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124-126 Sylvan Dr (vault) CITY OF ATLANTIC BEACH j s 800 SEMINOLE ROAD ►} ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 1 JF3 �r`a Application Number . . . . . 08-00001039 Date 8/04/08 Property Address . . . . . . 124 SYLVAN DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Reroof fl# 5044 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ HOLLAND, WILLIAM GRASTON ROOFING CO INC 124 SYLVAN DRIVE 2680 FOX HUNT TRAIL ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32259 (904) 287-0298 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 47 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3544 Expiration Date . . 1/31/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47 . 00 47 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 47 . 00 47 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. sy'v`�'ri CITY OF ATLANTIC BEACH _ ` i 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 08 M�� OFFICE:(904)247-5826 9 FAX NO.:(904)247-5645 v?,; BUILDING-DEPT@COAB.US Wil} BUILDING PERMIT APPLICATION DUVAL COUNTY 3;SQFnT;�UNDERROOF? 10 59L.VAAJ AR Atlantic Beach FL 32233 3 Syy / SQS ' 4EGAL>DESCRIEIION,�7.ti5 k' x S CLASSOF1N.bRKS *q.;. rx6..USE.OF:STRUCTIJRE ❑NEW BUILDING ❑DEMOLITION ,i5 RESIDENTIAL LOT_BLOCK_SUB DIVISION SALTAik SEG- 3 ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL ❑ALTERATION ❑ACCESSORY BLDG. FIR $PRINKL>=R'+.R .i 7t DESCRIPTION ! yI ORXC �, ., v,. .,7. 8 F( JC0L�� [1 REPAIR ❑POOL I SPA ❑YES ❑N/A L,-A-114 t4v `S R A RUf 177(4 S f A1c-L kg ❑MOVE OTHER R£Rooi ❑NO "4 P.ROPERTY.OWNER - CONTRACTOR x-::if:....., .1 h A.RCHITEGT i ENGINEER `x� 9.NAME: 15.COMPANY NAME: 23.COMPANY NAME: PF-0008 S R I LL!i Co.RAS7o*► R*Df-1#JGC-V iNe 16.NAME: 24.LICENSEE NAME: OAnIj.j_t P,. C-RAS7oA1 10.ADDRESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 159 711Pan 67• 'C.C-C or-22A I 18.ADDRESS: 26.ADDRESS: A7L#w c- g:-acct FL x ft FC&kgAj'7RA1� 31233 S7.Jo " '4 t- . =;tzl 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.FAX NO.: 27.OFFICE PHONE: 28.FAX NO.: ISS- 930,0 .187-aa98 .'!87- t 13.CELL PHONE: 21.CELL PHONE; 29.CELL PHONE: 9a9- 3"0 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: /JNylot-L7,4 A0 cl)n k� FEE$IMPLETiTLEHOLDER BDNDING COMPANY :" # MORTGAGE LENDER 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 abandoned for a period of six(6) months at any time after work is commenced. I understand that separate permits must be secured for 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. Pik** 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 OF COMMENCEMENT OWNER or AGENT CONTRACTORS r���ya..;,. , ,{1fAge0t,'Powerof/Utor or Agency Letter Requued); ,. fief Only Signed- Date: Signed: Lie. Date:?�in u USTY0e cou pfBefore me this ay of Al- VST 299-in the county of Before me thi day of � ( Duval,State of Florida,has personally appeared 104 Duval,Stat Flo' o y appeared Pi�NNy ¢-IL'e .4 herin by himself/herself and affirms that all statements and declarations are herin b himself/herself and affirms that all statements and declarations are true and accurate. true and accurate. Notary Public at Large,State of FLO(40A ,County of 0V VA L- N(Personally Public at Large,State of .County of v Personally Known Known Produced Identification- duced Identificatio Notary Signature: Notary Signature: G RACHEL D.AEt f : KIMBERLY M.ADAMS ""my P*k-ft"dib" a•: M Commbsion DD 765229 C COAB FORM BLDG01:REVISED: 1 4' BOMS Mffch 5,2012 •'• 0~�� W 0 00 761313 BaMMd lhu Tigtyln Mweme 8063BS7019 E a` IIf01� NOTICE OF COMMENCEMENT Tax Folio No. State of FLORIOR County of O QY L To Whom It May Concern: The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF CONINIENCEMENT. g improved: A i - bein S- .1% b 5 L t SK�- Legal Description of property P SSIdVF}nJ L Address of property being improved: l.2 ! . General description of improvements: 19.totcoF 1 � ,E RdGI i7,E.L7u L SNiNGL,�S rk Owner: PENN ISI t-" Address: I S9 THtRU S7. K Owner's interest in site of the improvement: Fee Simple Titleholder(if other than owner): Name: Contractor: ►E.L ti. G AS Address: o 7RA l t_ ? �J � 0 1 a 3s� Telephone No.: 18?-" g Fax No: o`t 87 Surety(if any) Address: Doc#2008200240,OR 13K 14595 Page 182, FaX No: Number Pages:1 Telephone No: Recorded 08/042008 at 08:12 AM. Name and address of any person making a loan for the construction of t6 JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name: RECORDING$10.00 Address: Fax No: Phone No: n whom notices or other documents may e Name of person within the State of Florida, other than himself, designated by owner upon served: Name: Address: Telephone No: Fax No: provided in Section In addition to himself, owner designates the following person to receive a copy of the Lienor 's Notice as 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Fax No: Telephone No: E iration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER Date: os Signed: in the County of Duval,Stale Before is t ay of 14 US'r � ��� , ey KIMBERLY M.ADAMS Of Florida,has personally appeared COrrirrilSSlorl DD 765229 Notary Public at Large,State of Florida,County of Duval. ' z Expires Mardt 5,2012 g _ 6- 20 12 8u(PiresbilMou A rohsh 5,2012 857019 My commission expires: �S 1Drn� or Personally Known: inn Produced Identification: S, CITY OF ATLANTIC BEACH J 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 08-00001020 Date 7/30/08 Property Address . . . . . . 126 SYLVAN DR Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3544 ---------------------------------------------------------------------------- Application desc reroof fl 5044 fl 6782 . 1 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ BYRNES GRASTON ROOFING CO INC 126 SYLVAN DRIVE 2680 FOX HUNT TRAIL ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32259 (904) 287-0298 ---------------------------------------------------------------------------- Permit ROOF PERMIT Additional desc . . Permit Fee . . . . 47 . 50 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 3544 Expiration Date . . 1/26/09 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 47 . 50 47 . 50 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 47 . 50 47 . 50 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH _ s 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 O OFFICE:(904)247-5826•FAX NO.:(904)247-5645 O F Sh �Ju� J� BUILDING-DEPT@COAB.US l I� BUILDING PERMIT APPLICATION DUVAL COUNTY �iJNDER Atlantic Beach JrFL 32233 SQL t/4kEs LEGAL'DESCRIP. IOKRr: F a.::: ., r,.,. S..0SSOFWORK41NP-Nfe, � ?_. + ck .F,.�. ;,+.:_6';USE.OP..-STRUCT lRE .,.:: L J�Q ❑NEW BUILDING ❑DEMOLITION J111 RESIDENTIAL LOT_BLOCK SUB DIVISION •+ El ADDITION ❑CONVERTING USE ❑COMMERCIAL 7 DESCRIPTIOTY DF WORK ❑ALTERATION ❑ACCESSORY BLDG. 8 FIRE SPRINKLR4rzie;.: ❑REPAIR ❑POOL I SPA ❑YES ❑N/A Atp,o p W12F4 do 9K A(L[R%-Tkc-7t41tAL SUING'('.$ ❑MOVE 190THER R RaotF ❑NO PROPERTY>OWNER "r <....:.. CONTRACTOR -zg;j ,. ..4 _".4: ._ ra.ARCHITECTI ENGINEER_ 9.NAME: ;sAlows P. i6t"C 15.COMPANY NAME: 23.COMPANY NAME: P. J G s-;" RaDi#K. co. i Nc.. 16.NAME: 24.LICENSEE NAME: 4 A.���� R. C.R�S?o•J 10.ADDPESS: 17.STATE OF FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.: 1 fid. S%jLYA*J 04 w& f 18.ADDRESS: 26.ADDRESS: J.GJo FoXkc ,UT TRAIL SA t/j&4e FL . 3a2S7 11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE PHONE: 20.F AX NO.: 27.OFFICE PHONE: 28.FAX NO.: A,?7-011k 81- 435 13.CELL PHONE: 21.CELL PHONE: 29.CELL PHONE: OR-071S ?09 -3(.`0 14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS: ,pN�Aec7A sl a,04.C k w FEE:5IMPLE TITLE HOI DER BONDING COMPANY " x a MID GI4GE LENDER r4 o- ».-'x ..(IF;OiHER313AN OWNERj.'> : + A ,i.. 4°°`}'a NAME: Er � 31.NAME: 33.NAME: 35. AM : 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 abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for 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 OF COMMENCEMENT OWN ER ER or AGENT s h NTRACTRK OR� ,..:. - •:<; a .>^ ......: i (QualiflB� of Attomel+nt Agency Letter Required):„, .t,.. .. /`signed: Date: 0 Signed: Date: Before me day of 2008in the county of Before me this_2 day of TLu �' ,20eID"- Ynnty of Duval,S of Flori ,has personally ap ared Duval,State of Florida,has personally appeared Z�� P �rQ l yati � 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. Notary Public at Large,State of _,County of I/✓fir:- Nota ublic at Large,State of �L County of 1�K✓+4 ❑Personally Known ersonally Known Produced Identification- ❑Produced Identification- Notary Signature: Notary Signature: L ICHAEL HAYSE Public,State of Florida Notary F Mate of Florida mission#D06291731 � SusanF F.Schweppe'161 m.expires Jan.15,2011 o My Con on DD651386 COAB FORM BLDG01:REVISED:11 /2007 :+r„oQ Expires 03115/2011 NOTICE OF COMMENCEMENT State of � ©I'- ►0"), Tax Folio No. County of t h c z aI-- To Whom It May Concern The undersigned hereby informs you that improvements will be made to certain real property, and in accordance with Section 713 of the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT. Legal Description of property being improved: ``i' I`L, 1 I 2 Address of property being improved:- ~uI J n t n'l ,:i.fitiT /V{"�i7r` �E'/LJC '/.eF:JT General description of improvements: 6r� L< v- Aeoc; /LEi 'f1 �,f 1Si ��7n Owner: '^' i t,firs riL -' 4., �- / Address: S Owner's interest in site of the improvement: LA, r"(�f Y T Fee Simple Titleholder(if other than owner): _ Name: ctor: C. i,i-y cavi:., `"4c� .' CAddress: ►.�� 5YZ '- •, � V � � - �� ? .t �- ����'O�� � - Telephone No.: - Fax No: Surety(if any) Amount of Bond$ Address: Telephone No: Fax No:_ Doc#2007154263 OR BK 13971 Page 1125. Name and address of any person mating a loan for the construction of the Number Pages:1 Filed&Recorded 05/09/2007 at 01:46 PM, JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY Name: RECORDING$10.00 Address: Phone No: Fax No:_ Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may be served: Name: ,"," �� C ���-�_sC_ DA!I��� t'tt/A f. / J wt r`, /ISG l 'S T Address: ��(L ) Telephone No: �I 7 -7 7 f�j � Fax No: -7�Q .J 02 2 cc,'rr In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section. 713.06(2)(b),Florida Statues. (Fill in at Owner's option) Name: Address: Telephone No: Fax No: Expiration date of Notice of Commencement(the expiration date is one(1)year from the date of recording unless a different date is specified): THIS SPACE FOR RECORDER'S USE ONLY OWNER // _ 1,1.x. Date: Signed: in the County of Du al,State vY Ni...;,v�'UWir,State of Florida Before me day of �! {io,nye Thomen Of Florida,has personally appeared My Gcxr+mission DD541924Notary Public at Large,State o Florida C ty of Duval. Expires 05110/2010 My commission expires: `�AD j or Personally Known: Ql Produced Identification: e NOTICE OF COMMENCEMENT PERMIT NO. Doc#2008!96574,OR 6K 14590 Page 1869, Number Pages: 1 TAX PARCEL NO. 170(-'17 - 0000 Recorded 07/30/2008 at 10:10 AM, JIM FULLER CLERK CIRCUIT COURT DUVAL STATE OF FLORIDA COUNTY COUNTY OF O tAVAL. RECORDING$10.00 ' The undersigned hereby gives notice that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes,the following information is provided in this NOTICE OF COMMENCEMENT. THIS SPACE FOR RECORDER'S DATA Legal description of property(include Street Address,if available) 03 JIS sgL'TAIR sEc.. 03 (at, S1dLyR+J oRwE. ,47LAN7ic— GkPXR General description of improvements _REKeo(- w ITN A Pcikr7 -�-'7H+.AL SL t^j&LE.S Owner TAfres P. G�dRAJLS Address _ )&L. 5dLVA-#J AQ%VE A'7LAt rTtt: 4SLAGLt , Gt . 31233 Owner's Interest in site of the improvement Fee Simple Title holder(if other than owner) Name Address Contractor 04-oJtfL R. C-RAS?o^J i AddressA(sgo FJX14VwIT 'TRAIL jAC*50^JV1LL6 FL 31259 ' Surety Address Amount of $bond Any person making a loan for the construction of the improvements: Name Address Person within the State of Florida designated by owner upon whom notices or other documents may be served as provided by Section 713.13(1)(a)7,Florida Statutes. Name Address In addition to himself,owner designates Of To receive a copy of the Lienor's Notice as provided in Section 713.13(1)(b),Florida Statutes. Expiration date of Notice of Commencement(the expiration date is 1 year from the date of recording unless a different date is specified.) WARNING TO OWNER:ANY PAYMENTS MADE BY THE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER PAYMENTS UNDER CHAPTER 713,PART I,SECTION 713.13,FLORIDA STATUTES,AND CAN 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 COMMENCING WORK O COING YOUR NOICE OF COMMENCEMENT. �N7A ��i' URE OF OWNE (,�yt�CS �0 PRINTED NAME OF OWNER SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF �TUjty ,20mg. ` Cri1ELf�:YSP tU MY COMMISION EXPIRES a Nr'ary Publir,State of Ronda TA] BLIC Commisskc. 131)6291731 '4Y comm.expirss.tao.15 2(111 11 S1 CITY OF ATLANTIC BEACH 1 800 SEMINOLE ROAD ;r ATLANTIC BEACH, FLORIDA 32233 µ INSPECTION PHONE LINE 247-5826 �~r Application Number . . . . . 05-00029789 Date 2/25/05 Property Address . . . . . . 124 SYLVAN DR Tenant nbr, name . . . . . . REPL HVAC Application description . . . MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ FARRIS, BILL NICK' S SOLAR & AIR SYSTEMS 124 SYLVAN DRIVE 4891 TIMIQUANA RD ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32210 (904) 737-5499 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . Permit Fee . . . . 79 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------------- ---------- -------- -- ---------- ---------- Permit Fee Total 79 . 00 79 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 79 . 00 79 . 00 . 00 . 00 s PE RMI IS OVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. «=;y (' , lq^o� BUILDING OFFICIAL CITY OF ATLANTIC BEACH seg J ' MECHANICAL PERMIT APPLICATION Date: Property Address: V4 Z-,6: a Owner: &zl� Telephone#: Contractor: / i ,dry _ bola C V- A / Telephone#: Contractor Address: /ZJJ4,r4`02fAW Fax#: In consideration of permit given for doing the work as described in the above statement,we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinances and standards of good practice listed therein. Type of Heating Fuel: If other construction is being done on this building El Electric or site,list the building permit number: ❑ Gas: _LP Natural _Central Utility ❑ Oil ❑ Other—Specify MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat �-- Space Recessed —yZentral _Floor Residential ❑ Air Conditioning: X( Room _Central ❑ Duct System: Material Thickness ❑ Commercial Maximum capacity cfm 13 Refrigeration ❑ New Building ❑ Cooling Tower:Capacity gpm Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) ❑ Replacement of Existing System ❑ Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel ❑ Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency - P so s HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency gztla vV 2 y TANKS Nominal Capacity 'Type Liquid Serial Approving How Many &Dimensions Contained Manufacturer No. Agency 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800. Fax: (904)247-5845• http://www.ci.atlantic-beach.fl.us TrO firatr of (�rr�t ttnr CITY OF fwu- 0 OG(iA - f-6p+Kq�i DrVartmrnt of -gnilaing hiyrdian This Certificate issued pursuant to the requirements of Section 109 of the Southern Standard Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances regulating building construction or use. For the following: Use Classification _bside t+al RWg,pelgait � **W y Group TypeConstruciion F1=2 Fire District-At EX- 4:1!1_ �- _ Owner of Building (21XS DMser _ Address—219—RLM U4-126 SY1VM Dr Sa Building Address_ Locality_ _ Jobn M. S I&Wgs Building Official pate; POST IN A CONSPICUOUS PLACE L I.iUILDING AND Z01olIN INISFtCTIaI�! �I�I IC?N CITY OF ATLANTIC BEACH, FLORIDA APPLICATION MR MECHANICAL PERMIT IMnFLTAKT-/.rr^p/ln '� snf fo eotnplafo all items in sod*r>m 1. Ii, 111, and IV. Z /L� T�f� I• � / St. aIY� //✓(�O�VM�/_St. 1. / ��r _ lot''�'ee i .de of (Inters.ectiwq S}reete) LOCATION (Otic . South. East,west) (Add ass► OF 61ot1 N - SV�rdiv t:An Ujj j>jNG Lot No d-. d in dvpliufe it n.c.sa+ryJ -- - - (State portion of bf if (m Hun full loq-J ttad fo=al ds cript u per Il. T)'i c OF VR0?OSED 1,iC�.l�.i•r_AL WOrRK - /VI c !it:nft corr.;Sat• Farts A D --- 1L O`s NULSidI► A- USE OF LUILDINGrefiO4. i5.�rrrvGte (IndirdWl,r RESIDENT1Al eft.) 1. ((❑ �l_*or more lamb 12. ❑ SclOne ram fy 11. ❑ Utility I� ❑ rub K (Feder+l. State or focal q�m'0t) 2. ( col. rtrory. /r-Enter nuRb+r of rorn� oi}er o.'.+cetonaf C. F:ATUL"E OF WORK 3. ❑ Transient. l.ofel, +otel. 17 Nr" f"'in9 roorrir.q )NO Lto - 13. ❑ Store. r+trmantle Enter number of units OtMa It. ❑ Ezisfing �rildi+q 4. ❑ Ofher res'danfial 14. ❑ OTHER-SPECIFY it. ❑ Rt F'-+-er4-"f of eaiztiry system 20>9C Nr. insteT'.afion (No.sysfeM G rT �K+claf�dJ NON-RESIDENTIAL 21. ❑ Eat±n:en or add--On fo e�itfinq rY tyew 5, ❑ Am.usament. mcra46onal 22. ❑ Otkt -Sf"rfy 6, ❑ Clurch, other religious 7. ❑ Indusirial •. ❑ Garege, service station L TY- OF ',Tl EN"' 9. ❑ Hospital, inslitut',onal 3dNumb.r of s'oriet 7� 10. ❑ Office. banl, professional 37-)K Wood from* D. MECHANICAL EQUIPMENT TO tE INSTA s c 3B. ❑ masonry and _sod (Provide complete list of companants on LA--k of this form) 39. ❑ Reinfvrsed concroM 23. ❑ Furnace: ❑ Space ❑ Recessed Central 0 Fk1w 40. ❑ Sirvctvral steel 24, r Conditioning: ❑ Room Central 41. ❑ Cstt+ar !e 25. Duct Sys!emc f.(aterisl �)T}�i]ck 1u11sims;m Cape City /V✓(/ C.{Jr1- 26. ❑ Refrigarstion TRIS SPACE FOR OFF-K& USE ONLY 27. ❑ Cooling to.er: Capacity 21. ❑ Fire spnnllers: Number of hvadt_ 29. ❑ Elevator ❑ 11an1ift ❑ Es alator (number) 30. ❑ Gesz- ine Pum [numsbai) R Wr+a rkt 31. ❑ Tants (number) 32. ❑ LPG conlaine- -Inv-.ber) 33. ❑ Unfi-ad pmuure vruel Permit Approved by Dass.. -- 34. ❑ EJ"an Pe-mit Fee 3S. ❑ 0484 - Spsciry _ Ell. GENERAL INFORMLATION B. A. Typo of I,sa,ir�g fvel: IS OTHER CONSTRUCTION BEING DOKE/ON THIS BUILDING OR SITE? siS 42. ❑ Erxtric 43. ❑ Gas-❑ LP ❑ Natural ❑ CC^tral Utir-ty IF YES, GIVE NUMBER OF CONSTRUCTION PERMIT 44. ❑ Oil c 4S. !?.0 - Specify tY. I62NTlHCAT(0N - To be cornpleftd by all eppT;canfs - eby reit the ct`ectiadrp •s dlfow s,�•cifcaF sg0-0 ­0A asalirl+ are a p rt and�•aaaccordance sibtem•.iM the rCitr of�Jacisonvilieto � �'d cat and its- -art ;cod •coics `;ste3 tseroin. Nel.s of Lls:�.s^.cel I � Contractor Ayent __� --_-- -- C--•.actor (Frint) - /%� ®�� C,rner�Print) -� ---�r -- 5ijr4!- re of I Atyre of O.ner �' _ �f /.r,I�itact or Engineer cr . � F:rrn !1-51-I 709UQ T DEPARTMENT OF BUILDING 2595 1 VA/8 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. J PERMIT TO BUILD - 1A l i/0/6 THIS PERMIT MUST BE POSTED ON JOB 1000 Date Nov. 3 19 Valuation$ ?4P.C.1iANTTCAI. Fee$ 70 - 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. This is to certify that iAINI I S 11 R A 11140, AND A I R C-Q-514► -19fd�r�F has permission tok(J'A INNSTAr t ULAT 4. AC Classification DUPLEX Zone RG2 Owned by CHRIS DANSER Lot 704 Block S/D9 AI TAIR 43 House No. 1 124/126 SYLVAN DRIVE 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 �� O Building material, rubbish and debris -Zi from this work must not be placed inpublic pace, and must be cleared t up a auled away by either con- tract o ner. ` (N �cJWy Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER rA r.+ 83 LO'Ari'1 fit, rt �. ry- .7..T13:j,;a C)l'o 1+ON1 F+_'i�.�iT liLI,.,., .. >s.,.o�,...a:..>� mtA 4+ ..�'+ig. .� ..�'.ij �7 taLDI�?l:f.+ s>aea�r=..-+.r..,.+,..:.�r�w.�.,...xaes..:mm rauw,o�..s:,=:,,-:::.-.:.,,r�..r.._.��r-..z.aa......s-..a.r.r_ssr.-,.ac.-:ea..r..vwalm,r•-m ,> G.t�at0:.A.vQ Y>.tY...>.f .rm.[avva.I. ewu a.,v.rmawr.�,.v.a.i_tux.a..tta>,rt.m s[.ir_aam.JMcrirLsw t2L:..Yvea:aoc�e:.oa'mn.aaw-.:a�:Kvrikz+Src.Zr'�..:.vr,•LR,.>9il�,ea�.sxu�JF• r Y-tb�nJ�L>fr - , -, v9...:i` Tr 'T �•c ply C:yr r, 9, •� k�3 d.a`a.y 4 -IL-A L. _�;:_.�.:Y � li.t':.. `!LL�1Z�3��.J � Vl�v.:•t2 t, c`a•:.�rar:.w •.m.,r..c�... w..=....ne-, r�.r R-,ms. ..,. .r.i.:4..�1 1•..c._�.Id+J �P."r�. � i`itr, IFT. LB.5..TR.7 Z,tl.L• YYiiSHE5f.,Ci r, t�•T 0110" :A{.F S. ;tE, PET,' F_)..rB:'+ FJ.'.t1✓ LiIT 7�T�+ .��.no..��sre.-e..,v...��_..0 ..a..e,-.:.<. ,. ,..�,e. a.....t.,-..�.,�:e,�.r._,.......i,�...,....�....�n....w..�«.-...:�..�a.,r,.sa,�.�..<s.. s.Y�a1�'.NS L1,4j) Sj.'.�.�:.�.lT..6Vrii i}:',I.' 3 I L',:?'i i }i:{%t -lar. ::.�:+ 41 +C X._ "L { l3 i tI4 of a_1.I J hc: `,,,3o'al.L and Fent plFes, &YA `i:h'tD. nwabo s"-sld loeat'L n of all, fi3iZ`".`.dresa `s.3:t ac,rorC',anae wLtI"I Ord'A.rl;.:-UoIr 110, .? Cd r4itlC:n nenbe ay)prave-d by 'R'I1fi P.dt.i{.�j�C?Ing i.LIiJeot-.a& c 4 1 ,iJ3."4'vod Cly* s..:mJe..-,y��e+a:„ea®asw"a.�.n.�r.>�ar.;as.a i.�.nrs:+•=c-r.�vsn,...w.. kFOR ONLY) m.:e-�++�oa:mar_.a�.�a:avowa.sv.+'.r.w+.rosuwwrm*..aysi+. rmc�n.a-.-:..-✓-sr,.-,:�.�..�-.-.a.-a„�.-:•-�, ++nSw'_r .^:-:-.d9.r+.=w=.nac..e.�,�+-n�. ..::.cve+n.�s.•c+cr-s-:c�sa-..ve.save.axnr.+.n+:ara•....-:.mor.+ia.u-..cc.+., =r.+-�.z..c,w.-,.,sac+s+-..�.r;.es.sn.va.-er_ reac_.:�•aa!�x`”. i"P" • .• T,T t{{��i"// � E7 It^t'f/ .TE y- C[{YD M •. .:.s-r..,.v.1.*e w..r:aa'>x,aa..,su.ca«.a...evmr+wa.e:.. a:G:c.�».ri•-_v_-n,_a�,ssxc<-ra��: DEPARTMENT OF BUILDING 5 6 4 9 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 8-25-53 19 Valuation$ PLL`:�ING Fee$ 66.00 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. This is to certify that RAYS PLUMBING G _(i(if'KT ;5 � I A has permission to INSTALL PLi3MBIPIG AS PER PLAN��i66 1 li i�/25/A IUO0 Classification DITPT RX Zone RGA Owned by CHRIS DANSER Lot 704 _Block S/D SALTATR #1 House No. 124/126 SYLVA14 DRIVE 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 i O Building material, rubbish and debris zi from this work must not be placed in public space, and must be cleared = up and hauled away by either con- cto o -owner. � Building Official. i FOR OFFICEPERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER CITY OF ATLANTIC BEACH, FLORIDA Approved b N FOR ELECTRICAL. PERMIT PP Y APPLICATION TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 j 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: MA LECTRICIAN SIGNATURE JOURNEYMAN NAME �JiQ L21M,'A) _ADDRESS: i2/ LI.111,02 RFD BOX BLDG.SIZE BETWEEN: RES.( 1 APT.'(!)� comm. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( -) OLD ( 1 REW. ( ) ADDITION ( 1 TRAILER ( 1 TEMP. ( ) SIGNS ( 1 SQ. FT. SERVICE: NE INCREASE ( 1 REPAIR 1 1 FEE CONDUCTOR SIZE o AMPS " COPPER ( 1 ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY y16 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, 1 31-100 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 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. lKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _ FORWARDED TOTAL FEES '�D�� CITY OF ATLANTIC BEACH, FLORIDA Approvod 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. A ELECTRICAL FIRM: �j7 M C KLAN SIGNATURE sJOURNEYMAN NAME VILJQJ LZILZLL ADDRESS: RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.1 1 APT. comm. ( 1 PUBLIC 1 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. ( 1 ADDITION ( 1 TRAILER ( ) TEMP. ( 1 SIGNS 1 1 SQ. FT. SERVICE: NEW( INCREASE ( 1 REPAIR ( ► FEE CONDUCTOR SIZE v AMPS Su COPPER 1 ► ALUM.0) SWITCH OR BREAKER G AMPS PH i W ,:)-/& VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE IND. 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. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL 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. NO. KVA IIINO. IKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN I --F F- T FORWARDED TOTAL FEES _ CITY OF F, 716 OCEAN BOULEVARD _ P.O.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 January 5, 1984 Pre-Service Section 3rd Floor Jacksonville Electric Authority 233 West Duval Steeet Jacksonville, FL 32202 Dear Sirs: The following final inspections have been made and are satisfactory: Permit #3748 - 1804 Selva Grande Drive, Atlantic Beach Permit issued to All State Electric Company Pelt #3754 - 124 Sylvan Drive, Atlantic Beach Permit issued to Bivins Electric Company j,,_Fe-rmit #3755 - 126 Sylvan Drive, Atlantic Beach Permit issued to Bivins Electric Ccnnpany Sincerely, John M. Widdows Building L spection Supervisor JMWIra C�v � l / l /� HOF�'Id 32II3 / OV/ZV3H --- --- - -- 'IVOINVHO3I1 - - ---�---- -- J — NOI.IO3dSNI gvNId - — ----- /- - ONI2IV3'IO .LO'I -�_`�--- — S3Qd2I0 .COORS -- NIdf1"IOO ----- - wv,a g/'I H I N I'I (3) ONI8IC Id (d) 'IVOI2I.IO3`I3 -- — - - 3'IOd dlt3l - ------- - 2I3M3S Ino dO 0ow (d) ONIgiLggd 9V'IS -- — - - - -- ONI.LOOd • NOI.IVQNnOd ygr pajoadsuiaa panoadusz - anozdda uz paTTua palgaasuz ----- -- xdNMo - UO.IOVId IN0O SSREGav gor - ON 11TWX3d gVDIKVHDHX .ON .IlKH4d ONIgl--'qId r-��� .LIld2[3d 'IVOI2I.LO3'I3 N .LIird3d ONI(['[Ifif{ sz r .lp SNOI.LO3dSNI HOV3H OI,E.NV"I LV 40 U10 CITY OF- 4&4a& F4& sttrc Office of Building OffiAal REQUEST FOR INSPECTION Date Permit No. TimeP M District No. Received / � 1-7 Locality Job Address /a �p //��//C l Owner's Contractor/ ' y`� �y/9 �> G Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing ❑ Rough Wiring ❑ Rough Air.Cond.& ❑ Re Roofing ElSlab ❑ Temp Pole ❑ Top Out ❑ Heating Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSAf A.M. Tues. Wed. Thurs.f►� )) Friday P.M. Mon. � Cr) Inspection Made 7 P.M. Final Inspection❑ Inspector Certificate of Occupancy Date CITY OF 4&44dic BeaICA-4;&U-4& t Office of Building Official REQUEST FOR INSPECTION J. U Date Permit No. 4 Time A.M. Received P,M, District No. Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air.Cond.& ❑ Re Roofing ❑ Slab ya Temp Pole ❑ Top Out ❑ Heating Lintel Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Tues. �� Wed. Thurs. Friday P.M. _j3 A.M. Inspection Made p M Inspector Final Inspection❑ Certificate of Occupancy Date CITY OF, Office of Building O Offtctal / ` REQUEST FOR INSPECTION `� Date/1 —/5J dO3 Permit No. / U —5 Time �/ iI Received �/CJ District No. Job ress Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL, PLUMBING MECHANICAL/ Framing Footing El /Rough Wiring '7 Rough L—W- Air.Cond.& Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Out ❑ Heating Lintel ❑ Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. / Wed. Thurs. Friday A.M. P.M. !���— A.M. Inspection Mace P.M. Inspector Final inspection❑ Certificate of Occupancy Date CITY OF Office of Building Official REQUEST FOR INSPECTION Date L Permit No. TimeA.M. Received !O Q District No. I OK Job Address Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing Footing ❑ Rough Wiring E Rough ❑ Air.Cond.i£ ❑ Re Roofing D Slab -] Temp Pole G Top Out Heating Lintel � Fire Place ❑ Pre Fab READY FOR INSPECTI-ON A.M. Mon. Tues. Wed, 6hurs. Friday-P.M. A.M. Inspection Mace � / P.M. Inspector Final Inspection 1,4. Certificate of Occupancy Date DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 5648 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 817 Valuation$ 19_RR� ,� o Fee$__3 Z5 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 CHRIS DANSER • PINE STREET a� 3 has permission to build �V • Classification DUPLEX IOC Owned by Zone RG2 Lot House No, Block DRIVE Sal air �� 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 411 AFTER DATE OF ISSUE 1 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 con- Ct0"r owner. i, FOR OFFICE PERMIT Buil ' Official. USE ONLY NUMBER DATE CONTRACTOR, PLUMBING ELECTRICAL SEWER WATER I:1.EC'1 fiI CAL: +------ - - -- --- BUILDING P}:}.:•fl T l:'��i:i;SHEET HEATED SQUARE FOOTAGE: _ c, L @ $ � , O � - ---- Per sq. f t. _ $��I 5-(4 3 � GARAGE (PRIVATE/SHED) : �� @ $ _ / �� - - - -- Per sq. f t. _ CARPORT: - — @ $ --- _ per sq. f t. _ $- ------ -- PORCHES: @ $ _— b ' S ---- - Per sq. ft. _ $- &03, 76- IUECK: --------- -- @ $ - ---- - -- Per sq. ft. _ $---- - --- PATIO: - @ $ ----- - - -- per sq. ft. -- TOTAL VALUATION: PEP-MIT FEES TOTAL' VALUATION DATA Ist $_ 0 J RE'..AIIDER VALUATION @ $ _2.(:;0per thousand or portion thereof TOTAL BUILDING PERMIT FEE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUS 11 THE BUILDING PERIMIT/n O,R PLAT\ FILING FEF. . . . . . . . . . • $_�O .a rjrP.Pl0.CF_j 31)•UJ TOTALFEE DUE. . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $- -5-5 - ---------------------------------------------------------------------------------------------- PLL`BING PERlM1T FEE: $_ _ _ _ I' Cr u C4L ?=KNIT r EE: $_ _.- ELECTRICAL RESIDENTIAL• $ _ ELECTRIC3L TE?•lP, `'-RY: O� WATER METER SIZE:a__s_ tt _ FEE: $_ � SE%ER CONNECTION CHARGE: SQUARE FOOTAGE: FEE $��/(J 7 v WATER CONNECTION CA-�RGE: FIXTURE L'NITS _ 3 b � $10. 00 PER L"tiIT: ACCOUNT NO. : APPROVED BY• - -- TOTAL BUILD I NG/PLAN FILING FEES: APPROVED /70.Q0 qqy OF NTt+,N;1% BEACH TOTAL DATER '-ETHER C'-'_.RGE: S_ surLtaiHG cF<ic6 TOTAL WATER CONNECTION CHARGE: S_#3W- 1 ? 3 TOTAL SEWER CO':';FCTION CHARGE: S 70 -00 GR*-'•:D TOTAL DUE: $- [1•_7�2 FOR OFFICE USE ONLY Date --------------------------•--------19 ------ Permit #........................Fee$........................ CITY OF ATLANTIC BEACH Valuation $----• FLORIDAHouse #----------------------------------------------------------- ------•-------••--•--------••-•----•-----------•-----••------••--------.... APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date...........-....................... ------- .................. 19-- 3-- Owner.------.. h f", � �L� "-"-� --•.............. -Address.----Z 1 n-•---..P`'...5 r- 2`t No `tc- .. ..Y ---....... 2 Architect------------- Sc '` ...............................................Address,.... t -'^'` !-� -Z'--.Telephone No..--......................... ContractorBuilder__---- 5-"'.,`--.........---------------------------------------Address---------•-••.--------•---•-----. ............._------.Telephone No.............................. Lot No. /.0.�................... .......Block No.------------•----- ----------Sub Division---5` = ^ .........Zone....... -------------S` Jq.5-::­----.....--•-------- . ..--.Street--- - .......Side Between...._. ------------ -- 1✓ c��: --and------------ ........................ Valuation ...............For what purpose will building be used ----- Dimensions 1"•°•° °` P rP g f -'g�-•- ----- .Type of construction ------ --�•--------• Dimensions of Building 3K k 3__'4------ -..--.Dimensions of Lot..._._..._.S o..._K.._._ls_a...__ .-----.Size of Footings......... ..IS-....... Size of Piers--------N.//'t---------- ------Size of Sills----- �4--.-------..----Greatest Sill Span in ft..._- '''' Type Roof.... How will Building be Heated?------ ------ v4-C...................Will Building be on Solid or Filled Ground?-..--..-5- �-J Size of Ceiling Joists......, X-- ------------------------ Distance on Centers.......... ........................I Greatest Span-------3_g__............................ " Size of Floor Joists..111�...4. Distance on Centers. -..-... - ........................... Greatest Span-..... ------------------- Size _._.__----__._...Size of Rafters.............2-Y1-------_--- ----------- P ___-- Distance on Centers 2.. -_....._...... Greatest Span ko............................. „ P P ROVED This rectangle is to represent the lot. ) �� Locate the building or buildings in the ' C BEACH right position. Give distance in feet from r-;J1 LD I N G GFF i CE all lot-lines and existing buildings. REAR LOT LINE r? "05 Two copies of plans and specifications shall J3 be submitted with application. > 0 Inspections required. 1. When steel is in place and ready to pour footing. W (� 2. When steel is in place and ready to pour colum and/or lintel. a e a 3. When steel is in place and ready to pour beam. E 4. When framing is completed. S '+z s 5. When rough plumbing is completed,and ready to cover up. G7 W 6. When septic tank drain field or sewer is laid but before it is covered. A 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the City of t ntic Beach. Z i q : S r /Ll ,�..... /S._ .� Signature of Builder................•--...-----•.....°-,�',- ............•---•-... Address_ .......---.- ----- -.. �... Signature of Owner...........-------------------------------��c"..�— - - Address...... ...... ._.`.......St------ 6= =_=-_-••--- ��- PLUMBING WORKSHEET p2 SINKS SHOWERS DISHWASHERS CLOSETS BATH TUBS FLOOR DRAINS WASHING MACHINE WATER HEATERS DISPOSALS f. LAVATORY URINALS OTHER TOTAL FIXTURE COUNT "f 49 � FIXTURE UNIT BREAKDOWN FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DE_IAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE .'ATER SUPPLY CHARGE IS HEREBY FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF LAVATORY (1 UNIT) WATER CLOSET, LAVATORY, AND BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND (6 UNITS) (3 UNITS) DRINKING FOUNTAIN (11 UNITI URINAL, WALL LIP (4 UNITS) FLOOR DRAIN Cl UNIT) WASHING MACHINE RES. URINAL, PEDESTAL, SYPHON (3 UNITS) JET BLOWOUT (8 UNITS) WATER CLOSETS, VALVE OPERATED WATER CLOSETS, TANK-OPERATED (8 UNITS) OUNITS) SHOWER STALL, DOMESTIC BATHTUB (W/OR W/O OVERHEAD (2 UNITS) SHOWER) (2UNITS) LAUNDRY TRAY BIDGET (3 UNITS) (2 UNITS) DISHWASHER (2 UNITS) KITCHEN SINK (2 UNITS) KITCHEN SINK/WASTE GRINDER (3 UNITS) TOTAL FIXTURE UNITS @ $10..00. EACH