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420 Whiting Ln (vault) t CITY OF ATLANTIC BEACH s 800 SENMOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 06-00034260 Date 11/14/06 Property Address 420 WHITING IN Application type description MECHANICAL ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc ROOM ADDITION/AIR DUCT SYSTEM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ FIEGE, DONS AIR CONDITIONING INC 691 SELVA LAKES CIR P.O. BOX 10206 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32247 (904) 398-4972 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . Permit Fee . . . . 55 . 00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 5/13/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 55 . 00 55. 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 55 . 00 55 . 00 . 00 . 00 PERMIT`IS.APPROVED ONLY IN ACCORDANCE WPI•H ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUH DING CODES. • .�t'�l�it: J CITY OF ATLANTIC BEACH MECHANICAL PERMIT APPLICATION \ LJi3 9r I/ Date: (/ Property Address: Owner: Telephone#: Contractor: 06 rw si �.Io,� ;�� elephone F3 e17 Contractor Address: k #:�Z Z �. y Z�` Contractor Signature: 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 or site,list the building permit number: Ad Electric ❑ Gas: _LP _Natural _Central Utility ❑ Oil ❑ Other—S eci MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK ❑ Heat _Space _Recessed _Central _Floor ,d Residential ❑ Air Conditioning: _Room _Central © Duct System: Material F fork Thickness A-G ❑ Commercial #AjAjS Maximum capacity � cfin Li Refrigeration ❑ New Building ❑ Cooling Tower: Capacity gpm ❑ Existing Building ❑ Fire Sprinklers:Number of Heads ❑ Elevator: _— Manlift Escalator (Number) ❑ Replacement of Existing System Ll Gasoline Pumps (Number) ❑ Tanks (Number) ❑ New Installation ❑ LPG Containers (Number) (No system previously installed) ❑ Unfired Pressure Vessel Z" Extension or Add-on to Existing System ❑ Boilers ❑ Gas Piping ❑ Other-Specify 9,UbA., hAkf-1:'- ❑ Other—Specify LIST ALL EQUIPMENT AIR CONDITIONING,REFRIGERATION EQUIPMENT&CONDENSOR'S Approving Number Units Description Model# Manufacturer Ton's Agency HEATING—FURNACES,BOILERS,FIREPLACES&AIR HANDLER'S Approving Number Units Description Model# Manufacturer BTU's Agency 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.atiantic-beach.fl.us Revised 1/04 CITY OF ATLANTIC BEACH SJ 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 '41 Application Number . . . . . 07-00000102 Date 2/08/07 Property Address . . . . . . 420 WHITING LN Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc install 1 fixture ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- PERSON EASTERDAY PLUMBING INC 11580 COLLINS CREEK DR ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 463-3202 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 8/07/07 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. ti CITY OF ATLANTIC BEACH ssl y PLUMBING PERMIT APPLICATION Date: 041 Property Address: 't 10 G tJ Owner: Telephone#• Contractor: S (b k l&j V Telephone#: Contractor Address: ���0 d 1 d a, l:2 VC Fax#: Contractor Signature: 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 ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, k New list the building permit number: ❑ Re-Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 4 Total Fixtures: X$7.00 + $35.00 = �a O 800 Seminole Road .Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845. http://www.ci.atiantic-beach.fl.us Revised 9/06 y ry R CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 ,. X331t Application Number . . . . 06-00033927 Date 10/05/06 Property Address . . . . . . 420 WHITING LN Application type description RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 45000 --------------------------------------------------------------------- Application desc ADD FLOIDA ROOM --------------- -- ---------------- ------------- -------------------- -- Owner Contractor - ------------------------ ----------------------- PERSON JACKSONVILLE HOME IMPROVEMENT 6653 POWERS AVE #17 ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32217 (904) 733-0710 ----------------------------------------------- ----------- Permit . . . . . . BUILDING PERMIT Additional desc . Permit Fee 255 . 00 Plan Check Fee 127 . 50 Issue Date . . . . Valuation . . . . 45000 Expiration Date . . 4/03/07 ----------------------------------------------------- Fee summary Charged Paid Credited Due - ------ ------- --- ---------- ---- ------ ---------- - Permit Fee Total 255 . 00 255 . 00 . 00 . 00 Plan Check Total 127 . 50 127 . 50 . 00 . 00 Grand Total 382 . 50 382 . 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 BUILDING PERMIT APPLICATION (Alterations&Additions) Date: Job Address: 2 eyy�H 7i u& LaNs Owner of Property: T 1 ReArj,`> PCA SIOIJ /�fEj Telephone: Address: 4Zo \�4-t71N� L� Legal Description: Block Number: I Z Lot Number: 3 Zoning District: Contractor:,) it itnrrNG 141 State License Number: Contractor Address: yA1 r12\-( Telephone: 722.- 31 12 Fax: Describe proposed use and work to be done: ��,, ►� ,�r�-� �%<d Dom? — Present use of land or building(s): 5)nt6LE 1='14-ry1f07 jggn 0E14-c6 CITY OF ATLAiyTIC uEACH DTLD1Rv�F1 Valuation of proposed construction: S c9 400 Dimensions of the added space: (-1 feet x l(p, feet OCT Will this project involve: Heating&Air- Plumbing Electrical By.. place Conditioning ✓` Is approval of Homeowner's Association or other private entity required? Wo If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 .Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, 800 Seminole Road, Atlantic Beach, FL 32233 Telephone: (904) 247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Product Approvals for all exterior windows,doors shutters etc..(FBC 2004) Address and contact information of person to receive all correspondence! regarding this application(please print). Name: Cb�ryi�G'�� t F iI�Il�� �tYl�'3Y�th'/s't�1`ll S� 11'tC- MailingAddress;/ 0J x'"2(4 �11'nCA�n Cxoa `' .32D C Telephone:_ 2.2 =3;�Z. Fax: 72Z.-.-31 1-5 E-Mai1:,b.0&0U I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. r Signature o er: ` '� Dom' �q AS TO OWNER: L ` '•' Oporn to and subscribed before me this day of 20 State of Florida,County of Duval Notary's Signature: JENNIFER SHEPHERD ' Notary Public, State of Florida Personally known MV comm, exp. May 6, 2009 [� Produced identification Comm. No. DD 419245 Type of identification produced Signature of Contractor. LZ �" Date: 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Revised 8/04 Page 3 AS TO CONTRACTOR: Sworn to and subscribed before me this day of 5e� Y ,20CX,, . State of Florida,County of Duval ,l Notary's SignatureJ�/t;y� JENNIFER SHEPHERD Personally known Produced identification Notary Public, State of Florida Type of identification produced My comm. exp. May 6,2009 Comm. No. DD 419245 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 .Fax: (904)247-5845 • http://www.ci.atiantic-beach.fl.us Page 4 Revised 8/04 -S r1�`1 jj•s r CITY OF ATLANTIC BEACH n 2 fJI � r REVIEW SHEET S� PLAN j «�� . .�� L. Hi ins Public Works&Public Utilities Departments Building Department S l�f 800 Seminole Road 1200 Sandpiper Lane R. Ca er Atlantic Beach,Florida 32233 p- �iak Atlantic Beach,Florida 32233 (904)247-5834 Public Safety (904)247-5800 (904)247-5843 Fax (904)247-5845 Fax PLAN REVIEW COAV4ENTS2 Permit Application# 0 � Property Address: a 1--i- Applicant: �Cir ✓i //� Ue 7- Project: This permit application has been: ❑ Approved as noted by the Department. Final application approval must come from the Building Department. [� Reviewed and the following items need attention: w t SCr IU��D A ------------ IIF ,moo C. lication when these items have been com Tete . Please re-submit your a Date: Reviewed By:4-116a� Date Contractor Notified: rj r1`J j'lfi CITY OF ATLANTIC BEACH PLAN REVIEW SHEET S akovtiski 9Public Works&Public Utilities Departme>Sts L.Hi g ins Building Department 1200 Sandpiper Lane rJj61 800 Seminole Road Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 - p��10�n k (904)247-5800 (904)247-5834 Public Safety (904)247-5845 Fax (904)247-5843 Fax PLAN REVIEW COMMENTS Permit Application#A- 2 3 9 2 7 a D Property Address: .� Z'# Applicant: G� Project: —2A�u�e � Th' ermit application has been: Approved as noted by the Department. Final application approval must come from the Building Department. ❑ Reviewed and the following items need attention: ovide erosion and sediment control plans with details . ///4tiructure,l drainage must go to the street or existing drainage not onto other property. N'a ,czy rf Please re-submi our a 1'cation when these items have been com Tete . Date: Reviewed By: sEP 2teook Date Contractor Notified: �� 3 f gY, P250UO2 CITY OF ATLANTIC BEACH 10/04/06 Application Tracking Individual Step Review 09: 02 : 51 pplication number 06 00033927 .pplication type RESIDENTIAL ADD/RENOVATE/ALTER evision number . gency/path/step/seq . . . : PUBLIC WORKS A 01 00 ate submitted, resulted . . 92106 .pproval code . . . . . . . . .eviewed by . . . . . . . . . .evised est cnl date . . . . 92106 opies of plans . . . . . . . Seq Comments Prt Date 1. 00 Provide erosion and sediment control plans with details. 100406 2. 00 All drainage must go to the street or existing drainage 100406 structure, not onto other property. 3 .00 4 . 00 5.00 Bottom '3=Exit F12=Cancel �o LIP - ►s o off + �e; 11VE Sr� —PJ rn T -ta d,4 L'd swelsAs uoljewao;ul e9Z:60 90 b0 100 DICK -- MAP SHOWING BOUNDARY SURVEY OF: LOT 3, BLOCK 12,REPLAT OF PART OF ROYAL PALMS UNIT TWO A,ACCORDING TO PLAT THEREOF,AS RECORDED IN PLAT BOOK 31,PAGES 16,16A THRU 16D OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA LOT 2 LOT 2 LOT 2 BLOCK 12 BLOCK 12 BLOCK 12 I _ N07'1 6'02"W 80.65'PLAT FOUND I2" 1 K" FOUND 1/2" IRON PIPE -O - o - O 10 DRAINAGE AND UTILITY EASEMENT 0.1' _ IRON PIPE 1 p p p O _. p O O (NO D) (NC-ID) 2.0' m O 22.8' � f KEM I;Z lV ¢ O LOT 2 ° o n LOT 2 o ° UJ a BLOCK 12 BLOCK 12 a f rJ IQ 1 STORY MASONRY s.r 1os w °' a ADDRESS#420 �. .:.22.7',.co awo �n � O 36.0' - .G�....`,....` m N 15.6' E a0 (CC)j) DF Nl=l� Z a 25'BRL .2' V, IJ 176.56'PLAT 12.3' FOJND 12" - FOUND 10 IRON PIPE IRCN PIPE (NO-IQ S07°16'02"E 80.65'PLAT (NO-ID) WHITING LANE ;END: (6O' RIGHT OF WAY) ,,yam �/�t� = WIRE FENCE �j,KCI� IS G-lle� 5S�(> �fJ��i. jm ��fIOu.S fl- = CWOOD FENCE NCE `'` +' ,,p, .,1 J�/�(�.L `��r -To�^p^� T70 �N . = BUILDING RESTRICTION LINE W�W..1f7�I`rAr I ' AGr f-i1/W ���tC` ^� n .. CENTERLINE ���1�+.1 F"/J�� t) -4 PJ&(�pF-EI�(.S�=*Afj 1 'iT � CENTRALOANGLE ✓I�,. I 7 U 1� U I"`� LENGTH = RADIJS NOTES: ARC LENGTH NOT TO SCALE 1. NO UNDERGROUND UTILITIES OR STRUCTURES LOCATED AIR CONDITIONER 2 NO UTILITIES LOCATED EXCEPT AS MAY BE SHOWN HEREON. OVERHEAD ELECTRIC 3 NO ATTEMPT WAS IMOE TO LOCATE JURISDICTIONAL WETLAND LINES NOR TO NOTIFY THE PROPER AGENCIES. = CONCRETE 4. ABSTRACT OF IITLE WAS NOT FURNISHED TO THE UNDERSIGNED. = WOOD BY THE USE OF THIS SURVEY,YOU AGREE TO BE BOUND BY THE TERMS WRITTEN ON THIS SURVEY. THIS SURVEY IS INTENDED FOR SOLE USE OF THE PARTIES CERTIFIED HEREON. 2. NO PARTY SHALL ASSIGN THIS SURVEY DRAWING OR ANY INTEREST OR OBLIGATION HEREON WITHOUT THE PRIOR WRITTEN CONSENT OF THE UNDERSIGNED. 3, ANY REPRODUCTION OF THIS SURVEY IS PROHIBITED. e:. RAAMinki a 12AKiLCc 6'd 9689-Lt?Z-ti06 swels(S uogewJo}ul BIZ:60 90 170 300 CITY OF ATLANTIC BEACH s, BUILDING PERMIT APPLICATION (Alterations&Additions) "EP 18A6Date: Job Address: 424o y�w71 u& LaNs Owner of Property: T 12 A�y_P6-A S<Y-j Address: 4Zo WHA W& Telephone: Legal Description: Block Number: Z Lot Number: 3 Zoning District Ll� Contractor:1,,UZ:S,,;,,l l,e, i or ticI State License Number:CPC 6_57,f9 3 Contractor Address: 234 2�a Telephone: 772, S112— Fax: Describe proposed use and work to be done: . e1 – Present use of land or building(s): '51 t4 6 L_& Pid MIQ`7 A2_ Q WC6 Valuation of proposed construction: ��j6 o cow Dimensions of the added space: lO Co feet x feet Will this project involve: Heating&Air- Plumbing 00 Electrical ❑ Fireplace Conditioning Is approval of Homeowner's Association or other private entity required? JJ0 — If yes, please submit with this application. Will this project involve changes in elevation, site grade or any use of fill material, or the addition of 5% or more to the original impervious area or the removal of any trees? NO. Applicant certifies that no change in site grade, impervious area or fill material will be used on this project. ❑YES. See Step 2 below. Approval of the Public Works Department is required prior to issuance of a Building Permit. NO. Applicant certifies that no trees will be removed for this project. YES. Removal of Trees will be required for this project. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board,which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. STEP 1. Verify zoning designation and proper setbacks for the proposed construction. If you are unsure of this information, please contact the Planning and Zoning Department at 904-247-5826. In order to correctly verify zoning designation,please have Property Appraiser's Real Estate Number available. STEP 2. Contact the City of Atlantic Beach Department of Public Works to determine if a pre-construction or post-construction topographical survey or grading plan is required. (If not required, written verification must be provided with this application.) The Department of Public Works is located at: 1200 Sandpiper Lane,Atlantic Beach,FL 32233 Telephone: (904)247-5834 STEP 3. Submit Tree Removal Application if trees are to be removed or relocated. 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 2 Revised 8/04 STEP 4. Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner/Contractor Affidavit if owner is contractor, and four (4) complete sets of construction plans to the Building Department,which is located at the Atlantic Beach City Hall, 800 Seminole Road,Atlantic Beach, FL 32233 Telephone: (904) 247-5826 In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner. 1. Current survey showing the property boundary with bearings and distances and the legal description. 2. Location of all structures, temporary and permanent, including setbacks, building height, number of stories and square footage. Identify any existing structures and uses. 3. If required by the Department of Public Works, a pre-construction topographical survey. 4. Any significant environmental features, including any jurisdictional wetlands, CCCL, natural water bodies. 5. Impervious Surface area calculations: include driveways, sidewalks, patios and other Impervious Surfaces. Swimming pools may be excluded from total Impervious Surface. 6. Product Approvals for all exterior windows,doors shutters etc..(FBC 2004) Address and contact information of person to receive all correspondence regarding this application(please print). Name: , )ackSan to 1 It V16me Mailing Address; 0 pVq R 3 2Z H Telephone:- ZZ 3��Z Fax: 2 Z" � I E-Mail:_bzJ& 1 UI Ilehc�tlnEe�tx'�1�'' I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with,whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal,state or local rules,regulations,ordinances,or laws in any manner,including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature o er: 4�� Date:A AS TO OWNER: Dom to and subscribed before me this t' day of S�L�e bCY 20 � State of Florida,County of Duval JENNIFER SHEPHERD Notary's Signature: 1W Notary Public, State of Florida Personally known My comm. exp. May 6,2009 F-1 Produced identification Comm. No. DD 419245 Type of identification produced Signature of Contractor: t / Date: y1)11d id 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 -http://www.ci.atiantic-beach.fl.us Page 3 Revised 8/04 AS TO CONTRACTOR: Sworn to and subscribed before me this day of'se, b ,200�, . State of Florida,County of Duval Notary's Signature. Personally known JENNIFER SHEPHERD Produced identification Notary Public, State of Florida Type of identification produced My comm. exp. May 6,2009 Comm.No. DD 419245 800 Seminole Road -Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 -Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 4 Revised 8/04 jL21:- 2( -' r .ray CITY OF ATLANTIC BEACH Tz� ,} PLAN REVIEW SHEET Building Department Public Works&Public Utilities Departments . Hi ins 800 Seminole Road 1200 Sandpiper Lane S Atlantic Beach,Florida 32233 Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5834 D. Kaluzniak (904)247-5845 Fax (904)247-5843 Fax Public Safety PLAN REVIEW COMMENTS q r� Permit Application# Property Address: Applicant: [ �/ I ��rn /fh D l�✓ �'n T Project: 177 This permit application has been: Approved as noted by the Department. Final application approval must co a from the Building Department. Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: DA0.6 Date Contractor Notified: =oo t,U U W OUB Or- F- i mco Z� Q � p ��� U) U) Z ¢ l¢ �o o 7 U Ov6 O"r� O z z � O O Iu Co LU ?z0 OZ w D ¢ate pY� O tz x of LuU Z L0,� 200_ wmQ J p cr) LL U)F:w L W¢G Lf)�m < C7 w w ¢U W Od O Z c pOwt•- x w W> z C �O W,- ' o �Zg a ?�U w (q� aa o r\ O Z p m Q O z Q_ LUW W m 2 LL J f- 0w W (..� Z co wOr p rZ_m % �aLu W O (� © �w8 a 2 LL� o wow Q I r- U> 2 W m :U:)) O L > ?�c/) 11 N ll Fuj wa>w 2 m _ � r1J1 U) X WLLI LU ::) � Z �ci� ° � x< p oe ,:D X U CO m = h U) O Q xu )�U) o3 �O^ ¢ W Q Q LLI�U0 Z wFO= z -LLNo W ¢ W O J W w Q Or u LL co rpp > ozo�o i-f-v U) �\ ^ �vQ2fnW > ��ZOLli Z O W Q I po�z~ n V)U)LLI aWU LU 0 LD Q x 0 w Z ? (W'w�o° w,00 Qpz ~w O x Q w U) N Z N lJ 1� v LL WCO T _ y m Y J VI U) v � Z n > W J o w N�yQ� N M Q Z C:) W Iii Y LL W o Z O 0 W � � Z W a Q oZ ~~ o r' $ O a ^ o > Q4 ' C� . a ) Q = ruj m Q Q mQ PECOo o cn J O O 2 z v o Q� a Q LL o co o m �m ~ N � 2 RLil w �jwwz =QJow W ¢ Uz 2 �ZQ x'6-0 W I-. 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QWs I pa- zpzpo N g ON K? Y a 00 I J �m (A bM o� g Q I V ol'��/1 BP250UO2 CITY OF ATLANTIC BEACH 10/04/06 Application Tracking Individual Step Review 09: 02 : 51 Application number . . . . : 06 00033927 Application type . . . . . : RESIDENTIAL ADD/RENOVATE/ALTER Revision number . Agency/path/step/seq. . . . : PUBLIC WORKS A 01 00 Date submitted, resulted . . 92106 Approval code . . . . . . . . Reviewed by . . . . . . . . . Revised est cpl date . . . . 92106 Copies of plans . . . . . . . Seq Comments Prt Date 1. 00 Provide erosion and sediment control plans with details . 100406 2 . 00 All drainage must go to the street or existing drainage 100406 structure, not onto other property. 3. 00 4 . 00 5 . 00 Bottom F3=Exit F12=Cancel /'�g &�- — f f ri o) T oL X, 44,ky a � r i T f a d,41Y NOTICE OF COMMENCEMENT State of VI-0- it /(� Tax Folio No. County of 1IV JA 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 COMMENCEW jq Legal Description of property being improved: L-O vol, Address of property being improved: Wfb7062, 1,M9 General description of improvements: 'L(� I l co (0l A QQ1Z w Owner:F71 1-� 'f 15,�t3f4S Address: slryj 6 rrw& wss & Owner's interest in site of the improvement: V 0 z ee Simple Titleholder(if other than owner): pj O#�jiE Name: C tor: Address: FW� f�1)C `3 z Z I Telephone No.: `�Z Fax 67B 3j S Surety(if any) '"--' Amount of Bond$ Address: Telephone No: Fax No: Doc OF% 31K 13552 Pay?-09 Name and address of any person making a loan for the construction of the Pdun,aer,ages: t Fred&Regarded 0-9'2gi'C06 a'i' Oi N Name: JiM FULLER CLERK CIRC U! C.) -r'+"OUVAL COUNTY Address: RECORUNG$10.00 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: Address: Telephone No: Fax No: 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) Florida Statues. (Fill in at Owner's option) %/Name: If%—LkY Address: Telephone No: —7 ZZ "3�K 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 OWNE% 1� �0 U Si Date: 1 Be me this day of in the County of Duval,State Of Florida,has pers nally appeared ( C"¢ JENNIFER SHEPHERD Notary Public at Large,State of Florida,County of Duval. Notary Public,State of Florida U My commission expires: ^^ice or Personally Known: Se My comm.exp. May 6,2009pro ed Identification: Comm.No. DD 419245 �� � ,SRRToN Ro GHT AD OF VVq Y) co 00 N O N 9H m? p00 i --1 9:O Z O° ° S82°43'58"W 93.00' PLAT O 2 w i o -� r �T I O �L ° - ° ° ° ° J 19 a' ° I NN m0 V M 007, m cn m ° � ► o Izirnr c n D Eby — _ _ IF26 -� Wrn � z %2Z mz �°- opo D no �° W omO 12.1' I z oo p 0 < 00 Z I� O D z o o ° r r Z h£ 11.6' I I Y W r ° m rr DCl) T. -Z 777-7777r77 39 15.0' TI p pDcoD Li N I X n C N m ?'OM ° 5 � O m T? n BE 11 REFERENCE W o s v o m vo v 0 " ` �O rT O o Z I N82°43' 8"E 93.00' P T W �� N e�n_ fDm�?cm T' G O _ m� H (ate -:m -ir O Q� �' C m m 4 _ �K o(o Wd-.N 7O Q y o on 0 N 00 W mo� > °" ND O 4' n 1 cmg�a3 m� � N c 95L3. no � O� .rte N o s3== > vv OOn� .O.beN !a=r i a J 3 � � A 3 DAA = V = Mom G n 7 ■ �l fA l;fp fO dN o=i m °nom = c m C/) c cn m a --�O cn t"�3 m m �� r m Z mm c mk o z m S ea � ati m u u u u It a � Q �_ a < co m c o <o m m rm O O>Z>�- RRM, O� lel m p rnJ. O ~ pzpZz�OdyA M m Tr z m (� L7 z7 Z,Z,p Zm -f 01 �7 A A 0 m C p a A 2� S m '_� \ m mzOz�IpD�GZ7m-zz C, OA m y m pj = zmm0-,nm O � mOm m AmCZi 1 � � m O A n m Vf z = n Zw Cc) O P. r m Al i 0 3 — Z jQ Cl) o m w N z D m T ()t co C-- a m z n b 0 m a <"a�" m p N D / IL Z Z M Z V o D CO In 11-0 D O f r QD �Z o 0 m T W Dto �� rn O r o < V/ Z N A r X C/) '� .ZCI In ,j J '^ w ^� A w n� O 1 2 n (� V+ = m I� m 0 DQz m y�zzzcn w r zm0? c wA000 D C Coo O Z W N • mD�_�C O �A T mr R1 A O C a: -1 " to �mD�n Oz0 > m -�Ar- C nD�C Cl pmD� A �cmn"6 Q O zZmZ m m DmC n `o Cl) ° Nmn m a Zo { c'n �m G -� W =__m Oc z OOm O m z0 p m T02 W ��fn� D 0rc; t}rtj y e OOcn c1 A�C� A c �DA -1 �V1O/1 t`x) 2 m w z � bac ^' <7: m A �cncn O0� A <�mm , 65 z�� I=TI w n cnam� < ���I to m � n ro o o D Q 3 p I A O m o�c 1� T c T m = _ �M � O O=m ^ y O m mA T m�Om zo m OZ O D O-o ll 0 ID O Z A D z O O�� 'D D� p m� ::VV I/IY7„ wl 8Z- �A � m pip =O� z z<� m mA -400 1� O a D D D o z to (n Z -I Cn 1>z CA A�<;mQ oz --I z z��T m Iml Z Z I » Aim y 0m� Cl) 0 o ` (n �Dwmm m _ Z, D A Cn z m O 0 cn (� N IZTI U)0)p� TAS z z m z0 O z � o�� m z A Oom �0Z X O Z 0O �p C) = O:f o m0 c Q ;10 f/' 4 Z _ yy y2cn < m mm0 O C7 ti �1 Z m V' APPENDIX 13-0 FLORIDA ENERGY EFFICIENCY CODE FOR BUILIMG CortSTRLOCTION FORM 6OOG-04 Residential Limited Applications Prescriptive Method C NORTH t Small Additions,Renovations&B stems Comps wNh Me"i 1 C of Sub-Clnpta 6 d pre R1orkta Energy Eirtciency Code may be Ow*mtrated by the use of FoFm M-04 for WON=of Ego Square feet or less,site-hsfaW owVw&ds of manutacwrW home,and re wwWom to tingle-and multiple-tanily resAden m Atemmre mWw&aro provWed fa a0dbons by we d Form SDO&94 or 6C M-04. PROJECT NAME: I APPMoN ECO*FTICE: AND ADDRESS: F} [q CLMAATE s ZONE: 110 2 11 354 OWNER: Q O. JURISDICTION NO.: SMALL ADDITIONS TO EXISTING RESIDENCES{60O sgwre bet or tees of eorrbtioned area). rpt kwrw a kr Tables 6C-1,GC-2,and GC-3 appy miy to On cam m"90 of Nur addim not to Rhe arristng Spaa heating,wo6ng•and vrm4ar Marino Nficiensy'IavNs mrst De and e>nM vrirerf equipnrerft is krstaged spsc�atly to serve Rhe aiddbon or is DDeeNNqq irraWleO h cordfNtction rrr'UI a0didon corahrrctlart.Cotrtpwfents sepacaBrg urtcatditiorradspaces hoe cwtd4krrrad spaces must meet the prescribed tnirfimtan Yterrgtiorf kvek.t�NOV►TIOfIS(tisiderdgd baBdkrgs ranovmtlerra rwanirq mors drur 3Ol�d the aswsse0 value d tine brrddYrp).Presaipdve requiroaeMs h Rbfes 6fr1 and 6tr2 mTwy wry b Bra rrorrgorbds and equiprrred being reravated or replaced.MAfWFACTigiED t6NriES AND ifUQ01fMS.Ory sill-bpd cwnporipdt arW faafwes are cawed by dris lore.HOLLDfMG SYSTEARS.Corrrply wherr canrpiWe wrw syriem is ueriaNed. Pietas Print CK I. Renovation,Addition,New System or Manufactured Home i. __4P 2. Single-family detached or Multiple-family attached 2• 3. If Multiple-family-No.of units covered by this submission 3 4. _ Alb 4. Conditioned floor area(sq,ft.) 5. 5. Predominant cave overhang(ft.) �- --- - 6. Glass type and area: Single Pane Double Pane a_Clear glass 6a, -�sq.fl. sq.ft. b.Tint,frim or solar screen 6b. _ _sq.fL sq.ft 7. Percentage of glass to floor area 7. _% 8. Floor type and insulation: a.Stab-on-grade(R-value) 88 R=�_ _ 17 fin.ft. b.Woad,raised(R-value) 8b. R= sq.h, c.Wood,common(R-value) Sc. R�_ _ sq.ft. d.Concrete,raised(R-value) 8d. R= s%ft. e.Concrete,common(R-value) So. R=__ _ sq.ft. 9. Wali type and Insulation: a. Exterior. 1. Masonry(insulation R-value) 9a-1 R:-0-7- _,_sq.ft. 2. Wood frame(insulation R-value) 9a-2 R �Q _sq.tt. b. Adjacent: 1. Masonry(insulation R-value) 9b-1 R=4_7 _N.ft. 2. Wood frame(insulation R-value) 9b-2 R= _sq.ft. c. Marriage Wags of Multiple Units`(Yes/No) 9e 10. Coiling type and Insulation: ,l'q�_ a.Under attic(Insulation R-value) moa R=_ _ `0!sq.fL b.Single assembly(insulation R-value) 10b. R= sq.ft. 11. Cooling system` 11. Type: _2�0_15-r . (Types:central,room unit,package terminal A.C.,gas,existing,none) SEER/EER:. V 12. Heating system* 12. Type: a�. (Types:heat pump,elec.strip,natural gas,LPs,gas h.p.,room or PTAC HSPF/C&lAFt)iG �. existing,none) 13. Air distribution system' a.Qackfiow damper or single package systems'(Yes/No) 13a. b.Ducts on marriage watts adequately sealed'(YesMo) 14. Hot water system: 14. (Types:elec.,natural gas,other,existing,none) EF: Pertains to manufactured hones with site-installed components. I hereby the and spec tions covered by ft calculation aro h m W"with Review d plans and sper:fiafiorx mored ty Gds calaAadw irrdkales atmpktarct wO ft R9orida the Fbrida Energy Code.Belvue construction a eomplw%j,oft btrifdag WB be hSpeded br ewm"no in nc accordae with Sectkn 55199.F.S. PREPARED ---__- -, Wt1E' BtptDNAC ofiCtAl:F�---�___ I hereby - cornpkarom with the FforWa Energy Code- OWNER :,- _ T DATE 5. C-**ON edorrrlaiion requested on tine top half of page 1. 6 Read-A ftmmffn Regwwnents for Smaa Addhms and Renavat*ns:T"6C-3,and check au appkcable Aeras. 7. Read,sign and dale the'OWW/AgW-certification statement on page 1 CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptna coab.us Application Number - 07-00000276 Date 3/13/07 Property Address . . . . . . 420 WHITING LN Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 -------------------------------- Application desc NEW INSTALLATION/FIXTURES - 3 ------------------------------- OwnerContractor ----- ________________ ------------------- PERSONS EASTERDAY PLUMBING INC 420 WHITING LN 6653 PWOERS AVE #241 FL 32217 ATLANTIC BEACH FL 32233-088 JACKSONVILLE 633202 ------------------- -------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . 00 Permit Fee 56 . 00 Plan Check Fee Valuation Issue Date Expiration Date . . 9/09/07 Fee summary Charged Paid Credited . 00_ ---------- ---------- Permit ---------- - . 00 Permit Fee Total 56 . 00 56 . 00 00 . 00 Plan Check Total . 00 . 00 Grand Total 56 . 00 56 . 00 . 00 . 00 1 PERMIT IS APPROVED-ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH .Vr PLUMBING PERMIT APPLICATION Date: J Property Address: Y6_90 1�j1j/ _ Owner: (� ZS CSS Telephone#• Contractor: V Telephone#: a-- Contractor Address: CO&S:� C�� � �/ Fax#: ?6)7 7 37l Q Contractor Signature: In consideration of permit given for doing the work as described in the bove 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 ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other construction is being done on this building or site, • New list the building permit number: ❑ Re-Pipe Number of Fixtures: XBath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters Sprinkler System Other *See attached sheet see For Backflow and Irrigation procedures Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00 = 800 Seminole Road •Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800• Fax: (904) 247-5845• http://www.ci.atiantic-beach.fl.us Revised 9/06 CITY OF ATLANTIC BEACH CROSS CONNECTION CONTROL BACKFLOW PREVENTER INSTALLATION REQUIREMENTS INSTALLATION: General installation instructions. 1. All devices larger than 2 inch must be installed on hard metal pipe. The metal piping must include all components up to and including the first upstream and down stream underground elbow joints. 2. Assemblies 2 inches and smaller may be installed on PVC pipe. Schedule 80 pipe must be used near trafficked areas. Support brackets and guard posts are recommended. 3. Device assemblies are to be installed a minimum of 12 inches above flood grade. Measurement is to be made from the lowest point of the device. The maximum height of a horizontally installed assembly is not to exceed 60 inches. No vaulted installations are allowed. 4. Vertical installation of DCAs is permitted on fire risers only and only if approved by USCFCCCHR. 5. All Devices are to be installed in a manner to facilitate testing. All valves must be fully operational. All test cocks must be easily accessible. 6. Freeze protection is required for Fire Suppression System Backflow Preventers and is recommended for all other Backflow Preventer installations. Such protection may not prevent the unit from operating or being tested. All Backflow Preventers must be inspected by a COJB representative prior to application of freeze protection. 7. Thermal expansion must be addressed in situations were a device application may restrict such expansion. 8. AVBs and PVBs must be installed a minimum of 12 inches above the highest outlet served.No valve may exist downstream from these devices. 9. CALL MALCOLM CLEMONS AT 247 5839 y UIJ r CITY OF ATLANTIC BEACH y 800 SEMINOLE ROAD r ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 INSPECTION EMAIL REQUEST: Building-deptna,coab.us Application Number . . . . . 07-00000253 Date 3/08/07 Property Address . . . . . . 420 WHITING LN Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------- Application desc WIRE ROOM ADDITION ---------------------------------------------- Owner Contractor - ------------------------ ----------------------- PERSON, SHOWCASE ELECTRIC LLC P.O.BOX 330244 512 CUNNINGHAM HOLLOW WAY ATLANTIC BEACH FL 32233-088 JACKSONVILLE FL 32259 (904) 568-4595 --------------------------------------------- Permit ELECTRICAL PERMIT Additional desc . . . 00 Permit Fee . . . . 105 . 00 Plan Check Fee Issue Date . . . . Valuation . . . . 0 Expiration Date . . 9/04/07 ------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ---------- Permit Fee Total 105 . 00 105 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. FROM :SHOWCASE ELECTRIC FAX NO. :904 287 8755 Mar. 08 2007 11:44AM P3 CITY OF ATLANTIC-BEACH ELECTRICAL PERMIT APPLICATION Date: �- b Property Address: a0 �n�'�-.`n� LaalL Owner: _V(' PD amin Telephone#• Contractor ��h nw �,e e�t-r;L \\c. Telephone Contractor Address: r 2 1 , -�- r--3 Fix Contractor Si ature: In coniiduacion of permit given for doing the as.described iA the above statoment,we hereby agree to perfoM.said work in accordance with the avachod plans and specificattow which axe a part hereof and m accordance with the'City of Atl'atttie Beach ordinance and standards of ce listed ttr rem. Building Building Type: ❑ Trailer Service: If other consww*m is O New ❑ Residence; ❑ Temp. a . New being dono Or 841 hig the building on this building O Old O Commercial O Signs ❑ Inereasc P�Q„ob 0 Re-wire ❑ . Addition Sy.Ft. O Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY . Existing Service 1, RACE She AMPS bet PA , W —1 'o'h— VOLT WAY Meter Number. Feeders: NO, SIZE NO SIZE NO SIZE Fighting Outlets CONCEALED OPEN Receptmici CONCEALED OPEN Switches Incandescent Fhlorescent & MV. Fixed 0.100 AMPS OVER BELL Apphmces TRANSMR, Air KRRATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR . OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH I NO. OVER 1 I1P. PHS lily R60oy OVFRbOoV Transformers NO, KVA NO. KVA No•.Neon Transl: Ea_ S!&!T Miscellaneous 800 Seminole Rend•Atlantic Beach,Florida 32233.5445 Phone: (904)2.47 800• Fax: (904)247-5845• .bttyWWww.ciatlantic-beucLfLUr Revised 1104 FPLOT PLAN Ro-yal REPLAT OF FART OF ROYAL FALMS BLOCK = , UNIT 2A PLAT BOOK �► , PAGE (S) i 16,x , 16= , 16c & 160, CURRENT RECORDS , DUVAL COUNTY, FLORIDA SCALE: I" = 20' � I01 UTILITY EASEMEI:T -) u.0 .8 80. 651 ` 10 •8 � . SWALE LINE ? i E- 9,5\ /E- I0• 5 PROPERTY F- 10 .0 F- 10.2 LINE ___ 1 61* F�-42' l0'-8"N - D-9d C, p rn CO Fltd . FL - ELEV • \ ON II . 3 N4 i E-10.0 F- 10.0 E- 10.0_ _ - — F- 10 - 2 Y I � 10 , CONC. i U - ( a DRIVE -- • (Vim w 80 - 65, _ 9.5 9 ' S SAt 1 TQRY SE ,• ER Ii, + �.8 E EV . 2 8.8 LINE OF CURB H 1 T 1 N G L A N E rs t 0F STREET 8.8 _ - 9 .0 FOR OFFICE USE ONLY Date._V.; 2----•................19 70_ CITY OF ATLANTIC BEACH Permit #....Y93.....Fee $----3-0.,-00..... Valuation $..10 000.00 FLORIDA House #.._4.2.0.....Nhit.ing...L_ane_ 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_........February 12 19.....70 --1 Owner---------`,----F. Ad@rhOld------•-------------•---••-------------------Address------.........------------......••-------------•• .....Telephone No----------------------------- -- ----- ---------• ---. Architect---------------------------------------------------------------------------------------------Address,----------------------------------------------------------Telephone No----------------------------- Contractor Builder-----_---J......F..._._AdexhOld.--------------------.--Address---14444 Beach-_Blvd Telephone No.246-0070-- Lot No._-------.3------------------------------------Block No------ .2_.___...._... --- Division--ROya1 Palms Unit 2A Zone___ReS -•--------------------------------------------- --------1�ffi1.tJM9---La-ne------- --Street---------------- ---------Side Between- -------------------------------------------------and_---------------------------------------------------Sts. Valuation $.. 10, 000.00 For what purpose will building be used---Res• Type of construction______________________________________ Dimensions of Building---___----------_____________________Dimensions of Lot---------:__._._------------------------- .Size of Footings Size of Piers------------------------------------Size of Sills----------------- --- -----Greatest Sill Span in ft---------------------------Type Roof...................................... How will Building be Heated?----__._.______-_-.----------------------____._._...__..Will Building be on Solid or Filled Ground?_._.___--__-___•-_._._--.-_---_-_--_ Size of Ceiling Joists------------------------------------------- Distance on Centers.-. ---- - ------------------_-_---.--, Greatest Span-------------------------.------------------ to Size of Floor Joists---------------------------------•----------, Distance on Centers - ---------------------, Greatest Span............................................ p Size of Rafters.-- ----------- - -- --- -- ------- , Distance on Centers - - ----------------- Greatest Span-------------•--------------------•-------- It This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. W W 2. When steel is in place and ready to pour columns and/or lintel. a a 3. When steel is in place and ready to pour beam. 4. When framing is completed. p p 5. When rough plumbing is completed,and ready to cover up. ] .] 6. When septic tank drain field or sewer is laid but before it is covered. q q 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 f Atlantic Bea,c J-7 G[ 4` . Signature of Builder--- .. ... ... ..... Address--------------------___---------- ----------- ---------------- - -- ..... .._ Signatureof Owner. ............................................................................. Address----------------------------------------------.. -......-- . _-------------------- --- CITY OF S VV' Office of Building Official /REQUEST FOR INSPECTION Date _` — Permit No. v X�%Y `^^/� -- Time Received P. Locality oca � Job Address y Owner's Name _ Contractor _ BUILDING CONCRETE ELE I PLUMBI MECHANICAL Framing Footing - Rough Wiring Rough E, Air Cond. & Re Roofing Slab Temp Pole n Top Out r Heating Insulation ❑ Lintel - Final Sewer Fire Place Pre Fab READY FOR INSPECTION A:M Mon. Tues. Wed. Thurs. Friday — A.M. Inspection Made _ — P.M. Final Inspection Insp for _ C Certificate of Occupancy i= �/�� Date _ ATE : / '7 - v r - .EnVICE DIVISION JACK-SONVILLE: ELECTRIC AUTHORITY WE-6T DUVAL STREET JA�:K:�IONVILLE, FLORIDA 32202 THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE z,A1iSFACTOkY : -Y _/ _ - -- _--'---- - ----^ -- -- --------------------- - ���_ - --------------' , ------------- -------- ------------------------------------------------- Enclosed are the blue copies of the permits. Si RELY, BUILDING INSPECTION DIVISLON cc : F1LE CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL. PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 { IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS, WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF ATLANTIC BEACH ORDINANCES. G C G Aa6 ELECTRICAL FIRM: MASTER ' CTRICIAN SIGNATUBf JOURNEYMAN NAM /1// ADDRESS: "7� - bLff� lNC .0 i�� RFD BOX BLDG.SIZE BETWEEN: RES. ( '� ' APT. ( ) COMM. ( 1 PUBLIC ( ) INDUS. ( ) NEW ( ! OLD (--K REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( 1 SQ. FT. SERVICE: NEW( 1 INCREASE REPAIR ( ) FEE CONDUCTOR SIZE AMPS . C) COPPER ( ) ALUM. .4-- SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE zao AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER 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. I KVA NO. IKVA N0.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN _T FORWARDED $ TOTAL FEES PSR-3844 8509 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ ------- LOCATION INFORMATION "' tet Number : 8509 Address : 420 WHITING LANE Fee a'J t Tpe* MECH NIC, :- ATLANTIS. BEA?H , FL-'e',RIDA 322,3 ti ;j ----- LEGAL DESCRIPTION ---------... _�_ W�.:�r�: ALTERATION ---- �or t9" . TV^ W'?^?' F"BANE Lnt , Block'. Section: -)Osad r3S e , STN+"=LE FAMILY Township- RNG: 0 Lwel linas : I C,od e LUU division: Estimated Value : RMATION - APPLICATION FEES - PERMIT 837 . 0( u1I I' Iti t.APSF WA'rOP4,-.T FEE O nr Ad s . t �MFSE t T' c tai H Fpit- ' MATER METER/TAP RADON {?AS -H .R. S . 80 . _-- -- C614TR TOR -INFORMATION - - RADON CAB 5% �dat re 1;xc. k:, ,,4 HEATIAi.G -APITAL IMPROVE . Itzo .00 Address 20i. EACH BOULEVARD SEWER TAP 'AC S{ NVILL'E BEACH . FL 3L.. CROS C'�NNECT I�'N Ty .:. SEC H IMPACT FEE y So :nn SCHAP. 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." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. (*0000000 000000000 $37.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 6i21/94 01 Rcpt: 0062300 s CHECKS 1137 By: BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 9229$ APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. LOCATION Street Address: OF Intersecting Streets: Between s And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards of good practice listed therein. Nance of Mechanical Contractors 6G`�L �� Contractor (Print) / lu t'71 Matter Cc7 Name of Property Owner Signature of Owner Signature of or AYAorized Agent Architect or Engineer 111. GENERAL INFORMATION A. Type of heating fuel: B- IS OTHER CONSTRUCTION BEING DONE ON � i ❑ Electric THIS BUILDING OR SITE ❑ Gas—❑ LP ❑ Natural 1pr Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ 0i1 PERMIT ❑ CHher — Specify IV. NRCHANICAL EQUIPMENT TO SE INSTALLED NATURE OF WORK (Rov;de complete list of components on beck of Ais form) ❑ Residential or ❑ Commercial Q Heat ❑ Spec* ❑ Recessed ® Centro) O %W ❑ New Building Ea Air Condrtiorsinq: ❑ Room (] Central 0 Existing Building ❑ Duct System: Material Thickn«c O Replacement of existing system ❑ New installation(No system previously installed) Maximum Capacity Extension or add-on to existing system ❑ Refrigeration ❑ Other — Specify ❑ Cooling tower: Capacity 9-pi". ❑ Pira sprinklers: Number of heed ❑ Elevator ❑ Monlift ❑ Escalator (number) THIS SPACE FOR OFHCE USE ONLY ❑ Gasohno pumps - (number) (R +) ❑ Tanks_ (number) Remarks — ❑ LPG conte;-ors (number) Unfired preswre vessel C) Permit Approved by as" ❑ 5040" ❑ Permit fee Other — Specify LIST ALL EQUIPMENT AIA CONDITIONING AND REFRIGERATION EQUIPMENT Number Units Description Model Number ManutaetnrW (TOM)r f I HEATING - FURNACES, BOILERS, FIREPLACES Number Units Da UVUOU Iitt11111111161 Numba —)r TANKS _ Sw Mang Nal l CSpaMty Type Name ct NoSer. AP o"�6 acid Dhnsoslons C7ontained Manufacturw No. y