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361 5th St (vault) JOB ADDRESS lILI / -� ) ' / PROPERTY O INNER PERMIT NUMBER / 7l % DATE INSPECTIONS: FOOTING SLAB TIE BEAM LINTEL NAILINGISHEA THING FR,LVIING/COVER UP INSULATION FINAL BUILDING 3 --Z-6 - 613" CERTIFICATE OF OCCUPANCY ELECTRICAL PERYIIT# INSPECTIONS ROUGH �71V:4L MECHANICAL PERMIT4 LNSPECTIONS ROUGH FINAL PL UNIBING PERVIT4 INSPECTIONS ROUGH/UNDER SLAB TOPO UT WATER/SEWER FINAL NOTES: C� 5 �_.S 3- �-`i /LS- X � FOR OFFICE USE ONIJ Date....../•...... 9 ------ 00 Permit */Q-.V .-7..Fee$ CITY OF ATLANTIC BEACH., Valuation $------ ............ FLORIDAHouse #------------------ ------------- ------- a..(0---I--------- ......M�....A?............... APPLICATION FOR BUILDING PERMIT ............................................................................ ........................................................................... Application is hereby made for the -approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. ;4 Date............ ---------------------------------- -------Telephone No---------------------------- Owner__6�7 ---------------_---Address.......................•-........------•---•--------- ----------------------------------------------------------- Architect_--- . ............ ..............................................................Address-.--------------_-----------_--------------------------Telephone No.----......... --------- 1 *4 Contractor Builder.... .... 4--------------------- -----_-----------Address......... ----•••Telephone No.__._jg_14 ------ --71,V ---- LotNo. ---------------....Block No......;_7--------------_--Sub Division------......_.------••----...-----...------------------------..--------------Zone--------------- Aj---j_41...51-- ------------------Street ---- -------------Side Between...................1------------------------------and-------------------------------------------------_Sts- Valuation what purpose will building be used...-...._...............--------------Type of construction-------------- ------------_------ Dimensions of Building----------------------------------------Dimensions of Lot-------------------....................._-----------Size of Footings..--.-.--.-----_-----------.--------, Size of Piers------------------- ----------Size of Sills------------------------_----Greatest Sill Span in ft_----_--------------...Type Roof... 54*'� '_1---Lo", How will Building be Heated? ------------------------------------------------------------Will Building be on Solid or Filled Ground?____-----7-PA----------------------- Size of Ceiling Joists-.-.-.2...... _4----------_------ Distance on Centers.............../....... ------- ..or;r.......... Greatest Span__._____._..._..______._._._._.___........ Size of Floor Joists......-Z------ _1------------........Distance on Centers.........-- ---,/C -test Span-----_----------_-------------------_-- ----------------------- Gres; .2 IF Size of Rafters.----------- --------- ---------------- r Greatest Span-.----------------__-------------------- --------- Distance on Centers......._... .. .... T'his 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. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of Atlantic Beach. 01 ---------------- Signature of Builder................................................................................ Addressc7l.. ------------ Signatureof Owner.............--------•-----•- ............................................ Address............................ ........................... �'', )3UMIN£3 "C R «' at, , t 't�+Y c . 1 P�r .t far A ati no k~ 77, / bt w (St$t r'`'i tQ ,.1'e ', ester,, addto 4r tee.. ldin , ted 'sCt NO Saiz>{ 07s ilding . 44 isine et p ,� K� + ze of, Ai 0 of Et�z�ei . cad s eft 'ed.. � taf o teria : ;�" td . cr ti 'xteniw�m -JIM 40 ; lip W, e o flip Geeliri : ' + : � 1 urer 1W J of ftliot :t, +, ,.' of, �bUil . For, ' " . MWIM Rk Z stn Wh+ er. VO wall, .� � �`��:�� " �� `�i�1�5i �w1` ��+7��Si3,\rwL� +.+'*.^-' ,»rz„ <""^>., •,esymfn, a ^a*ys'., .e,._ v-'Rva .,w.z eon NG, CONST UQ �T- 10,01TIOVAL 'lam es (por gv;Lde dim ne ®ned, .., nc ;an revers a del io tw In n n, tat *ven far`doi*, �+ 'work. de x`ibed he'. Ct e � .V..,: t„ ' ve,.'heIf agar®e t0 x y sa d l ' . X dxc � Ofied endtione, wiih ► cev c�anc with the " . . ti+ ►s the 9 y ild cadet . a ese pica. =.. ' ,. Ab � ,.�; .... ,va ,, CITY OF 4&4a4,,C //e44CA-99&U-C& Office of Building Official REQUEST FOR INSPECTION Date — 2 —9 �z Permit No. 17( 3/ Time A.M. Received P.M. a✓1--� Job Address Locality Owner's CWYC_.�^ Name �" �?'V�� Contractor ,,BOI DING CONCRETE ELECTRICAL PLUMBING MECHANICAL amity" —'J Footing ❑ Rough Wiring I Rough ❑ Air Cond. & Re Roofing _ Slab ❑ Temp Pole I ,! Top Out ❑ Heating Insulation ❑ Lintel L� Final L Sewer ❑ Fire Place C Pre Fab READY FOR INSPECTION Mon. Tues. Wed. Thurs. Friday P.M. r+ A.M. Inspection Made _ P Inspector_ _ mal Inspection L� eri cy ❑ 0 /\ LC h . \ Date 1 ---V-77— 77 " Psa•aeaa �; . ` 1 +7 DiPARTMENT OF BUILDING CITY OF ATLANTIC BEACH RIyI 'CSI 1 AT t 4> - LOCATION INFORMATION t umber . 1'7631 Address: X61, FIFTH STREEt Ptr j Ty-p4:kEMODIRONO ATLfAN IC--EAC O FLORIDA. 3� 3 W6rktRElwi0I1EL -------- L0,GAL DESCRIPTION _-_-__---- Const Type 1400DFRAME 81,o k� ' bot; TwP p D a.' Section- �0� S�bd-0 Rng. " €} 0 .00 , n�prc�. as :; +eo Tcal« 1 Fees- 00.00 Amon t a l00, Da a Pa� 3 Work D so, ITk ZIOOR UNIT A fL'ICATION FEES flame Phone n ��32233 - ell � q ..; CON , TION _ �.. a L . ELp ' r `rte NOTES: ' t i �. NOTICE - INSPECTIQNS MUST BE REQUESTED AT LEAST 2� HOURS PRIOR TO INSPECTION B,IL MATERIAL, RV##lISH AN0 DEBRIS.FROM THIS WORK MkJST NOT BO PLACED IN PUBLIC SPACE,AND MUST BE CLEA ED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER " LURE TD ?I P :Y WITH THE MECHANICS' EN I.AW SAN RESULT IN PROPERTY OWN R`PAICING TWICE FOR BUILDING IMPAOVEME�ITS." I* 511 ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR ION OF APPLICABLE PROVISION OF LAW, � ' 4915, , ATLAFd I CH BUILDING DEP' RTM!* T Mi c"i Y. �• _ CITY OF ATLANTIC BEACH PERMIT APPLICATION REWDEL, AUDITIONS, OR ALTERATIONS MVING,DEMOLITIONS Owner(s) Job Address:_ 3( 1 Phone• 'C - 16 Lot #2�f2-E'Block or U # / Subdivision: �/�� Cv�e 7 State License # Addres Phone No: City,492=MM StateZip Code Describe work o be done: 240 ,1 I-CJ ulayllou, Lj// 7A d Present use of building: ( P� Valuation of Proposed Construction: ® O, Proposed use: Is this an addition? AJO � 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? � BUST Tffi=! (CCbl&RCXAX) rW (RSSSDAWT=) CCAWZA7X 8=8 OF PX"S, T7XTi7DSNGi O1 R/oO2iTRilmm AS'9PSZ avzT, IT I8 C ffItACTOR. Signature OWNFt: /C •� � Date: z'q Signature CONTRACTOR: Date: AS TO OWNER: Sworn to and subscribed before me this '` y o NOTARY PUBLIC P"a Amma AS TO CONTRACTOR: stc MY COWASSION N CC55=DWM Au"27.2000 Sworn to and subscribed before me this day of ��` NOTARY PUBLIC CITY OF Fead - �7&uvea quo EMIvOLE ROAD -- -- ATLANTIC BIi.A('H. FLORIDA 5445 ------_____ _ t'L;LFI'H(N1.,9O4) 247-580f) FAX 19041 ?-t�-5805 SUNCONI �52-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: 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 AS 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 OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,OCO.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A 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 IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER 2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE." THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE. THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PROPERTY OWNER/BUILDER (561 L�-g, 3 ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS "21 DAY OF NOTARY PUBLIC PWdaAmono NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: } _ NNSSIONNCC55?681 EXPIRES ARE EMPHASIZED BY THE BUILDING 'P�.= AWSIZ7,Wl DEPARTMENT. , MUM nIF1117RDYFAIN MSRANMNSC. � o 12 c�=`0�-,,� cam= �ts'`�' �-'��t d c� c ✓�l 7 �-4'� � ' AP S110WING SURVEY OF LOTS? —2&-BLOCK.----.--'7--_ A SHS ON MAP F SUBDIVISION "A' AT t.._�1_9 T!C. _El-)E:-,6,C-1 { M-------- - ------- A$ RF-CORDED iM PLAT C?K7it_c�— _I�r�Co�-...__—.� ---------4F PUBLIC RECORDS OF DUVAL CO.. FLA. �� Ct/fIRLES 7 FfDANNE I L_ O T 2q i" ?_"� O� 25 LOT 23 � n S C)C).0 --� GVA Li L.1L.1V- FE-.L1 C..E_- / A/ x l� goo 0 ole i I� I l 22 0 1_O1 '3Z0 a I -i LOT Y P&LIE-L_IL-1Ca OVER E'5L"OCK- �iL1D N F�G'_IC F"'L-&L-1 i F:PS 1-7 O r- � I � � i I r 100.0 FIFTH (4,-D. F_iV,,) S E-E-T ter. ... ., i. .^� s 9-> 'l7 A//Y / ZI f A/,� . " ;'7 d 77 D/ DEPARTMENT OF OU14DING CITY OF ATLANTIC BEA64 R 11"T" INFORMATION, - ----- w--� LOCI `IO" INFORMATION -w- v i t Number, 17182 , A c r e : ?I F"TH I STREET, P*MJ t 'Type,#RE-ROOF" ATLANT I C BEACH, PLO91D322331, `1as's f Work.#ALTERA.TION -..---- � LSt AL DESCRIPTION ---------- C n's � . Block* Lat : Twp�� 1 � SectionPr `Uee : Rng. 1iA4gS . 1' Sub ivisio#:'ATLANTIC BEACH E value *.t00 Impr€a Cost 800 .00 Tot1 Peen WOO Amour t Paid: 60.00 D e P' ' 998 Work Des ,° Tr FZZ DOUBLED, WORK COMMENCZDPRIOR TO PERMITTING N __ APPLICATION FEES ...zula P sxtm i � kl rT w Ir,ORIDA 12233. �'Tl. ,e: r'aa � �kRp{i3+ `K"'!V, tCJ I AT I ON -411, alae; AR{3L L N 65 L UIQ 'go Tit Li 057041 Zxp p d, .. N©TES:t j e ' NOTICE INSPECTIONS MUST BE REQUESTED AT LEAST'2, HOURS PRIOR T©INSPECTION BUI G MATE F RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,i4ND MUST BE CLE A ED UP ANQ D AWAY°BY #Ti-1El�CONTRACTOR OR OWNER " LITRE TO COANPL WITH THE MECHANICS' LIEN LAW CAN RESULT IN PROPERTY OV I ER PA'YIIUG 'TWICE FOR SUI�.CING IMPROVEMENTS." a I SU . ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PEt MIT AND SUBJECT TO REVOCATION FOR K3N .AF'PWCABLt,PROVISIONS OF LAW4 DaUt MCKS ATLA 1BEACH 13UtLpiN DE AT, W 3+2211 { t y: CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICATION JOB LOCATION: to I "5 P,t'o 4- OWNER OF PROPERTY: 45 k& k, )p ect u n CONTRACTOR: 4m Cep -e VY7yyrNy'n-S CCNTRACTCR'S ADDRESS: 3:2 STATE LICENSE NUMBER: CCC oS 2GCI Z_- TELE?HONE: �<�" J Z7 ' DESCRIBE WORK TO BE PERFORMED: -2'f P tic VALUATION OF PROPOSED CONSTRUCTION MATERIALS TO BE USED: SIGNATURE OF OWNER: 1 SIGNATURE OF CONTRACTOR: SWORN TO AND SUBSCRIBED BEFORE ME THIS LZ DAY OF 9 , NOTARY PUBLIC Liability Insurance Supplied PadrfciaM►wft ;.: MY COMMISSION N CC5081 EXPIRE;. ' I August 27,2000 Workers Cempensaticn Insurance Supplied '.,• .•' BOME0T{RUTROVFAIN INSUR"E,INC, Contractor License Information Supplied Occupational License Information Supplied v ` X3844 : DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH 7777-7 FENTIyFON: - - LtCATIOPiNFOREtA2ION; ; N I P 7x13 ` Address* l FIFTH STREET ' r;i t. ' ire - ? A.TLA.NTIC BEACH, FLORIDA ` tisNa EI'AIR _- LEGAL DESCRIPTION -�_� Cin tr. °I'T 'OOD `RAIE I. RIO k* S�+ t. n Px _ + U DINGLE PAIL '"ca a h p• Dwel in s r code: S Ldivi ioO..: A'TI A.NTIf" BEACH E 'sated Ile Tot ,Itic tt S22 . 50 D 2/93 ItiT I`� D /'BAD SHINGLES WITH NEW E` to 'ION74-7 T� . .. AkPPLICATION PEES ------ � d F PERMIT X22 . 5£ TREET WATER IMPACT FEE $0 .00 CH t >+LORIDA '3 S IMPAC F'BE $0 ,DC? P •t $ p � x �, " "� A�.}'..+p "��ypAa NFORXAT I,. N - RADON. OAS - $0.00 a t�P T ER cA.PTt,AL IMPROVE. $thy .0 ' '• y�saw .�EWU, TA HYDRAULIC :SHARE $0.00 Type: 1 'ROSH CONFECTION X0 .00 SEC�H IMPACT FEE �r 0, 00 ES-i E t NOTICE—ALLCONCRETE FORMS AND FOOTINGS MUST BE IN80ECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE $UILDWG MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE ' CLEAF Eb UP.ANt3 HAULED AWAY BY EITHER CONTRACTOR OR OWNER 1 ' F' J LURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT 1N TH � PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS." ISSUE ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOWI ION,OF APPLICABLE PRf�VIS10NS 01=LAW. ATLANTIC BEACH BUILDING DEPARTMENT IhIIs �'ti 'II Total PaymentIwo p sy: CITY OF ALANTIC BEACH �TROOFING /PERMIT APPLICATION owner(s): Address: Sr, Phone: Lot # , Block or Unit # Subdivision: Contractor: Address: City, State and Zip �%' fzC' �l2 3223 Phone State License # Describe work to be performed: Valuation of Proposed Construction: Materials to be used: S25 elle S' Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information i DEPARTMENT OF BUILDING 6 Q T '�- PERMIT NO. CITY OF ATLANTIC BEACH.FLORIDA 11 PERMIT TO BUILD 1, 9� ! A� X7�/y2t�6�+/8 �ir G ' THIS PERMIT MUST BE POSTED ON JO .74 Li i Ut�J4e' 4699 k! 7/P6/8 Date July 26, 19 85 10UU � Valuatio It WCHMICAL Fee 50.00, This permit t valid until above fee has be paid to City Treasurer,and is I subject to ocation for violation o applicable provisions of law. HEASTAfG AND COOLIN(z> INC. This is to certify th has permission toJ HST & �TT�+�1TI'LAT Classification Zone Owned by W Lot B c S/D f House No. 361 FIT.PH. HiM y According to approved plans which are part of t-is per t N SCE ALL CO NRETE FORMS D FOOTINGS MUST BE IN- PECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material, rubbish and debris -� zf from this work must not be placed in public space, and must be cleared up and hauled away by either con- ac r y'owner. Building Official. I CONTRACTOR FDATE OFFICE PERMIT USEONLY1% I NUMBER PLUMBING ELECTRICAL SEWER WATER AIS, , BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32238 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION - Tobe completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good•.prectice listed therein. Name of Mechanical Contractors CoMnc%r (Print) ��/ `Y C�c*ox1� ;�/G Master c�rff'rfh J r Nan►e"of Property Owner _LQ1,1 All— Signature;,of Owner Signature of or/utthorind Agent I Architect or Engineer III. +SEM INFORMATION A, Typa.of haating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON 6' Elocivit THIS BUILDING OR SITE? Q Gas—E LP Q Natural ❑ Contra[Utility 1F YES. GIVE NUMBER OF CONSTRUCTION C{ OR PERMIT 0 #her_— Specify IV.MIOHANICAL EpUIFMINT TO U iNSTAIAW NATURE OF WORK (Provide complete list of compononfs on back of this form) ❑ ` Residential or ❑ Commercial CY Neat Q Space © Recessed lff Central O I'ka [3 New Building C] Air Conditioning: C Room ,R Central ❑ Existing Building Q Duct System: Material. Thick-O"_ ❑ Replaosment of existing system ef.m. ❑ New installation(No system previously,instolleM Masimum capacity ❑ Extension or add-on to existinSl system Q Wrigeratian ❑ Other Specify Q Cooling %war: Capacify 9P Q fire sprinklers: Number of t+ead� 0 Elevator Q MonHft Q Escalate (sumber) THIS SPACE POR OFFICE USB ONLY $"oilna pumps -(number) IR+«I»d) (number[ Remarks O LM cenhinertr.____(number) Q tfnfirad pressure vasty Permit /lpprowd by Ooh O Ileilera f Permit -0 Other — Specify POT ALL EQUIPMENT A1R CONDITIONING AND REFRIGERATION EQUIPMENT t NUMbu Valu Doreriptba Model Number Menutttadtrw F / CITY OF 0;,e'Zo�% se, Doet Office of Building Official REQUEST FOR INSPECTION Date_ �// o V Permit No. Time A.M. Received P.M. District No. Z-/?max /per Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL. /PLUMBING MECHANICAL Framing ❑ Footing 1:1 Rough Wiring 6 Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. Friday P.M. M. Inspection Made — A..M. Inspector Final Inspection Certificate of Occupancy Date IP. . CITY OF ATLANTIC BEACH, FLORIDA d b APPLICATION FOR; ELECTRICAL PERMIT ?TOTINEHIEF 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 WORKIN 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. ti Wit.=777ZC...o o.S UNI 10OUCVUA ELL RICAL FIRM: MASTER ELECT ICIAN SIGNA / -RFD-BOX NAMEI _E� �_. _ADDRESS: :�- BLDG.SIZE BETWEEN: RES APT. ( 1 COMM.( I PUBLIC ( 1 INDUS.( 1 NEW( i OLD( 1 REW.{ 1 ADDITION { 1 TRAILER ( 1 TEMP.`( 1 SIGNS ( 1 SO. FT. SERVICE: NEW( 1 INCREASEK REPAIR( 1 FEE CONCTOR SIZE AMPS 00 COPPER ALUM. EFTCH OR BR KERS AMPS PH W LT RACEWAY EX .SERV.SIZE 424r-P AMPS ;PH W d OVOLT RACEWAY FEEDERS; NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL REC g PTACLES` CONCEALED OPEN` TOTAL 0-80 AMPffi, 91.100 AMPS. SWI t CHES c IN DESCENT FLUORESCENT&M.V. IXED Q-rQQ AMPS. I OVER APPLIANCESBELL TRANSF. AIR ,, H.P. RATING H.P.RATING CON ITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS t .. ..w L..as�+�ev■�tnB. I likinco ann V '.OVER BAO V. CITY OF AWjANT IC BEACH APPLICATION_FOR PLUMBING PERMIT Date PERMIT NO. LOCATION �� ✓ Street LOT NO.'` BLOCK NO. S/D OWNER MASTER f,UMBER Ce) Bldg. BUILDER OR CONTRACTOR �� Permit_N9.. TYPE OF BUILDING _ SINKS `1i LAVATORY �/ BATH TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS WATER HEATERS DISHWASHERS DISPOSALS OTHER TOTAL FIXTURES____ / S1 .00 NO WORK. MUST BE DONE UNTIL A PERMIT HAS BEEN FROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size .:aiid location of all the soil and vent pipes, and the number and location of all fixtures, (in accordance with Ordinance no. 188 of the City of Atlantic Beach, Florida) must be shown on back of appli- cation and be approved by the Plumbing Inspector. DRAW PLAN AND SFECIFICA.TION OF ABOVE PLUMBING ON BACK. Approved by lumbing Inspector Date (FOR OFFICE USE ONLY) ROUGH-IN INSPECTEDREMARKS G'�C FINAL INSPECTION: CERTIFICATE ISSUED: