497 Whiting Ln (vault) CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL 247-5826-FAX- 247-5877
PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 24301 Address: 497 WHITING LANE
PermitType: MECHANICAL ATLANTIC BEACH, FLORIDA 32,23.3 .
Class of Work:,ALTERATION Township: 0 Range: 0 Book:
Proposed Use: SINGLE FAMILY. Lot(s): Block: Section:0
Square Feet:. Subdivision:
Est. Value: Parcel Number.
Improv. Cost- OWNER INFORMATION
Date Issued: 6/19/2002 Name: VINCENT GURION
Total Fees: 37.00 Address: 497 WHITING LANE
ATLANTIC.BEACH, FLORIDA 32233
Amount Paid: 37-00
Date Paid: 6/19/2002 Phone: (904)641-4848
Work Desc: REPLACE HVAC
CONTRACTOR(Sj APPLICATION FEES
AIR ENGINEERS INC. FIE RIM 37.00 .
Or
AW
L;;K
ION
N
BRi*fA -THI�4 F NOT 5E�P SPACE,AND
BUILDINO RUBSI!�H _PM..- VORK MUS7
'UP AND KA DAVVA RACTOR
MUST BE CLEARE
-FAILURE I IWILY RESUL., THE
PROPERTY OWNEIt'VYING
SUBJECT TO REVOCATION
ISSUED ACCORDING TO A V96fkAyiS W Vf1 I
FOR VIOLATION OF APPLI B RO
opw: 0C Drawa: I
kt*: 61191112 Id ZZIpL no: bbnb
14 POEMIKILDING 1 $37.06
-AT IC BEACH BUILDING DEPT.-
CK 3365 $136.00
Trans date: 6/19/02 Time: 16:18:45
BUILDING AND ZONING INSPECTION DIYISION
CITY OF ATLANTIC BEACH
ATLANTIC "-.'.A 3...3
APPLICATI ON FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT—Applicant to complete all items in sections 1, 11, 111, and IV.
Street Address:
LOCATION
I., if Sir
OF Intersecting Streets: Between And
=ItILDING
il. IEEfIFICATION—To be completed by all applicants.
'n I pst—if gi-n for doing
the -k as described 1. the b-e Oat....f we h.,.6y aq It accordance
ith tho attach or to perform said wor 14 d
jisd plans and specifications which are a part hereof and in acc d.n,. with the City o't'!acksonvill. ordinances a. I d d.
L of good practice listed therein.
A - - ,-
N me:f ma�haolc I contractors
C:ntra for PrIntl a
N Name of
P party carrier
rI
Inoteirs of O..:,r Signature of
.1 Authorized Ag Architect a, Engla...
IIL GENERAL INFOR
A. Type of hosting I'velt
IS OTHER CONSTRUCTION BEING DOME On
THIS BUILDING OR SITE 7
0 Gas LP 0 Natural 0 Central Utility
IF YES GIVE NUMBER OF CONSTRUCTION
13 Oil PERMI�
[3 Other Specify
IV� 1161111111C:N�INNCAL IQUIPMINT TO 11 INSTALLED NATURE OF WORK
(Provide Comislefo list of components on beck of this form) Residential or 11 Commercial
Bt*'Hsat 0 Space M Recessed CI Control 0 1~ 0 Now Building
Concirli"Ing: [3 Roo. [3 Central 0 Existing Building
0 Dft� Systorm Material.— T%Igknou— IT-IReplacentent of existing systern
hi-imum capacity c1ft C1 Now Installation(No system previously Installed)
0 Reffis;sratissn C1 Extension or add-on to exialing system
0 Cooling 10"n capacity 0 Other-Specify
C3 Rm sprinklers: Number -4 hoods
Elevator [3 hisaliff 0 Escalator.(number)
THIS SPACE POR OPPIC&USIN ONLY
13,Gasoline wenpa.—kursbod
TarAs._(nu-bor) Refflaris
LPG contaimera—l[ournber)
C) UVIfired pr"surs'a"
13 $@Aar$ Permit Approved by—
Oth-—'Specify Permit Foas.-
Pgr ALL EQUIPMENT
AUt CONDITIONING AND REFRIGERATION EQULPMENT
C y
(=t AppmAing
Number Unite DescriptUan Xodal Number Wanufaebiror AAMMy
G - FURNACES, BOILERS, FIREPLACES
C
(=ty A=
Zftmxbw Units Description MINIM N%smbor X&AUfactom
TANKS
Now Xany Notetrizali Capeeity Ty"T1qjjA Name all Serial A vin
&W Dimanuiftes Contained wanufactmw No. Pi=9
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877
'nOk
PERMIT INFORMATION LOCATION INFORMA,
-Pe-rmit Number: 23709 Address: 497 WHITING LANE
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYALPALMS
Est. Value: Parcel Number:
Improv. Cost: 1ftAAM1=2S�"" N
Date Issued: 3/25/2002 Name: BENTON
Total Fees: 27.00 Address: 497 WHITING LANE
Amount Paid: 27.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/25/2002 Phone: (000)000-0000
Work Desc: CONDENSER ONLY
APPLICATJON,FMS- ,��-�
7 7,
_77.77
CONTRA.CTORIS1
....... 27.00
SNYDER HEATING &AIR C ND. 0
-Tor
WWI
pw_!
g
DRAW
t TION
NOTICE:_.-
BUILDING MATERIA** ------ LIC-SPACE,AND
MUST BE CLEARED
"FAILURE TO COMP THE
PROPERTY OW lklc!m r%
ND SUBJECT TO REVOCATION
ISSUED ACCORDING TO APPRO
FOR VIOLATION OF APPLICABLE PR
;MITH Type- 0C Drawer: I
oper: DE Receipt no-, 45195
Date: 3/26/92 81 $
14 PERMITS-BUILDING 1 27.00
Trans number: 799546
ATLANTIC BEAtH BUILDING-DEPT.- CK CHECKS 12004 $52.09
Trans date: 3/26/82 Ti
OUILUINL7 ANU I—VNIN%zv
CiTY OF ATLANTIC: BEACH
ATLANTIC SAAC". F"MIDA 88280
L-IN NUMBER
APPLICATION FOR MECHANICAL PERMIT cAL
IMPORTANT -- Applicant to complete all itoms ;n sections 1, 11, Ill. and IV,
Street Ad$ftft' L;��j--cc --
LDC.ATION
if. IDENTIFICATION To be completed by all applicants.
I- ge-64*08604 of jpwoo;# .1490 top 4*1^9 the qtj as ssitrila9d it% the abo�# sloternsAl w9 kefsl�y ogf&o to Pel(o,ffl 4mid -ork in 4ccord6nct
..ft the 6046cIWd P40me Oslo spocifica6gps which at* a part horvof end In *ccer4once with the City of Ja0sonvillo o,dima#%Cq6 end 61aftdordi
*1 00040 sweet.[* 1-004 flietaia.
046me 44 Ldeakaslgotl
wow
C.600646"
memo 4
OMPOP4 Ovow
sipwo"m '0 OWN" z1gallitm of
AmAwimW A"*# of, latiltat?
eWWAL 00104"TION
Is OTHIA coitly"JCTION I&INg "we Q*
THIS PUILDING01111111YEt
C) C) LP C3 041190401 C) C40W UWtj
If YES, GIVE NVUSKM OF' C0011ITIMIUM"
13 04w —
V. bdoomm" loup"Off vo K NOW114m KrAg OF WOM
0
(pe"As usimph"rl*visawos"Ok se W4 of 464"01 heaMenuai or (J Commorclal
m//""l a sp"ll, 0 Roweled a' Coto a FAW 13. ww suamne
eAJ,Commf�l 0 &OW i*/(:..W ow"
Coo" Sro": ImleftilluL 01-9"WOWU of exislifto lysWm
mod"" E3 Ww In4l"AlWR(W syslWn provloulty Imalg4M.
or odd-on to
0#W— sw
ary L
a cost" *VW- compeft
[3 Wm0w THIS VA04 um Qmy
IN"O'sol
C3 ustaw ppeamsse
0 "am
"W S"111114P chn(-jg46e'-- r-nL
urr A" altlulam
AS COMMEW MO AMMMAUM ZQUrWW
DISOWN* ISO"malbell, 0
IRS
=Ti� PUXMACr& rmtr"Cm
--A
ow ad NW"fe saw
CITY OF ATLANTIC BEACH
MECHANICAL PERMIT
8W SEMINOLE ROAD-ATLANTIC BEACH,FIL 32233-TEL: 247-5826-FAX: 247-5877
F, PERMIT INFORMATION LOCATION INFORMATION
Permit Number: 23725 Address: 497 WHITING LANE
Permit Type: MECHANICAL ATLANTIC BEACH, FL 32233
Class of Work: ALTERATION Township: Range: Book:
Proposed Use: SINGLE FAMILY Lot(s): Block: Section:
Square Feet: Subdivision: ROYAL PALMS
Est. Value: Parcel Number:
Improv. Cost: OWNER INFORMATION
Date Issued: 3/27/2002 Name: BENTON
Total Fees: 37.00 Address: 497 WHITING LANE
Amount Paid: 37.00 ATLANTIC BEACH, FL 32233
Date Paid: 3/27/2002 Phone: (000)000-0000
Work Desc: INSTALL HEATING AND A/C UNIT
APPLICATION FEES
CONTRACTOR(!
SNYDER HEATING & AIR CON-5 co.�,
37.00
Ag"
..........
_4
Vt
03i
k,
.8
M MNIR
IM IR11
....... .................
NZ4�1,10-�,�
0
Rtli
"INK Itz MOO
g:,
m
6", -®r.
4- 10
Q.44
TION
NOTICE,
bui'LbING MATERU LIC SPACE, AND
MUST BE CLEAREE
IN THE
"FAILURE TO COMP
PROPERTY OWNER P
ISSUED ACCORDING TO APPRO _ND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE P 01.
Oper: CHERYLE Type: OC Drawer: I
Date: 3/27/0201 Re6eiptno: 45649
14 PERMITS-BUILDING 1 $37.08
Trans number: . 808025
CK CHECKS 12005 $37.86
ATLANTIC BEACH BUILDING.DEPT. Trans date: 3/27/02 Time: 15:55:50
WILUINt-7 ANU kVF4IN%;p iNarr-%., oi%.jv4 vivioi%--,v4
CIYY OF ATLANTIC BEACH
ATLANTIC NIACH. F"MIDA DRASS
APPLICATION FOR MECHANICAL PERMIT
IMPORTANT -- Applicant to complete all items ;n lections 1, 11, 111, and IV,
A441ow, 4A-��A-i
LOCATION
co 16Ivn@4" f1tttots: talmssa SNWL�%510 A.4
' 11. IDENTIFICATION — To be comploted by all applicants.
11 %0-44*08#44 of 0offt"I q;.'vm ow deke tho ork 06 4110strilettl in 0�* ebo�# ofatermont wo k*##I�y ogfo- to peffo,mm Wd -94 in 4ccordamcs
. 16.0 4"oglwd p4me .114 Spo C ifitef;bal Which m a part N4,901 *Ad In orcor4smcq Wilk ON41 City Q( J&Cksonvillo ordimsmcet end OaAdvdt
*1 48440 Swoce-to
Home of &4*4k4G&gff
C.649,41W (hW) &.A,L
Witter
of
p"Implor Opoor jAAA t3k--7vf�'
Sm"oswo 04 OWN" of
m AodmwioW A#oof or lagNew
GOWAL
T 41 h"K" W; 16 OTH94 C041STAIJCTION $KING WN9 0*
THIS OVILDING 001 41TIE I
(3 0 Lp 0 p4ow"A C40W uwhtf
0 If Y98, GIV9 NUMS KA Of CO"IMM"
D Q1&W — $Poo*
V. bdummAm" lou"Off TO m watwo KrAg(W WOFA
*a bpA of M
Me"Allal or (3 Commorcial
'�v a coat a Am 0;�'z SU14mmo
comw is
�A!70-60-hql 0 1 �'ftlflkv%Mon
0 " hom: U0011011111L ef "it,46wowm*I 9xisting eyetwn
modem""podly. C3 Now Wwttafttl"(No syslwm prqp0outty imst&p4M.
0 4044000" D Weno"Or 6064M to OK)Btkv sylliwn
0 C"i6q *W&- cwft Q#w— epwty
(3 fova*" of L—A.
0 Wroov IP me" 0 bulmew IW&11Abwj um 0my
D
0 WO&W
C) awwo Fem* Affo o v
POP"
U&T ALL mQUU%6Wff
AS UMMMATM
ww"W t1aft XWd Nvs"w
NIEATU40 - POWACM 60GAA& PMUKArm
,tA—t-
/,U
XLS
ow wwr 3kiiiie of Sww
PSR-3844
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION ------- LOCATION INFORMATION
Permit Number : 11794 Address : 497 WHITING LANE
Permit Type : PLTJMBING ATLANTIC BEACH FLORIDA 32237-
Class of Work :ALTERATION -------- LEGAL DESCRIPTION ---------
Constr . Type:WOOD FRAME Lot , Block * Section:
Proposed Use: SINGLE FAMIL"' Plat Book : Page :
Dwellinas : 1 Subdivision -
Est . Value: 0 . 00 ---------- OWNER INFORMATION ----
improv. Cost ! 0 .00 Name:VINCENT GURION
Total 25 - 00 Address : 497 WHITING LANE
ATLANTIC BEACH . FLORIDA 3221-
Amount "R 25 , 00
q f; Phnn— CQ04 ) 641 -4Q48
N LY
---- ---- APPLICATION FEES
r'rF!4 T T 25 - 00
NOTES:
. . .:��ections Recruired Inspections Required Inspections Required
FINAL
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 MECHANIC'S LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IMPROVEMENTS35
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO IIWWATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. Date: 4/18/56 01 Rcot: 0051291
1=49 4ig@
00IMM32210M
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
—L—�--------------------
JOB LOCATION:
OWNER OF- PROPERTY:
BUILDING CONTRACTORt
--------------------------------- ----------
PLUMBING CONTRACTOR a64,,C��-- ----
AND `ADDRESSz A42
- --------------
--------------------------------------------
TELEPHONE HUMBERs --------------------
STATE LICENSE NO. --------------------------------------
TYPE OF BUILDINGt ------------------- ------------------------
SINKS -------------SHOWERS
LAVATORY -------------WATER HEATERS
BATH TUBS - -------------DISHWASHERS '
URINALS -------------DISPOSALS
CLOSETS -------------WASHING HACHINE
FLOOR DRAINS -------------SHOWER PANS
OTHER -------------
TOTAL FIXTURE r )UNT:---------- x $3. 50 + $15- 00 = S-----------
----------------------------------------- -----------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST 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
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000273 Date 2/26/09
Property Address . . . . . . 497 WHITING LN
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7359
----------------------------------------------------------------------------
Application desc
reroof see app
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
GUIRON, VINCENT V. CHAMPION ROOFING SERVICES INC
497 WHITING LANE 3734 SPRING PARK ROAD
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207
(904) 396-4642
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 67 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7359
Expiration Date . . 8/25/09
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 67 . 00 67 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 67 . 00 67 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BuILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH 4Q. M
Tit
800 Seminole Road, Atlantic Beach FL 32233
Office: (904)247-5826 e Fax: (904)247-5845
Job Address: 14 Cl I wn-i lam,LbiAo F(, 3Q,)3��?ermit Number:
Legal Description3tjLP -vt O'k L& V4 'bk3L"
Valuation of Work(Replacement Cost) $
• Class of Work(Circle one): New Addition Alteration
• Use of existing/proposed structure(s) Circle one): Commer��alo��
• If an existing structure, is a fire sprink�er system installed? (Circle one): Yes No
• Is approval of homeowner's association or other private entity required? (Circle one):
Describe in detail the type of work to be performed: TO-C4 o4 -A-o cit Lk,I cuno�tk de-LL- VtL,6AX W,-eb A'Ut.
�10 1z,t GA k 5+04 4 U, -;�>tlf to�$_ cW 0-46f , 0 Xr, LA4�_�
Property Owner Information
Name: -Sb 7-aiL C-�2 Lk�f DY-1 Address: t-Wl [jL*)kw)Q ayu-
city State eVip�2�13a, —phone q0k ) W I—-11 TP
Contractor Information:
Name of Company. Qualifying Agent: (_Aoirl:��Monv
Address:3-1 3HSpn�v 1,��b i 1A 6 -city rya_J4 State !Ej, Zip 39._)6_1
Office Phone 3Q Lf L Job Site/Contact Nun%er Q4CLIDN5 �ce_02>- -7'K Q L4
State Certification/Registration# CCC��-740a OfficeFax#
Architect Name & Phone #
Engineer's Name &Phone #
Application is hereby made to obtain a permit to do the work and installations as indicated I certify that no work or
installation has commencedprior to the issuance o
fapermit and that all work will be performed to meet the standards ofall
laws regulating construction in thisjurisdiction. This permit becomes null and void ifwork is not commenced within six(6)
months, or if construction or work is suspended or abandonedfor a period of six (6) months at any time after work is
commenced I understand that separate permits must be securedfor Electrical Work, Plumbing, Signs, Wells, Pools,
Furnaces, Boilers, Heaters, Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU
INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY
BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
that I have read and examined this application and know the same to be true and correct. Allprovisionsof
i hereby certi
laws and ordinances governing this type ofwork will be complied with whether specified herein or not. Thegrantin&o
,f a
permit does not presume to give authority to violate or cancel the provisions bf any other fede al, state, or local law
regulating construction or the performance of construction.
Signature of Property Owner: r
Signature of Contractor:
U 4actor
S d sub ib d d subs fore me
�'wok of y of
t h i s Way tShwi soV ta
V
Notary Public: &W9_tl� - Notary Public:
NOTARY PLB - OF k,TORMA
Colleen Raila Colleen Raila
:Commission#DD766481
Commission#DD766481
REVISED 03.05.07 Expires: MAR.10,2012 ',,,,,_,,'Expires: MAR.10,2012
BONDED THRU ATLANTIC BONDING CO.,INC. BONDED THRIJ ATUCITIC BONDING CO.,INC.
NOTICE OF COMMENCEMENT
(PREPARE IN DUPLICATE)
Permit No Tax Folio No. 1-71431-
State of— f--L County of )Lk VC1-I
To whom It may concern:
The undersigned hereby Informs you that Improvements will be made to certain real property,and In
accordance with Section 713 of the Florida Statutes,the following Information Is stated In this NOTICE OF
COMMENCEMENT.
Legal descriptim of property being improved: -31-ju 3,6-,�5-aqe, bk W br-
-V-OsAQ L,-;?i i LknitdA CRA %4 aloCA-11
I
Address of property being improved:14ck—i W�Nt 'I"o,
a b-111)C- &A
General description of improvements:
Owner DhIZ4A.A. L-71 A QyQ1
Address 44Q7 LJ� I-WaL. EL
Owner's interest in site of the improvem4t
Fee Simple Titleholder(if other than owner)
Name
Address
Contractor D'A v)nw')1 "'�k .-V\4-i rY) I fv)f Ili 0 k -7 ry
Address 3:7�)q t An.Q4 I T,
Phone No. 0 Fax No' 3q(a- 4:r-,Z!M
Surety(if any)
Address Amount of bond$
Phone No. Fax No.
Name and address of any person making a loan for the construction of the Improvements.
Name
Address
Phone No. Fax No.
Name of person within the State of Florida.other than himself,designated by owner upon whom noticats or ottw
documents may be served:
Name
Address
Phone 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)(b),Florida Statutes.(Fill in at Owners option).
Name
Address
Phone No. Fax No.
Expiration date of Notice o!Commencement(the expiration date is one(1)year from the date of recording unless a
different date is specified):
THIS SPACE FOR-RECORDER'S USE ONLY OWNER or AGENT
(if P of Aftomey or Ag*"Cy I or Re"Irod)
=;3,CAA�
Signed' X
rltXAAA�&A L4 in to
C.ty o(DwAC 3tWA of Flodda.tW PefamONY 8PPw*d';
herein by
hkq&W t"wseff and W sww bw WW acoxwo.
_, TMan,�r
riz, - .. " t.7,
Doc#2009047571,OR BK 14793 pabe 1996, 777 - 7
Number Pages: I
Recorded 02/26/2009 at 03:11 PM, NoUn Pubk at Large.SWIs 0( of
I 7at7sii-:
JIM FULLER CLERK CIRCUIT COURT DUVAL COUNTY My commission exqp*ft*s:
RECORDING$10.00 Pwsonally Known or P.� tion
-7*6Tl&y it* -Sj��OF FLORIDA
Colleen Raila
t! Jzo" Commission#DD766481
Expires: M".10,2012
BONDED THRU ATLANTIC BONDING CO-,1NC-
BUILDIk AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH, FLORIDA z 00
CD
0
ELECTRICAL PERMIT
D
Date 7/26/89 Fee $ 35-00 Permit No. 6185! 3:
0
J
LU
Location 497 WIRITIK LANE co
Between and
This is to certify that
RIVER ELECTRIC
JERRELL C. 11101rMi Qu C
--�Elecmc-1�Co.,r.ct.r) (Master Electrician) U. E*
has permission to install Electrical Construction as described herein in oe
accordance with the provisions of the Electrical Code and regulations UJ
of the City of Jacksonville, and subject to the information shown on the Uzi 0
application, drawings and specifications which are made a part of this
permit.
for V. M- IRON
UA
Type of work: R-ESIDENTIAL INCRFASE
SERVICE: cond 410, al Q--sw—brkr 200 atm- s, 1ph 3W 2230v t U
s.5-raceway/ exist sery 100 amps, I
10h 3W 230 Vol >S: rc4
-C
UP
Feeders:
Outlets: 0
Receptacles: U
LU
00
Switches:
Incandescent:
Fluorescent:
Appliances:
Air Conditioning: 112.5 HP
Motors:
Transformers:
Signs:
Miscellaneous:
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
MONTHS PERIOD, PERMIT Electrical Inspection Supervisor
BECOMES VOID.
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.
lftll�e 4�lc 41_c t S-f
ELECTRICAL FIRM: STER ELECTRICIAN SIGNATURE JOURNEYMAN
6-11,
NAME V- /?-0 IV -ADDRESS: /-/ 7 /V R F D_B 0 X
BLDG.SIZE BETWEEN:
RES. 6.6 APT. ( COMM. ( PUBLIC INDUS. NEW ( I OLD 0 REW. I I
ADDITION TRAILER TEMP. SIGNS ( SO. FT.
SERVICE: NEW( INCREASE REPAIR FEE
CONDUCTOR SIZE 411e' AMPS COPPER ALUM.X)
SWITCH OR BREAKER 7-,010' AMPS PH .3 W 23�-�VOLT RACEWAY .
EXIST.SERV.SIZE IP4) AMPS PH 3W Z, VOLT RACEWAY
FEEDERS NO. SIZE INO. SfIZE Z' N qO. SIZE
0
op
LIGHTING OUTLETS CONCEALED OPEN ITOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0 100 AMPS. 01V�EIR
"00
APPLIANCES BELL TRANSF.
AIR EH.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
-- I KVA lKVA
NO. NO.
NO. NEON TRANSF. NO. VA._J!��MOTOR SIZE SWITCH I FLASHER
EACH SIGN
FORWARDED
$ t
TOTAL FEES
*1ENT OF BUILDING 09964
F ATLANTIC BEACH,FLORIDA PERMIT NO.
IERMIT TO BUILD
,11S PERMIT MUST BE POSTED ON JOB 20,,,00 TL
r-IneCONTE
Date 7/26/88 _19 1311 1 A 7/26/Rf
20.00 0XICr.
Valuation$ Fee$ 1311 1 A 7/MN
10001
This permit not valid until above fm has been paid to City Treasurer,and is
subject to revocation for violation of applicable provisions of law.
This is to certify that RIVER ELECTRIC
INSTALL NEW SYSTEM (REPLACEMIENT)
has permission to Uld
Classification 18SIDENTIAL Zone
Owned by GUIRON
Lot— Block S/D
497 WHITING LANE
House No
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
_n AFTER DATE OF ISSUE
4b- x
0 Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be, cleared
up and hauled away by either con-
'br owner
Building Official.
FOR OFFICE PERMIT DATE CON RACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
jUILDING 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 1, 11, 111, and IV.
Street Address: Z z Al
LOCATION
OF Intersecting Streets: Between— And
BUILDING
Sulb-clivision
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 e Contractors
Contractor (Print) Master
Name of
Property Owner
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
111111. GE-NERAL INFORMATION
A, Type of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON
-0 Electric THIS BUILDING OR SITE 7
0 Gas—0 LP 0 Natural 0 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
0 Oil PERMIT
0 Other — Specify
IV. MECHANICAL EqUIPMEINT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) ;Y, Residential or [:] Commercial
[I- Heat C] Spec* 0 Recessed C3 Central 0 Floor El New Building
9 A;r Conditioning: [3 Room A Control /1e*'1— Existing Building
[3 Duct, System: Material Thickness.— Replacement of existing system
Maximum capacity c.f.m. El New installation(No system previously installed)
0 Refrigeration 0 Extension or add-on to existing system
El Other — Specify
Cooling tower: Capacity 9-P.M.
[3 Fine sprinklers: Number of heads--
0 Elevator (:] Monlift 0 Escalato (number) THIS SPACE FOR OFFICE USE ONLY
0 Gasoline pumps _(numbor) (Receive 1
[3 Tank- .(num6or) Remarks
(3 LPG contain* (number)
[3 Unfired pressure visssoi
0 Boilers Permit Approved by Date—
C3 Oilhor — Specify Permit Fee
L19r ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity App-
Number Unite Description Model Number Manufacturer (Tons) Agency
le<_
HEATING - FURNACES, BOILERS, FIREPLACES Capecity Approving
Number Units Description Model Number Manufacturer (IRM) Agency
TANKS
now Many Nominal Capacity Type Liquid Name of Serial Approving
and Dimensions Contained Mmufactum No. Agency
Coo11-tI ka U U
CITY OF
9-,cA-
office of Building official
REQUEST FOR INSPECTION\
"') q
Date Permit No.
9 Time
Received
IM
Job Ad ass
Owner I s Contractor
Name EC AN117CA:L�
CONCRETE ELECTRICAL PLUIJIBII"IG,
BUILDING iring D Rough El Air Cond. &
Framing El Footing E Rough W p Out El Heating El
Slab 11 Temp Pole Cl Tc
Re Rooting [I Sewer E3 Fire Place
Insulation Lintel U Final Pre Fab
READY FOR INSPECTION
Mon. Tues. Wed. (:�F� Friday
A.M.
PM,
inspection Made Final inspection F1
Inspector- Certificate of occupancy
Date
(pq / — :;L3 :3-5
CITY OF
B-cA-0;&uk
office of Building OffiCi8l
REQUEST FOR INSPECTION
r7l 10 Permit No.. L41
Date A.M.
Time -P.M.
Received Lo
[1 -1 h 100 I-ocality
Job Address Air E"
owner's C-wur, jon Contractor - (@�
ELECTRICAL PLUMBING El
BUILDING CONCRETE D A -
0 Footing 13 Rough Wiring E) Rough [I Heating
Framing E Temp Pole El TOP Out [I Fire Place
Re Roofing El Slab 0 Final Ei Sewer Pre Fab
Insulation Lintel
READY FOR INSPECTIO
Mon. Tues. Wed. Friday
Inspection Made P M.Final Inspection'l<
Inspector-
Certificate of occupancy
6we Date