300 5th St (vault) Vil
5 f CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
PHONE (904) 247-5800
November 2, 2010
Lindley Tolbert
Lindley Tolbert Design, Inc.
3005 1h Street
Atlantic Beach, Florida 32233
RE: 450 East Coast Drive, RE:#169827-0500
Lots 1, 3, Block 6, Atlantic Beach
Atlantic Beach, Florida
Dear Ms. Tolbert:
As per your request your address has been changed as follows:
OLD ADDRESS NEW ADDRESS LOCATION ID# RE#
450 East Coast Drive 300 S Street 2198 169827-0500
It is your responsibility to paint the correct address on your meter can in black enamel and install four
(4") address numbers on the front of your house in a contrasting color.
Should you have any questions, please feel free to contact our office (904) 247-5826.
Sincerely,
Michael Griffin
BUILDING OFFICIAL
Cc: Duval County Property Appraiser, US Postal Service, 911 Coordinator, Public Works,
Public Utilities, Police Dept, Finance, COJ GIS
Property Appraiser- Property Details Page 1 of 1
LINDLEY TOLBERT DESIGN INC Primary Site Address Official Record Book/Pace Tile#
465 BEACH AVE 450 EAST COAST DR 15379-01840 9416
ATLANTIC BEACH, FL 32233 Atlantic Beach FL 32233
450 EAST COAST DR
roperopertV Detail Value Summary
RE# 169827-0500
Tax District USD3 Value Method CAMA CAMA
Eamedx9a 0100 SINGLE FAMILY Building Value $126,809.00 $125,590.00
#of Buildings 1 Extra Feature Value $9,505.00 $9,505.00
5-69 16-2S-29E Land Value(Market) $463,500.00 $463,500.00
Legal DesC. ATLANTIC BEACH _ Land Value(Aaric.l $0.00 $0.00
Subdivision 03101 ATLANTIC BEACH i Just(Market)Value $599,814.00 $598,595.00
The sale of this property may result in higher property taxes.For more information go Assessed Value(A101 $229,638.00 $598,595_00
to Save Our Homes and our Property Tax Estimator.Property values,exemptions and Exemptions $50,500.00 See below
other information listed as'In Progress'are subject to change.These numbers are
part of the 2011 working tax roll and will not be certified until October.Learn how the _ Taxable Value $179,138.00 See below
Property Appraiser's Office values oropertv.
Taxable Values and Exemptions—In Progress
If there are no exemptions applicable to a taxing authority,the Taxable Value is the same as the Assessed Value listed above in the Value Summary box.
County/Municipal Taxable Value SJRWMD/FIND Taxable Value School Taxable Value
No applicable exemptions No applicable exemptions No applicable exemptions
Sales History
Book/Pane Sale Date Sale Price u��'edi LUnnu� Vacant/Improved
155379-019/24/2010 $600,000.00 WD-Warranty Deed Qualified Improved
4/11/2003 $100.00 WD-Warranty Deed Unqualified Improved
09611-024/6/2000 $100.00 QC-Quit Claim Unqualified Improved
09313-001/18/1999 $100.00 MS-Miscellaneous _ Unqualified Improved
07376-02093 7/6/1992 $100.00 WD-Warranty Deed Unqualified Improved
06470-01769 2/12/1988 $175,000.00 WD-Warranty Deed Unqualified Improved
06063-00027 12/27/1985 $155,000.00 WD-Warranty Deed Unqualified Improved
06030-00430 10/3/1985 $155,000.00 WD-Warranty Deed Unqualified Improved
04266-00210 11/4/1976 $65,000.00 WD-Warranty Deed Unqualified Improved
04266-00209 10/13/1976 $100.00 QC-Quit Claim Unqualified Improved
Extra Features
LNle Feature Description Bldg. Length Width Total Units Value
1 FPPR7 Fireplace Prefab 1 0 0 1.00 $440.00
2 POLR3 Pool 1 0 0 1.00 $8,280.00
3 PVCR1 Paving Concrete 1 0 0 12.00 $14.00
4 GHWR2 Greenhouse Wooden 1 10 0 1 168.00 1$224.00
5 DKWR2 Deck Wooden 1 10 10 1 120.00 J$547.00
Land&Legal
Land ecial
LN Use Description Front Depth Category Land Units Land Value LN Legal Description
1 0100 1 RES LD 3-7 UNITS PER AC ARS-2 100.00 150.00 Common 100.00 $463,500.00 1 5-69 16-2S-29E
2 ATLANTIC BEACH
3 LOTS 1,3 BLK 6
Buildings
Building 1
Building I Site Address Element Code Detail
450 EAST COAST DR Exterior Wall _ 14 14 Wood Shingle
Atlantic Beach FL 32233
Roofing Structure 3 3 Gable or Hip
- -re----.-------- .-..---...-} - ---
Building Type 0102-SFR 2 STORY SOH Roofing Cover 3 13 Asph/Comp Shingle
Year Buik 1934 Interior -—r Nall-- — 5 5 Drywall
Int Flooring 14 14 Carpet
Gross Area Heated Area Int Flooring 15 15 Quarry/Hard Tile
Base Area 1659 1659 I Heating Fuel 4 4 Electric
Finished upper story 1 728 728 1 Heating Type 4 4 Forced-Ducted
http://apps.coj.net/pao_propertySearch/Basic/Detail.aspx?RE=1698270500 11/2/2010
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http://maps.coj.net/WEBSITE/DuvalMaps/toolbar.asp 11/2/2010
CITY OF ATLANTIC BEACH
s" 800 SENIINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00026448 Date 7/07/03
Property Address . . . . 300 STH ST
Tenant nbr, name . . . . . . INSTALL BACKFLOW PREY.
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
LEAK, FRED WILLIAMS BIG BOY PLUMBING INC
516 11TH AVENUE S
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-1880
------------------------------ - ---------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
x
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.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date:
Job Address: 13 06
Owner of Property: (ICA Telephone:
(_
Plumbing Contractor: W I Vk UJ t 5 W o `� �l�J ( w L
Contractor's Address:
Seto /�U C X-- �/bC � .
Telephone: 02 . 1 Fax:
State License Number: ce r2
How many of the following fixtures (re-piped or new)
Sinks Showers Water
Lavatory Water Heaters Hose Bib
Bathtubs Dishwashers S-ewer ff
Urinals Disposals fY� Other
Closets . Washing Machine Shower Pans
Floor Drains Re-Pipe (List fixtures being re-piped)
Total Fixtures:_x $7.00 + $35.00 = c3, ,C-,D (Minimum Permit Fee: $35.00)
Signature of Contractor:
Installation of plumbing and fixtures must be in accordance with the most recent edition of the
Southern Standard Plumbing Code.
Calla day ahead to.schedule inspections: (904) 247-5826
800 Seminole Road •Atlantic Beach,Florida 32233-5445
DEPARTMENT OR BUILDING a
CITY OF ATLANTIC BEACH
PEtMI' NFQlJ1Tfi �- ..» .a_ ..�. * xNFflATXQN
P ar it 't` pea °L:ttF t '
ATLANTIC' al ARCH �"L.ORIDA � � �
C cif W+ rC ' lODTt` _ »9A .`. L3E; CRP ` C3F
"Co qtr. Tytp*i WOOD )~� Lots 1�1�ck�
7777
+�d S��tt�L,E F'AMTLY � rFte . RNC. C
. D r :` Code i D Subdivision s
East ed �r�lu�a *0. 00
up rov. Cost"a 00*00
Teta t# . "` ?
AtaS1F3
Da
R EATER
. � AT OH APPLICATION "EEB �.----
Sow
Ad •not � � S" E ': i"'iSO-:ISPAiT FE ,x # .
.. 0
RAN GH Rw Ev SRO.
T 'F` . , fFRHATO>�i -- A , Gt , 3,00
!AC FU 32224 �t tR $0.Eft TAP
?
0 T ,
w
N01`ES: �
k0t`I±CE--ALt C6NCF"E FORMS AND FOOTINCGS MUST SIr INSPEGTED,BEI ORE,POURING
P15RMIT VOID SIX MONTHS AFTER DATE O�ISSU):
i
£BUIL ,INdWTEH14,Rl1SBISL AND DEBRIS FROM THIS,WORK MUST NOT lk PLACED o4;;- : SPACE,ANE?MUST BE
CLEAR Eta t1P A#V@ HA<11 0 A�/AY 13Y,EI7HEA CONTRACTOR?OR OWNER.
� Vft TC � �Y iTH THE MECHANICS! L1 41 LA1 l SAN RESULT LN s
PAYING TWICE FOR C3U 1.Q ' il
#1 PRC EMEN'�"S:''
TWI I
kS$U @ ACCOR@kNG,TO APPROVeD'PLANS WHICH ARE PART OF THIS PERMIT AN@ SUB REVOCAT OFi
.r` 1I!iOL T1f)k 4F•APPLfCABL,E-P46VIEk4NS OF LAW. A
� +iTLAN IC BEACH Ir IJILD1t Ca DEPARTMENT j
PREPARED 7/07/03, 16:04:20 INSPECTION TICKET PAGE 14
CITY OF ATLANTIC BEACH INSPECTOR: LARRY J HIGGINS DATE 7/08/03
------------------------------------------------------------------------------------------------
ADDRESS . : 300 5TH ST SUBDIV:
TENANT, NBR: INSTALL BACKFLOW PREY.
CONTRACTOR WILLIAMS BIG BOY PLUMBING INC PHONE (904) 241-1880
OWNER LEAK, FRED PHONE
PARCEL - - -
APPL NUMBER: 03-00026448 PLUMBING ONLY
-----------------------------------------------------------------------------------------
PERNIT: PLBG 00 PLUMBING PERMIT
REQUESTED INSP DES IPTION
TYP/SQ COMPLETED RESULT RE LTS/COMMENTS
--------------------------------- --------------------------------------------------------------
45 01 7 08/03 LJH
-------------------------------------- COMMENTS AND NOTES ----------
I
)
,f i)
3
f
S
�E
I
1�)
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:_ 30'D
( P
PLUMBING CONTRACTOR: 46
LICENSE NUMBER: CF-e- C3 ,
OWNER:_
BUILDING CONTRACTOR:
TYPE OF BUIL"ING: (&lo(zZ7 141-41
SINKS SHOWERS
LAVATORY _WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT: + $15.00
INSTALLATION OP PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
f
1
495 t
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- ; PERMIT INFORMATION - -------- LOCATION INFORMATION
Perm: t Nurr+ber r 4983 Address: 300 FIFTH STREET
Fe Stnl t Type a ELECTRICAL ATLANTIC BEACH: FLORIDA 32223:.
` Cls of Works ADDITION ---- _-- LEGAL DESCRIPTION --------
Can tr. Type: WOOD FRAME Lots Block: Section
Pro caned Use: SINGLE FAMILY ToJo nship s RNG: C}
Dwel ing0: I Codec C) Subdivision
ci ted slue, $0 .00
I wprov. Cost $0.00
spa $26. 40
,..
. . ._-,,
BATT# N' - « _ � � _�» . APPLICATION FEES
PERMIT $25.401
ACldx STREET . W � I19P"AC FEB, " HCl. CIO
r
RAIZ N G.AS�H. R. S. $0.00
. ._ TF+� MAT -- -.�- RADON ISS - o. OIC
N me,: EA12L.= ECTI2IC Q� GY. .INIµ.. ffATIwR; "AI'; + . Oo
' 324 H"AVE.M NORTH 'SEWER TAIL' C�.t"�O
3A XF"L. 32250 HYDRAULIC, BLARE $0.00
L 0Types. U RE--INSPECT FEE S�r Ott
OTWI P
NOTES:
NOTICE ALL CONCRETE FORMS AND FOOTINGS MUST BE INSi FCTIE;D WORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF1 ISSUE
i
BUILD G MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BEIPLACED IN PUBLIC SPACE,AND MUST BE
CLEA D LIP AND HAULt AWAY BY EITHER CONTRACTOR OR OWNER
i
6FA LURE TO COMPLY WITH THE MECHANICS' 1EN LAW CAN RESULT IN
THE PROPERTY'OWNER+PAYING TWICE FOR OU I CIN ' IMPROVEMENTS."
tt>� b MIE 02r2aa92
ISSUED ACCORDIlG TCI-APPROVED PIANS WHICH ARE PART OF THI8PER1tT AND SU t ` REVOCA OR
VtOIA ION'OF APPLItAgLE PROVISIONS OF LAW.
ATLANT C BEACH BUILDING DEPARTMENT
7
CITY OF ATLANTIC BEACH, FLORIDA
ApprowdbV 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 ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
ELECTRI AL FIRM: //// MASTER E 1 1AN SIGNATURE JOURNE
NAME I /� AD6RESS:..' ' 5-1:t
-5-r- . RFD-----BOX
BLDG.SIZE BETWEEN:
RES.I APT.( ) comm.( ) PUBLIC 1 1 INDUS.1 I NEW 1 1 OLD 1 1 REW.I 1
ADDITION 1 TRAILER ( ) TEMP.( ) SIGNS ( 1 SO.FT.
SERVICF,: NEW( 1 INCREASE( 1 REPAIR ( ! FEE
CONDUCTOR SIZE AMPS COPPER I ALUM.
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE D"l) AMPS % PH —I W VOLT U RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES 14 CONCEALED OPEN TOTAL
0.30 AMPS. $1.100 AMPS.
SWITCHES j
INCANDESCENT
FLUORESCENT&M.V. 4
FIXED 0.100 AMPS. ovim
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. i N.P. VOLTAGE PHS
MISCELLANEOUS
CITY OF ATLANTIC BEACH, FLORIDA
Av�bV APPLICATION FOR ELECTRICAL
PERMIT
ey
TO THIS
CHIEF ELECTRICAL INSPECTOR: DATE: 2- 19 Z
IMPO"TANT 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.
t
t
tb-v -E 1C
ELECTRICAL FIRM: L T Cl I UREI &'%I l0lU9VL
h � ,
NAME! V P�C�K C-f PTLD i ti 6- ADDRESS: 1 � fl K?09T CEP-2 RFD BOX
eu .SIZE BETWEEN:
t I
RES.
1< APT.( I COMM.(I PUBLIC 1 INDUS.I 1 NEW( ) OLD N REW.( 1
ADDTION ( 1 TRAILER ( I TEMP.( I SIGNS ( f SQ. FT.
SERVICE: NEW( 1 INCREASE 04 REPAIR ( ► FEE
CON UCTOR SIZE Scx: AMPS o COPPER ALUM.
i
SWI , H OR BREAKER 300 AMPS PH 4 W Z40 VOLT 'S !t RACEWAY i2-5 r
4
EXISIi.SERV.SIZE Ioo AMPS I PH 3 W MO VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIG ING OUTLETS " CONCEALED OPEN TOTAL
REC PTACLES CONCEALEDOPEN` TOTAL
0.50 AMPS: 31.100 AMPS'
SWFCHES
INC DESCENT
FL RESCENT&M.V.
FIXED 0.100 AMPS. OYEIR
APP IANCES' BELL TTRANSF.
AIR H.P.RATING H.P.RATING
CON ITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT
i
0.1 - OVER
MO RS H.P. VOLTAGE PMS NO. 1 H.P. VOLTAGE PHS
MI ELLANEOUS
CITY OF
4d,a4a 13ea4CA
Officsof Building Official
REQUEST FOR INSPECTION 4/41 S�
_d L— Permit No.
Date A.M. strict No.
Time P.M.
Received
��tt
V 0 s T Locality
Job Address —
Owner's ? j Contractor MECHANICAL
PLUMBING
Name ELECTRICAL 0 Air.Cond.& 0
BUIL�IN CONCRETE ®G _. Rough Heating
Footing
Temp Pole ❑ Top Out Fire Place
Eram�>'l8'� Slab � Pre Fab
Re Roofing Lintel
A.M.
READY FOR INSPECTION P.M.
Thurs. Friday---�--"'
��
Mon. Tues. ! � ��2— A.M.
P.M.
Inspection Made Final Inspection❑
Inspector Certificate of Occupancy
Date
CITY OF
4&4a iC Bead-0;&U-4&
Office of Building Official
REQUEST FOR INSPECTION
Date C
Y Permit No. z/ J
_
Time A.M. .'S S District No.
Received
Job Address,
(L�ocahty
Owner's z Contractor
Name s
BUILDING CONCRETE CLECTRICAL ) PLUMBING MECHANICAL
Framing
❑ Footing EJRo`u-gtrVVtrmg--"❑ Rough ❑ Air.Cond.& ❑
Re Roofing ElSlab ElTemp Pole EllTop Out ❑ Heating Fire Place ❑
Lintel ❑ Pre Fab
READY FOR INSPECTION A.M.
CM.n:--"' Tues.
Wed. Thurs. Friday-P.M.
.M. "*1
Inspection Made PA.M. 3
Inspector � ' Finallnspec/
Certificate of upancy
AD v : .4
Date
CITY OF
4&wait B-cA"99&u'4&
Office of Building Official
REQUEST FOR INSPECTION C ,
Permit No.
Date A.M.
District No.
Time
Received_ —
_
Job Address/
Owner's 2k—`k <� _Contractor J �
Name
PLUMBING MECHANICAL
�, $UILDI CONCRETE ELECTRICAL ❑
Air.Cond.& ❑
❑ Rough Wiring ❑ Rough Heating
❑ Footing Top Out ❑
ng Slab ❑ Temp Pole Fire Place O ❑
Re Roofing El Slab Pre Fab
Lintel
READY FOR INSPE A.M.,
Wed. Th
Friday— ---P.M.
Tues.
Mon. ��
M.
P-M.
Inspection Made
Final Inspection❑
Inspector
Certificate of Occupancy
Date
CITY ol:
Office of
Building Official _
Date — REQUEST FOR INSPECTION
�j
rime / / _ ECTION
Received < c_..� -n
A. , Permit No. �' V
Til (
Job Addressstrict No.
Owner's
Name
BUILDING Lova ity
Framing C NCRETE Contractor
Re Rooting 0 Footing ELECTRIC
Slab ❑ Rou h AL F-- �U
❑ 8 Wiring ❑ MBING
Lintel p Temp Pole Rough ti1ECHANICAL
Mon. Top OU ❑ Air.Cond.
READ p Heating &
Inspection Tues. Wed Y FOR INSPECTION Fire Place
Made - / cj/ Thurs. Pre Fab
'
inspector _..._�
^� A.M� Friday A.M.
P.M ��---P.M.
--E7, `ry V,�_ a.. Final Inspection
7-el"
C/%�:, Certificate of occupancy
Date
CITY OF
Office of Bulling Official
IN
REQUEST FOR INSPECTION
Date T a�—'.�'" �"
Time
Permit No. e /�
A.M.
Received P.M. District No.
o
Job Address 5�; Locali
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUM ING MECHANICAL
Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air.Cond.& ❑
Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ElHeating
Lintel ❑ Fina Sewer
Fire Place ❑
READY FOR INSPECTION Pre Fab
Mon. T Wed. Thurs. Friday P.M.
Inspection Made A.M.
P.M.
Inspector Final Inspection❑
Certificate of Occupancy
Date
CITY OF, ATLANTIC BEACH, FLORIDA
Approwdbr APPLICATION FOR ELECTRICAL,.
PERMIT
ry
TO THE CHIEF ELECTRICAL
INSPECTOR: DATE: ! ' 19
IMPOIRTANT NOTICE:
CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK ASI DESCRIBED IN THE FOLLOWING, WE
HER Y AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
_ WHIC AREA PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLA TIC BEACH ORDINANCES.
y �o G
EL E RICAL FIRM: T R ELECTRICIAN A1 A
JOURNEMN
NAME / ADDRESS: c3�a 5, ' RFD- BOX
BLDG.SIZE BETWEEN:
$ /APT.( ► COMM. ) PUBLIC t ► INDUS.( ► N � /
RES.�''t NEW( ► OLD(tel'" REW.1 ►
4
AODIiION ( ► TRAILER 1 1 TEMP.1 ► SIGNS ( 1 -SQ.FT.
FEE
SERVICE: NE ( ! INCREASE ( REPAIR (
CON UCT'OR SIZE AMPS--Z COPPER ALUM.
9
SWITCH OR BREAKER .9 a0 AMPS PH W VOLT U RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT SSG' RACEWAY
FEE RS NO. SIZE IND. SIZE NO. SIZE,
ti
LIOH rING OUTLETSCONCEALED OPEN TOTAL
REgOTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 91.100 AMPS.
I
SWI CHE$
INC DESCENT
FL RESCENT&M.V.
]ICED 0.100 AMPS. OVER
APP JANCES BELL TRANSF.
AIR H.P.RATING H.P.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CELL HEAT: KW-HEAT
I
0.1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
Mi LLANEOUS
s ..
Ow-
DEPARTMENT OIR SUILDING
CITY OF ATLANTIC BEACH
PERMIT 1,NFORKATION LO01,ATXON INFORMATION
el t #dumber a 142. Adrs x GO5TH STREET
P *l T pot WELL AT .ANTIC BEACH, FLORI 32233
"tl idor k l NEW -----_ EGAL DESCRIPTION
Comet . Type: I~of z _ locks
P,)rcyp ed Use I, OT HER Pa 0: t„!
0 OWNVR INFORMATION
T t C t'l O. OO Namo s F litD LEAIKE
*10,00 AdUr ► att3 """ STREET
A u s„ 10.00 ,8 T ANTIC, BEACH, FLORIDA 322313
AN CONSUME :101i)
"
I I 1 AW30
'a I�!ILICTIgN PEES _ #"tl
PER 14 C a $10.00
s ,
dQ
. � h W'A`FER I MPAC� Iw E
1� 1
t111"k
's
� a � RAD014 GAS�N� R.S. , so,OD
t _ RADON" GAS 15% *0.,OO
Al Va,
v
NATER TAP 00, 00
URI
EMIER TAIL 10, 00
. �t eek
HYDRAULIC �HSHARP, $Qk 00
I -INSPECT IIEO
r
OTHERC
h'"eM:
` NOTES;
r ,
I
NOTICE ALL OUNCRE'TE FORMS AND FOOTINGS MUST SE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF TISSUE
BUILDING MATERIAL,RUBBISH AND DI=E3RIS FROM THIS WORK MUST NOT BE PLACED 1N PUBLIC SPACE,AND MUST BE
CLEAR D UP'AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FA LURE TO COMPLY WITHTHE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OW ER PAYING TWICE FOR BUI DING IMPROVEMENTS."
ISSUE `ACCORDING 0 APPROVED.PLANS WHICH ARE PART OF THIS PER VIT AND SUBJECT TO REVOCATION FOR
'VIOLAT ONOFAPPLICABLE PROVISIOM1IS OF LAW. _< I
ATLANTI. BEACH BUILDING DEPARTMENT
By. j` , <
' 000142-
DEPARTMENT
CI01 `DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
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NOTES:
NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER.
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By: d
FEE, $10.00
APPLICATION FOR G LL PERMIT
CITY OF ATLANTIC BEACH
PROPERTY--C1GJD�t
Nam: ,2 cr /�� Day Phone 2 S 7
Address D 4 �74-
Zip�.3 Z 2 33
APPLICANT, IF OTHER THAN OWNER
Name-c .y . CcJ�/�/4'iti S Day Phone.,
Addres s s Zip 2 7—
JOB JOB
Address or Location:
Legal Description:
Is well to be used for drinking purposes?�/ y
Any person, individual, corporation or other entity receiving a permit as
provided in Section 22-40 of the Atlantic Beach Code, and who plans to use
water from the permitted well for drinking purposes, must first obtain a
bacteriological test report from the State of Florida Health Department,
furnishing a certified copy thereof to the building department of the City of
Atlantic Beach. A certificate of occupancy will not be issued until said
report is on file with the building department.
Department Notes:
I agree to comply with regulations stated herein: