TO BE USED y A r d.. _Fi.­be'('U'Tl;DESIGNATION P 6 1 REQUIRED INSPECTIONS SHEATHING FINAL LIBILrIY INSURANCE POLICY SUPPLIED YES NO WORKERS COMP.POLICY SUPPLIED YES NO CONTRACTOR LICENSE SUPPLIED YES NO GLORIA I,CASTERLINE-WLAUGFI" OCCUPATIONAL LICENSE SUPPLIED YES NO �� My i-,IR vSI oec N#Cc 976739 "✓' '� EXPCRES:k�ecr,;tlri:r 8,2004 5_ RY F ery Sorvi di I SIGNATURE OF OWNER SIGNATURE OF CONTRACTOR `` SWORN TO&SUBSCRIBED BEFORE ME THIS �� DAY OF = 200 �= AS TO OWNER µ NOTARY PUBLIC _19' Y"'/ GLORIAJ.CASTERLINE--MCLAUGNIJV +��� &+,r,GLORIAJ.CASTERLINE-WLAUGH N M y,-0 t,1 M ISS 10N#CC 976739 MY CO A9[i7lSS4L1 N#CC 976739 AIFd`�pa�` EX'i'I'2F.S:December 8,2004 ��IF I04� EXPIRES:December 8,2004 1,000-3-NOTARY FL Wcray ServicD&BaAcFrg,Inc 1-8043NOTARY FL Notary ServicE&Bonding,trx:. CITY OF jr�ivaidct 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233-5445 - -- �~ TELEPHONE (904)247-5800 FAX(904) 247-5805 SUNCOM 852-5800 June 19, 2000 TO: UNITED STATES POSTAL SERVICE JACKSONVILLE ELECTRIC AUTHORITY PROPERTY APPRAISER'S OFFICE ATLANTIC BEACH WATER DEPARTMENT PLEASE BE ADVISED THAT THE FOLLOWING ADDRESS HAS BEEN CHANGED: Old Address New Address 81 EAST COAST DRIVE 278 FIRST STREET Sincerely, QO" (- Don C. Ford, C.B.O. Building Oficial CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road-Atlantic Beach, FL 32233-Tel: 247-5826-Fax: 247-5877 ELECTRICAL PERMIT PERMIT INF RMATION" . °E 106, N,INECIRMAT O :,. Permit Number: 19159 Address: 275 FIFTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: :; D` F 1 FORMA_ Date Issued: 11/12/1999 Name: KUBIAK Total Fees: 25.00 Address: 275 FIFTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/12/1999 Phone: 000)000-0000 Work Desc: REWIRE KITCHEN CONTRA 3 , h rr . " R A`f NfEES _ � 4 - s �_,r. -M BROOKS & LIMBAUGH PERMIT 25.00 sp ec.1ons'Re.. �6ift, '-a`h' ME ROUGH ELECTRIC FINAL ELECTRIC NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. PA N 21999$2J,0014 Date: 11/12/ 9 01 Receipt: 0818533 CHECKSC 11ch. 12326 ATLANTIC EACH UILDI .-PT. 00100003 CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT I . I / 1-12- TO THE CHIEF ELECTRICAL INSPECTOR. DATE:_ 19� IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. 8 Q� 1907V oOKS DL �l / GG ELECTRICAL FIRM: MASTER ELECTRICIAN SIIG.NNAA1TUREZ�R k-S-;S JOURNEYMAN NAME- - _ _ ,_ADDRESS: C�T� J /!T /. T RFD BOX BLDG.SIZE BETWEEN: RES. V) APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( ! OLDA REW. l ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW( ) INCREASE ( 1 REPAIR ( ) FEE _^ CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W LT RACEWAY - FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT _ FLUORESCENT&M.V. _ FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR N.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I N.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. _77 CITY Office of Build ng REQUEST FOR IN PECTION�: - Permit No./ l 1 Date 3� A.M. Time _P.M. r Received Locality ^ � UMBING Owner's Address �� �--- Contractor PLMECHAMCAL Name EL�fRICAL �� Air Cond.& CONCRETE h Wiring ugh Heating UT i, Roug L Out /❑ Fire Place Sewer Footing C, Temp Pole Pre Fab IF �l� Slab �� Final Re Roofing ELintel A M'� Insulation READY FOR INSPECTION Friday Thurs. Wed. Tues. A.M. Mon. _ Q P.M. / / Final Inspection Inspection Made Certificate of Occupancy❑ Inspector Date CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 t; v.. . PE n��rW�N1=0RI ATEO . . : . k ^ LOCATrO1 �INFORMA QO .. Permit Number: 19074 Address: 275 FIFTH STREET Permit Type: REMODELING ATLANTIC BEACH, FLORIDA 32233 Class of Work: REMODEL Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: 20,000.00 . < >. . OWNED INFORIIII�ATION ^ Date Issued: 11/03/1999 Name: KUBIAK Total Fees: 205.00 Address: 275 FIFTH STREET Amount Paid: 205.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/03/1999 Phone: 000)000-0000 Work yyDesc[: REMODEL KITCHEN; EST. BRICK VENEER REPAIR/ REE�PL CONCRE�IE DRIVEWAY 4 'W d . .a..COIE .,•., -a+ '¢,r"'}"'Y . ,... i fit - 1+� PETE DOWLING PERMIT 205.00 I i I � I i I NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. $285.86 14 Date: 11/88/99 81 Receipt: 8889399 ATLANTIC BEACH BUIL DEPT. CHECKS 3]36 68188883221888 RECEIVED CITY OF ATLANTIC BEACH NOV 2 1999 PERMIT APPLICATION REMODEL, ADDITIONS, OR -VkTTdP T each MOVING,DEMOLITIONS Building and ening Owners) : Lavinia & Tim Kubiak Job Address: 275 5th St . , AB Phone: 241-1711 Lots 36 & 37 & West 20 ' of Lots 1 & 2 Lot # Block or Unit # 8 Subdivision: Atlantic Beach 'Terrace Contractor: Dowling Construction State License # CBC006834 Address: 241 Atl . Blvd , , NB Phone No: 246-1 Bgg City Neptune Beach State FL zip Code 32266 Describe work to be done: Kitchen remodeling, exterior brick veneer repair, and rAni a-A enk of dr* veway concrete Present use of building: SFD Valuation of Proposed Construction: $20,000 Proposed use: SFD Is this an addition? no 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) ? no New plumbing fixtures?no New fireplace? nO New Heat/AC? no SUBMIT THREE (COMMERCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF WNER IS CONTRACTOR. Signature OWNER: D te: vL Lavin ' or Signature CONTRACTOR: Date: owling AS TO OWNER: r._ 1 Sworn to and subscribed behis fooremy o lz *My Comunion CC813915 Expno March 2, TARY AS TO CONTRACTOR: Sworn to and subscribed before me this day of , 197 NOTARY PUBLIC "'-, powdaknWstle MY COMMISSION#C05MI�tPIRE£ ti ;g August 27,20M N��4,,` BDNDED7}NMIiiWYFNNgiffiIRAfIC1,INC. CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233 - Tel: 247-5826 - Fax: 247-5877 PLUMBING PERMIT PERMlIT INFORMATl:ON - LOCA`TIOi IN .:©ftMipFTIQ Vi „ { Permit Number: 19210 Address: 275 FIFTH STREET Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: Est. Value: Parcel Number: Improv. Cost: rY O , Date Issued: 11/18/1999 Name: KUBIAK Total Fees: 25.00 Address: 275 FIFTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 11/18/1999 Phone: 000)000-0000 Work Desc: PLUMBING PARTIAL REPIPE AND SINK �k ' w. - ` ort„h'; v'.:i `M^• � � .,,.�iu,' ti ,. WILLIAM GOODLING PERMIT 25.00 I TOPOUT FINAL NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE 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. $25.E6 14 Date: 11/19/99 61 Receipt: 6612921 CHECKS 1862 ATLANTIC BEA H BUILDI DEPT. 06180003221000 r CITY OF ATLANTIC BEACH APPLICATION FOR PLUIMING PERMIT JOB LOCATION: o! 7S- OWNER OF PROPERTY: tC/`3!/4!L TELEPHONE NO. PLUMBING CONTRACTOR CONTRACTOR' S ADDRESS : �� STATE LICENSE NUMBER: Fcy ?C3 TELEPHONE: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS SEWER WATER Tat, (� ( REPIPE OTHER TOTAL FIXTURES: x $3 . 50 + $15 . 00 2 fi cv MINIMUM PERMIT FEE - $25 . 00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ZW ----------------------------------------------------------------- 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 NOTICE OF COMMENCEMENT To Whom it may concern: The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statues, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property : Atlantic Beach Terrace, Lots 36, 37, &the West 20" of lots l &2, Block 18, Atlantic Beach, CPR Duval County, Florida /aka/ 275 Fifth Street, Atlantic Beach, Florida General description of improvements: Kitchen Remodeling, exterior brick veneer repairs, and replacement of driveway concrete Owner: Lavinia and Tim Kubiak Address: 275 Fifth Street, Atlantic Beach, Florida 32233 Owner's interest in site of the improvement: Fee simple Fee Simple Title holder(if other than owner): Name: NA Address: NA Contractor: Dowling Construction Company Address : 241 Atlantic Blvd. #5 Neptune Beach, FL 32266 Surety(if any): none Address Amount of bond Name of person within the State of Florida designated by owner upon whom notices or other documents may be served: Name: NA Address: In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1)(F), Florida Statues, (Fill in at Owner's option). Name: Address: THIS SPACE FOR RECORDER'S USE ONLY CITE` OF Office of Building Official REQUEST FOR INSPE ION �y y Permit No. Date v �- Time j r A.M, Received 7 '� P.M. Locality Job Address Owner's /� Contractor Lv Name "-- MECHANICAL BUILDING CONCRETE LECTRI PLUMBING ❑ Air Cond.& ❑ Framing n Footing Rough Wiring ❑ Rough ❑ Heating ❑ Slab ❑ Tem Elle ❑ Top Out ❑ Re Roofing na ❑ Sewer Fire Place Insulation ❑ Lintel Pre Fab READY OR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. I P.M. Inspection Made Final Inspection ❑ Inspector r Certificate of Occupancy ❑ Date DEPARTMENT OF BUILDING t CITY OF ATLANTIC BEACH : r. P IT INFORMATION -- LOCATION INibRiATIN' ERN Nuinber 8943 Addy s,g 275 FIFTH-STREET Feimit Type; ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 is of Work , REPAIR ----------- LEGAL DESCRIPTION -------- Con - -- .:-C i t Ir., Type, 'WOOD FRAME Lot : 81 ock; sectioni Pt coed Use. SINGLE FAM ILY 'L`4, wnsh i p RNG 0 `,DvellLags: I. Cade: 0 Subdivision; Cos t, Amprov. .00 Tota 825 .00 mo 00 yyy� -w waoiapt�cjal doer., epeftev; `ION. "- a APPLICATION FEES PERMIT S25 -00 x ess ST ET W IMPAC O .X13 FLF I �" , s. 8'E FEE' WA m � �� T1P ,. k RADON GAS-H.R> S 53 . 3 .: T O XFOR"47,ji N ----- - RADON r' S 5 a Me T ELECT,R,T C �� .r CAPITAL IMPROVE., t+ , lkd dl el s. . . ;TR`TF'CI 'I 3 A EAST SEWER TAP 0. JA,C � ILLE CIRCu S, CONNECTION " Type: SES" N; IMPACT FEE E' '¢h } 5 CONST SURCHARGE gg�v l gg NOTES; NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST SE'INSPECTED"BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILD NG MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLICsPACE,AND MUST BE CLEA ED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER r "�' .URE TO COMPLY:WITH THE MECHAN#CS' �.tEN LAW CAN, RESULT14- T PROPERTY OW NER PAYING TWICE OR B 1 C!#NG`IMPROVEMENTS 1;3SUE ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND,SUBJECT TO REVOCATION FOR 1lIQLA' IONOF APPLICABLE PROVISIONS OF LAW. ,ATLANT,C BEACH BUILDIN ART NT . SCK$ By' � ,,. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: ! 19 IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. LUZ I A� ELECTRICAL FIRMS MASTER ELECTRICIAN NAME. ' JA1 ADDRESS: RFD BOX BLDG.SIZE BETWEEN: S� RES.(14' APT.( ) COMM.( 1 PUBLIC( 1 INDUS.( 1 NEW( ) OLD( 1 REW.( 1 ADDITION I ) TRAILER ( 1 TEMP.( 1 SIGNS ( ) S0. FT. SERVICE: NEW 1 ) INCREASE ( i REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER I ALUM. e� SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE I NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0-20 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. ---- APPLIANCES I BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 01 OVER MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANEOUS ----- CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: /_�- ej 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. La JOUR14EYMAN ELECTRICAL FIRM: MASTER A.LEdRICIAN SIGNATURE NAME_''_ ;) �s�°�,- ADDRESS: ''' ' RFD-BOX- BLDG. FD BOXBLDG.SIZE BETWEEN yV RES. APT. ( 1 comm.( 1 PUBLIC 1 1 INDUS. ( 1 NEW( 1 OLD REW.l 1 ADDITION ( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( ) SO. FT. SERVICE: NEW( 1 INCREASE (t.-1' REPAIR ( ► FEE CONDUCTOR SIZE ,. AMPS ? r. COPPERli; " 1 .. ALUM. ( 1 SWITCH OR BREAKER �j a AMPS PH W '-, VOLT `' ' P RACEWAY EXIST.SERV.SIZE r AMPS PH -? W a VOLT f= RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS, 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS T0ArdQr. 1RMFRC• IINDFR 600 V_ OVER 600 V. FOR O ev DEPARTMENT OF BUILDING , CITY OF ATLANTIC BEACH, FLORIDA r Permit Valuation Application for Permit for ry Miscellaneous Alterations HOUSE, # / . inRepairs DESCRIBE: r (State if :to repair, alter; add to mov*d g, t nga, ;. �.,� �,• 3elt $ D Ft. of L Sub 1 2 r Blk 1 - PB 5-69, �ui2ding on: LotR. I3iv. e ddress - . Valuation $ 0 0 P Owner 's 'Name g BUILDINGS Aff OCCUPANCY �ilding Use - Resiletiti- 40 or Business lu at pmbing work to be ons? Bixe of Present Bldg. �._... Ise of Ex en,sion Lot Sites__._.. toterial . of stories nowafter iltdred Maters al o i of of Present Buildihaterial of Exteanhion NECESSARY PLANS TO BE SUBMITTED -HEAMITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil 'Burner or Gasoline Pump Type or Madel ame and Address of Manufacturer n connection herewith, application is also made to install: al capacity tank(s) made by of eggs meta gr ound (Name of Manufacturer) i Urc� �* or Above) er cr (U Above of building. For (Inside or oUfaidej (Same of PUMaserl FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SITE OF 4 THIS BLANK SIGNS ixe Classification (State whether ground, roof, wa , pro ec ng, er) Material of Construction Illumi.nated?,,__,T'y a of illumination (StaE-e e , er amps or eon 4111 sign be over public ;property? SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION B j (For canvas awnings provide dimensioned o everse aide) I ORT NOTICE.- In OTICESIn consideration of permit given for doing: the work as described ii the above statement, we hereby agree to perform said work in dance. with the attached plans and specifications, which area t hereof, and in accordance with the building regulations of the of Atlantic Beach. (Sou n Standard Building C .'' i; ,gnature of Builder ' reos Phon o. . ,� .5� «.n,. ..... .-+a .sx.»..._..mx.�.. o<.s.,_,w P r„r5 e. s, v ,.i✓v,-x,.. .. .__.^..... { r F� BUILDING AND ZONING INSPECTION DIVISION c Z CITY OF ATLANTIC BEACH, FLORIDA ?. , LL C ELECTRICAL . PERMIT a Date 12/19/a6 Fee $ 20-00 Permit No. 5190 275 FIFTH STRIET W W ar Location Between and oa This is to certify that t W 3 BTU T10M. PSON C-T (Electrical Contractor) (Master Electrician) O has permission to install Electrical Construction as described herein in W _a accordance with the provisions of the Electrical Code and regulations u of the City of Jacksonville, and subject to the information shown on the &Z application, drawings and specifications which ore made a part of this 3 permit. P. xARW ~ M for W RESIDEMUL ADDITION CL Type of work: ` SERVICE: isl=iU Serie 100 OWS, Ipb"W 24 a � _.. W Feeders: Outlets: V W Receptacles: ao Switches: H Incandescent: Fluorescents Appliances: Air Conditioning: i T � Motors: Transformers: Signs: Miscellaneous: Wirz, for eew air hondlor With IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: MONTHS PERIOD, PERMIT Eltrctrical Inspection supervisor BECOMES VOID: WILDING ANEIZONING INSPECTION DIVISION ti Z "CITY OF ATLANTIC BEACH,FLORIDA ELECTRICAL PERMIT a Fee$ 20-00 ►� 3 .Date Permit No. 1 Location h t and Between = �„ CL This is to certify that p V= (Electrical Contractor) fMoater Electrician) has permission to instoll Electrical Construction las described herein in accordance with the provisions of the Electrical Code and regulations z of the City of Jacksonville,;and subject to the information shown on the application, drawings and specifications which are made a part of this r- permit. for w+ a Type of work: SERVICE: a Feeders: Outlets: Receptacles: m` Switches: Incandescent: F" Fluorescent: Appliances: Air Conditioning: Motors: Transformers: i Signs: Miscellaneous: Us for � it"� IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Elricat tnspestwn MONTHS PERIOD, PERMIT BECOMES V41D i DEPARTMENT OF BUILDING 8178 .* PERMIT NO. CITY OF ATLANTIC BEACH,FLORIDA I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date December 8 , 19 86 Valuation$ Fee$ This permit not valid until above fee has been paid to City Treasurer,and is f subject to revocation for violation of applicable provisions of law. This is to certify that H&L HEATING & AC has permission to b> INSTALL HEAT & AC Pf1_nnk2 7392 In 1�t g/a Residential C C Classification Zone 729-2 -�,�-� Owned by F. Harvey 100 j i Lot Block S/D House No. 275 Fifth Street According to approved plans which ate part of this permit NOTICE-ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 4 10 r--0i O Building material,rubbish and debris Z from this work must not be placed in public space, and must be cleared up and ha away by either con- r, on- r o ner.. f r Building,b tial. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER ` WATER ;; x� BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC" BEACH ATLANTIC BEACH, FLORIDA 32239 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, II, 111, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Subdivision II. IDENTIFICATION —To be 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 attath„ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of lood:_practice'listed`therein. Name of;Mechanical • Contractors Contractor (Print) G aster Name of Property"wner Signatures of Owner Signature of or Authorized Agent _I- Z2 Architect or Engineer IN. GBNERAt. INFORMATION A, TypeGof heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITEt ❑ 6ar—❑ LP ❑ Nature) ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 13 Oit PERMIT C3 Ofhor — Spedfy IV. M11ClMIWICAL EQUIPM11INT TO BE INVALLED NATURE OF WORK (Meiirtde complete list of components on back of this form) ❑` Residential or ❑ Commercial (3 'Neat ❑ Space C3 Recessed O Conte) 0 PAWC1 New Building 4 Condritoaing: E3 Room niret /Exis't�ing Building Replacement of existing system Duct System: Material Maximum capacity c.f.m. ❑ New installation(No system previously Instatted) ❑ Extension or add-on to existing system Q Refrigeration ❑ Other- Specify ❑ Goolinq lower: Capacity g.p.m. ❑ ifris sprinkiem: Number of heap Elevator O Monlift ❑ Escalator._.__._(number) THIS SPACE POR OFFICE USE OKY �Sasoltne puns; (number) (Riwdi O (number) Remarks Q $LPt's containom (number) Unfired Pre"ure ve" Permit Approved by Detr C1 ❑ f 0fhN —EPecify Permit G.. POT ALL EQUIPMENT AJ* CONDITIONING AND REFRIGERATION'EQUIPMENT call"Idty Number Vain. Deaarlptiaas MOM Number xaswtecdt<rer (bels) CITY OF ATLANTIC BEACH, FLORIDA F Ap+wwd by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Z X19 IMPORTANT NOTICE: IV CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HERE Y AGREE TO PERFORMSAID 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. BILL11HOMPSO,N ELECTRIC CO., INC. P. 0. BOX 50398 NVILLE BEACH, FL 32240=0398 �lo ELEC1RfCAI FIRM: ER E CT 1 f 1JOURN NAMEt �"`` _.ADDRESS: 7S`- �� � -� RFD - BOX BLDG SIZE BETWEEN: RES.jk APT.I 1 COMM.I I` PUBLIC( ! INDUS.( ) NEW( I OLD( 1 REW.( 1 ADDITION i I TRAILER ( ) TEMP.I I SIGNS ( I SO.FT. ERVICE: NEW( 1 INCREASE I i REPAIR f ) FEE CON OR SIZE AMPS COPPER ALUM. IT OR BREAKER PH W VOLT RA Y EXISTt SERV.SIZE AMPS PH I. W / VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGH {ING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITp HES INC DESCENT FLUO IESCENT&M.V. F1 CIED O.t00 AMPS. OVER APPANCES 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 t MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. ,CITY OF f &4^,1iC Bei-&74" Office of Building Official C)�/ `� REQUEST FOR INSPECTION Date / �/`2 T/ Permit No. TimeA.M. Received P.KA District No. � 1C Job Address , Locality Owner's i <il � /j C ✓ Name tor` BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ n Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ / Top Out ❑ Heating Lintel ❑ Final Cf Fire Place ❑ READY FOR INSPECTION Pre Fab A.M. Mon. fTu3.s,,, Wed. Thurs. Friday P.M. r/� �? A Inspection Made "� o '� Inspector - Final Inspection❑ Certificate of Occupancy Date