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387 10th St (vault) f f CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . 06-00033725 Date 8/18/06 Property Address . . . . . . 387 10TH ST Application type description PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------- ---- Application desc install 13 fixtures --------------------------------------------- Owner Contractor - ------------------------ ----------------------- MUELLER CHRISTY FIRST COAST PLUMBING 387 10TH STREET P.O. BOX 50446 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-4419 ------------------------------------- -------------- Permit . . . . . . PLUMBING PERMIT Additional desc - Permit Fee . . . 126 . 00 Plan Check Fee .00 Issue Date . . . . I Valuation . . . . 0 Expiration Date . - i 2/14/07 ------------------------------------------------- Fee summary Charged Paid Credited ----Due--- ----- ---------- ---------- Permit Fee Total 126 . 00 126 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 126 . 00 126 . 00 . 00 . 00 PFJMW IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND TAE FLORIDA BUH DING CODES. CITY OF ATLANTIC BEACH l 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 09-00001830 Date 10/29/09 Property Address . . . . . . 387 10TH ST Application type description ROOF PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 5500 ---------------------------------------------------------------------------- Application desc REROOF FL 5229 . 1 ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ LOVE, JR. , ROY M. FIRST COAST PROPERTIES OF JAX 387 10TH STREET 5432 WELLER PL ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32211 (904) 553-0069 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 75 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 5500 Expiration Date . . 4/27/10 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75 . 00 75 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 75 . 00 75 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. 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 description of property being improved: 16-2S-29E 03101 ATLANTIC BEACH Address of property being improved: 387 10TH ST, ATLANTIC BEACH, FL 32233 General description of improvements: NEW ROOF Owner CONRAD MUELLER Address 387 10TH ST, ATLANTIC BEACH, FL 32233 Owner's interest in site of the improvement FEE SIMPLE Fee Simple Titleholder(if other than owner) Name Address Contractor A.J WELLS ROOFING A DIVISION OF FIRST COAST PROPERTIES ` 1 Address 5432 WELLER PLACE, JACKSONVILLE, FL 32211 Phone No. 904 . 553 . 0069 Fax No. 904 . 374 . 1121 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 notices or other 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 Owner's option). Name Address Phone No. Fax No. Expiration date of Notice of 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 611A AP Signed: DATE,! Before me this�4 day of in the Coun of Duval,Stag of Flo'da,ha na�y appeared I.. �,� ,l /�N�7 171 herein by I�imself/he self n affi^rm �at all s e Doc 2uu926zz91,OR BK 15052 Page 969, are true and accurate Notary Public state of Florida Nu--,er Pages: 1 .►" . Reccrded 10/29,2009 at 02:53 PM, Aura Bouvier • My Commission DDi392070 JIM FULLER CLERK CIRCUIT COURT DUVAL �� 4A Fxnires OSf2112013 �Sr�L`Jr7�,` S� `-�Jiil�r• 09- CITY OF ATLANTIC BEACH Date: ROOFING PERMIT APPLICATION � � �Z��� Job Address: I OTN ST ftl- LA---TI C 1;E AC.H FC- 31_1,33 Owner of Property: C,�ri ILEA() AA.,kCLL.&a- FC Address: 3 1 1 nA ST LAS apt,({/ ate: 9J� 'ol _� T � g Telephone: �{ Roof Contractor: Fi R3T c T4(-L5:` k/lVZate License Number: CCC— ) 3 2c6s 7 1 Contractor's Address: 54'6a $,JCL-6A- eLALE -"rAQ.-S 6tiV►L-L4 f�-, - 3'L-LI Telephone: 9�y• 5-S-3 . oo6 S Fax: f alf- 37'•/- I ('1-I Email: A(LTR AX -_�„J&LLS e YANaa. C-M ScopeofWork: A)6w S14(1`J(1Lr' ��F ('2c -Rs"r) Roofing Material Ast)HAtr-r 5/j(,-1()Lj5 so FL Product Approval# FL - Sy4y 4 - 522.9- ( Valuation of Work: $ S SAO, Required Inspections: Sheathing/In Progress-Dry In /Final If re-roof: Assessed Value of Structure:X<$300,000/_>$300,000;Roof-to-wall improvements required? (Applies to single family structures only) "WARNING TO OWNER: YOUR FAILURE TO RECORD NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT" �7 SIGNATURE OF OWNER: Date: L v ZC v S AS TO OWNER: Sworn to and subscribed before me this Z day of 0C Y'aQel, 206. State of Florida,County of Duval ary's Signature: radY PU•�� Notary Public State of Florida fl Pats Wally known Aura Bouvier Produced identification My Commission DD892070 Expires 05/2112013 Type of identification produced M`•(60 -10 2•�(`f Y l I - J SIGNATURE OF CONTRACTOR: AS TO CONTRACTOR: Sworn to and subscribed before me this 1-19 day of 6CMTM 206. State of Florida,County of Duval r Notary's Signature: O'Personally known :o.►• °�e Notary Public State of Florida Produced identification a Bouvier Type of identification produced Ommission DD892070 Expires 05121 12013 inole Road-Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800-Fax:(904)247-5845 F:\roof permit applicaton.docx 7/28/09 Rug 18 06 09: 03a Julie Christtj 904-249-4660 P• 1 a Jt--ti`>>:�.. CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: I � l �( Telephone#: t�'7 �tI_72_�] 72 Owner: Telephone#: 9y 7"77 Contractor- - Fix#- a ,-f9 -yc�)4p0 Contractor Address: �i Contractor Signature: 'I� —+ 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 attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein_ Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type: If other constriction is being done on this building or site, O New list the building permit number. Re-Pipe Number of Fixtures: / Bath Tubs Showers 13 Closets Shower Pans Dishwashers / Sinks Disposals _— Urinals Floor Drains �_ Washing Machine Water Lavatory - Sewer _�� Water Heaters Sprinkler System Othci Fees permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800 • Fax: (904)247-6845• http:i www.ei.atiantic-beach.tl.Revised 1104 r � CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION Date: Property Address: Owner: Telephone#:2��7 Contractor: Telephone#: 19?4,L77J 7 Contractor Address: Fax#: Contractor Signature: ti 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 attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type•• If other construction is being done on this building or site, O New list the building permit number. Re-Pipe Number of Fixtures: Bath Tubs / Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains ____�_ Washing Machine Lavatory Water Sewer �_ Water Heaters Sprinkler System Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X$7.00 + $35.00= 800 Seminole Road-Atlantic Beach,Florida 32233-5445 Phone: (904)247-6800- Fax: (904)247-5843- http:ltwww.ci.atlantic-beach.fl-Revised 1/04 F F,� CITY OF ATLANTIC BEACH iso 800 SEMINOLE ROAD .r J ATLANTIC BEACH,FL 32233 V INSPECTION PHONE LINE 247-5826 r1i319 Application Number . . . . 06-00033895 Date 9/12/06 Property Address . . . . 387 10TH ST Application type description ELECTRIC ONLY Property Zoning . . . . . TO BE UPDATED Application valuati n . • 0 ------------------------ - - ------- - -- Application desc REGROUND Owner Contractor ----------- ----------------- -- MUELLER BROOKS & LIMBAUGH ELECTRIC CO 387 10TH STREET 42 WEST 8TH STREET ATLANTIC BEACH FL 32233 A(904NTIC BEACH FL 32233 9051 ---------------------- -- -- --------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . Plan Check Fee . 00 Permit Fee . . . . 70 . 00 0 Issue Date Valuation Expiration Date . . 3/11/07 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 PERNUT IS APPROVED ONLY IN ACCORD CE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. CITY OF ATLANTIC BEACH ISl ELECTRICAL PERMIT APPLICATION Date: 12J a - c f � Property Address: � l j Owner: Telephone#: Contractor: Telephone#: ��{(-oto 2/ Contractor Address: , l Q� Fax#: Z i✓�x70.2 Contractor Si ature: 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 attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein Building: Building Type: Ll Trailer Service: b other construction is being done on this building ❑ New ❑ Residence ❑ Temp. ❑ New Or site,list the building ❑ Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq.Ft. ❑ Repair Conductor Size: AMPS: COPPER ALCM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service RACE Size AMPS PH W VOLT WAY Meter Number Feeders: NO. SIZE NO SIZE NO SIZE Lighting Outlets CONCEALED OPEN Receptacles CONCEALED OPEN Switches Incandescent Fluorescent & M.V. Fixed 0.100 AMPS OVER BELL Appliances TRANSFER. Air H.P.RATING H.P.RATING CEILING KW-HEAT Conditioning COMP.MOTOR OTHER MOTORS AMPS HEAT Motors 0-1 H.P. VOLTAGE PH NO. OVER 1 H.P. PHS �rnER 600V OVER 6anV Transformers NO• KVA NO. KVA No.Neon_Transf. Ea. Si Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800• Fax: (904)247-5845• http•//www.ci.atlantic-beach.fl.us Revised 1/04 r i i t CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT PERMIT N0. ;� �!� Date :— �— �' LOCATION � P % /0 �l �' Street LOT NO . 7 BLOCK NO .. J� -S/D---- � OWNER MASTER PLUMBER ,Y'GW -- Bldg. IVO BUILDER OR CONTRACTOR ( Petit__N°- TYPE OF BUILDING f SINKS LAVATORY -9 TUBS URINALS CLOSETS FLOOR DRAINS SHOWERS WATER HEATERS / DISH4ASHERS DISPOSALS OTHER / L�l �a6, &2 , TOTAL FIXTURES L . 00 /Z NO NORK. MUST BE DONE UNTIL A PERMIT HAS BEEN PROCURED PLANS AND SPECIFICATIONS must show a plan and description of the size,-.and location of all the soil and vent pipes , and the numbor and location of all fixtures , (in acpordan e with Ori' _name no. 188 of the City of Atlantic Beach, Florida ) must be sh)wn c n bark of appli- cation and be approved by the Plumbing Inspect: r. DRA4 PLAN AND SPECIFICATION OF ABOVE PLUMBINONBACK. kpproved by Plumbing Inspect®r Date (FOR OFFICE USE ONLY ) ROUGH-IN INSPECTED R.EVARYS FINAL INSPECTION: CERTIFICATE ISSUED: _ 1 I BUILDING AND ZONING INSPECTION DIVISION c CV") 0 CITY OF ATLANTIC BEACH, FLORIDA Z Lp =a U) ELECTRICAL PERMIT a z Fee $_ Date— IrstxjT�3 — Permit No. � r { y Ifs J l'O W m I Location Between and a 1 This is to certify that p W 01 '.d ... 1. _ A ` (�LN Niti ontracror - (Master ecln`cian a I has permission to install Electrical Construction as described herein inW a { accordance with the provisions of the Electrical Code and regulations Z °c of the City of Jacksonville, and subject to the information shown on the = application, drawings and specifications which are made a part of this o permit. N for t S " W m a Type of work: "' zor r . T - o m SERVICE: i t1Tt actor f� 60 +1l TPs > Q m s N V W Feeders: 1 O Outlets: u W Receptacles: m N Switches: _ Incandescent: Fluorescent: Appliances: Air Conditioning: Motors: Transformers: Signs: Miscellaneous: l IF NO WORK IS DONE UNDER THIS PERMIT DURING ANY SIX ISSUED BY: rEPectrcol Inspec on' upervisor MONTHS PERIOD, PERMIT BECOMES VOID. 1 t CITY OF ATLANTIC BEACH APPLICATION FOR SEWER CONNECTIONS PERMIT NO. - / LATE LOCATION / 1P> STREET LOT NO. BLOCK NO. OWNER TYPE OF BUILDING MASTER PL ER a.-P INSPECTED _ BY BILLED ACCOUNT NO.— FOR OFFICY UJE ONLY j 1, ' 7�; - Date-- ------ . ... .. .............ig ...... 6?"IX - Permit #-----------------------Fee $--_/..-s.=7:!7------ CITY ---/ .::7:!7------ CITY OF ATLANTIC BEACH Valuation .......................... 7-------- 10,/�' FLORIDA House #3A 7-------- ...........'!�T ID C' .......... - ------ b ------------I- ...... APPLICATION FOR BUILDING PERMIT ................ 20--------------& ---------------------------------------------------------------------------- Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. automatically responsible to ascertain that all sub- The Contractor or Owner-Builder who has been issued a Building Permit is contractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses can be verified. Date---�Y6_p —__ _;�� 1 192n_ ----------;----------- ........ Owner--- _441elephone No._2 ------------ ...... ------------ tr----------Address,(9 4.4 • -Telephone ;'ell'06.Z------ Architect--- 19------ ---------/�_-Addres& C> Z�"y C' V_ hone No./—.S-/------ v14T I e e p Contractor Builder... Px.-5o r_-01-1---------Zone----------------- 0! Block No.-.,-/ ------------ ----Sub Division--_-----­-- ------------------------------------ Lot NO.- /qw�$ -------------_---- and.... ------------------Street--- - .---,Side Between.........................SAN/ ---------------- -------- --------------------_------ _34 '/ yt._6 7 ccv Valuation V:W ------For what purpose will building be used- --------Type of construction_kh��-- --- 0 ootings..___2____C_--------)(...... Dimensions of Building--*.--5-4------- ------Dimensions of Lot. -------------------------Size of F -.;K ---I--'.*------------Type Roof------z--3J .......... Size of Piers-__---_-----------------------Size of Sills-------7— ------Greatest Sill Span in ft. - ) ....... ------ -P ...... ...P How will Building be Heated?---�0-14EN rKIA........... ---Will Building be on Solid or Filled Ground. I Greatest Span-................ ............ Size of Ceiling Joists------2 --------------- Distance on Centers.---_-.--_---_--.A3.................... / ------------ Distance on Centers.......... ......J_(,10 ( ....... Greatest Span..................... (0--- -------------- ............I.. ?------ Size of Floor Joists- I Distance on Centers........ ......... ---------------V Greatest Span---------_-------------------------------- Size of Rafters..___.._-__..._-. )-e--- This rectangle is to represent the lot. Florida State Registration No. Locate the building or buildings in the right position. Give distance in feet from all lot-lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. 1. When steel is in place and ready to pour footing. Z Z 2. When steel is in place and ready to pour columns and/or lintel. a 3. When steel is in place and ready to pour beam. H E-4 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field or sewer is laid but before it is covered. UD 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and c' i at, which are a part hereof, and in accordance with the building regulations of the City of A�lant�ie Beach. e 'S re " ................ �&ess­----34.7-----------------Z-----------••-•-:of Builder_______ .. ....................YT-- --- �u_ 7 /0 .... dress..-----jC;3_'r..t...................................................... Signature of Owner.------ . ...." APPLICATION FOR 14ATER CUT-IIS TO THE CITY OF ATLANTIC BEACH: Application is hereby made for 3/4" tap water cut-in at the following address for one units. Cut-In charge of 85.00 plus 2.00 construction water Street No. 387 10th Street Lot 42 Flock 13 Subdivision A/B Ordered by: Adrian Lalonde OWNER-. zz__2�=4� --,01 Mailing Address: 10601 Biscayne Blvd. Jacksonville, Florida DATE: ACCOUNT i30. METER idO. DATE, I 1STALLnD: CITY OF ATLANTIC BEACH MECHANICAL PERMIT 800 SEMINOLE ROAD-ATLANTIC BEACH,FL 32233-TEL: 247-5826-FAX: 247-5877 LOCATION INFORMATION PERMIT INFORMATION _ _— Address: 387 TENTH STREET Permit Number: 24456 ATLANTIC BEACH, FLORIDA 32233 Permit Type: MECHANICAL Township: 0 Range: 0 Book: Class of Work: ALTERATION ` Lot(s): Block: Section:0 Proposed Use: i Subdivision: Square Feet: Parcel Number: Est. Value: -- --- -- OWNER INFORMATION Improv. Cost: Name: CONRAD MUELLER Date Issued: 7/1/2002 Address: 387 TENTH STREET Total Fees: ' 59.00 ATLANTIC BEACH, FLORIDA 32233 Amount Paid: 59.00 4 246-8168 ... — Date Paid: 7/1712002 - Work Desc: REPLACE EXIST TION FEES CONTRACTOR 59.00 T OCEAN STATE HEAT&AIR w � Z WOEt 1, Required f R NOTICE_- SPECTIQ UST BE REQUESTED AT LEAST 24 HOURS P TO INS CTION BUILDING MATERIAL, BBfSH ,gND'()EPRIS FROM THi WORK MUSTORO T B ERLACED IN{ ELIC SPACE, AND MUST BE CLEARED UP_r D HAULED AWAY BY EITHER CONTRACT "FAILURE TO COMPLY. NS '��F- LT IN THE ORR PROPERTY OWNER PAYlN U -- ----— ISSUED ACCORDING TO APPROVED PLA RMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS O Oper: CHERYLE Type: OC Drawer: 1 Date: 7/18/02 01 Receipt no: $774365 14 PERMITS-BUILDING 1 ATLANTIC BEACH BUILDI G DEPT. — 00100003221000 ------ - - --_ ---- 387 18TH ST 17102 586.88 CK CHECKS 7Trans{�'�t'e: /($%/ fiiap: 8;33:42 BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH AT"MnC BaACH,FLORIDA 39233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT—Applicant to complete all items in sections I, II, III, and IV. I. 3 o eZ- LOCATION Street Addnu: � s OF lat.rsaefing Struts: B.Iw..n_E.471 C,inA5T- �>2 And S Lej BUILDING Svbdiv6ion II. IDENTIFICATION —To be completed by all applicants. In consideration of permit given for doing the work as described in theabove s]atemenl we hereby agree to perform said work in accordance with the attac4d plans and specification% which are a part hereof and in accordance will, Ike City of Jacksonville ordinances and standards of good.precfke listed therein. Name of Mackanlcal Contractors Cosfraafor (PrIMI Muter Name of Property Owner I Sllnature of Owner Sign.fura of I or AWhorfsed Age A,60.0 ., Engineer I III. r WENNAL INFOR A. Type of hearing fvdt S. IS OTHER CONSTRUCTION BEING DONE ON Electric THIS BUILDING OR SITE? /✓D ❑ 6u—❑ V ❑ N.tvral ❑ Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION ❑ oil PERMIT ❑ Other—Specify 1V. USCMAN107AL LQUIPMINT TO IS INSTALLED NATURE OF WORK rP (Provide nunpiete list of components on bed of this form( ?( Residential or ❑ Commercial I Heat ❑ Span ❑ Itteennsd X, Central ❑ Ron ❑�s�((( Now Building Al,Co.drfloning: ❑ ✓[seem 19 Gntrel Exlsttng Building ❑ Dec[ System: Material Tlsld..s Replacement at existing system Madmum capacity elm. Cl New Inslaliatlon(No system previously Installed) ❑ )iefrigenHan ❑ Extension or add-on to existing system C3 Other—Specify C) Cooling Soarer: Capacity 9.µm. ❑ Fin tprinUant Number of heads_ ❑ Elevator ❑ Manlift ❑ Esuleter (number( THIS SPACE POR OFFICE USfi ONL7 Cl 6e1etlme pump. (number( (114"ea-al) ❑ Teak (nvmber( It—As ❑ LPG contakaws (number) ❑ Unfired pnuare wuet ❑ seilen Permit Approved by Dar• 0 Other—.Specify LIST ALL EQUIPMENT ADR CONDITIONING AND REFRIGERATION EQUIPMENT ca pacSty No" A Number Valta Descrlpuoa YoNumber Manufacturer (Tbaa) i 12 � HEATING •FURNACES, BOILERS, FIREPLACES CC Aa� /Number Unite etarlytices Yodel Number Yanufactunr ($TLT)ty VASS-7-7 TANKS Sow)(any Naofaal Capaelty Type Tlgutd Name of Serial Approving SW sDtmeoatau Contained Manufacturer No. y �� 5156 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ----- PERMIT INF'a:;Kl9A'i'1a_iN -- - - ---- LOCATION INFORMATION ---- 'ermit Number: 5156 address: 387 TENTH STREET Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA- ,ot: Block: Section :,lass of Work : NEW ------- LEGAL DESCRIPTION - Constr. Type: WOOD FRAME RNG: 0' Township:Proposed Use: SINGLE FAMILY �)wellings: 1 Code: 0 'subdivision: Estimated Value: $0. 00 Improv. Cost: $0. 00 Total Fees; $22. 50 Amount $22. 50 X192 ,E H OWES; iNlNu- 20 Y> ., . APPLICATION FEES ----` ------ - �:13�,uk�::i i.lii•L,ifx,l'1ATION 522. 50 Nztxtte: i"ONRAD MUELLER PERMIT Address '7 TENTH STREET WA*f 1-, � IMPACT FEE, $0. 00 EWk*p i MPACT FEE.: 50 C„' AT1,ANT P`. ;'r`A H, FLORIDA - ,(t, t+. WATER METER Pif axe: t 904 t 2 3 E ' RADON GAS-H. R. S. $0. OG RADON GAS - 5% $0. 00 C©AI1'isACTLiR INFORMATION RADON Name: A&A ROOFING WATER TAP SEWER TAP $0. 00 �.ddres : 4.16,P SPRING` PARK s 32ru'/ HYDRAULIC SHARE $0. 00 0. 00 JACKSONVILLE, FL • RE-INSPECT FEE 5 R�:;Of'S`s7Es Type: SEC. H IMPACT FEE $0. 00 OTHER NOTES: NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE 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 IMVPROV�EMENTS9L' ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ,Z- HW REVOCATI*?OOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE $•11t� • J L ATLANTIC BEACH BUILDING DEPARTMENT By: ' w CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING l Owner(s): 00 RAD Mo t t- Lj�_g Address: 4;­7 1 0 �– �_ r Phone: ;�N Lot # Block or Unit # Subdivision Contractor:_ {- A- Address:- 01 CbC '!- A;z�- M.,s e A� Phone: 3 9 - y� $tate License No._�C CSU 15-7 g 6 bescribe work to be done: {2 e R,,o f C- e J r Materials to be used: C61�Lv Q s( L Ce f. —T (' S , r res•r Pc g r� r4 �-P Signature OWNER: ' Date: 3 Signature CONTRACTOR: r