230 10TH ST (VAULT) CITY-OF`
4&,,� 1314CA
Off ice of Buildi ng Of f icial
REQUEST FOR INSPECTION
5 permit No.
Date A.M. District No.
Time
Received-
p
—Locality
job Address
owner's PLUMBING MECHANICAL
a ELECTRICAL IV Air.cond.& 0
BUILDING CONCRETE RRough 0 Heating
Framing 0 Footing 0 Temp Pole Top Out 0 Fire Piece 0
stab 0 Pre Fab
Re Roofing Untel 0 A.M.
READY FOR INSPECTION Friday------- P.M.
Tues. Wed. Thu S.. A.M.
0 P.M.
l.speci on Made Final inspectionv
inspector Certificate of occupancy
0,�2 J!&� Date
4
�"_I'-AL
CITY OF ATLANTIC BEACH, FLORIDA
Appm by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: z 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.
C
ELECTRICAL FIRM: -4R�ELECTRIC NAN SIGNATUIR JOURNEYMAN
.121-1
NAME 411 A'DDRESS: '-RFD-BOX
BLDG.SIZE-----7 BETWEEN:
RES. COMM.I PUBLIC INDUS. I NEW ( OLDI I REW. I
ADDITION ( TRAILER 11 TEMP.I SIGNS ( SO. FT.
SERVICE: NEW( I INCREASE REPAIR ( FEE
CONDUCTOR SIZE AMPS J00 COPPER I ALUM. I L-r'
SWITCH OR 13REAKER PH Wr:;,24/JVOLT RACEWAY
)� -AMPS --4
EXIST.SERV.SIZE /-o AMPS PH �LW 9�NOLT< RACEWAY
FEEDERS NO. SIZE INO. SIZE I NO. SIZE
LIGHTING OUTLETS CONCEALEDI OPEN I TOTAL
RECEPTACLES CONCEALED OPEN I TOTAL
0.30 AMPS. 1 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
-6.1-O. AM PK:I-
FIXED V
APPLIANCES I I BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEILHEAT: KW-HEAT
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS tAl C-,C
0 PC_ 1-T �lvi k
TRANSFORMEiS: UNDE-R 600 V. OVER 600 V.
NO. I KVA III NO. IKVA
NO.NEON TRANSF. _JN��VA. --]-M-A. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
L FEES--
4479
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION LOCATILIN INFORMATION
Permit Number: 4479 ddress: 230 TENTH ST.
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work : NEW LEGAL DESCRIPTION -----------
Constr. Type: N/A .")t : Block : Sectiont
Proposed Use: SINGLE FAMILY Township: RNG: 0
�wellings: I Code: 0 :,!ubdivision:
stimated Value: $0. 00
Improv. Cost : $0. 00
Total Fees : $41- 00
Amount Paid : $41. 00
Date Paid; 10/22/91
k Desc. : NEW A/C SYSTEM IN EX.c;TqTTNr, HntIFE
---- -- OWNER INFORMATION AePLICATION FEES -----
Name: MRS. MIDDLETON PERMIT $41. 00
ddresst 230 TENTH ST. WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA 7422 SEWER IMPACT FEE $0. 00
Phone: WATER METER $0. 00
RADON GAS-H. R. S. $0. 00
--- CONTRACTOR INFORMATION RADON GAS - 5% $0. 00
Name: HUXHAM HEATING & AIR WATER TAP $0. 00
Address: 2006 BEACH BOULEVARD SEWER TAP $0. 00
JACKSONVILLE BEACH, FL 322bt HYDRAULIC SHARE $0. 00
License; RA0024352 Type: 3 RE-INSPECT FEE $0. 00
S $0. 00
,EC. H IMPACT FEE
OTHER S0. 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
"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.99
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:
BUILDING AND ZONING NSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CAI-L-IN NUMBER
IMPORTANT — Applicant to complete all items in sections 1, 11, 111, andA'V'
Street Address: -_3 J2 AZ!F_JE�:—7 A-"—)'4b'.y
LOCATION
OF Intersecting Streets: Between And
BUILDING
Sub-division
Ill. 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 attachLed plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good practice listed therein.
Nam* of Mechanical /Z / Contracto's
IV lou— V, Z.-
Contracfc i Master
Name of
Property Owner
Signature of Own r Signature of
or Authorized Agent Architect or Engineer
III. GENRAL INFORMATION '-j
A, Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON
0__�ctric THIS BUILDING OR SITE? A,'f.�
0 Gas—0 LP 0 Natural C) Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
13 Oil PERMIT
0 O+h*r — Specify
IV. 1111111119CHANIC-AL EQUIPMENT TO BE INSTALLED NATURE OF WORK
(provide complots,list of components on back of this form) V-'-Residential or Ll Commercial
Ck—Heat 0 Space 0 Recessed 112--c.—ntrall 0 Floor E New Building
ey"�ir Conditioning: 0 Room u_�Xisting Building
[q'-6uct System: Material Thickn*s&-- El Rep-lacement of existing system
Maximum capacity /_ 47 47 Q c.f.m. L?`_New installation(No system previously installed)
El Extension or add-on to existing system
E3 Refrigeration 0 Other — Specify
0 Cooling tow9r: Capacity g.p.m.
(3 Fire sprinklers: Number of head--
0 Ellevator 0 Manlift 13 Escalato - (number) THIS SPACE FOR OFFICE USE ONLY
[3 Gosoline pumps. —(number) (Received)
0 Tanks (number) Remarks
[3 LPG containis (numbair)
(3 Unfir*d pressure vessei Permit Approved b Da
13 Boilers
0 Other — Specify Permit Fee
LIST ALL EQUIPMENT
Alit CONDITIONING AND REFRIGERATION EQUIPMENT capacity A rovft
Number'Urnits Description Model Number Manufacturer (Tons) =CY
Zg Cl,q 4 '2—
C)'z/
HEATING - FURNACES, BOILERS, FIREPLACES Capacity A;Iprovtng
Number'Units Description Model Number Manufacturer (EITU) Ag=ey
TANKS
now Many Nominal Capacity Type Liquid Name at Serial Approving
and Dimensions Contained Manufactam No. Agency
-41 ot)
1313ILDItAG, -2-2`3
EET
j)EpA1R'TMF-t4-T 0.TIC 6EPC" -jx�r "'.wv TIR ST FLO-F,
Ck" or PJLAN 230 TENr Bvpcli - 14
NT�J�JjT I DFSC?'1?T150ecti0n"
-,02r 1,Er
b 'BI cc
1,1mber P Townshipt
W-1 14,B 114 Jot BEPICtl
t T vp e -P.TTE!Rp�T RTLP�NTI -
Fp
pjiE 5XI
class 0 t q0K N400D FWILI
Tlre .
,onstl: - Use'
c d code SO .00
?,opose . I SC) .00
11ings *
D%4e d Va I%Ae
F
,stj,ate cost'.
imp-rov - Fees 00
frotal . d.
t pal
3/ 05 FEES
..........................
Date PEI
T
?F
p
m IT 114?p.CT FEE �0 .00
i'Apa 1014 q?,TER
SEWER IMPACT FEE 50 .00
A?
ST?
,EET METER/,'T
FLop.1'0
rp� R 0
P,D
C,,,�RrAL IMPROVE. $0 . 00
,R�T I ON 0,E� TRP
lti-FO ING CO r.,RjS (7,,)NNECTION SO .00
LU14B 0 . 00
SEtTf- TMPAi� ' FEE
J�IkE 63 .
P E . L CO�T -ESURCHARGE 90 -00
Sc�RGR/ATL . BCH , -&Q,",.00
NOTES*.
INGS MUS-T 13F INS BEFORE POURING
rORMs AND f:oo'f
NO-VICE ALL UONC -OS AFTER DATE
V)ERMI-T\/OID SIX MON'
THIS'VORK MUST NOT 13EJ PUBLIC SPACE,AND MUST BE
EITHER CONTRACT
,vi AND DEBRIS FROM OR OR O\NNER
Mp,TFRIAL,RUBB'S
BUILDING No HAULED A\NAY B\�
UFA
CLEARED _CViAmcis W CAN RESULT IN
ICF-r-OVI-TVF- K!31MPROVEMENTS�9
E TO CO 'YING"M
,,r-AILUR1 y OW R pA
J"EPROPERT ppR0\1ED pLANS\NHICH ARE PART OF THIS PER�c-'CT TO REVOCATION FOR
-,,OING TO NS OF Lp,\N.
ISSUED ACC CABLE PRO\"S'O
OF APPLI 95 01�Rcp�tool 1�155
\JJOLATION ACH BUILDING DEpARTMENT 5074
AfLANTIc 13E
�jov 18 ,94 14 * 12 No 0
CITY HALL ATL BCH TEL No .2475805
CITY OF ATLANTIC BEACH
APPLICATION POR PLUMPING PER141T
JOB LOCATION:— ,2
OWNER OF PROPERTY:
BUILDING CONTRACTOR:
PLUMBING CONTRACTOR
AND ADDRESS: -jliq4- X-41f
TELEPHONE NUMBER:
1.1;, 5
STATE LICENSE NO:
TYPE Or BUILDING:
TYPE OF WORK:
NOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
WATER HEATERS
_____,LAVATORY
BATH TUBS DISHWASHERS
-------pRINkLS DISPOSALS
---�CLOSZTS WASHING MACHINE
--.FLOOR DRAINS SHOWER PANS
TOTAL FIXTURE COUNT: x $3 . 50 + $15-00
----------------------------------------------------------------
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
SEWER CONNECTIONS 14UST DR CALLED INTO PUBLIC (904) 247-5834
WORKs 1POR INSPECTION MORE COVERING UP
C',i 1 11 0 v
Office of Building Official
REQUEST FOR INSPECTION 46
Date Permit No
Time ve
Rece d
- -- =q-5
Owner's Job Address Contractor
Name
BUILDING CONCRETE ELECTRICAL 1��PW M Bil�NG MECHANICAL
Framing 0 Footing 0 Rough Wiring 0 Rough C Air Cond. &
Re Rooting 0 Slab 0 Temp Pole 0 Top Out El Heating
Insulation 0 Lintel 0 Final U-� Sewer L7, Fire Place
Pre Fab
READY FOR INSPECTION
___(OAM.
Mon, Tues. Wed. Thurs. Friday M
A.M.
Inspection Made —PM.
Inspection
Inspector Certificate of Occupancy I
Dale