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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.----------------------------------------,..........................