The URL can be used to link to this page

331 10th St (vault) ADDRESS BUILDING PERMIT NUMBER INSPECTIONS: FOOTING UNDER SLAB PLUMBING SLAB FRAMING 3 -2-0 r7 7 COVER-UP 3--2-0 -c( -7 INSULATION .� FINAL BUILDING �/-z 7- q/ CERTIFICATE OF OCCUPANCY ELECTRICAL PERMIT # l 3 -7V INSPECT=3NS ROUGH `� .4d �7 FINAL MECHANICAL PERMIT # l VV PLUMBING PERMIT # / � �`3 U NOTES : CITY OF ATLANTIC BEACH a 1� 1 800 SEMINOLE ROAD j _ ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001793 Date 10/22/09 Property Address . . . . . . 331 10TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc replace defective main elect panel ---------------------------------------------------------------------------- Owner Contractor - ------------------------ ----------------------- FARBER, KIRK BILL THOMPSON ELECTRIC CO, INC 331 10TH STREET 49 WEST 7TH ST ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 249-5601 ---------------------------------------------------------------------------- Permit ELECTRICAL PERMIT Additional desc REPLACE DEFECTIVE MAIN PANEL Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 4/20/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 70 . 00 70 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH 07- I I I I I 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 ,.t OFFICE:(904)247-5826•FAX NO.:(904)247.5845 BUILDING-DEPT@COAB.US -mss�y ELECTRICAL PERMIT APPLICATION DUVAL COUNTY 1.JOB ADDRESS: / / 2.IS THIS A SUB PERMIT: 3.DATE �J "3/ /© */\ �/�/ ' LNO C ❑YES PERMIT M Atlantic Beach FL 32233 PROPERTY OWNER: - 4 NAME: 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE: _. . ELECTRICAL CONTRACT ' . - 7 NAME MPAN Cu- 8.ADDRESS.:. 9-STATE OF FLORIDA LICENS NO: �^ 10.CELL PHONE: 11.FAX NO.:y,10 V (, G 12.EMAIL ADDRESS: 13.OFFICE PHONE: 14. LZrA 15. Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction_ This permit becomes null and void if work is not commenced within six(6) months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after Vrk is commenced. CONTRACTORS SIGNATURE: 16.CLASS OF WORK: 17.SERVICE: 18.METER NUMB _ ❑ MULTI FAMILY-#OF UNITS: KRESIDENTIAL ❑SINGLE FAMILY ❑TEMP SERVICE ❑COMMERCIAL ❑ADDITION ❑TRAILOR 19.BUILDING: 19.CURRENT CODE: ; - ❑ALTERATION ❑SIGN W3LD ❑ NEW 1`3'05 NATIONAL ELECTRICAL CODE REPAIR ❑POOL/SPA ❑REWIRE ❑OTHER: LIST ALL ELECTRICAL WORK:;;; 20.TYPE OF SERVICE: ❑ OVERHEAD ❑ UNDERGROUND ❑ UNDERGROUND UP POLE 21. NEW SERVICE: CONDUCTORS PER PHASE: ❑ POWER IS ON ❑ POWER IS OFF 22. SIZE OF CONDUCTOR: AMPICITY: ❑COPPER ❑ALUMINUM 23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE: 24.EXISTING SERVICE SIZE: AMPS: /Ty PH: W:_a_ VOLT: i RACEWAY SIZE: ` 25. FEEDERS: #OF AMPS: #OF AMPS: #OF AMPS: 26. LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT& M.V.: 27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 28. FIRE ALARM: ❑YES ❑ NO 29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS 29. SMOKE DETECTORS: NUMBER: 30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 31. SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS: 32.AIR CONDITIONING: I: c _ ,7- *s,;, #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: #OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW: MOTORS:`_ NUMBER: VOLTAGE: HP: KVA: NUMBER: VOLTAGE: HP: KVA: 34.TRANSFORMERS: s:• �' UNDER 60OV: NUMBER: KVA: OVER 60OV: NUMBER: KVA: 35.M CELANEOUS REPAIRS:. DESCRIBE IN DETAIL: �� L j e c- `v CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 SEMINOLE ROAD-ATLANTIC BEACH, FL 32233-TEL: 247-5826-FAX: 247-5877 PERMIT INFORMATION _ l-___ LOCATION INFORMATION - Permit Number: 21088 Address: 331 TENTH STREET Permit Type: PORCH ATLANTIC BEACH, FLORIDA 32233 Class of Work: ADDITION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section: 0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: 5,000.00 _ OWNERINFORMATION---------- Date Issued: 12/05/2000 Name: KIRK FARBER Total Fees: 52.50 Address: 331 TENTH STREET Amount Paid: 52.50 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 12/05/2000 Phone: (904)246-4657 Work Desc: EXTENSION OF PORCH NOTE SETBACK REQUIREMENT ON PLANS _CONT - GTOR S _APPLICATION FEES ..,.:. FERGUSON BUILDERS PERMIT 52.50 spections.aequire rs FOOTING/SLAB NOTICE - INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. $52.50 14 Date: 12/06/00 01 krceipt: 0816451 C CASH ATLA IC BEAC UIL ING DEPT. 00100003221000 CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address—s 3 r �� Sc/1F_r� cj POdLCN Date Z,? ,- Heated ,? ,-Heated Square Footage @ $ per sq ft = $ Garage/Shed --- 1 fib--@ $ per sq ft = $ i` Carport/Porch @ $ per sq ft = $ Deck @ $ per sq ft = $ Patio R @ $ per sq ft = $ V GU TOTAL VALUATION: $ � Total Valuation 1st $ 2� 4,000 7 d $ Remaining Value $5: per thousand or portion thereof TOTAL BUILDING FEE $ + 1/2 Filing Fee $ ( ) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE $ �2 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ( ) RADON (HRS) . 0050 $ SECTION H PAVING ( ) S HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 $ OTHER $ GRAND TOTAL DUE $ 52. y ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: R P"EIVED EC Dov 2 9 2000 City of Atlantic Beach Building and Zoning ' CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS, OR ALTERATIONS MOVING, DEMOLITIONS Owner (s) (ceLrLe C_ S Job Address: Phone Lot 4 / � Block or Unit_ Subdivision: Contractor: � `j U 1. ? #a" k'. State License # !C---s Address• 3 n' 3 I Phone No: City '4_. Ve%F State Zip Code Describe work to be done: f Present use of building: s` �✓ Valuation of Proposed Construction: , Proposed use: S17�!►i f�� , 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 fireplaces thew Heat/AC? ' ,�11t SUBMIT THREE (C0HbMRCIAL) TWO (RES COWEETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY FORMS, NOTICE OF CO NCEMEDIT, AND Ow7zM/CONTRACTOR AFE'IDAVIT, IF ;S CONTRA.C-'TOR. Signature OWNER: / ,r`. }l 1411 -5 i k Date: L Signature CONTRACTOR: ( iZ6v / Date: AS TO OWNER: �da of o,,,y.,, .djltlne C.Mita®Ib0. Sworn to and subscribed before me this Y _ ►dtSSttK#�`C759555 EXPIRES July 15,2002 ' �: " NDEDTHRUTROYFAININSURANC C. N PUBLIC AS TO CONTRACTOR: 2000. Sworn Sworn to and subscribed before me thisf2 _&Aday o itchell #CC759555 EXPIRE" NOT `1! P LIC to'. BONDED THRU TROY FAIN INSURANCE,INC -3 APP R OVE7U- Cffy g ATLANTIC BEACH ,BUILDING r)FFrlC5 4 2000 o '- L T- REQ'EI'VL;.D NOV 2 9# 2000 City of Atlantic Beach Sullding and Zoning 4 APr tow, fi Ell 7,) wz so- 0 0 v- r-iL We � 1 vk C/I It 1 pZ1 } rp tA OA Ol r LZ .=_ OF y 4 � 3 � d MAP SH0WA. - G _. :oundary Survey of Lot 16, Block 13, as shown on the Plat of Atlantic Beach, Section A. is recorded in Plat Book 5 , Page 69 of the 'Current Public Records of Duval County, Florida For: . Jimmy Jarboe : I " 'I hereby certify that I have examined the F.I.A. Official_ Iflood...hazard maps and .the aboVE roperty does not iie within a flood prone area ." G 14 i L • o.z ' a�' 0. 3 w •( w� x r X H �� . of th 'crmgoino I ccdC is yrs>n��nc Y>✓ M ' i5.i ' int \ GaclG //P RECEIV.0 �\ M0 V K Nov 2 a 2000 City of Atlantic Beacr v —'8 y' io.i Building end Zoning pry' ro o�d o' V. S� E°Q6 `� g�c•P E - C c. JOB N O. D A T E Alt•65�d5:> `�� •ot <7.4Y, C011,q50/V Y ,4550C. D R A F T 8 M A N / 8CALE %X30 L.(N D 5 UAVEYQ.?5 m x.457- n71115rwEEr LEGEND _14CA-50,VV/LLE, FLGW/OA �� PN 353-6476 0 SET IRON PIN SET CONC. UON. 0 FND. IRON PIN ® FND. CONC. LION. `"~O O. 8ET 8/3 CAP FENCE t i I HEREBY CERTIFY THE SURVEY SHOWN HEREON AS MEETING THE +. ; MINIMU14 TECHNICAL STANDARDS FOR LAND S'.SRVEYING IN THE �j STATE OF FLORIDA , AS REQUIRED BY THE DEPARTMENT OF PROFESSIONAL REGULATION , BOARD OF LAND SURVEYORS , UNDER CHAPTER 21HH-6 , I . A. C . , BY AUTHORITY OF CHAPTER 472 , �j FLORIDA STATUTES j BY. .�c FLORIDA RTIFICATE NO. 9120 _ _. _ . .... .. .........-•. .. �•�.w , n.. wt I^ Ca . n ^ Ila r%r!n ^^1� /CITY OF fY/ Qe=A. Office of Building Official REQUEST FOR INSPECTION �- / & ; ` Permit No. C� Date A.M. Time P.M. Received �3 Locality Job Addre ! L Owner's 7 �,Q�( Contractor I PLUMBING MECHANICAL CONCRETE ELECTRICAL ❑ Air Cond.& ❑ BUILDING ❑ Rough Wiring ❑ Rough ❑ Heating g Footing ❑ Temp Pole ❑ Top Out ❑ Slab ❑ Sewer ❑ Fire Place Re Roofing ❑ Final Pre Fab Insulation ❑ Lintel READY FOR INSPECTION Thurs. Friday Mon. Tues. We A inspection Made Final Inspection Inspector Certificate of O cu ncy ❑O� �� {� Date / 1J �o2C� CITY OF ATLANTIC BEACH DEPARTMENT OF BUILDING 800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877 ELECTRICAL PERMIT PERMIT INFORMATION LOCATION INFORMATION Permit Number: 21382 Address: 331 TENTH STREET Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233 Class of Work: ALTERATION Township: 0 Range: 0 Book: Proposed Use: Lot(s): Block: Section:0 Square Feet: Subdivision: ATLANTIC BEACH Est. Value: Parcel Number: Improv. Cost: OWNER INFORMATION Date Issued: 2/02/2001 Name: KIRK FARBER Total Fees: 25.00 Address: 331 TENTH STREET Amount Paid: 25.00 ATLANTIC BEACH, FLORIDA 32233 Date Paid: 2/02/2001 Phone: (904)246-4657 Work Desc: WIRE FOR ADDITION CONTRACTOR(S) " "`f = WN FEES BARKOSKIE ELECTRIC SERVICE PERMIT 25.00 Inspections,Required ROUGH ELECTRIC FINAL ELECTRIC NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION 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. c $25.0014 AT NTIC BEACH BUILDING DEPT. Date: 2/82/81 81 Receipt: 8931154 CHECKS MRS CITY OF ATLANTIC BEACH, FLORIDA App.o.,w DV APPLICATION FOR ELECTRICAL PERMIT 'J�D/ TO THE CHIEF ELECTRICAL INSPECTOR: DATE: C-� 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. ELECTRICAL FIRM: R L IClAN SIGNATURE JOURNEYMAN NAME ""'1 ' " r ADDRESS: J� /Q 7�' S7 RFD BOX BLDG.SIZE BETWEEN. RES.(� APT.1 I comm.( 1 PUBLIC( } INDUS.( 1 NEW( 1 OLD( 1 REW.( 1 ADDITION ( TRAILER ( ► TEMP.( ► SIGNS ( 1 SQ- FT. SERVICE: NEW( 1 INCREASE( 1 REPAIR ( ► FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH a, W 1«)VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS i CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 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 CELL HEAT: KW-HEAT OVER MOTORS MOTORS H.P. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS ■ TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED S TOTAL FEES — - __• v�: s.as z ur r �are.�: :,. r . 800 SEMINOI E MAID —roenTi a IU-1'tf t)L2 A-`Cl it R�1:1=-5 4 4 .. TELEPHONE:(904)247-5800 \7l%11 GY 1�.JOl1J - - l Sul t�Al:852-58W I1ttA;//lti,aHantir_Marh fl-p� a `-IWO--� January 12. 2001 Bank United Houston, EX 71-252-2824 Attention: Tn! iuranre T Tni+ d ilia iin 12w. L rIr 7777\7 s Ap7 illi 4iir iJi.Li[.li. 3 i JLLJJ n n• The property known as 272 &274 Tenth Street is considered by the Atlantic the C`ie}vu iil`u'aiAtiiL e .=�cs`i= A�f.._. C A_._1 17 ,non f'.,_.......�:�__7) _. 1 A7....<�..� � 7nn'7C nnnl T1 LV1dU as oi. AUill t i , 1 707 - Loma- an:1t-V 1 d[1C[ 1V11111UC[ 1201,1!J�VIJIf 1�L- 11i1.1 1[ldU LIdJ not been updated by FEMA since April 14, 1989. J tl[LC1C1 Y. w f\\\ (\/� J//!r a jA t AM I,..�� `o T 4X i Don C. Ford, C.B.O. `\ IjCvpah cc: Laureen Hobbs .Z f W Alerr'in DIVC1. irdt-.R.l()1IV 11IC 13 Adl, 1 L _12250 /3�7r� CITY OF /3 7 Y �3v / Office of Building Official /2 REQUEST FOR INSPECTION /-3 7o Permit No. Date_— A.M. Time P.M. �( Received --�— a a y Job Address Owner's Contractor { ING Name ECTRICAL PLUMBAir Cond. & CONCRETE Roug UILDING �` oug inng ❑ Heating Temp TTop Out Footing _ pole — Sewer ❑ Fire Place Framing = SlabJ Final – Pre Fab Re Roofing Lintel Insulation – A.M. READY EOR INSPECTION`/ 9 -( A Friday---- Wed. Thurs. Tues. / Mon. / M. a Inspection Inspectioc Made _ cupanc Date CITY OF ezrA / 34 Office of Building Offl a 3 C133 ION / �� REQUEST FOR INSPE 3 G Permit No. `l Date � Time P.M. Received ( e Locality Job Address ctor ) MECHANICA Owner's �/ PLU G Name ELECTRCAir on . & CONCRETE Cy,Rough / Heating UILDI ,Rough Wiring Top Out Fire Place _ Footing Temp Pole Sewer J Pre Fab Framing Slab - Final - Re Roofing Lintel - A.M. Insulation - READY FOR INSPECTION P.M. ham. Friday—�— Wed. Tues. A.M Mon. — Final Inspection Inspection.Made Certificate of Occupancy {`'i inspector�—�— Date � LG B" __ -P ici'"'"i- Bea Office of Building REQUEST FOR INSPECTION / I , permit No. 7' Date A.M. Time P.m Received / D Locality Job Address Contractor _ — ` / MECHANICAL Owner's RICAL P D� Air & ❑ Name ELECT — Rough ///---❑�" Heatingting BUILDING CONCRETE Rough pole -Wiring = TC] Fire Place op Out ❑ ❑ Footing � Temp _ Sewer pre Fab Framing ❑ Slab Final Re Roofing ❑ LintelP. Insulation RFA OR INSPECTION Friday Thurs. Wed. Tues. A.M. Mon. / CP.M. / Final Inspection C Inspection Made � D' Certificate of Occupancy inspector Date PSR-3844 f ' 8 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION --- ---- LOCATION INFORMATION - - Permit Number: 13448 Address - 331 TENTH STREET Permit. Type:MECHANICAL ATLANTIC BEACH , FLORIDA 3221' Class of Work :ALTERATION --------- LEGAL DESCRIPTION ------- Constr . Type:WOOD FRAME Block: Lot : Twp: Proposed Use: Section: 0 Subd: O Rna4 Dwellings : 1 Subdivision:ATLANTIC BEACH Est . Value: 0 . 00 Improv . Cost : 0 . 00 Total Feel : 25 . 00 Amount Paid: 25 .00 ; A ----- - - - INFORMATION ---- - _ _ _ -------- APPLICATION FEES ------- Name: KIRK FERBER PERMIT 25 .80 Addr : --31 TENTH STREET ATLANTIC BEACH , FLORIDA 32233 Fhone' 1904 ' 249-002: ---- C'iNTRACTOR I NFORMAT I C:N ,- Name: HUIHAM HEATING & AIR Addr : 1079 NINTH STREET SOUTH JACKSONVILLE BEACH , FL 32250 Li --, RAI)( '24352 Exp: / Type 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. Date: 197 01 Receipt: 0037711 CHECKS 1150 ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000 By: y.. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION ICOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT — Applicant to complete all items in sections I, Il, III, and IV. LOCATION Street Address: _ OF Intersecting Streets: Between And BUILDING Sub-division II. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attaclLed 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 Contractors Contractor (Print),- rte- � Mester IeAo 7)J Name of Property Owneri 0 v� Signature of Owner Signature of or Authorized Agent �� G_7 Architect or Engineer III. GENERAL INFORMATION A. Type of heating fuel: B• IS OTHER CONSTRUCTION BEING DONE ON 0 Electric THIS BUILDING OR SITE? ❑ Gas—❑ LP ❑ Natural I3 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION Cl Oil PERMIT Cl Other — Specify IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK (Provide complete list of components on back of this form) �O Residential or ❑ Commercial ❑ Heat ❑ Space ❑ Recessed O Central O Floor ❑ New Building Cl Air Conditioning: ❑ Room ❑ Central Existing Building ❑ Duct System: Materwl Thickneu ❑ Replacement of existing system Maximum capacity c.f.m. ❑ New installation(No system previously installed) ❑ Refrigeration A Extension or add-on to existing system L El Other — Specify �' /0 X (0 f a lccr-T�- ❑ Cooling tower. Capacity 9•P•m• 6 073 ❑ Fin sprinklers: Number of heads ❑ Elevator Q Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY ❑ Gasoline pumps (number) (Received) ❑ Tanks (number) Remarks ❑ LPG containers (number) ❑ Unfired pressure vessei Q toilersPermit Approved by Date ❑ Other — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT capacity wpprevirss Number Unites Description Model Number Manufacturer cir HEATING - FURNACES, BOILERS, FIREPLACES Capacity wppraVft Number Unita Description Yodel Number Manufactures (BTU) wgenCy TANKS How Many Nawinal Capacity Type Liquid Name of Serial Approving and Dimensions Contained Manufacturer No. Agency i PSR-3~ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INFORMATION ------ ------- LOCATION INFORMATION Permit Number : 13430 Address : 331 TENTH STREET Permit Type: PLUMBING ATLANTIC BEACH ,. FLORIDA 32233 ^lass of Work:REMODEL --------- LEGAL DESCRIPTION Constr . Type:WOOD FRAME Block : Lot : Twp: Proposed Use: Section: 0 Subd: O Rng: Dwellings : 1 Subdivision: ATLANTIC BEACH Est . Value: 0 . 00 Improv . Cost : 0 .00 Total Fees : 25 . 00 Amount P= 25 . 00 n OWNER INFtORMATION -- - ---- -- °-- APPLICATION FEE:: Name: KIRK FERBER PERMIT Addr : ?31 TENTH STREET ATLANTIC BEACH . FLORIDA 32233 Phone: ' 904� 249-0023 ------ CONTRACTOR INFORMATICN _ Name: STEEG PLUMBING Addr: 1601 MAIN STREET ATLANTIC BEACH FLORIDA 3223: Lic : CFC037196 Exp: 1 Type - NOTES: ips -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. Qperator: CHEkYLE Total Pay lent f�5.88 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT • JOB LOCATION: 3 3 1 / t, I_ OWNER OF PROPERTY: /C i )o- 1� f�r�-�'✓-ea2— PLUMBING CONTRACTOR: �5�z P I C a r CONTRACTOR'S ADDRESS: /k D ( 44 CLv /�r STATE LICENSE NUMBER: (? C'CO 3 -7I 9 , TELEPHONE: HOW M"Y OF THE FOLLOWING FIXTURES INSTALLED SINKS _LSHOWERS y LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS I CLOSETS _____WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: --------------------------0------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS — (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP — (904) 247-5834. 134-74 PSR-3�4d_ DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH --- PERMIT INFORMATION -- LATION INFORMATION ---- 331 TENTH STREET [Permit Number : 13474 Address ATLANTIC BEACH , FLORIDA 32233 Permit Type:ELECTRICAL LEGAL DESCRIPTION ------ Glass of Work:ADDITION Block: - Lot : Twp: Constr . Type: section: 0 Subd: O Rng: Proposed Use: Subdivision: Dwellings : 1 Est . Value' 0 .00 Improv . Cost : 0 . 00 Total FF -F ' 25 -00 25 .00 BATH RL _. _ -------- APPLICATION FEES -----25 .00 OWNER INFORMATION ---73223--' PERMIT 25 .00 Name: KIRK FARBER Addr : 331 TENTH STREET ATLANTIC BEACH ; FLORIDA Phone. ( 9041245-4657 __- CONTRACTOR INFORMATIONName: BILL THOMPSON ELECTRIC CO . IN(- Rddr: P .O. BOX 330150 ATLANTIC BEACH , FL 32233-0150 Lc : ER00009676 Exp: ,,Ype* '. rNOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MAf� ED H AND DEBRIS FROM THIS WORK CONTRACTOR OR MUSTOWNNOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP WAY B "FAILURETO COMPLY WITH THE MECHANICS' LIEN -p►MPROVEMENTS AN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION AE OR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHECKS ?09E 00100003221000 ATLANTIC BEACH BUILDING DEPARTMENT By: CITY OF ATLANTIC BEACH, FLORIDA Approvodby APPLICATION FOR ELECTRICAL PERMIT A(, 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. 61L1 iN05SPSON ELECTRIC CO., INC. P. 0. BOX 330150 �_p�-�� ATLANTIC BEACH FL 322 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE NAME `Ok ADDRESS: [O'N St RFD BOX BETWEEN: BLDG.SIZE RES. APT. ( ) comm. ( ) PUBLIC ( ) INDUS. l ) NEW ( 1 OLD ( ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) Sd FT. FEE SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) CONDUCTOR SIZE AMPS COPPER ( ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPS PH W QYOL7 RACEWAY SIZE FEEDERS - NO. SIZE NO. SIZE NO. ED OPEN TOTAL CONCEAL LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES �,,,00 0.30 AMPB. AMPS. SWITCHES INCANDESCENT I FLUORESCENT & FIXED o.ioo AHPs. ovrR BELL TRANSF. APPLIANCES AIR H.P. RATING H.P. RATING CONDITIONING I COMP.MOTOR I OTHER MOTORS AMPS ICEIL HEAT:I K'.Y•HEAT I I I I I I I I i I I I i I d'1 ��OV . VOLTAGEI PHSI MOTORS H.P. i VOLTAGE I PHS � N0. _ I I I MISCELLANEOUS I ^ I r II I I I TRANSFORMERS: I UNDER 600 V. OVER 600 V. I I NO. I KVA II I I NO. IKVA I NO. NEON TRANSF. NO. I VA. I MA. I MOTOR SIZE I SWITCH ! FLASHERI EACH SIGN I I I I I I kFORWARDED S 7OTALFEES I FLA. Ifs? LAWS Fs 713.19 T RAMCO FORM 4ok N vn,6,rr of 5 IIRC►AR[ IN DUILICAT61 Book 8557 P g 2064 I llu4m it LIta =Trz=C1/p(1 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. Descriptionof property........../�..... .... ................... jS ......... ........................................................................ .................�...J1.�............,/Q... .. ct/l c, .......`,.�. �......7.1.....�...... %V%�.......// .......... 15....... .... ..... ,/ .,1 :._ ....6.r........t0 .....f .. ....!? �I��t'....rCar7-.P.?............. ... � ......... General description of improvements........ ........... ........................................... Owner............��lC....I�....... . .�:1.fR+� r........ OP��.................................................................................................. 41 Address......13.131........... (...' ...... ......... !, ` / ...... .` :.1..�%:,C...:... ..3............ Owner's interest in site of the improvement........ ..5/.f.?.lwzc-l.......................................... Fee Simple Title holder (if other tthan Qwnerj j,,)u Name........... llld :............................................................................................................................................................. Address ......................................................... Contractor............., . ...... .......s �� Q. ......................P...... .:..s....... � �........_........... Addreu...........�ql............. ,��. .............` 1. ...... CI ................ .............. .... . . . ...3 ....�.r.._...-�� Surety (if any).................................................................................................................................................................................................................. Address........................................................................................................................................................ rnount of bond $................................ Name of person within the State of Florida designated by owner upon whom notices or other document: 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) (F), Florida Statutes. (Fill in at Owner's option). Name ................................................................................................................................................................................ .... .._.. ....... ...................... Address............................................................................................................ . _.._.. _ . ....._.._............... .....»...................................... TNI• •PACs FOR R[COR06R'e Uett: ONLY 7pb t'1 S 1-1 tv T+ ........ ... .............. ........................ .__ ate....—.................. r*tcrm W•oio x Ow / - azi-Coom xe r 7C.{I+rU Is Jr LrjrU Q* c i 17)cs Ir o M Cl1 Sworn o and subscribed before me 16s.... . 0�-;0 0 WA V /z c, r�o�N ...........................daycf. .,�a�a✓ v,l..................."111 .. rc IzCh G'G.......... .................r 3J7YlYITi7ririnmrmae'rvv�r»> �r�nnn>t I Nwary Pu t c41ky POB, Fred Butler ' <: 01 Notary Public,State of Florida ; eP Commission No.CC 439862 < '`'bf My Commission Expires a:0,04/08/99 � 1.100•)-NOTARY-Far.Notary 9ee-il:e k BC90"M PSR3844 113487 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATIC-44 LOCATION INFORMATION Permit Number,: 13487 Address : 331 TENTH STREET ATLANTIC BEACH FLORIDA Permit Type *REMODELIN!-1 'lass of W.ark :RFM )PEL LEGAL DESICRIFTI,�__',N --- ------ - ,F.,rpjx.os,ed Uze: Section: S,u b,1 Q Dwellings : 1. Subdivision : Ent . Value, 100 Improv . Cost : 25 , 000 . 00 Total Fees : F. 513 Amount P- 50 Spi pipip P, PER FbArNs _,wNER iNF1)RMAT11_DN APPLICATION FEES ------- RMIT CT FEE 202 20 ..0005 ono Al_� TttRWtA4jREfEORIDA 3-22-33 OVERIMPA CC-NTR1'r1111_'T' R !NFORMATION )it, �gj PROPERTY _-WNEF Exp , T 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. TOO Paykeflt ATLANTIC BEACH BUILDING DEPARTMENT By: I CITY OF ATLANTIC BEACH PERMIT CALCULATION S EET Address r 0 i Date Heated Square Footage e @ $ per sq ft = $ CK Garage/Shed 1 ( $ per sq ft = S Carport/Porch `I ( @ $ per sq ft = S Deck \v► @ $ per sq ft = $ Patio �� @ $ per sq ft = S r od TOTAL VALUATION : 6 o ° C) N Tota i 00 on 1st $ UU S /-?0 Remaining Value $S per thousand or portion thereof TOTAL BUILDING FEE $ / O + 1/2 Filing Fee $ O (p) Fireplaces @ $15 . 00 $ — BUILDING PERMIT FEE $ oQ 0 2 S WATER IMPACT FEE $ �' �• Oy SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT S SEWER TAP S ( ) RADON (HRS) . 0050 S SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ( ) SURCHARGE . 0050 S OTHER $ rr GRAND TOTAL DUE $ �� J ADDITIONAL PERMITS OR FEES : Mechanical Plumbing Electric/New Electric/Temp ; SwimmingPool Septic Tank Well Sign Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES : 1 X99 y air ® Z 0e CITY OF ATLANTIC BEACH Pkv \ ti 04 PERMIT APPLICATION REMODEL, ADDITIONS ORGTIONS DEMOLITIONS Owner(s) : Address: J3 ` j 54 Phone: -2 YY- Lot #14 Block or Unit # 13 Subdivision: /OY10-44e ,66,a / Contractor: A11M State License # Address: �f/7� Phone No: /^V /"7Q / Describe work to be done: fj` !P/� Present use of building: Valuation of Proposed Construction: ��6 V Proposed use: 7�lknc_ ' Is this an addition? v If yes, what are the dimensions of the added space: _ft. X �/eft. Will the added area be heated and cooled?_&is New electrical (or increase) ? New plumbing fixtures? Vee New fireplace?Ah) New Heat/AC? c'S SUBMIT T79= (COMMMCIAL) TWO (RESIDENTIAL) COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF C0NM=CEMMTT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: Date: 2 7 '/ Z Signature CONTRACTOR: Date: a G� IVEDLicense Supplied: J`0��c'� Liability Insurance: QP`�Q'�� o -� FEB 2 8 1997 Worker's Compensation Insurance:-----� �` 0� 1tY Of Atlantic Beach Q �Q� Building and Zoning CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXED AT TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF SERVICE _SINK TRAP STAND WATER CLOSET, LAVATORY & BATH (8) TUB OR SHOWER STALL (6) WATER CLOSET WATER CLOSET, TANK OPERATED (4) VALVE OPERATED (8) BATHTUB/SHOk'ER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT. SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF KITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET URINAL STALL, WASHOUT (4) FLUSHING RIH SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL. PEDESTAL, SYPHON JET DRINKING FOUNTAIN (1/2) BLOWOUT (2) LAVATORY, BARBER/BEAUTY ICE MAKER (1/2) SHOP (2) SURGEONS SINK (3) LAVATORY. SURGEONS (2) JACUZZI (2) URINAI. STALL. WASHOUT (4) TOTAL FIXTURE UNITSi___L_@ $20.00 EACH $ O JOB INFORMATION 3 �� 02 CITY OF 1� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 SUNCOM 852-5800 CHAPTER 489, FLORIDA STATUTES, PART I "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO ACKNOWLEDGE THE LAW: DISCLOSURE STATEMENT FOR SECTION 489. 1 03(7), FLORIDA STATUTES: STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS THE OWNER OF YOUR PROPERTY, TO ACT AS YOUR OWN CONTRACTOR EVEN THOUGH YOU DO NOT HAVE A LICENSE. YOU MUST SUPERVISE THE CONSTRUCTION YOURSELF. YOU MAY BUILD OR IMPROVE A ONE - OR TWO FAMILY RESIDENCE OR A FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL LICENSING ORDINANCES. ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WHILE WORK IS IN PROGRESS BY UNLICENSED TRADES PEOPLE. THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS. SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT SUGGESTS WORKERS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE POLICY CLEARLY PROTECTS THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND/OR FORM 1 099 REQUIREMENTS ON THE WORKERS THEY EMPLOY ON THEIR IMPROVEMENT TRADES. UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING SUBJECT To $5,000 PENALTY UNDER FLORIDA STATUTE No. 455-228( 1). AN "OCCUPATIONAL LICENSE" IS NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR. TELEPHONE THE BUILDING DEPARTMENT (247- 5826) IF IN DOUBT. I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER-BUILDER PERMIT. PR PERTY OWNER/BUILDER ADDRESS TELEPHONE SWORN TO AND SUBSCRIBED BEFORE ME THIS DAY OF I Q Lf_ F NOTARY PUBLIC NOTE: PHRASES UNDERLINED ABOVE MY COMMISSION EXPIRES: P, viamea ARE EMPHASIZED BY THE BUILDING �•'Y�:'• *t MY COMMISSION k 00553881 E)(PIRES DEPARTMENT. August 27,2000 "';''•'• BONDED THRU TROY FAIN INSURANCE,INC. 0937 1{. M A P 'S H 0 WIJ.- N G ,'oundary Survey of Lot 16, Block 13, as shown on the Plat of Atlantic Beach, Section A. is recorded in Plat Book 5, Page 69 of the Current Public Records of Duval County, Florida, , For: Jimmy Jarboe I hereby certify that I have examined the F.I.A. Offictal_Iflood...hazard reaps and .the above' j .,roperty does not ", 41e within a flood prone area." I G U7 i I LOT ' X w� I ` y Roview of the 1ormoing CO'C/C� 15 f16i0by'B�RQ�YiCu�CKI. i �4 h hl i 0 � \ N • h r'n ro 90- ECEIVED FEB 2 8 1997 City of Atlantic Beach Building and Zoning C 0 J013 NO. DATE �` L�•o <7.4Y, C04,r750N F11550C. DRAFTSMAN ' - SCALE so__ _ �� ti [.IND 5 U.O vEY4A5 38 EA5T nr'v 5TAF-Fr LEGEND ° .�gGf(50NV/LLE, fLGW/DA � • All, P"�1 353-6476 0 8 E IRON PIN ❑ SET GONG. MON. 0 FND. IRON PIN Ig FND. GONG. MON:-- yy ••° •° 0 SET 8/:3 CAP --N-4(-FENCE Hyl I HEREBY CERTIFY THE SURVEY SHOWN HEREON AS MEETING THE . MINIMU14 TECHNICAL STANDARDS FOR LANG SURVEYING IN THE ` I STATE OF FLORIDA , AS REQUIRED BY THE DEPARTMENT OF , PROFESSIONAL REGULATION , BOARD OF LAND SURVEYORS , UNDER ' CHAPTER 21HH-6 , F . A. C . , BY AUTHORITY OF CHAPTER 472 , "II FLORIDA STATUTES I .y I a 8Y: t R.L.B. -• FLORIQkl� RTIFICATE NO t FARBER RESIDENCE ATLANTIC BEACH , FLORIDA GENERAL NOTES & SCHEDULES 2-3-97 RECEIVED FEB 2 8 1997 City of Atlantic Beach Building and Zoning MICHAEL DUNLAP ARCHITECT JACKSONVILLE, FLORIDA GENERAL NOTES & SCHEDULES 2-3-97 FARBER RESIDENCE 331 10TH STREET ATLANTIC BEACH, FLORIDA 32233 ARCHITECT MICHAEL DUNLAP 118 WEST ADAMS STREET SUITE 200 JACKSONVILLE, FLORIDA 32202 358-1002 FAX 358-3708 G E N E R A L N O T E S FARBER RESIDENCE 2/3/97 1. GENERAL REQUIREMENTS A. See Owner for Contract requirements. B. Contractor to coordinate required material sample submittals to Architect. 2. CONCRETE A. Cast-In-Place Concrete: All concrete shall have a minimum 28 day compressive strength of 3000 psi . Comply with the following ACI Standards: 3011 , 315 and 318 . B. Trench Infill for Slabs on Grade: Unless otherwise noted, infill slabs shall be 4" thick (min) , non shrink grout. Place 6 mil polyethylene moisture barrier beneath grout, min 12" lap, if required. C. Demolition: 1 . Remove all kitchen cabinets, equipment and masterbath tub and related column wall construction at Kitchen/utility. See existing plan (Sheet Al) . 2 . Provide trench at existing slab for new plumbing connections/requirements at kitchen and masterbath. D. Recessed Floor Infill : Provide pt. 4x4 at 16" oc. and 2x joist framing with 3/4" T&G ply to provide flush & level installation for tile or carpet. 3. METALS A. Miscellaneous Metal Work: Miscellaneous clips and straps - see drawings. 4. WOOD AND PLASTICS A. Carpentry/Wood Framing: All wood structural members shall be kiln dried Southern Yellow Pine, or an approved equal , bearing the stamp of the grading agency. Provide the following stress grades: Grade Fb Fv Fc E Studs Construction 1000 100 1100 1 , 400,000 Joists #2 1400 90 1000 1 ,600 , 000 General Notes Page 2 Except as otherwise shown on the Drawings, the minimum nailing requirements are as set forth in table 1705. 1 of the Standard Building Code. Where horizontal members sideframe to supports, use approved steel hangers of framing angels of the appropriate size and load capacity. See drawings for Semco clips, straps and tie specifications. B. Laminated Wood Beams - Provide 5 1/8" x 12" laminated wood beams at kitchen and utility wall locations with 4x4 post minimum bearing at walls. Provide 2x ledger side framing as required for existing roof construction. Wrap beam with 1/2" GWB for paint. C. Finish Carpentry and Millwork: Interior: Provide S4S poplar for interior fascia, trim, door and window casing as shown on drawings, to be painted. 5. THERMAL AND MOISTURE PROTECTION A. Underslab Moisture Barrier: Polyethylene Sheet: Single Film 6.0 mils thick manufactured by St. Regis or Visqueen. Minimum 6" wide lapped seal at joints . B. Building Insulation: Provide fiberglass batt insulation as follows: 2x4 Walls (R-11) Provide 3" sound insulation at all new master bath wall construction. C. Caulking and Sealants: Provide GE Silicone white sealant at exterior window and door frames and paintable latex caulk at all interior woodwork, windows and doors. 6. DOORS AND WINDOWS A. Interior and exterior Wood Doors: Interior: Birch - SC Flush Wood/Prehung/1 3/8" thick B. Finish Hardware: 1 . Match existing. Submit Hardware Schedule to Architect for approval . C. Glass Block: (at shower window) Mfg.by Pittsburg Corning "Essex AA" 3 7/8" x 8" x 811 . Clear Rep: North Brothers 768-0230 . Submit sample to Owner for approval . General Notes Page 3 D. Trim: Mfg by Georgia Pacific finger joint pine. Door casing - 2 1/4" Clamshell 4" Base - Match Existing 7. FINISHES/NILLWORK A. Gypsum Drywall : Regular gypsum wallboard: ASTM C36 regular type with tapered long edges, 1/2" thick. Water resistant gypsum board: ASTM C630, tapered long edges, 1/2" thick. Provide 1/2" thick GWB @ ceiling locations, with smooth finish. B. Carpet: (Alternate Bid) $18 per sq yard/installed allowance. See Owner for additional requirements. Required at Den only(Dining Area excluded) C. Paint: Benjamin Moore 1 . Interior Paint Systems: a. Flat Latex Finish: All areas not otherwise specified. Provide "First Coat" primer, manufactured by US Gypsum. Second and Third Coats - Ultra-Hide UH 7700 series latex flats. b. Semi-Gloss Finish: Wood doors, trim, millwork and all other interior wood = First Coat #UH400 alkyd enamel underbody Second and Third Coats #YH 8000 Series Ultra Hidealkyd Semi-Gloss Enamel . D. Wood flat panel kitchen and bath recessed cabinets with -clear finish. Mfg. by Ocean Woodworks/ $4000 allowance. Door/ drawer Pulls: Mfg. Garden Room(by Owner) Cabinets provided by Owner/Installed by Contractor. E. Kitchen Tops: Laminated tops and full ht. backsplash. Manufacturer: Ocean Woodworks(part of cabinet allowance) Color: Nevamar # S-7-36T White F. 12" Vanity Shelf: Manufacturer: Casa Italia Color: White Draco Blanco 12"x12" Ceramic Tile G. 12x12 Tile (Masterbath) : Shower wall full ht Color: White Draco Blanco 12"x12" Ceramic Tile Grout to match tile cont. . . General Notes Page 4 H. 12x12 Tile (Kitchen/Dining/Den) : Manufacturer: Casa Italia Color: White Gonzaga 12"x12" Ceramic Tile Grout to match tile. I . Provide 1/2" wonderboard underlayment at all tile installation wet areas. (Masterbath) 8 . SPECIALTIES A. Toilet Room Accessories: white porcelain to match tile. Provided by owner/ installed by contractor Alt: Garden Room B. Ironing Cabinet: Ironaway #46 , 22" Above floor, RO = 14 1/4" x 59 7/8" x 3 7/8" .Flush Panel Door (paint) C. Sliding Shower doors with clear tempered 1/4" glazing. Mfg. by: Alumax #350 frameless shower enclosure 60" x 70" Finish: Chrome Rep: Jeff Smith 800) 235-2284 D. Closet shelving: 3/4 " Plywood /paint E. Appliances: SLIDE IN RANGE: GE#JBP76GVWW 30" HOOD: GE#JV395S DISPOSAL: Kitchenaid #KKCDI25OX 3011REFRIGERATOR: Whirlpool#ETI8GKXDW WASHER/DRYER: Existing by Owner 9. ROOM FINISH SCHEDULE - See Attachment 10.LIGHTING FIXTURE SCHEDULE - See Attachment 11.PLUMBING FIXTURES - American Standard/ White P1- Toilet (Reuse existing) P2- Pedestal Sink ( 2 required/by Owner) Fitting: Delta #H44B8XC Pol . Chrome Clear Acylic Handles: 15-81AC P3- Shower Fixture / Drain Fitting: Delta #0X8-010A Mixer W/ #089-976 Valve Clear Acylic Handles: SGL -80AC General Notes Page 5 cont. . . P4- Kitchen Sink(See Owner) Fitting: Delta #451WR Chrome w/ Spray Provide undersink water filter and deck mt supply. P5- Washer Connection Box - Guy Grey or equal 12. HEATING, VENTILATING & AIR CONDITIONING 1 .Masterbath: Extend existing distribution to new registers @ laundry & toilet room. 2 .Provide 4" duct to exterior soffit for exhaust fan @ toilet room. 3 .Provide 4" dryer vent thru wall , w/ PVC wall cap. END U) N O z U) U) w w 40 x 00 > > w 00 00 00 .-1 U) F r1 rl U) H U f=+ C7 C7 W C7 U C7 C7 U1 Ei N x �+ U) a � aa wnz a a a 3 w C7 c7 U c7 c7 C7 c7 z N En fo H E-+ Ei H D D M 1~ a) CU U U U U 3 3 3 ri 41 r-I O a z U � }4 ct O S4 U O N r l H H E-+ P H H E-4 ca •.� >1 � Ei N O 0) Q) •r1 \ C U) 4-) M U) — •r-I \ r1 N Ell N r1 O a w E+ r w O a U U r-1 U xn o �4 r 1 w w O rQ M >4 >4 al z U m Q) a) --Ifa w cn 4-) u > oa HH 0 �4 Cj10N10 U] rn 04 U r 1 Ul r. r-1 O W H a) > P Z x R4-H O m z E; O zON >4rox3 H z >4 >4 s~ >4 UUH0P4 x w z p s4 �4 > 4-) Q) •• a N w (1) al 4-) •r., 4 U) cry s~ 4-) 3 r1 r-i U W •• ) ) 0 1n O r s~ +-) P >+ H as ) ) 0 z -H P ri 0 w04 p3: p p w a a > o D �4 za4U0U004 > w H O rl c� rl z Ei x o � rn ora a Ua oa za a4 a a U H U 3 U 3 U E-+ 1-4 W a co U 0 r� H M '� aa 3 Ei a paG toa a 0 3 3 a N �. aj o 3 -H— c a0 0 LO x cp 0) Ri r I LO N r 1 U i-1 l0 r-I z `W1". z a m H a \ 3 W M U o U U U x134 W U ww w0 wz w z w w a w P. 0 raLo x 0 O U a w a >4w zr �:) U U w �D W m Ef 04 p a cn cn cn cn A4 E-iul X M U w °� a w w Ea 4 D W O r♦ x H U W xy O OEa D • UMa H o O 0 mc 4W a w O E4 I H r W a H H z 1 rLl Hx I I Lno0 ri) a r+ ri 0 w Gi. v] %.0 O co r 0 �4 w D E4 E-r H r X A H N to 0 k.0 z U 9 w W 4 ri 0 w H U w LO r rl 00 W z 1-4 Uaax x N wo w aa CO a �s w W cn cn m • o cn E-4cn w Ea D x v, cn P ri cn v, cn a U z V a2f W W EJB I W W FC W U H a a x w z rx 0 a Q E+ LD z w ch o 0 N w � a 0 F<0 =ZO Ix a a a w cwn a U E- X o o A • H W O O 0 x E a w a z a m U °z ri c4 c4 oU z x a a w P4 a w Q a 0 x a a 0 Ei U a Fc a 3 Ei o z a 0 a U U ^ cn w z D U FC W W a a w a E-+ 4 \ H H 44 En al W z 0 H FC, U1 3 Ei a 0 FC W �o z z 3 \ � 0 a w 7+ E4 (A CQ H ;7 a 0 Gl I ,D rION w z z -+ oa) rn () 9 H d a) N N H W E4 01 rl 01 a) z I I I I 0 z 0 a o U w 0) N00 a o ^^ W H comkok z > Homer+ a 0 0 oounLnLO Ei a zz a ° Ei D4 o a rX4 a N 0 baa > a H x z a a PL, w 3 a a 10776 DEPARTMENT OF BUILDING ' CITY OF ATLANTIC BEACH PERMIT INFORMATIONT LOCATION INFORMATION --- Permit Number : 10776 331 TENTH STREET Permit Type: BUILDINGATLANTIC BEACH . FLORIDA-3223' '"lass of Work: SHED -' LEt3AL DESCRIPTION - Block: Section: Constr . Type: WOOD FRAMETownship : RNG: 0 Proposed Use: SHEDion: ATLANTIC BEACH Dwellings : 1 Code: 0 Estimated Value : $1200 . 00 Improv . Cost : Total Fees : $30 . 00 Amount.,,' 530 . 00 SHED rWNER INFORMATIONT- RADON PLICATION FEES ----- $30 .00 tame: K i Ry: EI;'BER' IMPACT FEE S0 .00 Addy� - 331 TENTH STREET T IAFi '' _ ACH . FLORIDAIMFACT FEE . Pht�r,e : �� { ' �9 03 MER *fAP . r GAS-H .R . S . $0 . 00 t B 5% $0 . 00 ------- CONTRACTOR gI3FORMAT_nNCAL IMPROVE . $0 .00 Name ,i`EF.TY OWNER � Ad4:ress : CROSS CONNECTION $0 .00 i SEC H IMPACT FEE $Q 00 LicenEe: Tyre ' n CONST . SURCHARGE $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 EITHER CONTRACTOR OR OWNER T BE PLACED IN PUBLIC SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY RESULT IN "FAILURE TO COMPLY WITH THE MECHANIC'S LIEN LAW CPRNOVEMENTS" THE PROPERTY OWNER PAYINGTWICE FORTHE BUILDING IM ISSUED ACCORDING TO APPROVEDPLA S RICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS ATLANTIC BEACH BUILDING DEPARTMENT t P 18 1995 CITY OF ATLANTIC BEACH Building d Zoning PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERAT DEMOLITIONS owner(s) : -K �;—L !S.— Address : S—Address : 3 ltY S Phone: 2— �� C"he Lot Block or Unit # Subdivision: Contractor :_ C) \,3v�\yL State License # Address : Phone No: Describe work to be done: Present use of building: Valuation of Proposed Construction: � � Z Proposed use: S4-z< ds L(eS Is this an addition? L 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)? ISS New plumbing fixtures? New fir pla -New Heat/AC? SUBMIT THREE COMPLETE SETS FANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE F COMM NT_, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CON ACTOR. Signature OWNER: Z �z >- lL Date: ql 1� Signature CONTRACTOR: Date: PAP pR IC oEPcE License Supplied: Cep` O;N��1()14\ Liability Insurance: SEp1� 19g5 Worker ' s Compensation Insurance: CITY OF �ctc'c beat! - 9&uda 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 Chapter 489, Florida Statutes,Part I 'CONSTRUCTION CONTRACTING'requires Owner/Builder to acknowledge the law: DISCLOSURE STATEMENT for Section 489.103(7),Florida Statutes: State law requires construction to be done by licensed contractors. You have applied for a permit under the exemption to that law. The exernption allows you as the owner of your property,to act as your own contractor even though you do not have a license. You must zVervise the construction yourself. You may build or improve a one-fainily or two-faily residence or a farm outbuilding You may also build or improve a commercial building at a cost of$25,000 or less. The building must be foLyour own wm and occupance. It may not be built for sale or lease. If you sell or lease more than one building you have built yourself within 1 year after the construction is complete,the law will presume that you built it for sale or lease,which is a violatioin of this exemption You may not hire an unlicensed person as you contractor. Your construction must be done according to building codes and zoning regulations. It is your responsibility to make sure that people=ployed y you havelicenses required by state law and by Coy or muniapal licensing ordinances. Ordinances also allow an Owner to improve their own property when it is for personal or family use,and likewise requr re all work(except maintenance under$2,000)be under a bw1d;ng permit and pass all normal inspections. The ordinance states owners may physically do work themselves;or rnav hire unlicensed workers provided such workers be under "di red,m"rvisi on of the owner,who must be on the iob site at all times while work is in progress by unlicensed trades people." This does not allow use ofunliaensed contractors. Since owners a=be liable for ink to workers they hire,the Building Department suggests Worker's Compensation insurance be purchased unless the homeowners insurance policy clearly protects the Owner. Owners hiring workers become employers and should also observe W withholding tax and/or Form 1099 requirements on the workers they employ on their improvement work. Unlicensed contractors rsnnot be C=ooed Linder any circiMasi mre9. Owners being subject to$5,Q00 penalty under Florida Statute No.455.228(1). An'Occuational License'is not adequ&. The owner should physically see th co rCertificate of Competency'or the Florida'Contractors Certificate"to ascertain if a person is a licensed co . Telephone the Building Department(247-5826)if in doubt. I hereby acknow I have read and understand all the above s ) day of e e(199 Witness,Building Dept.Employee Owner/Builder /L � e C Address GLS ;OTE: Phrases underlined above are emphasized by the Building Phone department t AW� loo i I AT N//V G- 1 � xc /� SL AB ,7 CITY OF 41 441 �C f, Office of Building OfficialJn�3 REQUEST FOR INSPECTIO —9 Permit No. Date A.M. Time P.M Received Q -T Locality Job Address I r v Owner's � Contractor �.J NamePLUMBING ECHAN �- CONCRETE ELECTRI ❑ Air Cond. & ❑ BUILDINGElRough Wiring ❑ Rough ❑ Heating Framing 11Footing ❑ Temp Pole ❑ Top Out ❑ ❑ Slab ❑ Sewer in ❑ Fire Place Roofing ❑ Lintel C Final Pre Fab Insulation A.M. READY FOR INSPECTION Friday Mon. Tues. Wed. Thurs. A.M. 07 Inspection Made Final Inspect0t, F Certificate of Occupancy ❑ Inspector j��'�/ Date E �1/l 1(, fCITY OF' l S� i' ��f✓SP 13 1114 CA -) g83 Office of Building Officialn (/ I REQUEST FOR INSPECTION / b 2 permit No. Date V / A.M. District No. Time P.M. Received O L Locality Job Address Owner's F �� Contra MECHANI NamePLUMBING CONCRETE �EL:ECTRICA p Air. on .& �?" BUILDING ng ❑ Rough Heating Footing ❑ ❑ Top Out p Fire place ❑ Framing p p Temp Pole p Slab Pre Fab fie Roofing Lintel p A.M. READY FOR yITPECTION P.M. Thurs. Friday Wed. I Cc7 A.M. Mon. Tues. ��. p.M. inspection Made Final inspection❑ Inspector Certificate of Occupancy Date Ke-y a,- t N CITY OF f OC Office of Building Official REQUEST FOR INSPECTION —7 Permit No. Date / f M P.M Time Q T Received � � / Locality i Job Address Contractor MEC14ANICA Owner's C, PLUMBING ❑ Name ELECTRICAL ❑ Air on CONCRETE ❑ Rough ❑ Heating ❑ BUILDING Rough Wiring ❑ TOP Out ❑ Fire Place ❑ Footing ❑ Temp Pole ❑ Sewer pre Fab Framing ❑ Slab Final Re Roofing ❑ Lintel InsulaA.M. tion P.M READY FOR INSPECTION Thurs. Friday Wed. Tues. A.M. Mon. ------ Final Inspectio Inspection Made Certificate of ccupancy Inspector � 1 Date PSR-3844 7859 DEPARTMENT OF BUILDING PERMIT INFORMATION - CITY OF ATLANTIC BEACH LOCATION INFORMATION ----- PI1&ffijqeL=; 4@99 - Permit Type: MECHANICAL ATLANTIC BEACH , FLORIDA 3223: ,lass of Work : REPAIR ---------- LEGAL DESCRIPTION ---------- `_-onstr . Type: WOOD FRAME Lot : Block: Section: ProL%osed Use : SINGLE FAMILY Township : RNG: 0 �tellings : I rode : 0 Subdivision : Atlantic Beach .stimated Value: V 50 .00 Improv . Cost : $0 .00 .Total Fees : $29 .00 Amount Paid: 529 .00 ptA Paid : 2/ 9/94 - - - ^wNER INFORMATION ---- APPLICATION FEES ----- PERMiT 929 . 9P Actares� 1 it)TH -Q -LT WATER IMPACT FEE $0 . 00 ATLANTIC BEACH . FLORIDA 2 SEWER IMPACT FEE $0 . 00 Phnce � WATER METER/TAP 50 .00 RADON GAS-H . R . S . $0 . 00 ------- CONTRACTOR INFORMATION ----- RADON CAB 5% $0 . 00 NWpe : CAPITAL IMPROVE . 50 . 00 address : SEWER TAP $0 .00 HYDRAULIC SHARE $0 .00 l r_en e : Type: ; CROSS CONNECTION $0 .00 SEC.H IMPACT FEE $0 .00 CONST . SURCHARGE $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 "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 Operator: CRYSTAL Date: 2109/94 00 Receipt: X3113 Total Pa writ ,,'. BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH. FLORIDA 32231 APPLICATION FOR MECHANICAL- PERMIT CALL-IN NU ER IMPORTANT ---Applicant to complete all items in sections I, II, III, and IV. I. _,3% 7C-1V 11 LOCATION Street Address: nn �} OF Intersecting Streets: Eetwean 5-EIY"1111JL t /�f?f3 o And ��ST e lZLt,5- d/e,--i U� WILDING Sub-dirixiors __- II. 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 pe•fc•m said wo•t with the atfec�ed plans and specificat;ons which are a part hereof and in accordance witn the Gty of Jactson-l'e ordinar•ces a s•a-.e•os of good practice listed therein. Name of Mechanical Contractors Contrach.r (Print) Z-e-/e L) Mesfor C��.�� (�`�s Nlme of y v Property Owner Sigaah+re of Owner Signature of w Aw4otiied Agent Architect or Engineer III. GENERAL INFORMATION A Typo of hooting fuel. 6. 15 OTH[R CONSTRUCTION BEING OONE ON Q/Eiectric THIS BUILIPING OR SITE7 ❑ Gee—❑ LP ❑ Natural ❑ Control Utility IF VES, GIVE NUMBER OF CONSTRUCTION ❑ Oa PERMIT ❑ Other — Specify IV. WICM/WICAL EQUIPM6NT TO BE INSTALLEO NATURE OF WORK (Pro+iM complete lint of componenh on beck of this forth) U? Residential or ( I Commercial ❑r" Hest ❑ Space ❑ Recessed W Central ❑ Roor U New Building Air Conald;oning: ❑ Room 21'�Canfine I GiXiExisting Building ❑ ascf System: Meter{at Thick— W Replacement of existing system Maximum capacity cf m ❑ New Installation(No system previously Installed) O Extension or add-on to existing system ❑ Refrigeration Other — Specify — ❑ Cooling fowerr: Capacity g p m. ❑ ❑ Vre sprinUars: Number of headx ❑ Eiewtor ❑ tfanlift ❑ Escalator (number) THIS MACE FOR OFFICE USE ONIY ❑ Gasdine pumps (number) ❑ Took- (number) Remarks ❑ UG confoineK (number) ❑ Uafieed pressure vesfaes Permit Approved by Dafe ❑ 50;6" l ❑ CIA— — Specify Permit Fee LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT `� pp6 Number Un1ti Description Model Number Manufacturer Capacity Araving 1�( ) G`ailfDENSE� Y,1Lj?C6/j X EE'"cacti U Q� r .STs!N4fik HEATING = FURNACES, BOILERS, FIREPLACES Capadty Ap .0vtna Number Units Description Mot3al Number Manufaatuerr (BTU) AiIncy CID TANKS Sow Many No rWai Capacity Tyree Ltqutd Name at Seal Approving aad Dtmansious Contained Manufactuzar No. Agency PSR-3844 83 • DEPARTMENT OF BUILDING - — CITY OF ATLANTIC BEACH m r m8 PERMIT INFORMATION ------ -------- LOCATION INFORMATION ----'"a _ermit Number : 7883 Address : 331 TENTH STREET Permit Tvpe : ELECTRICAL ATLANTIC_ BEACH . FLORIDA ja 'lass of Work : ALTERATION ---------- LEGAL DESCRIPTION ---- � Constr . Type: WOOD FRAME Lot : Block : Section om Proposed Use: SINGLE FAMILY Township: RNG: G� weIiinas : 1 Code: 0 Subdivision: o CU st4mated Value: 50 . 00 improv. Cost : $0 . 00 ` Total Fs : $13 . 50 � $18 . .50 - rr, - -- - OWNER INFORMATION --- ---- APPLICATION FEES ----- Naxie' KEITH FARBFF PERMIT $18 . 50 =_der fi. 3,11 TENTH STREET WATER IMPACT FEE SO . ATLANTT FF:`. N , FLORIDA SEW`kR IMPACT FEE $0 C 1 ,:-,7 WATER METER/TAP $0 RADON GAS-H .R. S . $0 . 00 ------- CONTRACTOR INFORMATION RADON CAB 5% $0 .00 Name : RICHARD RAVES ELECTR CAPITAL IMPROVE . $0 .00 ddress : F . 0 . BGY .17083 SEWER TAP $0 .00 ,W,,,'T;S ?N<jILLE , FL 32245 HYDRAULIC SHARE 50 .00 sicenr- - EFI: -",,820 Tyr- CROSS CONNECTION �r 00 .=F,' . H IMPACT FEE Yr, :_'ONST SURCHARGE 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. 000000000 000000000 $.00 14 ATLANTIC BEACH BUILDING DEPARTMENT Date: 2/14/94 01 Rcpt: 0030177 CASH By: ;! i CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: )g 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. ELECTRICAL FIRM: MASTER ELEC RICIAN SIGNATURE JOURNEYMAN NAMEk�� ADDRESS: SZ� RFD BOX BLDG.SIZE ElETWEEN�P�. RES. APT. (APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( 1 NEW( ! OLD ( ► REW. ( ) ADDITION ( ) TRAILER ( ) TEMP.( ) SIGNS ( ) SO. FT. SERVICE: NEW( ► INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ► ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE �J AMPS PH W - v VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 31•fOU l.MPS. 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 �CEILHEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCELLANE US TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA HIND. IKVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ TOTAL FEES 0002906 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LCTCATICIN INFL1RMtATrC1N - _.____ Permit Number : .2"015 ACCIreSS: 3'31 TENTH �TNMVT Permit Type: rU1.fnlllNC3 ATLAHTrC BEACH, rt.UIRZDA '322 ' Class or Work: REPAIR _ - ---- - L.KMAL DE9CRTPf`SiDN ------_. v-onstr. Type: Lat: 13_Lack: '3ectlon: Proposed Use-. ZINOLE FAMXLY Townsnlp% It HO C3 Dwellings: 1 Code: C) : Estimated Value: $D. 00 Improv. Cost: ICAU. 00 Tatatl Feest 51 M. 00 Amount Paid: S�►l.--1. 00 UOINEft INf"01tnATX0N -- - _ __ _. .- -- - - APPLI+CATXUM FEES Name: RIR : FARHEft f'LrftM IT �1 i. Dt)) Aeiclr eas: 3"31 TE"TH STREET MA'tCH rMr ACT frf'E L7,#00 ATLANTIC 13EACH, PLUMXDA ' `Z 3'.3 .5EKER TMIPACT FIJr 3C►.rat) WATER "ETKH lin. V-" RADO" LIA"- -H. 11. 13. 910. C)t3 - - r-0"TRAC-'T"ft 1f#r0"M3ATI0N _ __ HADON Y3A:`3 - tM' AJC'). 010 name" .t V AND --rON PLUnf:lNt3 NATEN "rAP �YJ. on Aaorem s : -rnn C:LEARV]EW LANE !SEWER TAP 50. 0x ATLANTIC SEQACH, PLA. 3Z2---V3 HYDRAULIC InHAnt.. 450. DU LA-Cefx8e' M1f 121ti Type: 4 Rr-SN:'_tPECT IrEE 15U. CL"► SLC. H T?TPAC•T rrE :A0. 010 01rHER SO. 010 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: 'll � Vo. a�o� CITY OF ATLANTIC BEACH APPLICATION FOR PLU1ii?Ihl—j ?E'2 11IT i0H L0C.-%1 ON: ��-- Z "_ _i– ---------------------------------- PLUMBING CO dTRAC 'OR:Zj ,e P)a --- .- ------------------------- 1 ICEN�E ------------------------1,ICEP>::�E NUMBERS:–V a_!r lS1= 1=0– -7 5:4 --- --- CW?dER:– --- -- ----------------- ----------------------------- BUILD1113 CONTRACTOR: ------------------ TYl;E OF BUILDING:_ -------------------------------- SHOWERS ---------- 'SIi�lir, ---------- � LA' 's3 " -- - --WATER HE VFltRS ----------- ATH TU` '' lliSl;} SIiER3 URi:dt-LS 1S O SALS CLOSETS WASHING 3 ACHIRE, –_– __-- .f' FLOOR DRAINS --0:HER TOTAL FIXTURE COUNT ----------------------------------------------------------------------------- INSTALLATION OF PLU11SING A:%D FIXTURES MUST BE ill AC0.10RDAINCE 1 I"'I? THE T1105T RECENT EDITION OF THE SOUTHERN S c ANDAPD PLUNINBlING CODE. ,e- - ►�L 0002902. DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT TNri0"nATXOff _ LOCATION INP ORnATXUH _- P r ml t Number : 2"102 Act ress s '347 THIRD *TnTnEET Permit Type: PLUnBlffn ATLANTIC ISEACH, PrLURXDA -322-3- Class 3223:40 ass or Work: ADDITION -._ ____ __._ LEDAL DESCRIPTION ----- --- constr. Type: WOOD rRAnv LoBlock: 3e'ctlon: roposect Use: '5rHOLE rAnILY Township: Run, n D ellings: 1 Code: C 3u divisions F's t1Meted 'Value: ISO. too rmprov.. Cost: 1310. 010 Total Fees! 3'23. 3U Amount. Pa1Cl: `323. 31] Date Paid: 8Ir261,11-4 1 Work Desc. : TNJTALL NEW 16LU17 ---------- - t1WNLR INP'OAVIATT11t1 - - _ _ _ AP'YLICATrON P'EE'S ----- Name: CHART-EI-14 LIND3ey PERMIT `323. 310 Ad Iress,. 317 THIRD ISTREET WATE" TnrACT rEMOn ATLANTIC HEAV7H, FLORXDA 3'-'..2-3.3 3EWER 117PACT rEE " 11. or-) Phone: WATER 17LL'TLR 150. dna RADON OA" H. R. 3. 1501. Ou - - -- CONTRACTOR INPOR17AT 10H RADON 0A1 - -717. 50. tat) Name: tnTEMO P'1,Ut1BT"0 WATI✓R TAP 1$0.00 Ad rens: 7.3011 17AIN 3TRPtT SEW1M TAP IWO.+no ATLANTIC BEACH P1_O>RRXDA ,32233 HYDRAULIC SHARE 50. 010 L1 .ense: C rC037'1"0e, Type- 4 RE-INnPP_CT FEE 511. no BLC. H InPA+C:T P'Lrt 50. On OTHER '"0.010 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 ANDISTJBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. dcLEi P I ILlpll LN. Olt.r. ATLANTIJ BEACH BUILDING DEPARTMENT By: Gas i �- CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:____-��-)---'y f_L]!--------------- ----------------- --------------------- PLUMBING CONTRACTOR: ------------------------- LICENSE NUMBERS:------2-fe,12,52Z2.� -J-'-------------------------------------- OWNER ----- !_ --------------------------------------------- BUILDING CONTRACTOR: _ ------------------------------------ TYPE -----------------------------------TYPE OF BUILDING: ----- -------------------------------- ---------- SINKS ------------------------------------------ SINKS __-_-----_SHOWERS LAVATORY ----------WATER HEATERS BATH TUBS ----------DISHWASHERS URINALS ----------DISPOSALS CLOSETS ----------WASHING MACHINE FLOOR DRAINS ----------OTHER TO AL F *TURE COUNT s --- - - - -- --- � _�--- �� ------------ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMNBING CODE. �. 0002901 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH LOV,ATION INFURHATION r ei'Writ. Number : 2' X71 Address: "347 THIRD '3"f'R1SET Per mit Type: l3UILDINY9 ATLANTIC BEACH, ri-oRIDA '322,:3'3 r,lsss oY Work—. ALTERATION ---- LMOAL DElSCRIPTIUH --- -__. C'onstr. Type: Lot: Block: 12 ecLlon: Proposect Use: 13INt3LE FAMILY Township: RHO: C Dwellinge: 3 Code: 0 �"-uDdlvlsl.on: McL1meted Value: %-110foin. 00 Improv. cost : SO. 00 Total FC—es: 967. =10 Amount ra lC i 'swT. -30 Date P ld; tsf,?".` 14 Work ►e L,. - REMOVrL EXI't"iTINO - OWNER INFORMATION __ _ __ . ... - - APPLX CAT f0ft t''ME'S Name% C"Afturn LIHMSEY PERMIT �if3'7. X17 Address; 347 'THXRV `,t'TREE"T WATER IMPACT FEE 0. ov-`► ATLAN"T 1G BEACH, FLORIDA '32:''_'. :3 SEwe" IPlPAtlT FEE 130.100 1"T,�rrYP: C r1xi 77 71- �i�t1 MATER "ETER qrl. 00 RADON UA.5-H. 910. OiD COHTRAUTC1lt THrORMATICIN RADCIN 0A18 -- D7: irC1. 00 name: 8000"- C OWRTRUCTION 'CID. WATER TAP 50. 00 Address: P- 0- WOK 1Dt3C1 `:4EWER TAP I�Ml. CK-1 ORANLIE rARK HYDRAULIC -9HAftISS 50. 00 License: 'Type IEEE CDD. V-0 ':SEC. H IHPAI:T FEE SO. "0 CPTH ER :►�. 00 NOTES: 0. 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 IMPR�O!�VEy�MENTS." 0rsi.li'H' 101N DATE: 081',//90 ♦ ..max LiI.L ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AN ,ECT TO RA671 TION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE *.k� ATLANTIC B ACH BUILDINGLEPARTMENT F Address 417 ieated Square Footage @ $ per sq ft = $ ;arage/Shed @ $ per sq ft = $ 3arport/Porch @ $ per sq ft = $ Teck '✓ @ $ per sq ft = $ 'atio @ $ per sq ft = $ TOTAL VALUATION: $ btal Valuation ist $ t�G 600 , 0 'ender Valuation �:�per thousand or portion thereof ------------------------------- --------i Total Building Fee $ 7 DDTTIONAL PERMITS anal/or FEES REQUIRED + k Filing Fee mechanical Fireplaces @ 15.00 $ BL'II $ �ING'PERMIT FEE lumbing X0'7 5C� lectric/New ' ----------------------------------------------- lectric/Tep eptic Tank BUILDING PERMIT $ J� ell WATER METER CHARGE $ ,.aiumirig Pool SES IMPACT FEE $ -r WATER IMPACT FEE $ ig}n iter Connection MIS( T ANEOUS $ Baer Connection $ ater Meter $ levation Certificate GRAND TOTAI. DUE $ --------------------------------------------------------------------------------------------- UOJ=ONS and/or NOTES CITY OF PROlrclti 'Y DESCRIPTION /� __ __ e'� 1*&oZzC Feaz 2// - T&& 716 OCEAN BOULEVARD Lot # Block # Z ___Section #-_______ P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 ------------------------- TELEPHONE(904)249-2395 Subdivision-______ Street Name �(r �0, DESCRIPTION OF WORK or Address:_____`[_____________ ---------------- If in a FLOOD HAZARD Flood Zone:--------------area complete page 3. Brief (� �J ,Q Description: I�?W() e Class of Work: (New/Remodel/Addition) ZONING INFORMATION Type of / ( ([ Construction: ��W'UU Q.. Zoning ( Proposed District:_�� -1- Use: ----- ---Estimated Value 5 7 ()UU ----- ----- -- --- t-------------- Exceptions orI h Materials:------J- _G_d_J _________ Variances Granted: ------------------------- Solid or ------------------------------------- Filled Ground: Roof: OWNER INFORMATION M Method of Heating:____H u11r-- Property Owner:__W V - C k a V't 5__- t lit S4�------------ Phone:_-aZ-?-L-3---- Mailing 3 � yd Address--------- ---------------------- ---------------- -------- tl t-- --r__,-C-------- .............. Zip:_ 3 22 33 CONTRACTOR INFORMATION Contractor: A�Q�S ---C (3VUS -_- C v _ __________ Phone:------ _53-2 C9 Mailing Address:------� V__!D�7� 1S�O d-------------------------- -- -------------------- ------ ----------------------------------------------------- Zip.__ �----- Expiration c� License Number: L - 3U_ / Z �U ��- --------------------- Date:-------- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE � COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF APERMIT DOES NOT PRESUME TO ff GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, 1& {L REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS i CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. F% •*.., -f Date Signature _ ----- ------ ;,. k ^ Contractor Signature_ _ _Date_ Kity .,,,, ,• --- - -- - -- - - FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: ------------=------------------------------- Flood Zone: ----------------------- Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date--------------Applicant's Signature ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation ----------------- Survey Filed with Building Department^ Building Department Representative page 3 f I � d + W m -a A 4- i _ rn n 1 APPROVED CITY OF ATLANTIC BEACH MUN P-1 BUILDING OFFICE AUG j9�1 Building and Zoning s n Ntic q C/N n cr\ � � w T,+-'`h s R� i 1' d 11 APPROVED CITY OF ATLANTIC BEACH ; BUILDING OFFICE a w � INSPECTION RECOILD JOB ADDRESS 3 /- j CONTRACTOR ee OWNER J� TYPE DATE REMARKS xP' PECTOR FOUNDATION SLAB PLUMBING (R) -?�� aL<1 �frous�ig� SEWER TEMPORARY POLE LINTEL/BEAM COLUMN ELECTRICAL (R) -`� ��7i Uv PLUMBING (F) FRLMING 5h, 7y tAL ELECTRICAL (F) _ OTHER FINAL DEpARTNM OF BUILDING FOR of 0, c U E ONLY c Date—__-----_ 159 S TOWN OF ATLANTIC BEACH, FLORIDA Permit No.____ ---_ Fee -_ - 00 Valuation $-_/C Q -Application for Permit for House No, Miscellaneous Alterations, _______________________---- ------------ --- andRepairs ------------------------------------------ ------ -- 195 To the Supervisor of Building: The undersigned hereby app lies r permit_��f1 -1. ,.--y�1�11.1-.C _1� i21'12_ (state if to repair, atter,add to or move building; erect awning, sign, etc.; install boiler, elevator, etc.) Building - (State fractional part) /� At _ -------Side No. __ L.� -- _• St. Between_----------------and---------------— -_-_Sts. � O o -------------------- Valuation S---- ------- -- - (State cost of improvement) BUILDINGS ANDACCUPANCY What is present use of building-Residential or Business?_____ ' If residential, what type-Dwelling, Garage Apartment, Apartments or Rooming House. --/ �f 1 How many families accommodated now?---fD ----------__How many when altered?____—_ 312 --+- - If business, what Will food be prepared for'sale on premises?--_--_-_.__ —----- ---------_____—.awl What plumbing work to be done?........ _...6.,....................•.--•••--- v of 10 Size of present building---------------Size of extension__� _ ---f Number of stories now...........&--x'7•• ••-• -- after altered.... ___& -__-___Material "e. �oj rpof_ j Material of present building__-- / _-_-_-_-____Material of extension __-/CLL_ -1--L'� NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIPMENT Name of Oil Burner or Gasoline Pump...................--•••••-•••-•••••••--• ........................... or Model- Name odelName and Address of Manufacturer__— -- - application is also made to install:--- - -- --- gallon capacity tank (s) In connection herewith, app (How manyy))----- ---_-• ound made by- - -°l----------------------- gtlage metal_------------------------ � ------------------------- (Under or above) (Name of Manufacturer) ------------------------- ------- ----_-__o!building. For------------- wame of Purchaser) (Inside or outside) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS Classification---------- ------- -- - --------------------------------------------- - ---------- ,S1Ze—_—_—__— ------ (State whether ground, roof,wall, projecting, banner, special,etc.) Weight —-----1Vlaterial of constructlon__—__-------------------------------------- ------------------------- I111Iminated?—__----------- ---- 'pe 111umulatlon___----------State whether Lamps or Neon) — Will sign be over public --------------------------------------------------------- SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For canvas awnings provide dimensioned drawing on reverse side) IMPORTANT NOTICE: the above statement, we hereby agree to perform In consideration of permit given for doing the work as described in said work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building regulations of the Town of Atlantic Beach. Signature of Builder _ Address__------------------------�--- Phone —� �-- Address--------------- _—_—�__ Phone No. Signature of Owner 1i r DEPARTMENT OF BUILDING 3606 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. i PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 19 Valuation$6 C)O0 Fee $ 22 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that Carl L Gi.nder has permission to build an addf-i on and a at-nraaC_' Qhec7 Classification residential Zone Owned by Lot— �.� _Block l3 S/D IR - House No. 1 rr'E'n }3--fit rf'r't According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS t AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTES ,I AFTER DATE OF ISSUE t O Building material, rubbish and debris ♦--� from this work must not be placed in public space, and must be cleared up and haliled away by either contractor or owner. . ' LyCi�4�1 Building Official. t —FO— R OFFICE :_PERMIT DATECONTRACTOR USE ONLY l PLUMBING ELECTRICAL SEWER WATER F E - a UA l �� U* •i7'WM OOZIP f 6 1'O Y.k LICENSE NO.-P-- TrA Q14, 4—ru-im', — gip'W-u-s _—..N SPOSALS ODIER 'S �1oam t;Wr6.Y�k, - u?�.9�'9�+��f d"�ceMg7�'Ag+�Q i�N�ig/�7rQ�}6kaT�FS,�ra�� rum � �IM BE G,�N d�.X1�..V-,WX W �a'6� N Ci':�1 tl s '�G g d�S L Qm .�IU.P¢�`:�.ffniL �rftQ mw �'�i�i1�3ibi ME. "DEPARTMENT OF BUILDING 3608 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3/16/78 19 Valuation$ PLM'BING Fee $ 3.00 This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of law. This is to certify that ' s Plumbing I has permission to build to install 1 lavatory. 1 bath tub• and 1 closet k Classification residential zo__ k Owned by Carl L. Ginder LoBlock 13 .—S/DAB House No 331 Tenth Street i ' According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE ./ ► O Building: material, rubbish and debris ♦ ♦ be placed in from this work must not public space, and must be cleared up and hauled away by either contractor or owner. f R. c. Vocie Y r. I Building official. "'N FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER vy 3/i f/fu t rx f PLUMBING ELECTRICAL SEWER I WATER CITY OF ATLANTIC WACO WATER amemo T`:ri.`�, LOCATI ON 77 PLUMING FIIMI �.�Y��j�jj,,, �wrr.ru,wrs»."�v„+'ww`�'�o'� 'M -,..••�. wa... e Iy'-p- `Cr rte_ F '�—'�+..•�ar.+�.�.... .+..ew..___—_-___ —s.reea. J*R On TIME OF WILDING ..,,,_eA'#VM M Gmp CONSISTING OFSTALL. � �� TM CLOUT, LAVAT�lY a 811T1� (St MOM STALL, (4 UNITS) ......� t6t�t1t1P) PER HEAD t3 UN _ BAMM (NI TH OR IP!T�IONT OM —SCRMW SINK (3 lSig'I S) NEAn WOW t2 UNITS) —BI&T 0 UNI TS B FLINHI NB RIX SINK (D UMI TS) -0006I INT!Olt SINK A TRAY (3 UNITS) __SEMI CE SI NC TRAP 'SrAND t3 UNB TSS ______ MTI CN S R w TRAY WFOM DISPOSAL —,SERVICE SI IK-P TIW (2 UNITS) 00'r, (4 UNITS) , SC1AAM-SINK (4 UMTS) DENT AL UNI T OR QW1 DOR ESI UNI TT URI NAL, PEDESTAL., SYPHCfI+i JETY BLONOUT Cat"TS) ._.____MUMAL, WALL LIP t4 UNITS) ...._._.aei*I1�G PLIIStTJ1111 QUNi7y' utt HAL STALL., Mllslm t4 u+o T5 B _v.___�§NlMS1#R t2 UMlTS) ._____M NAI. TIKIUKI tEAM 2-FT. SECTION DMI NB ! ul+a {) (2 UNITS) KIS SINK (2 UIM T5D` 000111116 MOMI NE (NES.) 0 UNI 75) S I!K w HASTE .,MASH SINK. EACH SET EF FAUCETS (3 UID TS) (2 UNIM L AVATt)M ii uml T) WATER CLOSET, TANK-MMTED LAVATCRY, BARDER, BEtM PARLOR t4 tEiITS) (2 UNI TS) —WATER CLOSET, YAC VE TTS TS UN!T5) LAVATMY, SIn Q ull T'S) TINY t2 UNITS) FOR OFFICE USE ONLY t-�v11 Z Date------)_tfke1-4......19 7f Sa Permit #----------- Fgo CITY OF ATLANTIC BEACH Valuation $bLem -------------- ------- FLORIDA House #, .J/ ---/P�------�----------.-..-.. � .�----------- .. ..�-----�.............. APPLICATION FOR BUILDING PERMIT ...... Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date ... March------- 19. 7-8--- --------------------- Owner -$ Owner--_--_ ._ arl__.L.----And---Carrie.... . -GimeMldress_-._3-3 ---!a-th-.__,�,t - ..--..Telephone No..-.2-�.�.---23.2.2 Architect-----------------------•----••-•------••-------------------------------------••...............Address.-----------------------------------------------------------Telephone No-----------_-_------------ ContractorBuilder------------------------------------------------------------------------------Address------------------------------------------------------------Telephone No.--------------•----•-------- Lot No--------------------------!A---------------.--Block No-------13-------------------Sub Division------At13I1t1C.... e3Ch----------------- ..........Zone----•-------•---- Street---- --- _ Side Between -------------------------------------------------and------------------------------------------------------Sts. Valuation $-----&ago---------------For what purpose will building be used Resident Lal---Type of construction`oacrC3te...Z,.1OCk ..-_-.----.-Dimensions of Lot-..50 ' 0" 150 ,011 _Size of Footings--------------------------------------x 8 �2E Dimensions of Building-_---�-.6_.-..-_X--_32 rpt Size of Piers--- ----------------------------Size of Sills---------------- - - -----Greatest Sill Span in ft........6-!-------------Type Roof----1.e'anl to-••-•-•---- g , Existin Fla peat solid __ How will Building be Heated? ------ - g _ .. _g �lth��ldin be on Solid or Filled Groun .-..._-.-_............................ Size of Ceiling Joists- - ----- ------- - ---- - ----- Distance on Centers............................................, Greatest Span---------------------------------------•--- Size of Floor Joists-------------------------------- - ., Distance on Centers.......... -------•-----------------------, Greatest Span--------------------------- ------- » 2 x g�' 7!& Size of Rafters -------------------------- --- - - .-, Distance on Centers. -_... . - - --�r --•---- --.qatess,t SP n----•-19••---------•--•---------------- »/� pPROVED� 'tangle is to represent the lot CITY OF ATLANTIC BEACH Locate the building or buildings in the BUILDING OFFICE right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall MAR 16 1978 be submitted with application. � ' - KI - Inspections required. By 1. When steel is in place and ready to pour footing. zz 2. When steel is in place and ready to pour columns and/or lintel. 3. When steel is in place and ready to pour beam. to 4. When framing is completed. .7 ° 5. When rough plumbing is completed,and ready to cover up. G7 5 W 6. When septic tank drain field or sewer is laid but before it is covered. rn tv A 7. Electrical inspection by City of Jacksonville. P017-10 11 8. Final inspection. 264 z' Note: In case of any rejection,re-inspection MUST be called for after app M �, IJ corrections are made. 5H4DE0 FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with41anti tached ns ands ecifications, which are a part hereof, and in accordance with the building regulations of the City oc Signature of Builder-------- -- -- ----- •----------_---- ......--•- Address..33-L l '--------•------------------ - Signature of Owner.. ------------------------- --------•-••-----------------...----------- - Address-------------------------.---.-.