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165 8th St (vault) -"CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 j ; . Application Number . . . . . 08-00000392 Date 3/2' 6 '0' 8 ' Property Address . . . . . . 165 8TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 6860 ---------------------------------------------------------------------------- Application desc REROOF FL 3610 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ----------- ------------- ELKIN, HAROLD M. ROMANO ROOFING SERVICES 165 8TH STREET P.O. BOX 33037 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5649 --------------- -------------------- -------------------------------- -- ' ---- Permit . . . . ROOF PERMIT (, Additional desc ►►' � Permit Fee . . . . 65 . 00 Plan Check Fee1 �. Issue Date . . . . Valuation i Expiration Date 9/22/08 ------------------------------------------- ---- --- ---------- '--,--------r-Fee summary summary Charged Paid Credited Due Permit Fee Total 65 . 00 65 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 65 . 00 65 . 00 . 00 . 00 F3 r. 1 i y _ f PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 08- _L_L I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 OFFICE:(904)247-5826•FAX NO.:(904)247-5845 Uc BUILDING PERMITAPPLICATION DUVAL COUNTY 1.JOB ADDRESS: 2.VALUATION OF WORK: 3!BLDGi. &E 4.LEGAL DESCRIPTION: 5.CLASS OF WORK: TRUCTURE: ❑NEW BUILDING ❑DEMOLITIONNTIAL LOT_BLOCK_SUB DIVISION 1/, ❑ADDITION ❑CONVERTINRCIAL 7.DES TION OF W K: a"LTERAnON ❑ACCESSORRINKLER: / pt ❑REPAIR ❑POOL/SPA ❑YES ❑NIA lA.��V I� ❑MOVE ❑OTHER 11 NO PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER: 9.NAME: 15. PAN NAME: ,00 23.COMPANY NAME: � 16. M ���7� 24.LICENSEE NAME: eA 10.ADDRESS: 17. O FLORI I ENS v 25.STATE OF FLORIDA LICENSE NO.: �cb' O .: 18.ADDR S: 7�.�Te.T(Z 2 26.ADDRESS: 03 1 11 F P .7 12.FAX NO.: 19.OF ICE O 20 N / 27.OFFICE PHONE: 28.FAX NO.: 13.CELL PHONE: J\ 21.CELL PHONE: C7/ 29.CELL PHONE: 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER: (IF OTHER THAN OWNER) 31.NAME: 33.NAME: 35.NAME: 32.ADDRESS: 34.ADDRESS: 36.ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6)months, or if construction or work is suspended or I understand that separate permits must be secured for abandoned for a period of six(6) months at any time after work is commenced. Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc. OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law. WARNING TO OWNER: *** YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OFCO COMMENCEMENT. OWNER Or AGENT (Qualifier Only) (If ant,Pow of A tomey or Agency Letter Required) Signed: r Date: Signed: Date: " n the coun of Before me this ay of ,20*in the county of Before is day of Duval,State of Florida,has personally appeared Duly ,St of Florida,has personally a ,20ppeared Iii E'l4�_A n herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. l(l�V,v Nota Public at Large tate of ounty of Notary Public at Large,S of ,County of Notary ❑Personally ❑Personally Known ❑Produced Ide if io ❑Produced Identifi ion Notary Signature: Not e: tary Signa <�°ao rAIN `Z v1rJ �, EL: tNiAA 1 sMANO.5tSsWN#DDit q= MY ComMISSION#DD357393COAB FORM BLDG01:REVF11-800!!-3-NO __SSAN;rtbcr 23 a "' EXPIRE$:Septril•c+73,Zppgcly� 'Cow A �I-i •v2y FI.Not-Discomn Assoc.Co. fARY CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMIT / Owner r Address t? ✓ Phone Architect Address Phone Contractor,ZQ;I,"1o� 6�7 Address /7/6 �/�/ Phone License Number C� C 6Z / 1 .. Expiration Date 6 3 Lot # Block # Subdivision Zoning Street Between and side Valuation $ Purpose of Building Type Const. Dimensions : Building Lot Sz.Footings Sz. Piers Sz. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz. Floor Joists Distance on Centers Greatest Span Sz. Rafters Distance on Centers Greatest Span Heating Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD ZONE fill out reverse of this 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/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing and fire place is completed and ready to cover up. 5 . Rough electrical. 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement , we hereby agree to perform said work in accordance with the attached plans and r specifications , which are a part hereof, and c0 in accordance with the building regulations of the City of Atlantic Beach. o 0 rt rt Signature OWNER Signature BUILDER ' Front Lot Line M FLOODPLAIN DEVELOPMENT INFORMATION Type of Development :' New Building Alterations to Existing Building Flood Zone Required Floor Elevation Actual (as built)Lowest Floor Elevation If located within a flood hazard zone (zone A) a survey must be made after the slab has been poured, certifying that the "lowest floor elevation is equal to or above the base flood elevation established or that zone. No Final Inspection will be made and No Certificate of Occupancy will be issued until the survey is on file with the Building Department. COMMENTS Applicant acknowledgement : I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances effecting the proposed developemnt. Date Applicant ' s Signature ----------------------------------------------------- Department Use Survey filed with the Building Department on Certified Lowest Floor Elevation Required Lowest Floor Elevation Building Department Representative DEPARTMENT OF BUILDING T CITY OF ATLANTIC BEACH,FLORIDA PER fvIJT NO. PERMIT TO BUILD 41 ju •COCAC ,jnu 1A 11/21/61 THIS PERMIT MUST BE POSTED ON JOB (nall Date 11 -21 19 Valuation$ Fence Fee$ 7.50 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. This is to certify that HAROLD M. ELKIN 165 8th Street Atlantic Beach has permission to build FENCE AS PER HLAdS SUBMITTED Classification RESIDL14TIAL Zone Owned by HAULD 11. LLKEd Lot Block S/D House No._1 65 2t•14 Street- According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS = AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -n AFTER DATE OF ISSUE 4— i O Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared _ ---up, auled away by either con- t c`j12 i % Building Official. FOR OFFICE PERMIT DATE / CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER s ZONING: CHAPTER 28, SECTION 28-5 (E) (1) In the area between the front property line and the front building setback line, no fence or wall shall exceed four (4) Feet in height. (2) In the area between the front building setback line and the rear property line, no fence or wall shall exceed six (6) feet in height. (3) No person shall construct, erect or place on any property within the city any seawall or retaining wall without first obtaining a permit therefor from the city and submitting adequate plans and specifications to show the building official of the city the construction contemplated. For the purpose of this section, a seawall or retaining wall is defined to be any wall used to resist the lateral displacement of any material. (4) Not- withstanding any provision hereof, no fence shall be constructed contrary to the provisions of subsection (n) of this section. (n) Traffic visibility across corners. In any district, no fence, sign or any planting shall be maintained, except that which does not interfere with traffic visibility across corners. This determination shall be made by the city manager or his appointed agent, and property owners in violation thereof shall be advised to make the necessary removal. TYPE OF PERMIT PLEASE PRINT �/ NAME, ADDRESS &y�TELEPHONE NUMBER OF APPLICANT FENCE OJ 0 C`I C N A /� G` l lL)l� /l9 fee) ��4 1 El e /,/�1 WALL q p u1TY OF F,►-pj V ` SEAWALLC'IJILo,-r►c� ZONING OF PROPERTY 33 RESIDENTIAL LEGAL DESCRIPTION COMMERCIAL/BUSINESS ATTACH THE FOLLOWING TO THIS APPLICATION: VALUATION: a) The location of the building, structure in relation or upon which the structure is to be erected. b) A plot showing the position of the structure in relation to nearby buildings or structures. c) A blueprint or ink drawing of the plans and specifications and method of construction and attachment to the building or in the ground d) The name of the person/constra(t)r erecting the structure.. e) Such other information as the city manager or his appointed agent shall require to show full compliance with all other laws and ordinances of the city. SIGNATURE OF APPLICANT 6a a N CITY OF ATLANTIC BEACH APPLICATION FOR BUILDING PERMITy, Owner ELL r\) Address f U5 Phone Architect Address Phone �-,�c � c��i inE ISR Phone- Contractor '` �\(��P�Ac%5 S�c�y Address S�. (tel License Number Expiration Date Lot # Block # Subdivision CLL L3 /_JANOR Zoning Street Between and side Valuation $�•� AUG Purpose of Building Type Const.�E�CE Dimensions : Building Lot Sz .Footings Sz.Piers Sz. Sills Greatest Span Sills Sz. Ceiling Joists Distance on Centers Greatest Span Sz.Floor Joists Distance on Centers Greatest Span Sz.Rafters Distance on Centers Greatest Span Heating Solid-Filled Ground Roof Flood Zone If located within a FLOOD HAZARD ZONE fill out reverse of this application. Inspections Required: 1. When steel is in place and ready to pour footing. 2. When steel is in place and ready to pour columns/lintel. 3. When steel is in place and ready to pour beam. 4. When framing, mechanical , rough plumbing and fire place is completed and ready to cover up . 5 . Rough electrical . 6 . Final inspection. In case of rejection, reinspection MUST be called SETBACKS for after corrections are made. In consideration of permit given for doing Rear Lot Line the work as described in the above statement , we hereby agree to perform said work in accordance with the attached plans and �,. �• art hereof, and 0 specifications , which are a p o in accordance with the building regulations 7 r, r o of the City of Atlantic Beach. O rt rt 0 -------------- 5 r ; � c� m Signature OWNER Signature BUILDER Front Lot Line DEPARTMENT OF BUILDING PERMIT NO. CITY OF ATLANTIC BEACH,FLORIDA 15*UUCKT PERMIT TO BUILD 2299 1 A 5/15/8 THIS PERMIT MUST BE POSTED ON JOB 52SU *UOCA May 15 , 19 84 2299 1 A 5/15/0 Date 10Ut Valuation$ FIREPLACE Fee$ 15 .00 This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of law. VES STO This is to certify that M-R.• FIREPLACES51055 & V L+J St. Augustine Road has permission to build aas per plans submiticed Classification Residential Zone RS2 Owned by Elkin S�Club Manor iLot 9 Block�- I House No. 155 Eighth Street According to approved plans which are part of this permitNOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. I PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE �— O Building material, rubbish and debris z from this work must not be placed in public space, and must be cleared up and hauled away by either con- i * tractor or owner. Bu CONTRACTOR PERMIT DATE FOR OFFICE NUMBER USE ONLY PLUMBING ELECTRICAL SEWER I WATER �I 1 MAP SHOWING SURVEY OF LLT 9 BLOCK AS SHOWN ON MAP OF G'G eve, caeWPA/s- AS RECORDED IN PLAT BOOK 25 PAGES �'� OF THEA PUBLIC RECORDS OF X----'Z/V-eG Covc/ry `G'� DATE _� 82 FOR: 'Qom"' ,�dss-ere- .. SCALE: I"= 20 2 I I I 14440-& Zvsex oesvx I I � V 7— off off 0 � I �+`jai N h � •�tT�o, � 1� k /p;G vr- p• '�1 f! v 9 P �.50 1 ' ' T!�•O Y ' 001453 T DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION LOCATION INFORMATION Permit Number : 1453 Address: 165 EIGHTH STREET permit Type: OTHER ATLANTIC BEACH, FLORIDA 3223, Class of Work: ALTERATIOV LEGAL DESCRIPTION Constr. Type : WOOD Lot - Black : Section-. Proposed Use: STUGLE FAMILY plot Book : Page-. Dwellings: 0 Code: 0 Subdivision; CLUB MANOR Estimated Value: $0. 00 OWNER INFORMATION Improv. COSL : 9500. 00 Name: HAL ELKIN Total Fees! $O:Oc Address: 165 EIGHTH STREET AmountPoidz $0. 00 ATLANTIC BEACH, FLORIDA 3a' ' Crate Pai4t Phonet (904) 249-8643 L ii L jit-ulit., REAR PRORT PEY LINA. E WITH PRTVrY F APPLICATION FEES - - ",ROPERTY OWNER' PERMIT $0. 00 WATER IMPACT FEE 150. ()0 SEWER IMPA47T FEE loci. 00 WATER METER 140. 00 RADON GAS R- S,- 00 RADON GAS $0. 00 WATER TAP $0. 00 SEWER TAP $0. 00 HYDRAULIC SHARE $0. 00 RE-INSPECT FEE $0. 00 ENGINEERING `30.00 OTHER • Oo 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 LY WITH THE MECHANIBUILDING LIEN LAW CAN RESULT IN T::1LURE TO COMP IMPROVEMENTS.0 ToI L:PR0 PERTC_1THE OPERTY OWNER PAYING TWICE FOR 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: APPLICATION FOR FENCE PERMIT Owners name ,ZZA � /V phone� ------------------- -- Job address_ -- - --'L - -�-C ---- -- --------------------- Lot ------------------- Lot block and/or unit # subdivision --------- -------------subdivision if different from owner ---------------------------------------- Valuation of fence S � ' b -0 Vt, Sorner or interior lot -- C ------------- Type construction 4 F Show location and height of fence as well as location of street(s) . ' !I 1` 1 :f• 'r Owner signature ----- - ----- - -----------------Date---------------- Contractor signature ----------------------------------Date---------------- i '11BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: 'lDc; !2slt ­t— OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attacll,ed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Name of Mechanical Contractors Contractor (Print) Master � �- Name of Property Owner t AJ Signature of Owner Signature of or Authorized Agent Architect or Engineer III. GENERAL IN R ION A. Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON /t )� XEllodric THIS BUILDING OR SITE? �( ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ Oil PERMIT ❑ Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) Residential or ❑ Commercial XHeat ❑ Space ❑ Recessed )l( Control O Floor ❑ New Building _Air Conditioning: ❑ Room * Central Existing Building ❑ Duct System: Material —"— Thickness` Replacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously installed) [3 RefrigerationElExtension or add-on to existing system ❑ Other — Specify ❑ Cooling tower: Capacity q.p.m. ❑ Fin sprinklers: Number of heads_ ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Race;wd) ❑ Tanks (number) Remarks ❑ LPG contains,K (number) ❑ Unfired pressure vessel Q BoilersPermit Approved by Doh ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capacity Appmv>:sR Number Unite Description Yodel Number Manufacturer (Tons) J►`eacy DEPARTMENT OF BUILDING 09985 PERMIT NO. CITY OF ATLANTIC BEACH.FLORIDA a I PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB 4F*00 T Date August 4 19 g8__ 469DOCKT $ 46.00 21 960 1A 0/(14/ Fee Valuation$ .GnCAC This permit not valid until above fee has been paid to City Treasurer,and is 2961; 1A 9/04/01�t70 subject to revocation for violation of applicable provisions of law. This is to certify that Ocean State Heat and Air has permission to b insgall heat and Residential Zone Classification i Owned by Elkin Block_--5/D Lot_ I House No. 161; st According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS * AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE O Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hauled away by either con- stractor or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER I 't :� 4c�( 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. ELECTRICAL FIRM: MASTER ELECTRICI SIGNAT NAME .-ADDRESS: l S� RFD BOX BLDG.SIZE BETWEEN: RES. APT. ( i COMM. 1 1 PUBLIC ( 1 INDUS. ( 1 NEW ( ! OLDA REW. ( 1 ADDITION ( 1 TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW ( i INCREASE ( 1 REPAIR (x FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 0AMPS PH 3 W IL4 c VOLT RACEWAY FEEDERS NO. SIZE NO. 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. I AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT O.lOVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS 0003334 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH Lk_)sATTO" XNrVlrtnATlt0N Permit, HUMber % `4' 149 acress: -111 rrt3wr" 1.1VTWEET Permit. Type; rLunnrtm ATLAHTXr-- HEATH, I-1-OftZPA 3ZZ3 t'lass of Work: ALTEftAT27014 LIEDAL ----- -- k:.onal.r. Type: WMV rftAnE 01 ock S tmect I on Proposed Use: *_ltXNt3LLr rAnXLY Township; vvellinge% I Code, 0 rstlmet,ed value a-510. 0" xmprov. con'Ll 150. 00 Total rw-eak, Is 11c.M) AWOUnt Pial"1 1�I"n. 00 vatel ralLl; 1 .1,1741 ErX'_5TlNV lnw"rn .1 TIFT77117A T TOR APrUMAT10" MEZ ---__ Name: L.TllAff FL.Erk7"Eff Pert n r T 9113. 00 Address : 311 crun'T" STREET WATMft X"rACT FEE `.110.Lvo ATLANTM, LREAUH, Fl_0KXVA JZZC;.4 =lzWn" 1nrAi0y FEE 11►01 00 Ph tib t 11004 )zqlf�__7114ml WATE" 17ETER 150. 0V It A MIN OA!5 tt. FPAJ. 00 ---- --- l:014TRAC-TOR INFO"rVATIOR - - -- -- - "A r.0" LIA'4 '7,% a"-. ""- Name; ATLANTIC V,7.UA--,T PLUffVl"0 E. TI WATER TA r cA t7. U0 Address: 31n 4Ttf AVENUE nOUTH 25 K W r-n TAP CAU. ntl JACK,_"O"VILILE "IsAc", rL 322nu "Y[MAUI-IC '_4HA"E 440. f0k) Licensez CFC7'AZln2l"_ 'ry pu­. Ll RE-l"­PKX7T FEE 150. 00 ,mrr. " inrACT FIFE 50.ck 0 oyffLort RC1. CJC1 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." -HiON vk'll: i/91 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: Z 353 CITY OF ATLANTIC BEACH APPLICATIO14 FOR PLUhBING PERMIT JOB LOCATION �l PLUMBING CONTRACTOR LICENSE NUMBERS OWNER BUILDING CONTRACTOR TYPE OF BUILDING 1 S� �� n c SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS [WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE . CITY OF 4& Office of Building Official REQUEST FOR INSPECTION [` Date 5 _ y 9 l Permit No. Time . UV P.M. District No. Received Job Address �/L lily Owner's d !� ` r� �•w Contractor ' f Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Rough Wiring Rough ❑ Air.Cond.& 13Framing ❑ Footing Heating Re Roofing ❑ Slab CJ Temp Pole Top Out ❑ Fire Place ❑ Lintel Pre Fab OR INSPECTION A.M. Friday P.M. Mon. Tues. Wed. A M. , Inspection Mace Final inspection IDInspector Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date Y� � � Z --� Time Permit No. Received A.M. P.M. District No. Job40 0 dress , O mer's Locality BUILDING Contractor CONCRETE ELECTRICAL ❑ PLUMBING MECHANICAL Framing C Footing Re Rooting 0Rough Wiring C Rough Slab MTemp Pole �- Air.Cond.8, Lintel ❑ C Top Out Heating Fire Place OR INSPECTION Pre Fab Mon. Tues. Wed' Thurs. A.M. Inspection Made Friday ---�P.M. Inspector F5-.M. nspection ED/ �5U �/t i-� (QA) Certificate of Occupancy --�[ Date CITY OF' V S,4 i In ec 4 4&,&,, 13eack 3 g;L 3 c; L Office of Building Official REQUEST FOR INSPECTION permit No. Date (O A.M. District No. Time / Received Locality Job A ass Owner's MECHANIC ELECTRI AL PLUMBING CONCRETE Rough ❑ Air.Cond.& BUILDIN ❑ ; gn ❑ Heating ming Footing Temp Pole ❑ Top Out Fire Piave ❑ Re Roofing ❑ Slab ❑Lintel pre Fab G A.M. READY FOR INSPECTION Fridays—'P.M. Wed Thurs. ues. n/ A.M. — L tsp2on(! Made l inspection b Fina f� inspector Certificate of Occupancy Date CITY OF' 4d4r- Office of Building Official REQUEST FOR INSPECTION ` permit No. 4/� A M District No. Date P.M. Time. tY lity Received resstraor MECHANICAL Conct � PLUMBING Air.Gond. pwner's ELECTRICAL Heating Name f CONCRETE 0 Rough 0 NG p Rough Wiring � Top put Fire Place BUIL Pre Fab � Footing � TemP Pole Framm Slab A.M. 0 fing / Lintel P.M. OR INSPECTION Friday�--�� T Wed. Tues. Mon. FinallnsP�tior�,r w Inspection Made Certificate of occupancy Inspector Date DF-PARTOMENTANOFTIC BEADCH BUILING CITy F ATL LOCATION INFORMATION 165 EIGHTH STREET FLORIDA -3223*--,, PERMIT INFORMATION Address! ATLANTIC BEACH, F 1B49 section: ICAL LEGAL DESCRIP Permit Number: TION 3 Permit Type: MECHAN Block: RNG*- 0 Of work*. ADDITION Lot*- Township*- Class . WOOD FRAME Constr. Typee*.- TINGLE FAMILY ubdiv isio" Proposed UsS code 0 1, Dwellings $O. Ou Estimated Value: $0. 00 I mpro V. cost: 625. 00 Total Fees'. $25. 00 .................... Amount, paid : FEES �Fpj.ICATION $2.5. 00 FORMATION -- --- - PERMIT $0. 00 OWNER IN WATER IfiPAG r FEE 00 eACT FEE 0. 00 Name- E L ya N S- HTH STREET SEWER lb Address: 165 EIG BEACH, FLORI11" WATER MITER $0. 00 ATLANTIC RADON (3AS-H- R- S- $0. 00 prione I ( RADON GAS $0. 00 CONTRACTOR INFORMATION WATER Thp, ij(). 00 HEATING & AIR SEWER TAP $0. 00 Name 14UXHAM HYDRAULIC SHARE $0. 00 BEACH BOULEVARD HYDRAUL Address; 200650MVII,LE BEACH, FL 32250 RE-INSPECT FEE %). 00 JACK IMPACT FEE RA0024352 Type: 3 SEC- 14 lj cense: OTHER NOTES. —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING NOTICE PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC, SPACE,AND MUST 11 BUILDING MATERIAL, EITHER CONTRACTOR OR OVVNER CLEARED Up AND HAULED AWAY By MECHANICS' LIEN LAW CAN RESULT It "FAILURE TO COMPLY PAYING TH THE MEC FOR BUILDING IMPROVEMENTS.THE PROPERTY OWNETWICE Ua rwrrm "Tr ar TIME: 12:24 PM ICH ARE PART OF THIS 7-RMIT AND SUBJEMt TO REVOCATIM090f ISSUED ACCORDING TO APPROVED PLANS OF LAWWH TENDERED $25.N VIOLATION OF APPLICABLE PROVISIONS . 7 erg, , 1,/ A MA Af rfk15'C-tcy,90a1 D).N G D E P A RT M E N T By: BUILDING AND ZONING INSPECTION CTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32,233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: r C n/ OF Intersecting Streets: Between co� And �.c v/ BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants escrk in acco In consideration of permit 9ivenfor doing the worch k a parts drlhereof and bed in the ein b accordanceve nwith het we r City oeby f Jacksonve to ille Ilemordinan�es and standards with the attaci�ed plans and specifications :rk:i, accordance of good practice listed therein. Contractors A J� Name of Mechanical ( 1,CV Master C/ Contractor (Print) 11 ti. r Nam• of Property Owner / Signature of Signature of Owner Architect or Engineer or Authorized Agent III. GENERAL INFORMATION B. A, Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? ❑ Electric ❑ Gas—❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT ❑ Oil ❑ Other — Specify IV. MECHAN CAL EQUIPMENT TO �E INSTALLED NATURE OF WORK ❑ Residential or ❑ Commercial (Provide complete list of components on back of this form) ❑ New Building Heat ❑ Space ❑ Recessed O Centel O Hoa ❑ ❑ Existing Building ❑ Air Conditioning: ❑ Room ❑ Control ❑ Replacement of existing system ❑ Duct System: Material - Thickn*% – ❑ New installation(No system previously installed) Maximum capacity c'f.m. ❑ Extension or add-on to existing system ❑ Refrigeration ❑ Other — S ecity �� O� t X [] Cooling tower. Capacity g.p.m. d� ���i.J �C i 5 ❑ Fire sprinklers: Number of head Escalator (^ur^b'r) THIS SPACE FOR OFFICE USE ONLY ❑ Elevator ❑ Manlift ❑ (RKeiwd) ❑ Gasoline pumps (number) ❑ Tanks—_ (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessel Permit Approved by bete Q toilers Permit Fee ❑ Other — Specify LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT r-siriarAty Aroving Number Unita Deacrlption Model Number Manufacturer ( ) �► Y CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION LOCATION INFORMATION _ _! Permit Number: 18473 Address: 165 EIGHTH STREET Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): 9 Block: Section: 0 Square Feet: Subdivision: CLUB MANOR Esq. ..: _Parcel Number: va�uc --- ------------.._--- Improv. Cost: OWNER INFORMATION Date Issued: 7/08/1999 Name: HAROLD M. ELKIN Total Fees: 41.00 I Address: 165 EIGHTH STREET Amount Paid: 41.00 ATLANTIC BEACH, FLORIDA 32233 249-8643 904 Date Paid: 7/08/1999 � Phone:��---- Work Desc: REPLACE CONDENSER AND AIR HANDLER APPLICATION FEES 1. CONTRACTORS PERMIT 41.00 HUXHAM HEATING &AIR Inspections Required 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 __-_- -_--• _:=-• �•• �• •� CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY "FAILURE TO l.rOMP1 1 vvi r�r- COkS 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. -- -- -- ,��� �v- �✓�-��✓ $41.0014 ATLANTIC BEACH BU G DEPT. Date: 7!08I59 01 kfceipt: @@7@@`�0�� CHECKS —�- -- 001008032210@0 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant t(5 complete all items in sections 1, II, III, and IV. Street Address:---1�GJ�------ - ---- �. - - - ---- ---- — LOCATION OF Intersecting Sheeis: — BUILDING ' Subdivision ii. IDENTIFICATION — To be completed by all applicants In consideration of permit given for, doing fhe'work as desc,iL)ed :n the abcyeesPiler„enl we hereby agree to perform said work in accordance with the atfnclLed plans and specificnlions which are a part hereof and in eelcordance with Ihe. Gly of Jacksonville ordinances and standards of good praclice listed therein. Name of Mechanics; CGnfracfors �� -315 ' C Contractor (Print) Master J Name of Property Owner Signature of Owner Signalerof s or Authorised Agen Archilert nr Engineer III. GENERAL IN RMATION — Type of heating uel: IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? / (Q Gas—❑ LP ❑ Natural IF Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oil e• PERMIT — Q Other -- Spscify - IV. MMMANICAL (EQUIPMENT TO It INSTAU" 14ATURE OF YORK (Provide complete hat of com`berlenh on bac)of this form) t Residential or U Commercial Heal' d Space [I Recessed jo Central O Hoov [] New Building Existing Building1 Air Conditioning: ❑ Room f$ Central Replacement of existing system -Q Duct System: MetervaL — _ Th;cknste - �..,, t U Now installation(No system previously Installed) Maximum capacity _ c.f.m. ❑ Extension or add-on to existing system 0 Refrigeration ❑ Other — Specify — © Cooling tower: Capacity 9-P.T. -- ❑ Fire sprinklers: Number of heads_—. - — ` numbsrr ❑ Elevator C) Manlift 0❑ Escalator ( r THIS SPACE FOR OFFICE LOSE ONLY ❑ Gasoline pumps -(number) (Reeefvsd) Q j.,A r .f number) Remarks 'Q LPG container -(number) Q Unfired pvessure vessel Permit Approved by Date - Q biters Permit Fe- b. O*er — Specify LIST ALL EQUIPMENT - AIR CONDITIONING AND REFRIGERATION F.QUfI'hiENI Ca achy Approving NumberUnits Description Model Number Manufacturer (Was) Agency C'cr^.�D�---fes .-.--� I LI<e.--�l� r•–� 11036 PSR-3844 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION ---- -------- LOCATION INFORMATION ------ permit Number: 1103E Address : 165 EIGTH STREET Permit Type: RE-ROOF ATLANTIC BEACH , FLORIDA-32` :lass of Work: REPLACMT PERMIT ------ LEGAL DESCRIPTION - Constr . Type: WOOD FRAME Lot : Block ; Section: Township : RNG : 0Proposed Use: SINGLE FAMILY Dwellings : 1 Code: 0 Subdivision: Estimated Value: SO .00 Improv . Cost : $0 .00 Total Fees : $22 . 50 Amount aid, $22 . 50 15 l 9 5 cTTR, rOnF F1 ?' T,F'� NF'ORMATION --- yPPLICATION FEES -- :T, PERMIT $22 . 50 Na: , ,_T i "1 1,STREET WATER IMPACT FEE $0 00 Adl a SE IMPAC'J FEE x , B EACH . FLOnn RIf $0 0 A WA u " RA N AL MIMI � *TgINFORMATION - RADON ------ CAB 5% $0 .00 NameOE� NG �OOFING CAPITAL IMPROVE . $D •0 ' Address : 540 VE RRA BLVD . ,ORI.DA CROSS CONNECTION $0 . 00 SEC H IMPACT FEE 80 .00 License ' RCOO1 Type: - CONST . SURCHARGE 0C` SO : SCHARGEIATL .BCH. RP' 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 MECHANIC'S LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS" ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 11/15/95 01 Rcpt: 0012392 CHECKS ATLANTIC BEACH BUILDING DEPARTMENT 001000032211000 By: CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s) : /0,/- Address: J"'" "'� Phone:-24/ -ea �; 3_ Lot # Block or Unit # Subdivision: Contractor: /t" i;� Address: City, State and Zip- ,, 2 / ��n5Phone - cD State License #C[.L O q-/'3 S 2,- Describe Describe work to be performed: i nQ Valuation of Proposed Construction: _)01� /9Q Materials to be used: Signature of Owner; �- -�/ Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information 3823 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ON LOCATION INFORMATioti IlEhIlIT INFORMATION �ddresS: 165 EIGHTH STREET ,ermit Number : 3823 ATLANTIC BEACH, FLORIDA 3223-1 Permit Type: ELECTRICAL LEGAL DESCRIPTION ------- lass of Work: ' ADDITION Block: Section: Constr. Type: WOOD FRAME .0t: Township; RNG: 0 Proposed Use: SINGLE FAMILY )wellings: I Code: 0 $0. 00 ­,stimated Value: Improv. Cost ; $0. 00 Total Fees: $18. 90 Amount Paid : $18. 90 Date Paid : 5/22/91 k )DITION OWNER INFORMATION APPLICATION FEES Name; HAROLD ELKINS PERMIT $18. 90 .-iddress : 165 EIGHTH STREET WATER IMPACT FEE $0. 00 ATLANTIC BEACH, FLORIDA 32< SEWEP IMPACI FEE $0. 00 Phone: (904)249-5601 WATEN METER $0. 00 RADON 6AS-11. R. S. $0. 00 ------- CONTRACTOR INFORMATION RADON GAS -- 5% $0. 00 Name: BILL THOMPSON ELECTRIC (70, WATER TAP $0. 00 Address: PO BOX 50398 SEWER TAP $0. 00 ATLANTIC BEACH, FL 32233 HYDRAULIC SHARE $0. 00 License- ER00009676 Type: 2 RE-INSPECT FEE $0, 00 SEC. H IMPACT FEE $o. 00 OTHER 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-99 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: 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 ATLANTIS BfS�F ICFr►�e BILL Tli MP - ti t � P. 0. BOX 503;;3 JACKSONVILLE BEACH, FL 32240,0398 ELECTRICAL FIRM: MASTER ELEC RICIAl NATURE JOURNEYMAN NAME f��ol/L!/Li' ADDRESS: �O �T, RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES. ( 1 APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( ) SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE 7 00AMPS PH 3�W /keVO LT RACEWAY FEEDERS NO. SIZE NO. SIZE I 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 TRANSFORMERS: UNDER 600 V. OVER 600 V. CITY OF- 4&4414'c F•x4&441 is Beac 4-&;4vtic& Office of Building Official REQUEST FOR INSPECTION Date -Z/ Permit No. 10`-7-3 Time A.M. Received P.M. District No. /6 Xbress Locality Owner's ��/f Name_ Contrac , \y /� �V, BUILDI G CONCRETE ELECT CAL ' PLUMBING MECHANICAL Framing C Footing ❑ Rough ` 9 _ Air.Cond.& Re Roofing ❑ Slab ❑ Temp Pale ❑ Top Out _ Heating Lintel ❑ Fire Place ❑ Pre Fab READY FO INSPECTION Mon. Tues. Wed. Thin A.M. Friday_P.M. Inspection Made A.M. F Inspector Final Inspection I` cw / -new— Certificate of Occupancy C.•�( Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC LJ., (ilL- P. 0. BOX 50398 / JACKSONVILLE BEACH, FL 32240-0398 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNAT41RE JOURNEYMAN RFD BOX NAME ADDRESS: �� BLDG.SIZE BETWEEN: RES. (I APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ! 1 TEMP. ( 1 SIGNS ( 1 SQ. FT. SERVICE: NEW ( 1 INCREASE ( 1 REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. ( SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W / /VOLT RACEWAY FEEDERS NO. SIZE NO. 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 BELL TRA SF. APPLIANCES 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 i TRANSFORMERS: UNDER 600 V. OVER 600 V. 36 c 5- CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: �l9_ L IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING E WO HE ATTACHEDDESCRIBED IN THE PLANS AND SPECIFING, SE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. BILL THOMPSON ELECTRIC CO., INC. F P. 0. BOX 50398 MASTER ELECTRICIAN SIG URE JOURNEYMAN ELECTRICAL FIRM ,� NAME ADDRESS: /y© e1? RFD BOX BLDG.SIZE BETWEEN: RES.( ) APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( ) TRAILER ! 1 TEMP. ( 1 SIGNS ( ) SO. FT. FEE SERVICE: NEW( 1 INCREASE REPAIR ( ) CONDUCTOR SIZE AMPS Z-Cpt'9 COPPER ( 1 ALUM. Z% SWITCH OR BREAKER Zed AMPS PH W 7OVOLT RACEWAY yo o c EXIST.SERV.SIZE AMPS PH W eN RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL CONCEALED OPEN TOTAL RECEPTACLES 31-100 AMPS. 0.30 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW HEAT � � u 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS Z TonfdccnRMFRS: UNDER 600 V. OVER 600 V. M E M O R A N D U M May 9, 1991 TO: City of Atlantic Beach FROM: Harold M. Elkin 165 8th St . Atlantic Beach, FL 32233 SUBJECT: Transfer of Building Permit Please terminate permit #3558 issued to Harold M. Elkin, Owner , to convert existing patio into a room and transfer it to the contractor . The contractor is: Timothy Williams CBC 023296 Williams Atlantic Const . Co . 582 Carnia Ln. Jacksonville, FL 32225 Signature Sworn and subscribed before me this 9th day of May, 1991 . Notary Publi NOTARY PUBLIC STATE OF FLORIDA MY COMMISSION EXP. MAR.23,1995 BONDED THRU GENERAL INS. UND. M E M O R A N D U M May 9 , 1991 TO: City of Atlantic Beach FROM: Harold M. Elkin 165 8th St . Atlantic Beach, FL 32233 SUBJECT: Transfer of Building Permit Please terminate permit #3558 issued to Harold M. Elkin , Owner , to convert existing patio into a room and transfer it to the contractor . The contractor is : Timothy Williams CBC 023296 Williams Atlantic Const . Co . 582 Carnia Ln . Jacksonville, FL 32225 i Signature Sworn and subscribed before me this 9th day of May, 1991 . Notary Public NOTARY PUBLIC STATE OF FLORIDA MY COMtdISSION EXP. MAR.23,1998 BONDED THRU GENERAL INS. UND. j 355-' DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH —7 OCATION INFORMATION --' rr;riria , INFORMATION Address: 165 EIGHTH STREET ---- 0558 ATLANTIC: BEACH, FLORIDA 3223-' Permit Number : BUILDING ----- Permit Type: ------ LEGA DESCRIPTION - y Block: Section: Class of Work: ALTERATION Lot: RNG: 0 Constr. Type: WOOD FRAME Township: proposed Use: SINGL�Ee.FAMILY Subdivision: CLUB MANOR Dwellings: 1 815000. 00 Estimated Value: , 00 Improv. Cost: 1$0$0. 00 Total Fees: $105. 00 Amount Paid 326/91 Date Paid: Work Deme 1N' [STING PATIO INTO A ROOM --- APPLICATION FEES - --- OWNER INFORMATION -------- - PERMIT s105. 00 Name: HAROLD M. ELKIN WATER IMPACT FEE $0. 00 165 EIGHTH STREET SEWER IMPACT FEE $0. 00 Addre.�s: , t3 80. 00 ATLANTIC BEACH, FLORIDA WATER METER phone: (904)249-8643 RADON GAS-H. R. S. $0. 00 RADON GAS - 5% $0. 00 CONTRACTOR INFORMATION WATER TAP $0. 00 Name: PROPERTY OWNER SEWER TAP $0. 00 Address: HYDRAULIC SHARE $0. 00 RE-INSPECT FEE $0. 00 Type -, [ SEC- H IMPACT FEE $0. 00 License: $0. 00 OTHER 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 TO COMPLY WITH THE MECHANICS' LIEN �WPRAOVEMENTS IN RESULT "FAILURE THE PROPERTY OWNER PAYING TWICE FOR BUILDING I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. + i Ctlai NROER: 62546,4 ATLANTIC BEACH BUILDING DEPARTMENT By: Address Heated Square Footage �j ( � @ $ 3 S-OCA per sq ft = $ Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ --Per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ /-/,Z 130. 0 Total-,Valuation lst / © r3o , 06 '5- -00 $ s =o Remainder Valuation t�_. per thousand or 27rtion. thereof --------------------------------------------� Total Building Fee $ ADDITIONAL PERMITS anal/or FEES REQUIRED + k Filing Fee $ 6 b ' Fireplaces @ 15.00 $ Mechanical BUILDING PERMIT FEE $ Plumbing Electric/New ' Electric/Tem BUILDING PERMIT $ / d s 0 O Septic Tank Well WATER Nh= CHARGE $_ S�rimanirig Pool SEWER Il"1PACT FEE $ WATER IMPACT FEE $ Sign MISCELLANEOUS $ Water Connection $ Sewer Connection Water Meter Elevation Certificate GRAND TOTAL DUE $ ------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES CITY OF ATLANTIC BEACII PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) : Harold M. Elkin Address: 165 8th Street Phone: 249-8643 - (Daytime) 355-0835 Lot # 9 Block or Unit # Subdivision Club Manor Contractor: Describe work to be done: Convert existing patio into a room l/S�DDG Present use of building: residence Valuation: $g`�, 2 Proposed use: same Is this an addition? yes If yes, what are the dimensions of the added space: 12.5 ft. X 25.4 ft. Will the added area be heated and cooled? yes New electrical (or increase)? increase New plumbing fixtures? No New fireplace? No New Heat/AC? No SUBMIT TWO COMPLETE SETS OF PLANS, INCLUDING SITE PLAN AND SURVEY IF THERE WILL BE AN ADDITION TO THE EXISTING STRUCTURE. Signature OWNER: Date: ? /S� � Signature CONTRACTOR: Date: FOR OFF CE USE ONLY 4-W --- ate.---'N:>............. ------ Permit Yee -Y Cie) to TOWN OFATLANTIC BEACH Valuation $--__._-"--------------------------------------------- FLORIDA ------------------------------------------------------ FLORIDA House #---- -------------/-- ........ A__J---------r ...Ht--------------------- APPLICATION FOR BUILDING PERMIT --------------------------------------------------------------------------- ------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the lication is made in compliance and conformity with the Building Ordinance of building or other structure described. This app sions of the Laws of the State of Florida, all ordinances of the Town of Atlantic the Town of Atlantic Beach, Florida, and all provi Department of the Town of Atlantic Beach, shall be complied with, whether Beach and all rules and regulations of the Building herein specified or not. issued a Building Permit is automatically responsible to ascertain that all The Contractor or Owner-Builder who has been Florida. To prevent delay or embarrasment regard- contractors engaged by him are duly licensed in the Town of Atlantic Beach, ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can beverifi d. Date------------- ------------------------------------P 19_--------- -I -, :Telephone No----------------------------- ------Addresds_q..(7cf.—)-ft Ow;t-- -------OL------ Ik ------ -----------------....Address --f-vic. -----/Jyelephone No----------------------------- ------------ ( _Architect__ .. ---- ------------------------- Contractor Builder_"ee/roJeX14'_4. 4W-a.Address------------------------------------------------------------Telephone No ... ... C ^1 ------Zone-------------- Lot No.--------------q -.Block No. ._Sub Division_____________________ ti�---6 rA ------Sts. • 7/;�-'e and------------------------------I---------------- 1 ---------Side Between---------------------------------------------------- --- -----------------Street construction.._____ 114 _ve 00 ill building be used-.--- ------------------Type of con Valuation $/ .y� , 0(? X C>-----For what purpose w ----Size of Footings- -------------- ing-Si-x---V-2-----------Dimension ... .. ....... ------- s of Lot---- 1/ 4 ---------- Dimensions of Build ---Si- e of Sills------------------------------Greatest Sill Span in ft.______--.-----_---- Type Roof-----4_1 i- Size of Piers-------------------------------- P Ground?".cam_';:�k�h--"------- -- Size will Building be Heated?Anq_//_Oq ..,---------------""---"---Will' Building be on Solid or Filled Groun . YP I Distance on Centers------------------------------------------ Greatest Span------------------------------------------ YY Size of -Ceiling Joists------ Distance on Centers"--------- -------------------------------' Greatest Span------------------------------------------- 22 Size of Floor Joists________________ Distance on Centers........ .. ---------------- Greatest Span------------------------------------------- Size of Rafters_____.____.__.__-- ----------...... 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. to pour footing. Z 1. When steel is in place and ready Z 2. When steel is in place and ready to pour columns and/or lintel. aA E-4 3. When steel is in place and ready to pour beam. 3 4. When framing is completed. ra 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field is laid but before it is covered. cc 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT �w In consideration of permit given th for doing the work as dscribed in e above statemet, we hereby agree to ptheerfobuilding rm said work in accordance with the attached plans and specificateions, which are a part hereof,nand in accordance with regulations of the Town of Atlantic Beach. ddress--------------------------------------------------------_----------------------------------- Signature of Builder__ .. .......) ............... 4� __- 4L�Address-------------------------------------------------------------------------------------------------- ; ....... . --------- .. Signature of Owne OW14ER BUILDER PERMIT AFFIDA;'IT State of Florida > City of Atlantic Beach > BEFORE ME, the undersigned authority, personally appeared 01-------------------------------- who upon first being duly sworn, deposes and says/: and the legal owner of the following property : Subdivision -- -------- J --------------- Block �- Lots _�____--_---_ AKA ----------------- ------------------ I am applying for a building permit pursuant to the Owner Builder exemption set forth in Florida Statute, Section 483. 103. Florida law requires that I have been provided with the following DISCLOSURE STATEMENT: DISCLOSURE STATEME14T 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. 'jou 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 925, 000. 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 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 sure 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 I comply with all the requirements for the issuance of an Owner-Builder permit. Further, affiant sayeth not. ----------- Property Owner Sworn to and subscribed bef_ a me this �J day ofY ,/ , 13