491 Whiting Ln (vault) PSR-38,14 3448
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
----- PERMIT INFORMATION ------ ------- LOCATION INFORMATION -------- -
Permit Number : 9448 Address : 491 WHITING LANE
Permit Type * BUILDING ATLANTIC BEACH . FLORIDA 3223:
;'lass of Work: ALTERATION ---------- LEGAL DESCRIPTION ------ --
Constr . Type : WOOD FRAME Lot : Block: Section:
Proposed Use: SIN--JLE FAMILY Township : RNG: 0
Di4ellings : I C'ode , A Subdivision: ROYAL PALMS
Estimated Value: $5000 - 00
Improv . Cost :
Total Pe-F * 525 .00
Amount $25 .00
-!WNER I-NFORMATION APPLICATION FEES -----
DA Z "W . SAPP PERMIT $25 . 00
LANE
WATER IMPACT FEE 50 . ,1,1
TtC B CH . FLOP.Tr SEWER IMPACT FEE SO . "
f
WATER METER/TAP $0 .00
RADON GAS-H .R . S . $0 . 00
_0NTFJkCTCR INFORMATION RADON CAB 5% $0 . 00
EF rY "WNER CAPITAL IMPROVE. 50 .00
SEWER TAP 80 .00
CROSS CONNECTION $0 .001
SEC H IMPACT FEE 80 . 00
CONST . SURCHARGE $0 , 0)
SCHARXGE/ATL. BCH .
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.
ATLANTIC BEACH BUILDING DEPARTMENT 000000000 000000000 1:65.0 14
Date: 12/12/94 01 Rcpt: 0017601
CHECKS 679
By:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
f
owner(s) : 23 J41V,(Ll
Address Phone:
Lot # Block or Unit # Subdivision:
Contractor:__ llit/.� /
State License #
Address : Phone No:
Describe work to be done: I �
(
r
Present use of building:_
Valuation of Proposed Construction:
Proposed use:
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? New electrical (or increase)?
New plumbing fixtures? New fireplace? New Heat/AC?
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. Date:
Signature CONTRACTOR: Date:
License Supplied:
Liability Insurance:
Worker ' s Compensation Insurance:
CITY OF ����,,,,��,,//��..
Office of Building Official
REQUEST FOR INSPECTION 5`
Permit No.
Date 1 A.M.
Time P.M.
Received
Locality
Job Address
O Contractor — MECHANICAL
ame PLUMBING ❑ Air Cond. & ❑
CONCRETE ELECTRICAL Rough
BUILDING ❑ Rough Wiring ❑ ❑ Heating ❑
❑ Top Out Fire Place
❑ Footing ❑ Temp Pole ❑ Sewer ❑
f ramin ❑ $lab ❑ Final Pre Fab
Re oofing ❑ Lintel
Insulation READY FOR INSPECTION
Thurs. Friday
Wed.
Tues. A.M.
Mon. .�v'1'o P.M.
Final Inspection ❑
InspectionMade ancy ❑
Certificate of Occup
Inspector
1L(Ul\/�` V n—' ^ .Vl ^� Date
( 1
CITY OF ATLANTIC BEACH
SJ 800 SEMINOLE ROAD
r� ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
��Jrilc}'rte
Application Number . . . . . 02-00025198 Date 11/19/02
Property Address . . . . . . 491 WHITING LN
Tenant nbr, name . . . . . . RE-ROOF
Application description . . . ROOF
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 1500
Owner Contractor
------------------------ ------------------------
LAMBERT, CATHY. SHORE ROOFING
491 WHITING LANE 914 7TH AVENUE SOUTH
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
(904) 241-8842
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . . ROOFING STARTED W/OUT PERMIT
Permit Fee . . . . 136 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 1500
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 136 . 00 136 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 136 . 00 136 . 00 . 00 . 00
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 CONSTRUCTION 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.
BUILDING`OFFICIAL
'\S �T r CITY OF ATLANTIC BEACH
r J�, 800 SEMINOLE ROAD
J� ATLANTIC BEACH,FLORIDA 32233-5445
r ss1 TELEPHONE:(904)247-5800
FAX:(904)247-5805
SUNCOM: 852-5800
http://ci.atiantic-beach.fl.us
\e
PLAN REVIEW COMMENTS
Permit Application # a J~C
Applicant: 5 /ore Poo
Address: -,�9/ A)h z f7k,a
Project: R a -r-004C
o Your application is approved
o Your permit application has been reviewed and the following items need
attention:
►b
Please re-submit your application when these items have been completed.
Reviewed by r ,t;1" _ G/
Signed Date
Contractor Notified Date
T--
NOV 1 8 2002
r' 4
Flit. BY:
City of Atlantic Beach• 800 Seminole Road •Atlantic Beach, Florida 32233-5445
Phone: (904)247-5800 •FAX(904)247-5805 •http://www/ci.atiantic-beach.fl.us
PENT APPLICATION FOR ROOFING
JOB LOCATION O 1 nAl
OWNER OF PROPERTY et,� PHONE
CONTRACTORol�►gS
CONTRACTOR ADDRESS— 1 q '22-h /4y r A-,K /s "CA r l
3223-0 ZIP 3�ZSh
CONTRACTORS LICENSE NO. CCc C> / PHONE# 9 v 1 '.1 N/ -9 5 yZ
SCOPE OF WORK 37"vJ%,4 8 LS&L.,of 1=r /� Ati✓� •� i4:43 Sf01
DECK SLOPE 3-, 12 GREATER THAN 2 : 12 '� LESS THAN 2 : 12 ACTUAL
VALUATION OF WORK $ /5 0 0
PRODUCT NAME&MATERIAL
TO BE USED,3 -Tn6 26..E o wt-4 Cua r+J'�,c S#.'7),J ASTM DESIGNATIONS)
REQUIRED INSPECTIONS SHEATHING FINAL
LIBILITY INSURANCE POLICY SUPPLIED YES NO
WORKERS COMP.POLICY SUPPLIED YES NO
CONTRACTOR LICENSE SUPPLIED YES NO
OCCUPATIONAL LICENSE SUPPLIED NO
SIGNATURE OF OWNER eAi�q�.:;!i
SIGNATURE OF CONTRACTOR
,;►�!;N�,"'"� FF1CtAL SEAL
SWORN TO& SUBSCRIBED BEFORE ME THIS DAY OF _ =eOt�18 J. MwNejl
'a DIS 065538
Coatrrm E0%Oct-17,2005
AS TO OWNER NOTARY PUBLI
W HOLLY OZBURN
AS TO CONTRACTOR NOTARY PUBLIC slaa or
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City of Atlantic Beach• 800 Seminole Road •Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800_•FAX(904)247-5805 •http://www/ci.atlantic-beach.fl.us
PERMIT APPLICATION FOR ROOFING
JOB LOCATION OorT-10 lam- u kTL--AN1) C:, FL-32;233
OWNER OF PROPERTY v" (?R lA1Q, l--�k�l IF�C�IZ� PHONE# �O'�o 2 U?
CONTRACTOR
CONTRACTOR ADDRESS
ZIP
CONTRACTORS LICENSE NO. PHONE#
SCOPE OF WORK lel Dt.�`�C �yLT��oQ� i asi�KLi�-'� �11�N4t-05
uj" Na
DECK SLOPE q-�Z GREATER THAN 2 : 12 TLESS THAN 2 : 12 ACTUAL
VALUATION OF WORK $ SbU��
PRODUCT NAME&MATERIAL
TO BE USED ®�,�yS c �i N v �U �h4
ASTM DESIGNATIONS)
Nv�t-a .
REQUIRED INSPECTIONS SHEATHING FINAL
LIBILITY INSURANCE POLICY SUPPLIED YES NO
WORKERS COMP.POLICY SUPPLIED YES NO
CONTRACTOR LICENSE SUPPLIED YES NO
OCCUPATIONAL LICENSE SUPPLIED YES NO
SIGNATURE OF OWNER
SIGNATURE OF CONTRACTOR
SWORN TO& SUBSCRIBED BEFORE ME THIS DAY OF 200
AS TO OWNER NOTARY PUBLIC
AS TO CONTRACTOR NOTARY PUBLIC
CITY OF ATLANTIC BEACH, FLORIDA
APProv*d 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 REG LATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES. JOURNEYMAN
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE
RFD BOX
NAME �r7 ADDRESS:
BLDG.SIZE BETWEEN:
RES. (' ✓ APT. ( 1 comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW ( 1 OLD ((--r-__'REW. ( 1
ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SO. FT.
SERVICE: NEW( 1 INCREASE (`4 / FEE REPAIR ( 1
CONDUCTOR SIZE / AMPS COPPER ( 1 ALUM.
SWITCH OR BREAKER J` OV AMPS PH W ") /VOLT s'� u RACEWAY
CPH W ('VOLT S�v'RACEWAY
EXIST.SERV.SIZE AMPS
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. _ _T_
FIXED 0.100 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA _
NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN _T
FORWARDED
TOTAL FEES
CITY OF
�Q�i�l�stic /�eacls-�,�ivtsci�
Office of Building Official
U1
REQUEST FOR INSPECTION /
Permit No.
Date
A.M. District No.
Time p.M�Received
� 4�
JAddress
Locality
Owner's L Contractor lel
Name MECHANICAL
BUILDING CONCRETE ELECTRICAL PLUMBING ❑ Air.Cond.& ❑
Framing ❑ Footing
11 RoughWiring ❑ Rough Heating
Re Roofing ❑ Slab ❑ Temp Pole, (�❑ ��Top Out 11Heating
Place ❑
Lintel '
�V��'-/y� Pre Fab
11Y
RE OR INSPECTION A.M.
Wed Thurs. Frida
Mon. Tues.
A.M.
Inspection Maae
Final inspection❑
Inspector
Certificate of Occupancy
/D I:;,: O — !� Date
000874
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION
.unit Number : 874 idress: 491 WHITING LANE
Permit Type; BUILDING ATLANTIC BEACH, FLORIDA 32';'-1-4
Laos of Work: REPAIR LEGAL DESCRIPTION
Constr. Type: N/A Lot3 Block: Section:
Proposed Use: RE-ROOF Plat Book: Page: 0
'ellingsl 0 Code: 0 Subdivision:
L.�tifflated Value-, $625. 00 --- --- - OWNER INFORMATION
Improv. Cost : $0. 00 Names DANIEL SAPP
Total Foes: $7. 50 Address: 491 WHITING LANE
Amount ftlifi $7. 50 ATLANTIC BEACH, FLORIDA
eh-aa- (904)744-8880
i ONTRAC.,TOR(S) M APPLICATION FEES
$7. 50
,TER IMPACT FEE $0.,001!
'WLR
IMPACT FEE $o. 06
'.TER METER` so. o,6g,
;'DON GAS-H. R. S. $o' 009281 1A
:.DON GAS - 5% $0. 00
,%TER TAP $0. 00924 I JA
TAP $0. 00
eDRAULIC SHARE $0. 00
[. INSPECT FEE $0. 00
'1GINEER ING $O. 00
'rHER
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.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH 87�1
APPLICATION FOR BUILDING PERMIT
Owner-�MAFI 1 y Address ,`
zip-�� Phone
Architect_ Address zip Phone
Contractor �j
A � es s /5��/�[�Y ' ��� zip —Phone 7VW W
Contractor's License Number Expiration Date Qerj�yon File
Lot # Block or Section # Subdivision Zoning
Street Between and side
Valuation $ (p�� Type of Construction
Purpose of Building Number of Units Fireplaces
Utility Service: Water Sewer
If the City if providing water or sewer service, do we need to make taps?
Dimensions: Building_ Lot Size Footings
Sz. Piers M__Sz. Sills Greatest Span Sills
Sz. Ceiling Joists Distance on Centers Greatest Span
Sz. Floor Joists Distance on Centers Greatest Span
Sz. Rafters Distance on Centers_ Greatest Span
Method of Heating Solid-Filled Ground Roof
Flood Zone If located within a FLOOD HAZARD complete page 2
SUBMIT: Two complete sets of plans, including a detailed site plan.
Florida Energy Efficiency Code Sheets
Recent Survey
Inspections Required:
1. When steel is in place and ready to pour :footings.
2. When steel is in place and ready to pour columns/ljntel.
3. When steel is in place and ready to pour beam.
4• When framing, mechanical, plumbing, electrical, fireplace, is completed and ready
to cover up.
5. Final inspection.
SETBACKS
NO INSPECTION WILL BE MADE IF BUILDING CARD IS NOT POSTED ON JOB..
In case of rejection, reinspection MUST be called for after t, Rear Lot Line
corrections are made.
In consideration of permit given for doing the
work as described in the above statement, we
,hereb Y a ree `o a
g ' perform said work in accordance
with the attached plans and specifications, 84
which are a part hereof, and in accordance rt rt
with the building regulations of Atlantic Beach.
Signature Owner
Signature Contracto
Ton irte
4825
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
---- PERMIT INFORMATION - ---- ------- LOCATION INFORMATION ----
�ermit Number: 4825 •.ddress: 491 WHITING LANE
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA _3223�`
"lass of Work: REPAIR ---------- LEGAL DESCRIPTION -
Constr. Type: WOOD FRAME ot : Black : Section:
Proposed Use: SINGLE FAMILY Township: RNG: 0
+wellings: 1 Code: 0 .subdivision:
•'stimated Value: $0. 00
Improv. Cost: $0. 00
Total >, $15. 00
Amour $15. 00
LIWHL,N INFORMATION
______.- ---- APPLICATION FEES -----
Namf- : DANIEL W. :SAPP PERMIT $15. 00
R,ddrest_ : 491 WHITING LANE WATER111PACT FEE SU. 00
AT1.APT.I C BEACH, FLOFTP� ,.:EWER IMPACT FEE
4ATER METER $u. UU
RADON GAS-H. R. S. $0. 00
- -_ CowrRACTUR INFORMAT] -- RADON GAS - 5% $0. 00
Name: RoTU--ROUTERSERVT.CES WATER TAP $0. 00
Address: SEWER TAP $0. 00
HYDRAULIC SHARE $0. 00
-tnense: CFCO29770 Type: RE-INSPECT FEE $0• i;n
SFC. H IMPACT FEF. $0. ut.
CITHER 5(7. 0
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'R BILDING IIMPROVEMENTS.LIEN LAW CAN RESULT iN
THE PROPERTY OWNER PAYING TWICE
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 DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: `7 17Titiy' L/(/
J
PLUMBING CONTRACTOR:_� 0
LICENSE NUMBER:
OWNER: I)AN/��
BUILDING CONTRACTOR:
TYPE OF BUILDING: � 5�� �T� L
SINKS SHOWERS '
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT: + $15.00
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
CITY OF ,*�
�p
4&..&
Q2� Office of Building Official
REQUEST FOR INSPECTION ()�/
Permit No.
Date
A.M. District No.
Time P.M.
Received �JJ
Locality
Job Address
Owner's Contractor
Name MECHANICAL
BUILDING CONCRETE ELECTRICAL PLUMBING L1 Air.Cond.& ❑
Framing ❑ Footing ❑ Rough Wiring ElHeating
Re Roofing EDSlab ❑ Temp Pole Top Out ❑ Fire Place ❑Lintel ❑ Pre Fab
READY FOR INSPECTION
Mon. Tues.
Wed A.M.
Thurs. Friday
P.M.
Inspection Made
Final Inspection
Inspector
Certificate of Occupancy
Re �� _ (� Date
0003371
LJW
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATION INFORMATION ------ -
Fermit Number: 3371 Aldress: 491 WHITING LANE
Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233
Class of Work: NEW LEGAL DESCRIPTION ---------
Constr. Type: WOOD FRAME L -wt: 15 Block: 11 Section: 2A
Proposed Use: SINGLE FAMILY Township: RNG: 0
Evellings: I Code: 0 Slbdivision: ROYAL PALMS
Estimated Value: $0. 00
Improv. Cost : $0. 00
Total Fees: $22. 50
Amount Paid : $22. 50
Date Paid: 2/ 1/91
�ark Desc. : REPLACE ROOF WITH NEW
-- ------- - - OWNER INFORMATIONAPPLICATION FEES
Name: SAPP PERMIT $22. 50 ,-
Address: 491 W141TING LANE WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA 732233 SEWER IMPACT FEE $0. 00,
Phone: (904)398-8537 WATER METER $0. 00
RADON GAS-H- R. S- 00. 00
------- CONTRACTOR INFORMATION RADON GAS - 5% $0. 00
Name: CLAUDE E. MERRITT & SONS WATER TAP $0. 00
Address: 1930 RIVER OAKS ROAD SEWER TAP $0. 00
JACKSONVILLE, FL 32207 HYDRAULIC SHARE 190. 00
License: CFCO29?49 Type: 0 RE-INSPECT FEE $0. 00
OTHER $0. 00
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.
PLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
"FAILURE TO COM CILDING IMPROVEMENTS-99
THE PROPERTY OWNER PAYING TWICE FOR BUS
)N FOR
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
ISSUED
OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
l 5 �
A .
owner(s) : A u e. 1 _
Address:
�'f� Phone:
# S Block or Unit # oc A' Subdivision
Lot � _-
_I r
'dress: Phone:w. ..4�-=- - .
ite License No— RC O
cribe work to be done: A�_0 ' o_ _ �" �� �'�
Mr,terisls to be used:
v
-►ature OWNER: \ — Date:
tura
CONTRACTOR:
3908
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
LOC AT It'
WHITING pEi�HIT Iiii"ORMATION -T- ---938-- LOCATION INFORHATION
Address: 404 WHITING LANE
Permit Number: 3908 TL
ATLANTIC BEACH, FLORIDA 32233
Permit Type: MECHANICAL LEU
---------- LEGAL DESCRIPTION -- --------
Class of Work: ADDITION Block: Section:Constr. Type: WOOD FRAME 'ot- Township: RNG: 0
Proposed Use: SINGLE FAMILY ubdivisiOn:
Dwellings: I Code: 0 $0. 00
Estimated Value:
Improv. Cost : $0. 00
Total Fees: $37. 00
Amount Paid : $37. 00
Date Pao A - I 3/91
Desc. REFj HEAT AND AIR
OWNER INFORMATION APPLICATION FEES$37. 00
PERMIT
T,
R
13 )0
R NE IR 732 )0
OWNER
I
'liAR L
Name: CHARLIE YOUNG WATER IMPACT FEE $0. 00
"4 4 1
40 )L
04 WH11*1 NG LANE
T SEWER JMPAGT FEE $01 00
ATLANTIC, BEACH, FLORIDA 32�* )0
6 WATER METER 90. 00
'q
Fhone: (904 )641-0600 RADON GAS-H- R- S- $0. 00
$0. 00
...... (,iINT C ON RADON GAS -- 5%
------- CONTRACTOR INFORMATION WATER TAP $0. 00
Name: SNYDER HEATING & AIR COND. SEWER TAP $0. 00
Address: P. O. BOX 16826 HYDRAULIC SHARE $0. 00
JACKSONVILLE, FLORIDA 3224:..., RE-INSPECT FEE $0. 00
-j-cense: CAC014642 Type: 3 SEC- H IMPACT FEE $0. 00
St 't 00
OTHER
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
U: y IT
P U W Y HER CONTRACTOR OR OWNER
CLEARED UP AND HAULED AWAY BY EIT
LIEN LAW CAN RESULT IN
"FAILURE TO COMPLY WITH THE MECHANICS' ROVEMENTS.95
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMP
hr=RDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
`DIPLICABLE PROVISIONS OF LAW.
H BUILDING DEPARTMENT
CITY OF'
Office of Building Official
REQUEST FOR INSPECTION TD
Permit No.
Date District No.
Time f P.M.
Received
Locality j
owner'sJob Address � /� '1✓�� � --�—
Contractor MECHANICAL
Name �- ELECTRICAL PLUMBING Air.Cond.8. �--
CONCRETE Rough ❑
BUILDING ❑ Rough Wiring ❑ Out ❑ Heating
Footing le ❑ Top Fire Place
Framing El Footing ❑
Tem PQ_
Slab Pre Fab
Re Roofing ❑ �"'�
Lintel W
RECTION Friday M.
Tues. W
Thurs.
�---
Mon. j .M
P.M.`t' P
Inspection Made Final Inspection❑
ti
Inspector
Certificate of Occupancy
Date
CITY OF'
4&a&
Office of Building Official
REOLIEST FOR INSPECTION
Permit No.
Date District No.
Tim ved M.
�! I;,ocaluy
dress
Owne -Contract EC ANICAL
Name ELECTRICAL Pl.Rough
MBINfa
CONCRETE Rough ❑ A
BUILDING ❑ Rough Wiring ❑ Q Heating
Framing ❑ Footing ❑ Temp Pole ❑ Top Out Fire Place 0
Re Roofing ❑ Slab ❑ Pre Fab
Lintel A.M.
READY FOR INSP IDN—-- �T
P.M. P.M.
Friday__-------
Mon. Tues. Wed..'
Inspection Made Inapecti
inspector Certificate of occupancy
0 T Date
4026
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION --- ------- - LOCATION INFORMATION
Permit Number: 4026 Address: 492 WHITING LANE
TA -e ATLANTIC BEACH, FLORIDA-3223:
Permit Type: MECHANICAL LEGAL DESCRIPTION --------
Class of Work: ADDITION Lot: Block: Section:
Constr. Typez WOOD FRAME Township: RNG: 0
Proposed Use: SINGLE FAMILY
Dwellings; I Code: 0 �7,ubdivision:
Estimated Value: $0. 00
Improv. Cost : $0. 00
Total Fees: $37. 00
Amount Paid : $37. 00
S
APPLICATION FEES
OWNER INFORMATION $37. 00
: FRED PAS
mePERMIT
Name:
WATER IMPACT FEE $0. 00
1 1 L
Address: 492 WHITING LANE SEWER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA 322 WATER METER $0. 00
Phone: (904 )641-0600 RADON BAS-H. R. S. $0. 00
INFORMATION RADON UAS -- 5% $0. 00
------- CONTRACTOR I HEATING & AIR COND. WATER T A P $0. 00
Name: SNYDER HEAT SEWER TAP $0. 00
i%ddress: P- 0- BOX 16826 HYDRAULIC,. SHARE $0. 00
JACKSONVILLE, FLORIDA 3224t, HE-INSPEOT FEE $0. 00
L,iGense: CAC014642 Type' 3 SEC. H IMFIACT FEE iio. 00
OTHER $0. 00
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
H THE MECHANICS' LAW CAN RESULT IN
"FAILURE TO COMPLY WITH ' LIENG IMPROVEMENTS-99
THE PROPERTY OWNER PAYING TWICE FOR BUILDI
S
ISSUED ACCORDING TO APPROVED WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
PLAN
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
Wh
LOCATION
Street Address: \ 1
OF Intersecting Streets: Between
a^ 1�Jl1�lT�C— a And ' r r
BUILDING
Sub-division
11. 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 part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Name of Mechanical � /L ` Contractors
Contractor (Print) 5/VVOEg , * Mester
Name of
Property Owner r� S u �—
Signature of Owner — Signature of
or Authorized Agent s,c1L Architect or Engineer
Li
III. GENERAL INFORMATION
A, Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE? /I��E;