427 Whiting Ln (vault)) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
OFJDA 32233
ATLANTIC BEACONS
INSPECTION PH L 247-5826
DIM`'
03-00025661 Date 3/13/03
Application Number - 427 WHITING LN
Property Address REMOVE/INSTALL ROOFING
Tenant nbr, name ROOF
Application description TO BE UPDATED
Property Zoning . . . • • . 4300
Application valuation .
Contractor
Owner _ ---
------------------
JOHNSON, JANICE HOUSTON BROS . ROOFING IN .
427 WHITING LANE 12135 W. BEAVER ST.
FL 32JACKSONVILLE FL 32220
233
ATLANTIC BEACH (904) 781-5959
____ ----------
Permit . . . . . . ROOF PERMIT
Additional desc Plan Check Fee . 00
Permit Fee 83 . 00 4300
Valuation
Issue Date
Charged Paid--- Credited
Fee summary -----ue--
------- . 00
- ------------- 83 . 00 83 . 00 . 00
. 00
Permit Fee Total 00 00 . 00
Plan Check Total 83 . 00 . 00 . 00
Grand Total 83 . 00
LIC SPACE,AND
BE CLEARED
BUILDING MATERIAL,R BY EI-RDCDEBRIS FROM THIS WORKONTRACTOR OR OWNER. -FAILURE TO COMPUST NOT BE LY WITIN HT HE CONSTRUCT ON LIEN LAW CAN
UP AND HAULED AWAY
RESULT IN THE PROPERTY OWNER PAYING IO APPROVEDRDING TO PLAN
WHICH ARE PART OFTHPED SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF W
RI Iti.WING OFFICIAL
. CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET
Address AZA-- W k 1'T l A.L9 �- 4kC
Date 3 •
Heated Square Footage@ $ er sq ft ..= $
Garage/Shed @ per .sq ft = $
�
Carport/Parch _�
@ $ per sq ft =
. $
Deck KTr7 per sq ft = $
.Patio @ $ per sq ft = $
TOTAL VALUATION: S
A 3 $ 3 o v
.Total Valu ton
X300 _
Remaining Value . $,S'.V per thousand
or portion thereof
TOTAL BUILDING FEE $
+ 1/2 Filing Fee $ _
( ) Fireplaces . @, $15. 00 $ .
o�
BUILDING PERMIT FEE $ _
WATER IMPACT FEE $
SEWER IMPACT FEE $
WATER METER/TAP $
CAPITAL .IMPROVEMENT. $
SEWER TAP $
( ) RADON (HRS) . 0050: $
SECTION H PAVING ( ) $
HYDRAULIC SHARES $
CROSS CONNECTION $
( ) SURCHARGE .0050 $
OTHER $
GRAND .TOTAL DUE $ �`
ADDITIONAL PERMITS OR FEES : ,Mechanical Plumbing
Electric/New Electric/Temp ; Swimmingpool
Septic Tank Well Sign Finish Floor Elevation
Survey Other
CALCULATIONS and/or NOTES :
rs • 'l
T
City of Atlantic Seaeb•800 Seminole Road•Atlantic Beach,Florida 32233-5445
Phone:(904)247-5800•FAX(904)247-5805 +http://wwwtci.atlsntic-beach.fl.us
PERMIT APPLICATION FOR ROOFING
JOB LOCATION L
lie
OWNER OF PROPERTY_C 1 t3�,11��'� �d �1�a PHONE#;Q f(D – f K
CONTRACTOR "0kQ0 7QO
CONTRACTOR ADDRESS
PIZ Q
A S�
CONTRACTORS LICENSE N0. _Q� �� 1�pHONE# �!R 7-��-9
LL
C
SCOPE OF WORK v
DECK SLOPE� GREATER THAN 2 : 12 LESS THAN 2 : 12 ACTUAL
� 0
VALUATION OF WORK $
PRODUCT NAME&I
TO BE USED � �k_—4 s R, ASTM DESIGNATION(S)���� !b
(( __ I[_
REQUIRED INSPECTtNS SHEATHINGFINAL
LIBILITY INSURANC POLICY SUPPLIED YES NO
WORKERS COMP.PO ICY SUPPLIED YES NO
CONTRACTOR LICEN E SUPPLIED YES NO
OCCUPATIONAL LIC S SUPPLIER YES NO
f
SIONATURE OF O R
SIGNATURE OF CONT A ,, +nw
SWORN TO&SUBS E " t ' '-DAY OF 0Dj& j` } 200v
:co a►
Expires AuB. 28,2003
$O Bonded Thru
N•w ��� AtksnticB Ca1nc.
AS TO > 0 c 62003 VARY PUBLIC
. E&Qu�
stores
NOTARY PUBLIC
AS TO CONTRACTOR 1,
REFF
CTT EILA NN
VED
CITILDANG &ZONiNGCH
MAR 10
2003
BY:
Ity of Atlantic Beach• 800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800•FAX(904)247-5805 a http://www/ci.atiantic-beach.tl.us
PERMIT"PLICATION'
*FI NG
JOB LOCATION ` L — n
6 00—or
OWNER OF PROPERTY Y n i� f' � �1 Sorb NE
CONTRACTOR
civ
CONTRACTOR ADDRESS
Z - ----
i
CONTRACTORS L SE NO. PHONE
SCOPE OF WORK OVA
DECK SLOPE `� GREATER T 2 : I2 LES/TAN 2 : 12 ACTUAL
4
VALUATION OF WORK $ D
PRODUCT NAME& MATERIAL
TO BE USED S CVYE
STM DESIGNATION(S)_ P
REQUIRED INSPECTIONS _ FINA-
LIBILITY INSURANCE POLICY SUPPLIEDNO
WORKERS COMP.POLICY SUPPLIED NO
CONTRACTOR LICENSE SUPPLIED / YES NO
OCCUPATIONAL LICENSE SUPPLIED / YES NO
G
SIGNATURE OF OWNER
SIGNATURE OF CONTRA TO
NN
SWORN, d � PSCRIBED BEFORE ME THIS 1O DAY OF rhi9f1,i`� 2003
S•,�G�gti `ro•
, oma Rebecca J. Houston
:Commission#CC 8J3869 NOTARY
........... •_ pir
Expires Aug. 28,2003
Bonded T6ru
+Tf '.E'' r�,4 ,•� ••+'�`Atlentic$online Ce.,Inc.
't? TO CONTRACTOR NOTARY PUBLIC
' 5 MIN. RETURN
PHONE #
Book 10961 F A`i ` 1202
rLi 1977 LAWS .
FS 713.13 RAMCO FORM 409
NoV�� of C
(Prepare in Duplicate).
To wtiom if may concern:
The undersigned hereby informs all concerned that improvements will be made to certain real property,
and in accordance with section 713.13 of the Florida Statutes,the following information is stated in this NOTICE
OF COMMENCEMENT,
Description of property -).:R . . . .Y. . . .1`1"11f1 �-�Y� 'e-
. . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . I . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . I . . . . I
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
General description of improvements . 0 79 i -00-,R Y �
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . . . . . . . . . . . . .
Owner .
Address tl.o��. .�l�l.�� .t1n . . - Yi' : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . : :
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Owner's interest in site of the 111 rovement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Fee Simple Title holder(if other than owner)
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . ... . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d Contractor . . . . . . . . . . . . . . . . . .`2 . . . . , c U. . . . . . . . .
. ,4 . . . . .
o Address .( .�.3 j'. .-. .45.'C MC)2... .S+" . . . . . . . . . . . . . . . . . . . . . . . . . . .y .
Surety(if any) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amount of Bond 5. . . . . . . . . . . . . . . . . . .
Any person making a loan for the construction improvements: '
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address
Person within the State of Florida designated by owner upon whom notices or other documents may be served:
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided
in Section 713.13 (1)(h), Florida Statues. (Fill in at Owner's option).
Name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
This space for recorder's use only
t
Owner . . . . . . . . . . . . . . . .
Y ,,
a,� Rebecca J.
�E,.Cs7ruti;salsn� R►b*tb and subscribed before me this . . . . day of
• as�a6g
/ res
Au b• ZS,2003 .� �J. L C�
rt . . . . . . . . . . . . . . 200S . .
Atl�ntie Bond �ru . . . .Son*
�5 :75."k
Notary Public
Doc# 2003073781
Book: 10961
Page: 1202
Filed 8 Recorded
03/10/2003 03:04:08 PM
JIM FULLER
CLERK CIRCUIT COURT
DUVAL COUNTY
RECORDING $ 5.00
TRUST FUND f 1.00
COPY FEE # 1.00
CERTIFY $ 1.00
03/12/2003 11:39 FA.Y 9736283856 TECH SERVICES 1@001/001
L1
Eym For Rooft IsSalhe ne9"
APPRCV�D
CITYOF RUILD NG OFFICE
ACH
2 March 2003 MAR 3 2003
Houston Brothers t
Jacksonville, FL
Fax_904-781-6064
Subject:Certification and Compliance
To Whom It May Concern.
It is our understanding that you were inquiring if U.S. Intec specification BF190-2B-N would be eligible for a
10-year NDL Guarantee. This is to confirm that the above referenced system is eligible to receive a U.S. Intec
10-year NDL Guarantee,providing that it is installed by a U-S_ Intec Platinum Roofing Contractor in
accordance with all current U.S. Intec application and specification requirements.
The products listed below are manufactured to be in accordance with the following specifications:
PlannttCT SPECIFICATIONS
WorkHorseTm Ultra Base Sheet UL Type G2 BUR
ASTM D4601.Type I/11
FM Approved
Brai SupremeTM SBS Poly Granule FM Approved
UL Approved for Class A, B or C Roofs
SBCCI Listed
ASTM 05147
ASTM D6164,Type 1.Grade G
ASTM D6221,Type 1
Matrix**" System Pro SBS Adhesive 101 ASTM D3019,Type III
Matrtx"' System Pro SBS Cement 201 ASTM 03409
ASTM 04586
Drill-TecTM Fasteners FM Approved
This is to certify that the above referenced products are all chemically and physically compatible when
Installed in accordance with US Intec application and specification requirements_
Sincerely,
Chrisba mith
Senior Technical Servwe Representative
U.S. Intec, Division of Building Materials Corporation of America
1361 Alps Road•Wayne, New Jersey 07470-3689
e� - APP Granule 7�p
Technical Data Sheet
1h*Supreme-APP Granule,APP Modified Bitumen Roof Membrane (Formerly In1eCGBSP-4)
DESCRIPTION: Brai Supreme-APP Granule is a durable, modified bitumen roof membrane designed
and manufactured to meet the toughest industry and code requirements. Brai Supreme-APP Granule is
designed for use as a cap membrane in modified bitumen and built-up roof systems. Brai Supreme-
APP Granule is manufactured with a strong, yet accommodating non-woven polyester mat which is satu-
rated and coated with Atactic Polypropylene (APP) modified asphalt and is surfaced with mineral gran-
ules. Technical and Sales information can be obtained through the U.S. Intec Technical Services Hotline,
(800) 624-6832.
APPLICATION: Brai Supreme-APP Granule is applied using heat welding techniques.
APPROVALS: U.S. Intec products are listed or approved by the following agencies or code bodies:
Underwriters Laboratories (UL), and cUL(Canada); Factory Mutual (FM); Inti Council Bldg. Officials
(ICBG); Southern Bldg. Code Congress Int'l (SBCCI); Miami Dade, FL. Contact U.S. Intec for applicable
codes, government and insurance approvals.
PRODUCT DATA: Brai Supreme-APP Granule (typical)
Weight . . . . . . . . . . . . 105 lb/roll (48 kg/roll)
Roll Dimensions . . . . . 393/e"x 327 (1 m x 10 m)
Thickness . . . . . . . . . . 4.3 mm (170 mils) .
ASTM Designation . . . D6 2, Type I, Grade G
PROPERTY (ASTM D 5147) TEST METHOD TES RES TS
Tensile Stren , 0°F, (MD/XD) ASTM D 5 7 100 Ibf/in (17.5 kN/m)
EkxWtion (Max. ad),0°F, (MD D) ASTM 14 60%
Tear Strength, (MD/ T D 514 115 lbf(511 N)
Low Temperature Flexibi M D 514 15°F (-9.4°
dlt , TM D 5147 <0.5%
qty A 514 250° 121°C)
AS g
�r
an available indepe nd in-house res ces. U.S. Inter reserves the right to
recxetion, anprior notice, a f the information, requirements, s
ecifi-
iI n this document.
1361 Alos Road
WaVne, NJ 07470
Technical Rotline (8=) 624-6832
intemet: www.usintec.com - email address: supportOusintec.com
Data Sheets 6
OLA.S�
VA
(2) PLY APP TORCH SYSTEM
IM LlE DECK Formerly B-Smwe-N)
LABi
GENERAL
w«kl+orse --� 4" End Safety:Refer to Section 1.06.
e,.�.bl.Deck Ultra Bass Sh"
DO NOT BEGIN INSTALLATION
sh"""9 Paper UNTIL THIS INFORMATION IS READ,
(d �p ��~ UNDERSTOOD AND IMPLEMENTED.
2"� APP Membrane-
Torch Applied
Al2'
MATERIALS
. ............ .......... Material Requirements per 100 sq.ft.:
Base Sheet . . . . . . .1 ply
a-End Lap Membrane . . . . . . . .1 ply
�� Surfacing (if applicable)
glared
78"Apert(min. Surtacing
(H applicable)
10.12 YEAR LIMBED GUARANTEE SPECIFICATIONS
BASS SHEET CAP SHEET SURFACING
LCSP•2B-N ULTRA BASE SHEET APP SMOOTH COATING
GB-2B-N ULTRA BASE SHEET APP GRANULE
GBFR-213-N ULTRA BASE SHEET APP GRANULE FR
S c.,(.,A
4
APP Torch Applied Systems 234
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s) :
Address : W NI7IN C Phone : a L4 I
Lot # Block or Unit # Subdivision:
Contractor :
Address : Phone No:
Describe work to be done: O�d� `� �U COI�CiCE)
Present use of building:
Valuation of Proposed Construction: l oo c)
Proposed use : 5 h-f ep S �-{ f Po
Is this an addition? If yes , what are the dimensions of
the added space: ft . X ft . Will the added area
be heated and cooled? C� New electrical (or increase)?
New plumbing fixtures? W New fireplace? 00 New Heat/AC? 06
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN , SURVEY ,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTOR
AFFIDAVIT , IF OWNER IS CONTRACTOR.
Signature OWNER: 5- Date:
Signature CONTRACTOR: Date :
G
P�RPN��c,gFF�CE gATT
�
e Lo
21994
Building and Zoning
�,`�
t M,
jM-
1
.�. # u
I�T�T��ry.� -��Y i +x i Tom.• t} _..... _
I r-
'
- y
r
I !J
SO— 0
gj tj T-P,
Ti
STA 1s 5
121994
Building and Zoning
CITY OF
AserzcA � {.
Office of Building Official 4.
r
REQUEST FOR INSPECTION
Date
Time /� Permit No.
Received `
Job A ress
Owner's Loc '
Name
BUILDINGContrac4.r
CONCRE `ELECTRICAL
Framing ❑ FootingG RLUMBING - MECHANICAL
Re Roofing E7Slabough ❑ I
Insulation ❑ Lintel ❑ Temp Pole ❑ Top Out Air Cond.& ❑
❑ Final ❑ Heating
�-� Sewer ❑ Fire Place ❑
6EAkn F R INSPE ON Pre Fab
Mon. Tues. ���
Wed. Thurs.
i Friday PM
Inspection Made Q �Q A.M.
Inspector --1--PM.
Final In
spection•2"
Certificate of efccipancy
Date
t
E
DATE: � —
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE
SATISFACTORY:
JJC5 I _A 8, _ ,— ---- ------ _-----
--- - ------ - --- ----------------
--------------------------------------
-------------------------------------
-------------------------------------
Enclosed are the blue copies of the permits.
RELY,
BUILDING INSPECTIO IVISION
cc : FILE
PSR-3844 8 829)6
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
Permit Number : P896 "sddress * 42-' WHITING LANE
Permit Type: PLUMBING ATLANTIC BEACH . FLORIDA
Aass of Work : REPAIR ----------- LEGAL DESCRIPTION -----
-
Constr . Type : WOOD FRAME Lot , Block : Section:
Proposed Use : SINGLE FAMILY Township: RNG: 0
Dwellinas '. 1, Code: 0 Subdivision: ROYAL PALMS
Estimated Value -. 8)0, 0
_
Improv . east : solo(-,
Total Fees : S46 . 5C�
Amount *#id, $4,c, . 5E'
Pat- 8 9 4
APPLICAT TON FEES
WNEP I-N- FORMATION PERMIT 846 . 50
WATER IMPACT FEE
WH I T I LANE
F,
ATL,"T T-et, BEACH F LDf S _WER IMPACT FEE
A 1 48 W 41� 11_�Rv14Z M-/TAP
S.
-
----- CON't RACTO.R_.-I NFORMAT ION RADON CAB 5%
Name . �R R I YTEA VE AND SOD i CAPITAL IMPROVE.
-PEST
v BO U L EVA I' SEWER TAP
.,'"LLE . FL 3224; CROSS C-ONNECTION
SE':, H IMPACT FEE
"''NST. SURCHARGE
SCHARGE/ATT Feu
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.19
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING,DEPART
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION:_?_
�
OWNER OF PROPERTY: ___- �, �'T --------------------
BUILDING CONTRACTOR:
--------------------------------------------
PLUMBING CONTRACTOR LARRY TEAGUE & SONS
AND ADDRESS: /
---------------
TELEPHONE NUMBER: _ z-_/_ gam}__- ________________________ _
STATE LICENSE NO: CFCO203,65
TYPE OF BUILDING:
--------------------------------------------
______1__--_SINKS SHOWERS
_--__--�?-____LAVATORY ______,,_____WATER HEATERS
1 ____BATH TUBS _____________DISHWASHERS
URINALS DISPOSALS
_--__� ___CLOSETS ...... _____WASHING MACHINE
FLOOR DRAINS SHOWER PANS
OTHER
TOTAL FIXTURE ` 3UNT:---------- x 93. 50 + $15. 00 = S
INSTALLATION OF PLUMBING AND FIXTURES M BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904 ) 247-5826
CITY OF ATLANTIC BEACH, FLORIDA
CApproved 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.
/ -- •
0-
ELECTRICAL FIRM: STER EL TRICIAN SIGNATURE JOURNEYMAN
NAME ADDRESS: ZCO— - RFD BOX
BLDG.SIZE BETWEEN:
RES. ( ) APT. ( ) comm.( ) PUBLIC 1 1 INDUS. ( 1 NEW ( ! OLD ( ► REW. ( )
ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SQ. FT.
SERVICE: NEW( ) INCREASE ( 1 REPAIR 4 FEE _
CONDUCTOR SIZE AMPS COPPER f ALUM.
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN I TOTAL
RECEPTACLES CONCEALED OPEN I 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. I 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 SIZES WITCH FLASHER
EACH SIGN
FORWARDED
S
TOTAL FEES
6842
PSR-3844
DEPARTMENT OF BUILDING
t CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
Permit Number' 68421 -"address , 427. WHITIN,3 LANE
Permit Type: MECHANICAL, ATLANTIC BEACH , FLORIDA 3221'
'.'lass of Work : ALTERATION ---------- LEGAL DESCRIPTION ---------
Constr. Type: WOOD FRAME !,ot , Block : Section:
Proposed Use : SINGLE FAMILV Township : RNG, 0
r�-q e 1.1 i ngs : 1 Code: 0 subdivision:
Estimated Value : $0 .00
Improv . Cost : $0 . 00
Total Fees : $37 , 00
Arrkous $37 .00
AND-
OWNER INFORMATION --- APPLICATION FEES -----
Name: 30-HN SON PERMIT
.427 wHITINM3 LANE WATER IMPACT FEE so .
BEACH , FLORIDR sEWO JMPACT FEE to . ou,
WATEV
RADON GAS-H.R . S . $0 ,00
------- CONTRACTOR INFORMATION RADON GAS - 5% ell0 - 00
Name - nhNOVAN HEATING AND- AIR WATER TAP SO .00
Add-v es I UT
IXTH AVENUE SOH SEWER TRP
$0 . 00 s I
J AX EEA-"H , FLORIDA 32250 HYDRAULIC SHARE
License: CAc'Q 3 9 7 15 1 Type: CAPITAL IMPROVE . -$0-
SEC -H IMPACT FEE
'THEA
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
C 55
THE0 BUILDING IMPROVEMENTS.
HE PROPERTY OWNER PAYING TWICE FOR B
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB#WT TO REVTPAI� M
, ) R
VIOLATION OF APPLICABLE PROVISIONS OF LAW. TENDERED $37.00
PIANGE
RECEIPT NIR: 089168
ATLANTIC BEACH BUILDING DEPARTMENT
By: i art
a • t
BL.,LDiNG AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CAIL•IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
LOCATION Address;!•
OF Intersecting Streets: Between_
BUILDING
Sub-division
II. IDENTIFICATION — To be completed by all applicants
rk in
accordance
In consideration of permit given for doing the ein
work a
rkas ascribart ed in the
and abcavecstatement
w the hereby
ty oagree
to pnvfllemordinan�es and sta dards
with the ettaclted Plans and specifications
of good practice listed therein. \
i Contractors
Name of Mechanical Master
Contractor (Print) .
Name of
Property Owner Q
Signature of , \
Signature of Owner Architect or Engineer (�
or Authorized Agent
III. GENERAL INFORMATION
E3.
A. Type of heating fuel: IS OTHER CONSTRUCTION BEING 0 ON
THIS BUILDING OR SITE?
`® Electric
�❑\Gas_❑ LP ❑ Natural ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
PERMIT
Q Oil
❑ Other — Specify
NATURE OF WORK
IV MICHANWAL EQUIPMENT TO RE INSTALLED
Residential or El Commercial
(Provide complete list of components on back of this form) ❑ New Building
Heat ❑ Space ❑ Recessed _16--'Central O Flow
Existing Building
Air Conditioning: ❑ RoomCentnl
Replacement of existing system
❑ Thick-"
h k previously installed)
Duct System: Material El New installation(No system p Y
c.f.m.
Maximum capacity ❑ Extension or add-on to existing system
Q Refrigeration ❑ Other — Specify
❑ Cooling tower: Capacity g.p.m.
❑ Fire sprinklers: Number of Med
Escalator (number) THIS SPACE FOR OFFICE USE ONLY
13 Elevator ❑ Manlift [3 (Received)
❑ Gasoline pum (number)
[3 Tanks
(number) Remarks
❑ LPG contein irs (number)
❑ Unfired pressure vessel Permit Approved by Date
Q Boilers Permit Fee
❑ Other — Specify
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUICapacity App>�
EQUIPMENT Capacity
Number Unites Description Model Number Manufacturer (TOM)I le cy
—�
I�ATINr . FURNACES, BOILERS, FIREPLACES Capacity APP>O'� r L 4"1
blumber Units Description
Model Number Manufacturer (BTU) Ai�7
TANKS Name of Approving
1<1vw Many � Type Contained Manutactum No.
� r
CITY OF ATLANTIC BEACH, FLORIDA
AGCrOvW oY APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE; 19'_Z?
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.
'2_
Xl
ELECTRICAL FIRM: MASTER E TRICIAN SfGNATURE ±L`l
NAME — ADDRESS: Ll 2 RFD BOX _
BLDG.SIZE BETWEEN: ------
RES, (-'} APT.( ) COMM.( ) PUBLIC ( ) INDUS. ( 1 NEW( ! OLD ( ) REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( 1 - SQ. FT.
SERVICE: NEW ( 1 INCREASE C>4REPAIR ( ) FEE y _
CONDUCTOR SIZE AMPS COPPER ALUM. CAP
SWITCH OR BREAKERoV AMPS PH _ W -� VOLT S, u RACEWAY
s
EXIST.SERV.SIZE IC>D AMPS PHJ W �/z-P-)VOLT S� `RACEWAY L r �—
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALEDH31-100
EN TOTAL
0.90 AMPS. AMPS.
SWITCHES
--- --" -
INCANDESCENT
FLUORESCENT&M.V. --- --- -- --
FIXED 0•100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR N.P. RATING N.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
J
0 1 OVER _
MOTORS H.P. I VOLTAGE FNS NO. 1 N.P. VOLTAGE PNS _
MISCELLANEOUS -
RANSFORMERS: UNDER 600 V. OVER 600 V. —
NO. KVA NO. KVA —
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
:ACH SIGNJ
FORWARDED
` TOTALFEES
II
FOR OFFICE USE ONLY
A . .........196--Z—
Date.-I &P-1-13
Permit #.7-'Y-2-r-Fee
CITY OF ATLANTIC BEACH Valuation $-----Ti+ 70.0--`-........................
FLORIDA fi House #---
...................----------------------------------------------------
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. een issued a Building Permit is automatically responsible to ascertain that all sub-
The Contractor or Owner-Builder who has b
duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
contractors engaged by him are d ted that a list of sub-contractors be submitted to this office so that licenses can
ing intermediate or final inspections it is sugges
be verified.
Date------- --------- -------------------------------------- 19-'---
-----Address--- Telephone No-----------------------------
Owner-----RJO.1----—---14-'4--t�--------- ----------------------Address------------------------------------------------------------Telephone No-------_-------------------
Architect------------------------------------------------------------------------
=-r---------Address-14-01. -1 M RYLL)ftE--- I.Telephone No..-----------
Contractor Builder----
/.A AL -57 ---Zone-----------------
......._.V - -------------
0 . .........
Lot No---------------- -------------------------Block No.---------- ---------------Sub Division ..... Ste
------------------------------------------------------
Between-----------------------------------------------------and
----Street----
Valuation
---Street-----
sed----------- ---------Type of construction-
Valuation $--_-I ..... ----- --- woo L
........For what purpose will building be u -M
- - I. A -A - 2i Q Q—'�- ._. --Size of Footings] ....tl----
Dimensions of Lot-----ir.0........ .......... ------
Dimensions of Building_4-- ------- ---
Size of Piers-----------------------------------Size of Sills--------------------------------Greatest Sill Span in ft---------------------------Type Roof
I
F ------Will Building be on Solid or Filled Ground?.... -------------
._VX
How will Building be Heated?-------C7tA57-
Size of Ceiling Joists---- -----------------, Distance on Centers---.---_--..---_- I------------------ Greatest Span--------------- ----------------------
Size of Floor joists Distance Centers.......... -------------------------------- Greatest Span------------------------ ---------------
Ditan e on
Size of Rafters----- - ----------------- ------------ Distance on Centers........... ........................., Greatest Span- --------]--------•--------------------
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. Z
2. When steel is in place and ready to pour columns and/or lintel. Z a
3. When steel is in place and ready to pour beam. E-4 E-4
4. When framing is completed. 3
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. A
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after CX
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 perfo,
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with t
regulations of the City of Atlantio Beach. e Xwit h t
4- Address-----------------------------------------------_----------------------
Signature of Builder_----- ...............
Signatureof Owner---- ---------------------------------------------------------------------------- Address.----------------------------------------,..........................