2279 Seminole Rd # 6 (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00025867 Date 4/11/03
Property Address . . . . . . 2279 SEMINOLE RD UNIT 006
Tenant nbr, name . . . . . . CHANGE OUT AIR HANDLER
Application description . . . MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
BREITBART, JERRE G OCEAN STATE HEAT & AIR
1476 ATLANTIC BLVD.
ATLANTIC BEACH FL 32233 NEPTUNE BEACH FL 32266
(904) 249-8251
-----------------------------------------------------------
Permit . . . . . . MECHANICAL PERMIT
Additional desc . .
Permit Fee . . . . 75 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
-------------- ---------- ---------- ---------- ----------
Permit Fee Total 75 . 00 75 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
• Grand Total 75 . 00 75 . 00 . 00 . 00
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
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC afACH,FLORIDA 31233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
• IMPORTANT—Applicant to complete all items in sections I, II, III, and IV.
I.
LOCATION Sind Addhu: �1 i no
OF Intem.tlnq Street%: Sat..—
BUILDING And
Svb.d tririon
il. IDENTIFICATION —To be completed by ail applicants.
in consideration of permit given for doing the work as d., ;bad the above datement.e hereo agree to
with the %acute plans and ro.cifite tion: .hich ane pert hereof and in accordance .•ilk the Cly of.:acksonvf lemo aioanc is and dand.rdt
k;A accoratince
of good.prst>Ice tided therein.
Nem.of Ma<henieal Confrecfors
� Conhaaier IPrinfl
Mu4r
Name ei
.na �
Signature d O...r Si n•tun of !
of Avthoffted .rel g
-�A{ehiMef or :ngin..r
tete C CiUI ;NFOR ON
A' Type of dlnq fuel: f3.
Sectric IS OTHER CONSTRUCTION BEING OONE ON O
THIS SUILOING OR SITET
Gas—❑ LF rel ❑ Cenfrol Utility
❑ Oil IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
❑ Other—Specify
IV. )AWMANICAL IQUIPMWT TO II INSTALLED NATURE OF WORK
(Provide complete list of cornpananh on beck of this fortnl X Residential or
C CDmmerc:al
most ❑ Space �, Recessed Central ❑ boar ❑ New Building
Nr Ceeddleninq: ❑ Room ❑ Gn I Exlating Building
❑ DYet Sy"h n: Meferial Thick"u Replacement of existing system
Me■imum capacity cf^ ❑ New Installation(No system previously Installed)
164;9er4ti" ❑ Extension or add-on to existing system
Coaling toter; Gpauty ❑ Other—Specify
q.p.ns.
RM tprinkl.nt Number of head
Etevatw ❑ Manilft ❑ Escalator InYmbW)
THIS SFACI POR OFFICI USE ONLY
.Gasoline PYmrn (nvmkr-j
R.e.iwd)
Tam Inumaef)
Aemar�t
❑ LPC—fslmer. ;nvmberl
❑ Unifred pressYre wau
❑ laden P.nnit Approved by 04ti
❑ Ofhw—Specify Permit F.
LIST ALL EQUIPMENT
AIA CONDITIONING AND REFRIGERATION EQUIPMENT ppeaae1t
NumbarrUnfta Deearfptloa Yodel Number Manufacturer G2baa)y AppeOsvrlttE
HEAPING •FURNACES, BOILERS, FIREM AM
Number Unita Deeezfytem3fadel Number Manufacturer ty
(gTiT) ASOWT
TANXS
}law Many 7 Type L1Quld Name of Serial Approv{n;
Contained Mannlaoturc No. y
CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
r} ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 03-00027026 Date 10/08/03
Property Address . . . . . . 2279 SEMINOLE RD UNIT 006
Tenant nbr, name . . . . . . TIMBERLINE GAF 3161
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 5200
Owner Contractor
-
------------------------
-----------------------
BREITBART, JERRE G COPPEN ENTERPRISES
562 KING STREET
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32204
----------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc .
Permit Fee . . . . 90 . 00 Plan Check Fee 00
Issue Date . . . . Valuation . . . . 5200
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- -----
Permit Fee Total 90 . 00 90 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 90 . 00 90 . 00 . 00 . 00
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 -a.
?i�1A1 fJr�
Ford
BUILDING / ZONING DEPARTMENT
L. -R gins
1 800 Seminole Road S. oerr
J rt .......... Atlantic Beach,Florida 32233
(904)247-5800
(904)247-5845 Fax
PLAN REVIEW COMMENTS
Permit Application
Property Address: 5er1 )1n6li, # D
Applicant: C
Project: y' �C`
This permit application has been:
Approved
Reviewed and the following items need attention:
1 >
Please re-submit your application when these items have been completed.
L
Reviewed By: Date: A, �. '� �
08/11/2003 09:09 9043389787 COPPEN
PAGE 02
Gates Empire _.__.
273920
CITY OF Al L VMC BEACB
ROOFING PSR MT A ppL CATION 6 2003
�a►, 2
Daft
SQ
Owsar ofPtepmr lr_ Pe
C +Mar's Addrral: S 6 " am LkAwn Num6w
swW atf[: d
oa v Fm
Desk Slope: - C..a/r claim 2:l2 Lar fto 2:12
vdwtim of work: 2 d O
Product Name Mumor Twwiim):
Mantdhctulw(RUMPIs:GAP): (�
AnU Dw*w&i*s}
Rtgared Wpogdona: 1
of comm or A A .,l!-�.�..__.._
AS W OWNM- 1�^
S*wv lb aw a6rn at ab 7►'( rg of
StatofFWrWj6 of DOW
.� LYNN$Ki. NOdfy't=�tirK
MY Ci k is�!CN 118911 d
Ty�
XW of
AS Tb CONY UCTM- 1 U„
scamp vo Mid sob a faW bdW =ami. I T r+ �r ar V ,20 O
at.W esFlorila,Comm ctDswl
NINNYti Syetaa ��f
LYN18PotL _
. Mr c tS:MoN t oo 2W7 p
vow r t 5:MMoh 28,2W7 47`6 of YtndldtJ=�lodntt/
m n �1+MaMr Brrbt
W ohm&RMI •Afto t 1Mg%/IMI&
1466jobaat: ")2/7~ -Vas: ~24111 d1 `bN -�A"�""
7
CITY OF ATLANTIC BEACE PEIRXI T ..CALCULATION' SHEET
Date_
Heated Square Faotage @ $ net sa ft ..= $
Garage/Shed $ per .sa ft = .$
Carport/Porch @ $ er sq ft .= $
y
Deck @ $ per sq ft
Patio @ $ per sq ft = $
TOTAL VALUATION: $
.Total Valuation 1st $ iDL�L
Remaining Value per thousand
.' or :portion thereof
TOTAL BUILDING FEE $
+ ' 1/2 Filing Fee
F.irep Iaces . @ . $15 .0G. $ .
BUILDING , PERMIT FEE
WATER IMPACT FEE $
SEWER IMPACT. FEE $
. WATER' METER/TAP $
CAPITAL .IMPROVEMENT, $
. ..SEWER TAP, $
( ) -RADON (HRS) .0050'. $
SECTION H PAVING ( } $
HYDRAULIC SHARES $
CROSS CONNECTION. $
( ) SURCH.;LRGE .0050
$
OTHEP, $
GRAND .TOTAL DUE
ADDITIONAL PERMITS OR ' FEES ::I•iec.hani•cal ..Plumbing-
Electric/New Electric/Temp ;Swimmingpool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
Book 11407 Page 2199
5 MIN. RETURN
PHONE#7 ,
Tax Folio number Doc# 2003 3775
Permit number___ Rook: 114 09
Rage: 2199
NOTICE OF COMMENCEMENT Filed 8 Recorded
10/08/2003 08:53:24 AM
JIM FULLER
STATE OF FLORIDA CLERK CIRCUIT COURT
COUNTY OF DUVAL DUVAL COUNTY
rives notice that improvement will be made to certain real RECORDING f 5.00
THE UNDERSIGNED hereby p TRUST FUND f 1.00
property,and in accordance with Chapter 713,Florida Statutes,the following information is
provided in this Notice of Commencement.
1. Description of property:
2. General description of improvements:
a [l
3. Owner information:
a. Name and Addr s:
,Ckin AA V —
b. Interest in property:
c. Name and address of fee simple titleholder(other than otyner):
Z Z7� S4 no
- ,fig t-
4. J
3'
Contractor's name and address: b F number:
a. Phone number: 3
5. Surety information:
a. Name and address:
b. Phone number: c.Fax number: d. Amount of bond:
6. Lender's name and address:
a. Phone number: b.Fax number:
7. Person within the State of Florida designed by owner upon whom notices or other documents
maybe served as provided by 713.12(l)(a),Florida Statues.
Name and Address:
a.Phone number: b.Fax number:
8. In additionko himself/herself,owner designates
of to receive a copy of the
Lienor's Notice as provided in Section 7I .12(1)(b),Florida Statutes.
9. Expiration date of Notice of Compencement (the expiration date i e (1) year from the
date of Recording unless a diire-ra date'is specified)
1
Signature of Owner:
Sworn to a scribed before me this day of )o _
NoTary:"
Known pe nal /ID shown: 0`
My commis n expires:
JERRE G BRETTBART
NOTARY PUBI.iC STATE OF FLORIDA
COMMISSION NO,DD149597
MY COMMISSION EXP.SEPT 15,2w�
Z
CITY OF ATLANTIC BEACH
BUILDING DEPARTMENT
INSPECTION REPORT
JOB LOCATION PERMIT#
SUBDIVISION
rr+
OWNER NAME PHONE
SEWNCLE ROAD #6 PERMIT TYPE L�ai�i7`
LEGAL DESC: LOA TLgNTjl&li*Et?CH, pl-Ll6*YDA 3,3�*+3'.+
CLASS OF WORK
CONTRACTOR MR. _qp 1 RES PROP 1'904)
904)764-5555- ..
> EL EG TRI CTL
WORK DESCRIPTION tlDDI rfoN '
RSR ELECTRIC CL?P P)9NY SINGLE FAM'IL Y
INSPECTION REQUIRED INSPECTOR
J
DATE INSPECTED E.J'rsr J�Amps j H Jw ao4oly APPROVEDE�/ REJECTED ElBY
FINAL ELECTRIC AN
' COMMENTS j
wr
t � 0002203
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
L 00q 7 rata -/'df`17R1` ,?T r C1ra
z'' r^rxrx t Pditt»l air a' ?cyd'1' ZZ17. t^
,'�cJt�rr•a>�r�a ,�,:,..., � �rr'r1.TJ�Jr�L�' ROrPD Jl6
f'errrnz t 7'yRa+sGLCL"
', TRICs 7L r�TLANTrc .cwcki, FY_ORIDPI4 ,�'��'a.
-lass of kork: r'LE- TIC71V _..,..,_.,_.:.�..,,:w..... LE'L:�r�L. Drr`.,Cf? p7"r N ..........._.v,
Corm tre, Ty'pikls N/A .,ots 1 Gha riarc:tIcz^i�
Pr-c,pc,sed Uses SINGLE rAlWTL T� wrrsxtri�,r RNCxs ►
.Dwarl l.i ngs s 0 code; 0 �'crtYds► a mai crus
a rrra t a b,A 1 u s 00. 00
Frrrk7r"c,v. cost d $0, 0611
Total F&APS; 00
pmlount ral d. 00
rtn r'r1'A'S i pt1 3w :'mob ov
L'+ A(ER INf"CrRi�dr TI'L]N r-?ppL I cp TI cN FCE" _..._.
....._..�._... _. .W
Neat MR, MI`rYRFs RCRAIrT 0201 00
ej�' " . A4orjti 1lF�,QC7" f"CE" $7. or,
, Cr ""
E► C t d, FL C+'R.I Dr<7 w:'L f 14CR 1WACT T /"'G'.E' $67. 00
6,Arf'R t�tE"TER $0. &7
RAL)CWGA _.t1. R- C~» ro. ansa."!
_... ...
CrNTds"r C T4'�R 1ltitf"t7R1Ylr'�T1 CrN RADC
;;;c ap i s
Natltrks r R&R ELE"c.:,;7"R.fC." L'OMirANY MR TCR Tipp, f0, 00
wtocH!,,t:wvrLLr,•F,t.. �.;+i,-? m,: H)•'£r'fi'AL11-rc St1PRE $0, 00
,e~)WO0,04 70y Type Rra-rNs'pCC`T r�"',E'E $0. 00
ENarNCCRINS Ito. 00
NOTES:
4 aF
�r
TL
jR�^, TP
A �
00?3 I ?/. 9r,
CG
/ . 90
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURINGI
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 PEACH BUILDING DEPARTMENT
BY: f ct
Y 0002203
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
r^ 1�7.r i ,s t r`cirs'AA,7 rroj f
X71, r"+ r�f1 P�f+' L r ' RCP �9
,p,v r>'r.1 t r,,,per, ELCC.TriICML. Qrl-ANrrc Pr-AcHf F'G.;~7RI17,q
amr rroty _ ... L.EGAt- .E EGC?l?.L•P'rf ., .,
C c{Pry r . T ' ��r�r'i N""a p1 ock x Soot i car"
Cize. -SINGLE F)gMXL ;' 7"wjrvrr�lrat pyx RA1Cx 0
Owe I J i r r fib cc,ddrx 0 lu.L+d v'a ts. on:
1frlGttr�t Pilch #. . 010
C7 �'!JC.mss .t'Arf-(.7,rmjp-'7rI€.7/v' .. .m..... a _.....�_. . .., ......... 4prLIGgrIGIN FL':L"'h _....m
Z'PYRES p�•V.RmI T 00
CIE'lc p :1'//r/7c7" f-Ec
L"ryts#7"!i°,4cralr .[tt1�'G'#r1#►i't"'�f.cfi„'N RQ.,�ON G.*�w7 ..... sC
Re's ry
5Lr:rR.r( wOmpr," '?r17 7rP
. Cvx . xaa r; E T#1-7p
:!�o.s�., Wzkst
067
ki3 VRom IC' ��L,RE, ansa ib�aY
t f 4'6i3'FSd�+sww .L""A00018547611 r}'��w� c" �t'E• IN�f',"G'r r.,�� �+��« v7�t"d
047, Lm
NOTES:
4 20.017 GF
20.00 TL
2
ppn0t1(# T
/213
"�. [p r'
CS
E A 3/20 90
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING 1 01
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:
CITY OF ATLANTIC BEACH, FLORIDA
APprovod by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: � ` a2� 1910
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.
R&R Electric
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATU URNEYMAN
NAME Spyres ADDRESS: 2279 Seminole Beach Rd. # 6 RFD-BOX-
BLDG.
FDBOXBLDG.SIZE BETWEEN:
RES.(y) APT. ( ) COMM. ( ) PUBLIC I ) INDUS. { D NEW ( } OLD ( ) Fr-W. { )
ADDITION TRAILER ( ) TEMP.( ) SIGNS { ) SO. FT.
SERVICE: NEW( ) INCREASE ( ) REPAIR ( 1 FEE
CONDUCTOR SIZE AMPS COPPER ( ) ALUM. }
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE ' L3 AMPS PH 3 W l VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
Tnf_!Tl6flno aTi cTc CONCEALED ____ OPEN TOTAL 1__
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT •
JOB LOCATION: -,7 2
OWNER OF PROPERTY:
PLUMBING CONTRACTOR:
CONTRACTOR'S ADDRESS: elD.
STATE LICENSE NUMBER: Cf 0665 TELEPHONE:
HOW MOY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORIES WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINES
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURES: X �3`.50`+ $1$15.00
MINIMUM PERMIT FEE = $25.00
SIGNATURE OF OWNER: zZ
SIGNATURE OF CONTRACTOR:
-----------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
PSR-3844 13741
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
---- PERMIT INFORMATION --- LOCATION INFORMATION ----
ermit Number : l, 13741 ddress : 2279 SEMINOLE ROAD
Y ATLANTIC BEACH . FLORIDA +2233
Permit Type: LUMBINr - -----
lass of Work: LTERATION --------- LEGAL DESCRIPTION
Block: Lot : Twp .
- -'
constr . Type: OOD FRAME Rn�
Proposed Use: INGLE FAMILY Section : 0 Subd:
Dwellings : 0 Subdivision:
Est . Value : ! 0 .00
Improv - Cost 'I 0 00
Total Fees :,' 25 .00
Amount Pai+ :__ 25 .01,
INFORMAT IOh _ ___ _ APPLICATION FFAO -----2
Mame: GIVEN4
^ERMIT 5
Addr: 2.-,19 SEMI N�?LE ROADATLANTA BEA,-'H , , FLORIDA 322
Phone: ( 90411-6141-13 Oti
CONITRR T 1P T NFORMAT I,-,r, `
Name: LARRY T$AGUE AND SONS
nA.A_ _,934 g^t1THSIDE BOULEVARD
JACKSONVILLE , FL 32216
Lir: CFC056° 76 Exp : /
NOTES:
NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
BUILDING
ED AWAY DEBRIS FROM THIS WORK MUST
CONTRACTOR OR OWNER
BE PLACED IN PUBLIC SPACE,AND MUST BE
CLEARED UP AND HAUL
"FAILURE TO COMPLY WITH THE MECHANICS'ILDING IMPROVEMENTHF
LIEN LAW CAN RESULT
THE PROPERTY OWNER PAYING TWICE FOR BU
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATIOVIOLATION OF APPLICABLE PROVISIONS OF LAW. r. eCei t
CHECKS
G01B�fl>332214��
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:_Pg��Q 112j1_►���,G __ _
-------------------
OWNER OF, PROPERTY:--�r—,[—(`�—------------------------------------
BUILDING CONTRACTORs____________________________________________
PLUMBING CONTRACTOR ___LARRY TEAGUE & SONS
. ----------------------
AND ADDRESSs
U�------------
__ _..� ---- � 1 -----------
TELEPHONE NUMBER: _ —____________
f STATE LICENSE NO: _CFC056776 _________________________
TYPE OF BUILDINGS ___-- --_--_ — ---------- ---------
-----_—__---SINKS _____________SHOW S
LAVATORY -------------_____________WATER HEATERS
BATH TUBS _____________DISHWASHERS '
URINALS _____________DISPOSALS
CLOSETS _____WASHING MACHINE
FLOOR DRAINS _____________SHOWER PANS
OTHER_,-_____________
TOTAL FIXTURE ` -)UNT:---------- x 93. 50 + 915. 00 = S____—_____—
----------------------------------------- -----------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247-5826
PSR-3844 1387S
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ---- LCCATION INFORMATION
.jeratit Numbet : i 3 8 7 A.ddress : 41279-6 SEMINOLE ROAD
Permit Type:PLUMBING ATLANTIC BEACH . FLORIDA 321232
"lass of W,-.,Lk :ALTERATION LEGAL DESCRIPTION
constr . Type.WOOD FRAME Block: Lot :-1 Twv. *
Proposed Use : SIN1-1-jLE FAMILY Section
LNwe-1 I inas 'i Subdivision--
Est -, Value: ,')�-)
.
r1prov . cost 0nn
Name:
Addi
h
09 R AR
_p INVORMAT 1014
Name: PLUMBING CC- -
P . L6631
3ACYSONVILL-E , FL 32245
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
1
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.61, 4 v 1 1 j
Babe: D)WW
CHECKS 1561,
ATLANTIC BEACH BUILDING DEPARTMENT
By:
\`
H �
1p
ON
10
Uj
r n -
o ,1 O
N 1 N
00 o H .3 0 H � C) W
31 o ' wON � `fl w -
r.. o o co H m to
A 111 N H 11 o
ON
o �] tT1 o
C) Ol - Cr3 N
1 O O 1 Ul
CA Vb
Uml
x 11 �LO ,1 00 , " d ,1
O N U)
O O d C3
HZ U) a 11
O co 3
3 co V-A
z �3 N r H
U' w C1
V-� o
c
d o
,1 N
O � G1
'
17356
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMAT111-IN LOCATION INFORMATION --------
,riress : 2279 SEMINOLE ROAD #6
- j-,,jt Number ' 17356 ATLANTIC BEACH , FLORIDA 32233
- L(
"-i r pss . 3 J-�
Permit Type:MECHANICRL
LEGAL DESCRIPTION ------------
tass of Work:ALTERATION TLot : Twp' 0
Block:
onst.r . Type:WOOD FRAME Section: Subd: Rng, 0
.')roposed useSINGLE FAMILY S
Dwellings : Subdivision:
Est . Value: 0 .00
Improv . _Ost : 0 .00
Total Fees , 25 -00
Amount Paid-, 25 .00
Date Paid- 3f)
APPLICATION FEES -----------
OwN 25 .00
E INFORMATION
APPL
ame RICHARD B EITLART T
ddr: '12-79 SEMINCLE ROAD
AT,, 32233
,UANTIC EEACH , FLORIDA �
hone: (4
C0NrjtAC-T11)R MAT ION
3me, DONOVAN HEATIN . 'AND AIR
'dr___315 SIXTH AVENUE, -SOUTH
a JAX BEACH , FLORIDA 32250
CAC039761 Exp :
NOTES:
NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY BY EITHER CONTRAILTOR OR OWNER
["FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
I
ISSUED ACCORDING APPROVED PPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
_ �j
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANric REACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL IN NUMBER
IMPORTANT -- AppI1,7ant to complete all items in sections I, II, III, and IV.
LOCATION Street Addr.,r
OF Intersecting Streets ll•f,nen — d 1
BUILDING
Sub-di.isi�n
II. IDENTIFICATION — To be completed by all applicanfs
In consideration of po-- gi, for doing the wort as described in the abc— slab nI hereby agree In perforr„ said work in Acrnrdanrn
with the attached plans And seeriCraGens which are n part hereof and in accordance —lin the Gly of Jacksonville ordinances And standards
of good practice I;sfed ther,iA
i
Name of Mechanicaln ' Confracfors
Contractor (Print) ` ) w MAsfer
Name of n
Property Owner
Signature of Owner Signature of
or Authorized Anent Archifect or Engineer
111. GENERAL INFORMATION
A, Type or heating fuel: B'
IS OTttER CONSTRUCTION BEING DOME ON
C] Usictric T141S BUILDING OR SITE N V
❑ Gas —❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ ofher — Specify
IV. MIPCHANICAL EQUIPME14T TO IE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) flesidenlial or I-) Commercial
❑ Heal ❑ Space ❑ Retested O Central O flow New Building
Air Conditioning: ❑ Room x Central b( Existing Building
❑ Duct System: Material Thickn•u I Re6lacelne111 of exisling system
Maximum capacity c(m -I New Installation(No system previously Installed)
I_l Extension or add-on to existing system
❑ Rerrigerafion
U Other — Specify -
❑ Cooling folder: Capacity g•p•m•
❑ F;re sprinkler: Number of heads — — --- —
❑ Elevator ❑ Manliff ❑ Escalator (number)
THIS SPACE FOR OFFICE USE ONLY
❑ Gasoline pumps (number) (Recelved)
❑ Toni x (number) Remarks
❑ LPG containers (number)
❑ Unfired pressure vessei
Permit Approved by Date
❑ likollere
❑ Ofher — Specify Permit Fe.
LIST ALL EQUII'MENT
AIR CONDITIONING AND REFRIGERATION FQUIPMENT
Capacity Appproving
m
Nuber Unita Description Model Number Manufacturer (Tone) Arenoy
Vic V I a -
IfEATiNG • FURNACES, BOILERS, FIREPLACES
Capacity Approvtng
Number Un1G DeacrlpUon Model Number Manufacturer (BTU) AiWNC7
TANKS
IIow Many Neertnal Capacity Type Liquid Name of Serial ApFroving
and Dlmwwtmm Contained Manufacturer No. gency
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
s ATLANTIC BEACH,FLORIDA 32233
INSPECTION PHONE LINE 247-5826
03-00025433 Date 1/24/03
Application Number - 2279 SEMINOLE RD UNIT #6
Property Address - INSTALL HVAC
Tenant nbr, name . • . • -
Application description - MECHANICAL ONLY
TO BE UPDATED
Property Zoning . . • • . . ' 0
Application valuation - -
Contractor
Owner ------------
_ -------
-----------------------
BREITBART, JERRE G OCEAN STATE HEAT & AI
1476 ATLANTIC BLVD. FL 32266
233 NEPTUNE BEACH
FL 32
ATLANTIC BEACH (904) 249-8251
--------
--_-- ------
Permit
MECHANICAL PERMIT
Additional desc - Plan Check Fee . 00
Permit Fee 71 . 00 0
Valuation
Issue Date -
d Paid Credited Due---
Charge --
Fee summary _----
---------- -----71 -
----------------- 71.00 71 . 00 . 00
. 00
Plan Check Total
Permit Fee Total 00 00 . 00
71 . 00 . 00 . 00
Grand Total 71 .00
ST NOT BE PLACED IN PUBLIC SPACE,AND mUST BE CLEARED
BUILDING MATERIAL,RUBBISH AND DEBRIS FRO OR
OWNER FAILURE S WORK MU TO COMPLY WITH THE CONSTRUCTION APPROVED PLAAW N
UP AND HAULED AWAY BY EITHER
RESULT IN THE PROPERTY OwrNERAPADYIN�ECTTo ROEVOCA IO FORPVIO pig•(OFIAPPLICABLE PROVISIONS OF LAW.
WHICH ARE PART OF THI.$f ERWT,
Ri JiL,DING OFFICIAL
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC a[ACH.FLORIDA SLLSS
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT—Applicant to complete ail items n secticns I, II, III, and N.
rirni e- Rd
LCCATICNSind Addhu;
CF IafirNe}Inq Sh..fc 3atw.an PliAna
BUILDING
SYa-e f�llien
ll. ICENTIFiCATION —To be completed by ail applicants
In contidaratiea of
Permit given for doing the wori at d.tcnbed in IM above Ile temenf w'vnoy agree to perform laid work in eecoraann
with 'he arfadvd plant snd Io.ciBcstiont .hick .ra a put neracl .nd in eccordeec. with :he City of ;acitonv,ii• orcin.n"t end d.no.rat
Of good.orectite lidea
Nun. ui Mach.niut I Contncton
Contrsder ;'Print) M.ttar
Nue.of I
Preearry C.nu
Signature of C..0 I Sift—ton of I
W AWhornaa Agent "" Amrifict or ::-nwler
ill. GENERA 'iNFCRMAII
A' Type of heatinq fve 8•
IS OTHER CCNSTAUr10N 3EING CONE CN I^
Xdacrric ��- THIS 3UILOING OR SITE?
.. ! '•" Su—❑ U — Var ml : Caatral Ufility
u
IF Y£S, +IVE NUMBER OF CCN STAU C':ON
❑ Cil I PERMIT
C 0"Or —Specify
IV. 1/ACNANN'.AL MUMMIN(T b It INSTALLED NATURE OF'NCRK j
)►review complete list of coreoonentt on bad ftof this favi Residential or ._ Commerc:ai
,.e
Most ❑ Space keit" id .Lll Cantrsi u %W New aulldlnp
Air Conartleainq: ❑ RamiGntref Existing Building
t.., Decf STste^t: Ma}vriaf Taki aeplacement of existing system
V
MuiTrrn"pacify New instalistlon(No system previously Installed)
�:. Extension or add-on to existing system
❑ Reirigererion
Other—Specify
❑ Coodrq a as Capacity 9•p�"•
C Ars tprinU..0 NYrnber ni heads
❑ 8avater ❑ Maniik .r'. Suiabr IeY1e l THIS:PACt POR 0><FIGi USA ONLY
❑.Gasoline pYmp• :nYmber) (fLwtvedl
❑ Tanta iAv-w) Remartt
❑ LPC cpnteie•r• :nemberl
Unified pmswa wee
Psnnit Approved 'sy ,'.af`
❑ lsi)tNs
❑ ot%w—'Specify Parrn,t Fee
U3T ALL 3QUIPMEN r
Ail) CONDITIONING AND RFFRIGERATIGN EQ1J1rMLYf
GaaeSty Appmrfnt
Fumber Vail Dasarlptias Yodel Yumber S(anut (TOM)riar (2b ) .Lt�oe�
ItEwTI.`1G • FURNACES. 301LERS, FIREPI.AC°S Gpacity ADI+=
ttnaDez Vaita Description Modal'T=ber Yanutacrarew (IlTSI)
TAN RS
Row U.any :gamtnal GiplltitT Type Llquld Fame d Serial `+PpLO^Ri
a
Lod DtnLens s Contalned Yamalaattssr No. �1