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1185 Stocks St (vault)TOWN OF ATLANTIC BEACH FLORIDA APPLICATION FOR BUILDING PERMIT FOR/F _0ICE USE ONLY /____ 9�_J Date_ ______ ----T�� �a Permit #__L11_1 --------Fee $-------•----------- - --------- -©0 Valuation _0-0_�-----------•------- House #---------------- ------- G.5 --------------------- 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the Building Department of the Town 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 Town 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-`, Dat/e---MOO! -------9--------------- ------------ --------------- Owner---- -- 1"11__x- ------- ------------------------- -------- --------- Address_ _*L-----�ms_=4._Telephone No.------ ---------- ---------- v Architect------------------------------------------------------------------------------------- ----------------------------------------Address --�Telephone No. Contractor Builderl_ir%_wA.1�-e_1C__%QYp_�_-; ,44--- 9ai+±.Addresso -_ -1----- W_A_b'�.044-sT,� ;-_Telephone No._*CV"_7_h1q_t - Sub son ---eh $ ftd----%-et` ey--- G �` i Zone---------------- Lot Nott.----0/l3'�-----------------------------Block No..--1g-�f-- --------- . Divii :5 o- T_.S E Streetlu© - Side Between �7 and tA) / Sts. -------------- ----------------------------- Valuation $---- _____For what purpose will building be used---- Dw-diCAl;--------- of construction- ----- _- Dimensions of Building_XQXA-_(41---------------- Dimensions of Lot -.6 0 X I -Q%_ -_____-._______________:Size of Footings.__�X'�0------------ Size of Piers__ ___.. %1!___. _____:Size of Sills_ZX_(s____.__---.___-Greatest Sill Span in ft -113 ---------------- Type Roof --- cAm_ _ s/ _ oy_ x�-x_ " �',�iQ__ How will Building be Heated? A_ ----------- -------------------------------------- Will Building be on Solid or Filled Ground? -------- .__ __..__--- y i Size of Ceiling Joists -------- ._____-- Distance on Centers____J/0—___..._.___________________ Greatest Span-&--__...._-._.-.._----..------------ " b � Size of Floor Joists_-.z)(_s°------------------------------- - Distance on Centers ----- 1G -------------------------------- Greatest Span_y(1--------------- P ------------------- " Size of Rafters._. X 1------------------------------------, Distance on Centers.. 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. 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 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. , Greatest Span---- ------ --------------- if 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 W Z a H W A V2 .e W Z a E_ s W A 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 Town an Beach. Signature of Bui wd_�10_ Signatureof Owner --t--------- ------------------------------------ Address ------------------------------------------------------------------------------------- Instructions to Builders and Contractors building or working in the_ Town of Atlantic Beach 1. No work on any building shall be started without obtaining the necessary permit. 2. No changes in the approved plan shall be made without the approval of the building inspector. 3. Inspections: The following inspections shall be called for: A. Foundation, when steel is in place. B. Plumbing, rough. C. Lintle, when steel is in place. D. Framing, before any wall covering is placed. E. Electrical, City of Jacksonville. F. Septic tank or sewer, before covering. C. Plumbing, final. H. Final, when all work is complete. Any concrete poured or work covered without the necessary inspection shall be removed or Uncovered at the request of the Building Inspector. 4. After the final inspection and upon submission of a drawing showing the size and location of completed building on lot to the Building Inspector a Certificate of Occupancy shall be issued. No building shall be occupied before said certificate is issued. 5. Plumbing permit does not cover sewer connection permit. 6. All contractors and sub -contractors shall have occupational license issued by Town of Atlantic Beach before doing any work within the Town Limits. Contractors shall furnish certificate of liability insurance when obtaining license. 7. The penalty for violation of any provision of the Building Code or of Ordinance X186, shall upon conviction thereof be punished by line not exceeding $500.00 or imprisonment for not exceeding 90 days, or by both such fine and imprisonment. 8. Copies of The Southern Standard Building Code and Ordinance #186 are available at the Town Hall for reference. 9. When a sidewalk exists across front of building lot, said sidewalk shall be placed in first class condition before final inspection is requested. I have read and been furnished a copy of the abov instructions In connection with Building Permit No. Date Aj7 , STREET azo. o Oly ylw � I �2 D ? M Q r� z 0 G C r F M 0 m z O C] X 0-3 xr�x "GaaL=J x H K N L7] cn x 3 xZroa H H z c c K > G >a z�c) > azo, tri >�0�' > H x z x;o dmM, atil acn H Z ro aa70• tT1 ro y cn0cny cnrom O q z Hd> ryiK�G< O Z � Z x O W L7J "rJ < L7J K ;o a b H 1, > C: 3 M > K . LTJ > Z Zd 03 dv: d>� a cn x O Z O cn < H K � O r 0 r�J< >(nM z a D cn LT. C d 13 Lr1 LTJ Z c7°nzd LA y J3>iAH >cnx cro ow F -I x Z �c > zxKp7 CrJ a G z xZMC) LT] O L71 yZx nx y i c C) 0zx a ax17Jti a > O N y z 0X a d H 0 ozco C �, m z � ro n> =� K = K STOCKS S �) IVINI JI I�../VY II4U —vi I v I..- I �./I „ LOTS 1,2,3,4,5, AND 5, BLOCK 197, SECTION "H" ATLANTIC BEACH AS RECORDED IN PLAT BOOK 18, PAGE 34 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA. WEST /¢T'� STREET('O/RT FZOAO� O� ANO 0 ID -v J 1 W W I I IIEREI3Y CERT[FY THAT 'PHE PROPERTY SHOWN HE:RFON IS IN FLOOD ZONE "C" AS SHOWN ON THE FLOOD HAZARD BOUNDARY MAP FOR TIIE CITY OF A'CI,ANTIC BEACH, FLORIDA. 30 tori GUTi L07-2 ! GOTZ O m LOT 3 107-3 107-4 N L07'4 /O LOTlo I\ L0TG IIO,2.O , KOTE� •��,d�`f,�s WE5T PLAZA •�y - qs so,RIw— I HEREBY CERTIFY TO GARY W. HALF., SR. THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAP'PION At THAT THIS MAP IS A TRUE AND CORRECT REPRESENTATION OF THAT SURVEY AND THAT THE SURVEY REPRESENTED HERE( MEETS THE MINIMUM STANDARD REQUIREMENTS ADOPTED BY THE FLORIDA STATE BOARD OF PROFESSIONAL LAND SURVEYOI CHAPTER 21 -HH AND THE FLORIDA LAND TITLE ASSOCIATION. DONN W. BOATWRIGHT, L.S. Aar— FLORIDA REG. LAND SURVEYOR No.3295 SCALE '— DATE SIGNED: DRAWN BY: G5 BOATWRIGHT LAND SURVEYORS, INC. Av�utr�.�9� I . .�,�.��Ll OF\�A{'11l D(1�n.►Ar`Ka/1V.Vl�. 1 c ocnrru c. ro.c�w 'fd�- cccn C�FFT nc 2 AND ZONING INSPECTION DIVISION c I'*— Z BUILDING CITY OF ATLANTIC BEACH, FLORIDA c CD t W PERMIT ELECTRICAL— a �" a 5507 Date -Fee Fee b 5 00 Permit No. Location _ jigs 510CM and Between This is to certify that i'11210 — (Master Electrician) (Electrical Contractor) has permission to install Electrical Construction as described herein in accordance with the provisions of the Electrical Code and regulations of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of this permit. Residential Addition extension Type of work: SERVICE: "isti" sesrviae 200sapS 1ph 3>rlr 240WIt Feeders: Outlets: Receptacles: Switches: Incandescent:_. Fluorescent: Appliances: _ Air Conditioning: Motors: Transformers: Signs: Miscellaneous: 0 O W m Q a W oC W U 2 3 of W o. 0 a a N We C O U W ra N x F— IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date __.My 22 19 87 Valuation $ Fee $ 5.00 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. PERMIT NO.... 8718 5000 5.COD 9017 1A 5/42 0718 ."ncl 9G17 i A 5/22. in This is to certify that Gary I has permission to build Single Family replacing Pmt #8177 extension Classification New Residential Zone Owned by Gary Hale Block S/D Lot House No. 1185 Stock 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 AFTER DATE OF ISSUE ter-- 0 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- tra(tyjr or owner.� FOR OFFICE PERMIT DATE USE ONLY I NUMBER PLUMBING ELECTRICAL SEWER WATER CONTRACTOR Building Q BUILDING AND ZONING INSPECTION DIVISION Z CITY OF ATLANTIC BEACH, FLORIDA LL ELECTRICAL PERMIT J F -- M Date S/22l87 Fee $ 5.00 Permit No. 5507 Location Between and This is to certify that Gary U1410 (Electrical Contractor) (Master Electrician) has permission to install Electrical Construction as described herein in accordance with the provisions of the Electrical Code and regulations of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of this permit. 11il9ftXXXXIA GarY U111 e rejl ac in g pnt 51 l2 Type of work: "esidential Addition extension SERVICE: existing service 2310a ps 1ph Sw 240volt Feeders: Outlets: Receptacles: — Switches: Incandescent:— Fluorescent: ncandescent:_Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: o r - Z F� O J W OD Q a O W H oc W U Z LU3 a LU 0 J a a N cW O U W m IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. Q. kILDING AND ZONING INSPECTION DIVISION Z CITY OF ATLANTIC BEACH, FLORIDA ELECTRICAL PERMIT Date1 I L I _, r Fees 20 . 00 Permit No. _; Location 1185 S SOCKS SUET Between and This is to certify that 401-VD01 ER (Electrical Contractor) (Master Electrician) has permission to install Electrical Construction as described herein in accordance with the provisions of the Electrical Code and regulations of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of this permit. for LA x' ' Type of work: rR.ESIDENTIAL ADDITID'' SERVICE: x ist-= sery 200 amps , 1ph3w 24 Iw1t Feeders: Outlets: Receptacles: Switches: Incandescent: _ Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: aim IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. E r 0 a 0 f 0 0 V U X U Date12/8_f _'i"6 Fee E. 20.M Permit No. 5192 Location 113,5 STOCKS x': ' Between and This is to certify ify that fsr* GAYY (Electrical Contractor) (Master Electrician) has permission to install Electrical Construction as described herein in accordance with the provisions of the Electrical Code and regulations of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of this permit. for CA__T ;,fit 13 Type of work: JIIlENTUAL AWITION SERVICE: exist;- sety 200 amps, Iph3w 247' alt Feeders: Outlets: _3 Receptacles: Switches: Incandescent: _ Fluorescent: _ Appliances: _ Air Conditioning: Motors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. 'tUILDING AND ZONING INSPECTION DIVISION o r Q Z CITY OF ATLANTIC BEACH, FLORIDA Z C!3 t" ?a- ELECTRICAL PERMIT a ` Date12/8_f _'i"6 Fee E. 20.M Permit No. 5192 Location 113,5 STOCKS x': ' Between and This is to certify ify that fsr* GAYY (Electrical Contractor) (Master Electrician) has permission to install Electrical Construction as described herein in accordance with the provisions of the Electrical Code and regulations of the City of Jacksonville, and subject to the information shown on the application, drawings and specifications which are made a part of this permit. for CA__T ;,fit 13 Type of work: JIIlENTUAL AWITION SERVICE: exist;- sety 200 amps, Iph3w 247' alt Feeders: Outlets: _3 Receptacles: Switches: Incandescent: _ Fluorescent: _ Appliances: _ Air Conditioning: Motors: Transformers: Signs: Miscellaneous: IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor MONTHS PERIOD, PERMIT BECOMES VOID. CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: IMPORTANT NOTICE: 19 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 ELECTRICIAN SIGNATURE JOURNEYMAN NAME ADDRESS: „ZZ9!�' 57o�KS �RFD-BOX- BLDG. FD BOXBLDG. SIZE l BETWEEN: RES." APT.( ) COMM. ( 1 ADDITION( ) TRAILER ( ) SERVICE: NEW ( ) cJ i PUBLIC ( 1 INDUS. 1 1 NEW l 1 OLD 1 ) REW. ( 1 TEMP. ( ) INCREASE( 1 SIGNS ( ) SQ. FT, REPAIR ( ) rnooGa 1 1 ALUM- Pte) FEE GONuuclun arca SWITCH OR BREAKER 2 EXIST. SERV. SIZE-7J'=Mft�f FEEDERS NO. SIZE LIGHTING OUTLETS RECEPTACLES t. 0.30 AMPS. SWITCHES - AMPS PH 3 W -�)'tcVQLT AMPS I PH 3 W a'> DVOLT NO. SIZE NO. CONCEALED OPEN CONCEALED OPEN 31-100 AMPS. RACEWAY RACEWAY SIZE TOTAL `� TOTAL INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. APPLIANCES AIR H.P. RATING CONDITIONING COMP. MOTOR OVER H.P. RATING OTHER MOTORS BELL TRANSF. AMPS CEIL HEAT: KW -HEAT VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS 0-1 MOTORS H.P. MISCELLANEOUS TRANSFORMERS: NO. NEON TRANSF. EACH SIGN UNDER NO.KVA NO. 600 V. VA. MA. OVER 600 V. NO._ KVA MOTOR SIZE SWITCH FLASHER FORWARDED TOTAL FEES DEPARTMENT OF BUILDING 4, CITY OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Oec.S, 19 8E Valuation $ 22,120.00 Fee $ 103, 50 PERMIT NO. 8177 l 103,50 103s50C This permit not valid until above fee has been paid to City Treasurer, and is I 742E 1 A 12/08/01 subject to revocation for violation of applicable provisions of law. 13177 .100cm GARS' HALE 7423i 1 a 12/00/8 This is to certify that 1 r)uu has permission to Classification Residential Zone Owned by Lot— Block 1185 STOCKS STREET House No. 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 zi from this work must not be placed in public space, and must be cleared up and hauled awv7 by either con- ; fracto�r�owner. FOR OFFICE USEONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER - +. CITY OF' ATLANTIC BEACH APPLICATION TO MAKE ADDITIONS OR ALTERATIONS Owner ( �nrz_y W �a �_ Address l S � 5-7 a c. Ic S S �. Phone., -alo63 I Architect Contractor Address Address Contractors License/Certification Numbers Expiration Date Phone Phone Property Address—/] 95- S ioGics S - Zoning -Lot Blcok or Unit # Subdivision Valuation of Construction $ ion Type of Construction Describe Work to be Performed q -r>7> Materials to be Used Vi c c2, �K.A M Present Use of Building Proposed Use of Building Flood Zone 'Din-ensions of New Area: a of x a-6 , GARAGE OR STORAGE CARPORT OR PORCH LECK PATIO Will there be an increase in number.of units? Will there be a decrease in number of units? Any additional plumbing fixtures? ,i y new fireplaces? :� 1 • ••'1• M i • M 1 1 ' � - • 111 Signature YES NO NUMBER Date �h��stiC i�ear.�s - ��Ntscia Office of Building Official REQUEST FOR INSPECTION f Date Permit No. Time Received A. M. P.M. District No. [/n Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Slab ❑ Temp Pole G' % Top Out ❑ Heating Lintel ❑ Final {�/ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed.hurl. Friday P.M. Inspection Made A. M. P.M. Inspector Final inspection ❑ Certificate of Occupancy Date CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: (o 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. JOURNEYMAN ELECTRICAL FIRM MASTER ELECTRICIAN SIGNATTU' SIGNATURE NAME T r C1 ADDRESS: I lj-yr�,�`�� ` RFD BOX BLDG. SIZE RES. 0L1' APT.( ) comm.( ) ADDITION( ) SERVICE BETWEEN: PUBLIC ( ) INDUS. ( ) TRAILER ( 1 TEMP.( ) SIGNS ( ) NEW ( 1 INCREASE (bfl REPAIR( ) NEW ( ) OLD( ) REW. ( ) SO. FT. %-P7Z Auoc 7-l')/) rnaPFR 1 1 ALUM. L -Y FEE GuNuutl i un alf" �6 611,- SWITCH OR BREAKER :?-00 EXIST. SERV. SIZEAMPS FEEDERS NO. SIZE LIGHTING OUTLETS RECEPTACLES 0-30 AMPS. SWITCHES - AMPS PH 3 W OLT PH 7 W v`fD VOLT NO. SIZE NO. CONCEALED OPEN CONCEALED OPEN 31-100 AMPS, RACEWAY RACEWAY SIZE TOTAL TOTAL INCANDESCENT FLUORESCENT & M. V. _ FIXED 0.100 AMPS. APPLIANCES AIR H.P. RATING CONDITIONING COMP. MOTOR OVER BELL TRANSF. H.P. RATING OTHER MOTORS AMPS CELL HEAT: KW HEAT MOTORS 0-1 H.P. I VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. NEON TRANSF. EACH SIGN NO. NO. KVA NO. -- lKVA_ VA. MA. MOTOR SIZE SWITCH j FLASHER FORWARDED _ TOTAL FEES CITY OF A f�l*1� a4c /3/� ea4C,4 - vt/n� & Office of Building Official REQUEST FOR INSPECTION / I J / ( I Date Permit No. ` Time Received A. M. P.M. District No. Job Address Locality Owner's Name Contractor 4 BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough ❑ Air. Cond. & ❑ Re Roofing ❑ Stab - Temp Pole Top Out ❑ Heating Lintel E-1Final Fire Place ❑ / ` Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wedgy Thurs. Friday P.M. /- 3 - inspection MaaeM• i Inspector -- Final Inspection C Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION /o�aC/ � Date / Permit No. Time A.M. District No. Received P.M. I I - - v Locality Job Address Owner's Contractor Name CONCRETE ELECTRICAL PLUMBING MECHANICAL BUILDING 11 Rough Wiring C Rough El Air, Cond. & G Framin - g — Footing Slab ❑ Temp Pole _ Top Out 11 Heating Re Roofing 11 — Final Sewer ❑ Fire Place G Lintel Pre Fab READY FOR INSPECTION A.M. Mon. Tues. Wed. Thurs. ri ay _ P.M. ? .J A.M. Inspection Made r' Final Inspection T/ Inspector Certificate of Occupancy Date CITY OF 4&,& Office of Building Official FOR INSPECTION REQUEST (( Permit No. Date A.M. District No. Time P.M Received Local/itJy Job Address (/ p Owner's Contractor PLUMBING MECHANICAL Name ELECTRICAL Air. Cond. & 0 BUILDING / CONCRETE Rough Rough Wiring Heating Framing Ig Footing ❑ ❑ Top Out Temp Pole Fire Place ❑ Blab Re Roofing ❑ ❑ Final ❑ Pre Fab Lintel Y FOR INSPECTION A -M P. Friday 1 38 �M Thurs. s. Wed. A.M. Mon. P.M. Inspection Made ' Final Inspection ❑ Inspector Certificate of Occupancy Date Address o 4V -P / Too _ Heated Square Footage J ��% © @ $ `s Zl Per sq ft Garage/Shed @ $ per sq ft = $ Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION: $ Total Valudtion 1st $ / r7 $d Remaindef Valuationer thousand or po , ion thereof Total Building Fee -------------------------------------------- ADDITIONAL PERMITS and/or FEES REQUIRED ; + 2 Filing Fee $ 3 S Fireplaces @ 15.00 $ Mechanical BUILDING PEP1,ffT FEES Pluming Electric/New Electric/Tenp BUILDING PERMIT $ Septic Tank WATER METER CHARGE $� Well SEWER IMPACT FEE $&7f Swinrning Pool WATER IMPACT FEE I $ � Sign MISCELLANEOUS $ Water Connection $ Sewer Connection $ Water Meter Elevation Certificate GRAND TOTAL DUE $ ------------------------------------------------------------- CALCUTATIONS and/or NOTES City of Atlantic Beach Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. --L-BATHROOM GROUP CONSISTING OF WATER CLOSET, LAVATORY & BATH TUB OR SHOWER STALL (6) --(--WATER CLOSET, TANK OPERATED (4) --BATHTUB/SHOWER (2) ____SHOWER GROUP PER HEAD (3) _SHOWER STALL DOMESTIC (2) _LAVATORY (1) _WASHING MACHINE (3) _DISHWASHER (2) __ _KITCHEN SINK (2) __KITCHEN SINK WITH WASTE GRINDER (3) _BIDGET (3) __FLUSHING RIM SINK (8) _ URINAL, PEDESTAL, SYPHON JET BLOWOUT (8) -_+_LAVATORY, BARBER/BEAUTY SHOP (2) --L--SURGEONS SINK (3) / SERVICE SINK TRAP STAND (8) __-WATER CLOSET VALVE , VALVE OPERATED (8) _URINAL WALL LIP (4) _FLOOR DRAIN (1) _LAUNDRY TRAY (2) __ _COMBINATION SINK AND TRAY (3) _POT, SCULLERY SINK (4) __WASH SINK EACH SET OF FAUCETS (2) __ __DENTAL LAVATORY (1) _ _DENTAL UNIT OR CUSPIDOR (1) _ _URINAL STALL, WASHOUT (4) _ __COMBINATION SINK AND TRAY WITH FOOD DISPOS. ( 4 ) --- _DRINKING FOUNTAIN (1/2) -1--LAVATORY, SURGEONS (2) _ ___URINAL STALL, WASHOUT (4 ) / TOTAL FIXTURE UNITS- __CQ @ X10.00 EACH $ d 0 �d r-- C-------------------- JOB INFORMATION_C - -------------------------------r-------- J ��S 0 61 "Ir, -DIN IJG 02v -A aZ-D 0.o c 10 x ot-J \,j HO M As;z 2 ga-r�+Rdo�{ 0 Pr f li 4p J� t3b? m APPRC�' CITY ()F BU1LDUNG 0� E C Z',. 1986 �vlA a d x 1 Ey..� _ GLASS BOOf- {ac��c PjLoHem� li ySv p6or)(P -DI N IWG ResA CLo it O _ t �- U N Li -iV, BROOM o2 so 1� �M ASZ :, 9L.. { 1Czo OVIA tt o' Pp dVG ecs $L 11in1G GLASS -.POO 4- Vy P� Pmlmr 1 94 Its V BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT j�"' �i4Q4 CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION OF BUILDING Street Address: Intersecting Streets: Between And 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 attaclLed 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 Contractor (Print) Q� Contractors Master Name of Property Owner r Signature of Owner or Authorized Agent Signature of Architect or Engineer III. GENERAL IN RMATION A' T of haatin fuel: Yf» g Efectric ❑ Gas — ❑ LP ❑ Natural ❑ Central Utility ❑ Oil ❑ Other — Specify B' IS OTHER CONSTRUCTION BEING DONE ON THIS BUILDING OR SITE? IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT IV. MECHANICAL EQUIPMENT TO BE INSTALLED (Provide complete list of components on back of this form) Heat ❑ Space ❑ Recessed (.._Central O Floor QAir Conditioning: ❑ Room �Centrel � I/ Duct System: Meteria Thic MIZZ. — Maximum capacity c.f.m. ❑ Refrigeration ❑ Cooling tower: Capacity g•pun• ❑ Fire sprinklers: Number of head& ❑ Elevator ❑ Manlift ❑ Escalator (number) ❑ Gasoline pump& (number) ❑ Tanks_ (number) ❑ LPG contains, r+ (number) ❑ Unfired pressure vessel ❑ Boilers 0 Other — Specify -- NATURE OF WORK +Residential or ❑ Commercial �❑,,ll Existing Building New Building bd' `� ❑ Replacement of existing system ❑ New installation (No system previously installed) ❑ Extension or add-on to existing system ❑ Other —Specify THIS SPACE FOR OFFICE USE ONLY (Receive Remarks Permit Approved by Data Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Model Number Manufacrer Capacity Approv Number Unit, Descrlp Modebv (Tons)�►L�/�Y IL HEATING - FURNACES, BOILERS, FIREPLACES Capsdty Appy Number Unita Description Model Number Manufactures, (BTU) Ageney TANKS Now Many Nominal Capacity Type Liquid Name at Serial AppiOPin6 and Dimensions Contained Manufacturer No. Agency DEPARTMENT OF BUILDING 8154 r CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO... PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date December 1, 19 810 i 42.0 Valuation $ Fee $ 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. �tIBFII�' 6 AND SONS HEATING & A This is to certify that . 7231 1 !1 12/01/9 9154 .HOCA has permission to bt f TNSTAT T HEAT & AC Inns Classification RESIDENTIAL Zone GARY BALE Owned by Lot Block S/D House No. 1185 STOCK 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 „ AFTER DATE OF ISSUE -� O building material, rubbish and debris Z $om this work must not be placed in pubhi space, and must be cleared d by either con- up' auled awl -tr or owners = I tldi Official. r� FOR OFFICE USE ONLY PERMIT NUMBER DATE CONTRACTOR PLUMBING ELECTRICAL SEWER WATER