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376 10th Street (vault) CITY OF ATLANTIC BEACH SSS, 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 05-00031024 Date 8/23/05 Property Address . . . . . 376 10TH ST Tenant nbr, name . . . . . . REROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 4800 Owner Contractor ------------------------ ------------------------ HACKNEY,NORMA NELIGAN CONSTRUCTION PO BOX 49249 ATLANTIC BEACH FL 32233 JAX BEACH FL 32240 (904) 247-3777 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc Permit Fee . . . . 83 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 4800 Expiration Date 2/23/05 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 83 . 00 83 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 83 . 00 83 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. B FF L CITY OF ATLANTIC BEACH Cc: r NG / ZONING DEPARTMENT D. Ford BUILDING L. Higgins S. Doerr 800 Seminole Road Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # �)5 - �5 q Property Address: � I (12 ) r) _ Applicant: GL Project: f ► C2D This permit application has been: Approved F-1 Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: L�4-- Date: Date Contractor Notified: CITY OF ATLANTIC BEACH i �!ron.. R, 7nN nor CITY OF ATLANTIC BEACH '' V" Al1G 19 2005 ROOFING PERMIT APPLICATION RY ' Date: j Job Address: �' `.,, ,r 7`yZ�if, A F z-Ar-IF)C- 9<14- z Z�� Owner of Property: dOOey'' A L k(J r Address: ) y 7 1 VF v/a-Kcjs-- L A(\1 Telephone:C aq 6 Contractor: LcL �ltN {vJ�G,r �9->%NV%-j State License Number: CCC 1325-,5A Contractor's Address: �L )-4 J', 13. L 3 2 Z Telephone: a,) Y) 2-9 7- 3 77 7 Fax: Z Y l Y 3 ) Scope of Work: 2t ro 0� Deck Slope: Great�r7�2:1 j Z ess than 2:12 Valuation of work: y 00 Product Name (Example: Timberline): © U.1 Qom►"s Manufacturer(Example: GAF): d vW h`' f Lar 2 N/N G► ASTM Designation(s): 3 b Z Required Inspections: Sheathing and Final Signature of Owner: Date: AS TO OWNER: Sworn to and subscribed before me this q4,i day of 20 �5 State of Florida,County of Duval Notary's Signature: by r►'`• DONNA L.BUSSEY MY COM bHSSION#DD 412624 EXPIRES:March 30,2009 ❑ P rsonally known h eaaae rnn, uaaenKNershj, Produced identification Type of identification produced PASO 636 ?3 5 a3 0 Si nature of Contractor: ('YJ 0 jc os— AS g Date: / TO CONTRACTOR: Sworn to and subscribed before me this day of 14X�q It 5 � ,20 0.5 State of Florida,County of Duval n Notary's Signature: Na- O� DONNA L.BUSSEY ersonall ❑ y known MY COMMISSION#DD 412624 o` EXPIRES:March 30,2009 Produced identification ./ ry P Bonded mr,Noon wbk u+�m�rs Type of identification produced /y ��S 0 6 Ll 6 b /7,?0 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atlantic-beach.fl.us Page 1 Revised 2/21/03 . t CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address Date os Heated Square Footage @$ per sq ft= $ Garage/ Shed @ $ per sq ft= $ Carport/Porch @$ per sq ft= $ Deck @$ per sq ft= $ Patio @ $ per sq ft= $ TOTAL VALUATION: $ �poc� 3S $ 3� Total Valuation 1, $ /Oct) 3 vow $ Remaining Value $✓�. per thousand or portion thereof 1 CONSTRUCTION TYPE: TOTAL BUILDING FEE $ 5-as- ZONING: SZONING: + 1/Z Filing Fee $_2 FLOOD ZONE: ( )Fireplaces @ $35.00 $ IMPERVIOUS SURFACE: BUILDING PERMIT FEE $ S 3 WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT$ SEWER TAP $ C ( ) RADON .0050 $ SECTION H PAVING( ) $ HYDRAULIC SHARES $ CROSS CONNECTION $ ST( ) SURCHARGE $ OTHER $ GRAND TOTAL DUE: $ . CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00027461 Date 1/05/04 Property Address . . . . . . 376 10TH ST Tenant nbr, name . . . . . . REPLACE WATER HEATER Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ---------------- - - ------ HUCKNEY DAVID GRAY PLUMBING INC. 376 10TH STREET 8850 CORPORATE SQUARE CT. ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216 (904) 246-5394 (904) 744-7255 ---------------------------------------------------------------------------- Permit . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 42 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due -------------- --- ---- ------ --------- - ---------- ---------- Permit Fee Total 42 . 00 42 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 42 . 00 42 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH PART OF THIS PERMIT S 'ECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. BUILDING OFFICIAL CITY OF ATLANTIC BEACH PLUMBING PERMIT APPLICATION v t>? BANK: Wachovia Check Number : iq�5? Date: Property Address: 177 S_eo r,— Owner: �f!/(rK/�i Y' Telephone #: 2eei( 53 Contractor: DAVID FRAY PI f)MBTNG, Tiyi' Telephone #: 724-7?I 1 Contractor Address: 8850 Corporate Square Ct . Fax #: 723-5668 Jacksonville E1 32216 In consideration of permit given for doing the work as described in the ah)ve statement,we hereby:ugree to�rform 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, ❑ New list the building permit number: ❑i Re-Pipe ✓ 'rP Number of Fixtures: Bath Tubs Showers i Closets Shower Maus Dishwashers Sinks Disposals i rinds Floor Drains Washing Machine i Lavatory Water I jSe�\er \eater Heatcrs Other Fees Permit Issuing Fee: $35.00 Oa Total Fixtures: l 1 57.00 + $35.00 = � 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 . Fax: (904) 247-5845 . http://www.ci.atiantic-beach.fl.us CITY OF ATLANTIC BEACH r sty 800 SEMINOLE ROAD ATLANTIC BEACH,FL 32233 INSPECTION PHONE LINE 247-5825 Application Number . . . . . 04-00029234 Date 11/03/04 Property Address . . . . . . 376 10TH ST Tenant nbr, name . . . . . . REPAIR BURNED METER CAN Application description . . . ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------------ ------------------------ HACKNEY, LELAND BILL THOMPSON ELECTRIC CO, INC 376 10TH STREET P .O. BOX 330150 ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 246-5395 (904) 249-5601 --------------- -------------------------------------- ----------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 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 r PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. BUILDING OFFICIAL. CITY OF ATLANTIC BEACH r ELECTRICAL PERMIT APPLICATION .. -... ,S Date: Q Property Address: '6 /o Owner: Telephone#: Contractor: BILL THOMPSA ELECTRIC Telephone #: 7eq� Contractor Address: P. 0. BOX 3-010 Fax#: 2 7(J--0��O 0, 322 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: L) Trailer Service: If other construction is ❑ New t� r Residence ❑ Temp. ❑ New Osite,list the building done on this building Or lding 00?--Old ❑ Commercial ❑ Signs ❑ Increase Permit number: ❑ Re-wire ❑ Addition Sq. Ft. Repair Conductor Size: AMPS: COPPER ALUMINUM Switch or RACE Breaker AMPS PH W VOLT WAY Existing Service 2 RACE Z Size AMPS �S� PH W 3 VOLTZWAY Feeders: NO. SIZE NO SIZE NO SIZE Lighting Out CONCEALED iOPEN � I Receptacles CONCEALED j OPEN I I 0 30 AMPS I I 100 AMPS 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 UNDER600V OVER600V Transformers NO. KVA NO. KVA No.Neon_Transf. Ea._Sign Miscellaneous 800 Seminole Road•Atlantic Beach,Florida 32233-5445 Phone:(904)247-5800• Fax: (904)247-5845• http://www.cLatiantic-beach.fl. CITY OF 4C - � Office of Building'Official �j REQUEST FOR INSPECTION Date �— 1 ! , Permit No. Time // f A.M. Received Job ress Locality Owner's Name Contractor BUILDING CONCRETE ELECTRICAL PL BIN MECHANICAL Framing 11 Footing ❑ Rough Wiring 1:10 Air Cond. & ❑ Re Roofing El Slab Temp Pole [I Top Out ❑ Heating Insulation ❑ Lintel ❑ Final ❑ Sewer Fire Place El Fab READY FOR INSPECTION A.M. Mon. Tues. , / Wed. Thurs. Friday P.M. Y Inspection Made P.M. ' al Inspection ❑ Inspector Certificate of Occupancy Date PSR-3844 7846 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ?ermitP§RRMM um TrINFOR�§TJON - Address : 07€ E THISTpjI�TION --- _ Permit Type: PLUMBING ATLANTIC BEACH , FLORIDA 32233 "lass of Work : ALTERATION =__-- - LEOAL DESCRIPTION ------ Constr . Type: WOOD FRAME Lot : Block: Section: Proposed Use: SINGLE FAMILY Township : RNG: 0 Dwellings : 1 Code : 0 subdivision: -stimated Value: $0 .00 Improv . Cost : $0 . 00 Total Fees : $25 .00 A 7 -., papa 0 : $25 . 00 k De SEWER REPLRCEMENT -------- -- OWNER INFORMATION -------- ---- APPLICATION FEES ----- Name; '-_RTIS DAWKINS PERMIT $25 .00 Address , 376 TENTH :STREET WATER TMPACT FEE $0 .00, ATLA TT,-' PEACH , FLORIDA 3212 SEW,EP IMPACT FEE $0 .0 S+•,4 ` 7 -15-y ":}7 WATER METER/TAP so .00 RADON GAS-H .R. S . $0 .00 ------ CONTRACTOR INFORMATION --- RADON CAB 5% $0 . 00 Name: COMFORT QLUMBING SERV!(-'E CAPITAL IMPROVE . 50 .00 '-+ddress : 725 MORAVON AVENUE SEWER TAP $0 .00 JACKSONVILEL, FL 32211 HYDRAULIC SHARE $0 .00 CFC056E71 Type: 4 CROSS CONNECTION $0 . 00 SEC .H IMPACT FEE $0 . 01' CONST SU Ca H RGE 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: HELEN Date: 2/07/94 10 Receipt: 0028762 - Total Payment $25.00 By: :� CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: "s OWNER OF PROPERTY: BUILDING CONTRACTOR: /� 2 PLUMBING CONTRACTOR PC UW) /1/UC S t AND ADDRESS: TELEPHONE NUMBER: 7 2 5_cY1c-f. STATE LICENSE NO: 1 TYPE OF BUILDING: TYPE OF WORK: HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3 . 50 + $15 .00 = $ ---------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION 'OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 i DEPARTMENT OF BUILDING 7569 � CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.�_ PERMIT TO BUILD 7.511 t THIS PERMIT MUST BE POSTED ON JOB 7.5OCKTG 3/11 'F; 9699 1 n 3/11/06 Date 19 7569 enOCAM 9699 10 3/11/f3 Valuation$ 1, l Fee$ 7.50 1 OOnI 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 DUVdl R0Of'X19 R0D030047 548 St. Johns Bluff Road Jax FL 32211 I has permission to� � I Classification RESidenti al Zone Owned by Zoeller Lot Block S/D House No. 376 Tenth Street, Atl- Mtic Bea—(�a - 1 According to approved plans which are part of this permit { NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS -, AFTER DATE OF ISSUE 4-----* O Building material, rubbish and debris Z from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. Building Official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING (i ELECTRICAL i SEWER WATER I I r CITY OF ATLANTIC BEACH APPLICATION FOR ROOFING PERMIT BUILDING OWNER d L e.. PHONE JOB ADDRESS__,;, , ¢n�l� 5 /Q7 LOT# BLOCK OR UNIT # SUBDIVISION CONTRACTOR // --IPHONE ADDRESS sG�� SI-Jb��s I��-` 0-1594 � - LICENSE NUMBER EXPIRATION JOB VALUATION $ MATERIALS: SIGNATURE OWNER DATE _ C DATE SIGNATURE CONTRACTOR ld G CITY OF 716 OCEAN BOULEVARD—DRAWER 23 ATLANTIC BEACH. FLORIDA 32233^. TREE PERN,IT DATE__ � This is to certify that (ra ma) ` C Cr Ocv�1C'2" i Iv — X11U _--xC11_�_I(RC)s (address) ----- -� ` O!L� cc,At _3 t u d,) . is authorized to remove tree (s) desicnated Y;elow. R ason For removal: `1'1`,^ c1p 1; v�nlC 'k�i I - Cou h.�' r uO w b. O 4 I h'� R 4 r C1C4v1 �,frI4eC willk drKQ0xCPct-a( f�CfS . Rear Lot Line O I� C ° a a 4%Q ° a° 4\04` �L 4 'C N Front of ,ot �— 10s S t Building Official V. 11-LIAV- S. '-HOWELL JAMES E. MHOON .ALAN C. JENSEN L. W. MINTON. JR. ROBERT B. COOK. SR. ,G•-� _,r:- ss cner CGrr.missocner Commissioner Commissioner Commis! ;.ner p C - ':EL OLIVER C. BALL % RS. ADELAIDE R. TUCKER CARL STUCKI RICHARD HILLI-,RD 'J __r City AttGrneyC�.!y C'erk-Treasurer-CJ[r.,.tr� c ;er Chief of PG' e a ''rC.... O' ar�.. Fire ORDTNAHi, AO. 90-77-69 AN ORDINANCE REGULATING, THE PLANTING, XMVAL, AND MADn"MANCE OF TRUS ON PUBLIC PROPERTY AND PRIVATE MUMU: FMV4TTS FOR PLANTING, PRFSERUTION AND REWMAL IN PUBLIC PLACES; PLACING DUTIES ON OWNERS OF PRIVATE PROPERTY IN ORDER TO PROTECT GROWTH IN PUBLIC PLACES; PROVILIX FOR ABATEMM OF HAZARDOUS CONDITIONS; AND PRMMG PENALTIES FOR VIOLATIONS OF ITS PROVISIONS. BE IT ZRACTED BY THE PEOPLE OF THE CITY OF ATLANTIC BEACH, n0RIDk4 agati This ordinance shall be known and mayk• cited as "Tree Ordinance "re City of Atlantic Beach." Se� 2. The Building Officiall. (hereinafter referred to as "Official") shall have exclusive Jurisdiction and supervision reser all prcyinions of this ordinance except as otherwise provided by the Code. ct ,-I, The Official shall have the authority and it sbaxl be lois duty to supervise all work done under a permit issued in accordance kith the terms of this,ordinanoeE No person shall remove a tree from public or private oparty that has a trunk of mare than 12" in circumference as ueasured vtthi.n three (3) feet of the ground unless a permit is issued by the Of.ftei;al„ for such removal. If a tree with a trunk exceeding 12" is located vi.,d,dn the rec;ui "d building restriction luxes, it maybe removed without a pBo: .t. fiction 5. No parson shall damage, cut, carve, injure the bark, or as a o or poridt any wire, ohain, or other choke to be installed around the aircumforenes of a tree, or allow w gaseous, liquid, or solid sub- etanoe 4hich is harmful to trees to come in contact with arq tree that voul3 ul,IInat*17 cause its destruction., Penalty for violation of this ordinance is a ais- dsmeanor, and eball bg punishable by provisions of Section 1-6 of this Code or Mandomnts tharoto. gq.IU 7. This ordinance shall became effective Immediately upon its passage on final reading. errw+�+t Passed by the City Ooamission on first reading ftnb 28. 1 Passed by the City Commission an second reading Amon ii. 19TH a. _„�. Passed by the City Cemmci.ssion on third and final readinL-.A&ZU6 AM&. . ATTEST: (SZAQ Adelaide R, Tucker, City Clerk ' 7593 OF BUILDING PERMIT NO..-- DEPARTMENT I CITY OF ATLANTIC BEA BUILD ORIDA PERMIT TO 1, THIS PERMIT MUST BE POSTED ON JOB f;6 ,larch 24 19-- Date i Fee$ 10.00 I II Valuation$ and is This permit not valid until above fee has b,-.Paid to City Treasurer, 1 subject to revocation for violation of applicable provisions of law. I This is to certify that UliNte A. Zoeller �n.n91CKT ShallowwellWE11 � has permission to build ���? � n 3/24/8 1 residential Zone Classification i Owned by Block —S/D Lot 376 10th Street I I House No• art of this permit FORMS roved plans which are p ALL CONCRETE BE NOTICE— MUST IN- 1 According to app AND FOOTINGS II� = SPECTED BEFORE POURING. VOID SIX MONTHS 1 PERMIT AFTER DATE OF ISSUE z Building material,rubbish and debris work must not 1 placed I from this K and must be cleared I in public space, b ither con- I up d hauled away i tr ct or owne 1'I .$wilding Official. 1I I li CONTRACTOR PERMIT DATE 1 FOR OFFICE NUMBER USE ONLY PLUMBING i 1 i ,1 ELECTRICAL e— SEWER 1 yy ATER FFE $10.00 APPLICATION FOR WELL PER= CITY OF ATLANTIC BEACH PROPERTY OUER Name: Pay Phone Address: rT _..�V� r�x /_ Zips--�-Z.�� APPLICANT, IF a= THM MER Nom: Day Phone Address,, Zip JOB Address or Location: Legal Description: Any person, individual, corporation or other entity receiving a permit as provided in Section 22-40 of the Atlantic Beach Code, and who plans to use water from the permitted well for drinking purposes, must first obtain a bacteriological test report from the State of Florida Health Department, furnishing a certified copy thereof to the building department of the City of Atlantic Beach. A certificate of occupancy will not be issued until said report is an file with the building department. Department Notes: I agree to comply with regulations stated herein: t�se Dat4 L- --------19 6. -I T3-- Date-V Permit -- -- ----- CITY OF ATLANTIC BEACH Valuation --- -------- Z�-16 .....0_7771!�?! FLORIDA House #--------- ------------..----- ........................... -------------------------------- -------_-------- APPLICATION FOR BUILDING PERMIT ............. .............. submitted for the If the plans and specifications herewith of app Of the detailed statement and conformity with the Building ordinance made for the ,, This application is made in compliancethe City Of Atlantic Application is hereby structure described. provisions of the Laws of the State of Florida, all ordinances of whether building or other , shall be complied with, the City of Atlantic Beach, Florida' and all prov City of Atlantic Beach Beach and all rules and regulations 'Of the Building Department of the responsible to ascertain that all sub- t. herein specified or no r owner-Builder who has been issued a Building Permit is automatically prevent delay or embarrasment regard Atlantic-Beach,Florida. To prev office so that licenses Can The Contractor o by him are duly licensed in the City of A f sub-contractors be submitted to this Off' contractors engaged final inspections it is suggested that a list 0 ---------------- ing intermediate or Date----------....)A-,-7---j-- - -------------- be verifiedTelephone No----------------------------- ess---F!Qi ---------- x1y, .4ejt...............Address_.- ----------------------Telephone No------- -------- Owner--------- 4-- ...... ----------------------Address.------------------------------------- ne • ---------;;;;p----------- 4 -Address_-J-_4Z--S_' Architect�------------------------- ............ ............ 4A �_ elepho ----Zone----------------- ............ --------------- fS32-cl............. . .. . ... Contractor Builder_ ub Division._.._--A--- -Sts. -Block No------J10;L1-------------S ......and..--------------------------------------------------- Lot No--------------2_4--------------------------- Side Between_------------------ ction 1�210_djc----- Street------------------------- A, ------------/--Jo----------- 4.- _Type of COnstru ------- purpose will building be used S------- --------A'a;L0------ �S For what4. .... ...........Size of Footing Valuation ------,5_.. ----0 j A_ ------Dimensions of Lot e Roof A 2' -----Typ Dimensions of Buil ---o _)(_I- G -------------- Im --------Size of Sills..../0 ----------------Greatest Sill Span in ft d?--- -a/------------ Size of Piers----- 0_/,j ing be on Solid or Filled Ground. I ft How will Building be Heated?---------- . ...............................................Will Build ' / Greatest Span--------/'�---------------------------- 99 ists......;V1 -------------------I Distance on Centers----•--•---% 6--------I——-.---- -, Greatest Span---------/-/---------------------------- Size of Ceiling JO - -------------------Distance on Centers.--------- ------------ ------ ------ --------_---------------- -- Greatest Span Size of Floor Joists._.---- Distance on Centers- e is to represent the lot. Size Of Rafters-_---_.----- . ...... This rectangle Or buildings in the Locate the buil . feet from right position. Give distance In .11 lot-lines and existing buildings. REAR LOT LINE Two copies of Plans and specifications shall be submitted with application. Inspections required. Z ready to Pour footing. Z in place and re 1. When steel is columns and/or lintel. 1.4 E-4 2. When steel is in place and ready to our c E-4 Qa 3. When steel is in place and ready to pour beam. 4. When framing is completed. plumbing is completed,and ready to cover up. ed. 5. When rough field or sewer is laid but before it is cover U2 6. When septic tank drain City of Jacksonville. aid Electrical inspection by S. Final inspection. n re-inspection MUST be called for after of any rejection, ———————————— Note: In case FRONT OF LOT corrections are made. -e to Perform said doing the work as described in the above Statement, we hereby agree d ng nernlit givep for d specifications, 'Which �re a part hereof, and in accordance with the buil i In consideration Of ' -i1th t attA(ched Plans and spec CV accordance work in accordanc A gbh. ----------- ---------- -- -- ---------- ...S .....4P.--_---------- regulations of the Address......-..._. ................. ----------- Signature of Builder._ .. . ... .... Address----------------------------------------- Signature of Owner------------------------------------------- CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Q-'K" Z� , 19 4 ( 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. rI til C'c Tr C14 - ELECTRI AL FIRM: MASTER ELECTRICIAN SIGNATURE j JOURNEYMAN NAME D, Zc) ell er ADDRESS: ` /0 f4 Sty^2e-f RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.(all, APT. ( ) comm. ( 1 PUBLIC ( 1 INDUS. ( 1 NEW( 1 OLD ( ) REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW( 1 INCREASE ( 1 REPAIR (�/t° FEE CONDUCTOR SIZE AMPS COPPER 1 ) ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE V AMPS PH W (lO VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMPS. 91.100 AMPS. SWITCHES INCANDESCENT �;Gti 2�C� C-f1"6t,1 FLUORESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES I I I BELL TRANSF. AIR H.P. RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS Mear � ,- e- c7 TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I I NO. lKVA NO.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED $ / TOTAL FEES �° .D CITY OF ATLANTIC BEACH, FLORIDA APCrovod by APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19 IMPORTANT NOTICE: i 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 ND CITY OF ATLANTIC BEACH ORDINANCES. / 1�lnroil k c . ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATU E NAME � oe _ADDRESS: 3�(� �fl —RFD—BOX— BLDG. FDBOXBLDG.SIZE BETWEEN: RES. L) APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW( ! OLD ( ) REW. ( ) ODITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( 1 SO. FT. SERVICE: NEW( ) INCREASE ( I REPAIR (--i' FEE CONDUCTOR SIZE AMPS COPPER I ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE ./00 AMPS PH �5W C))-3--VOLT RACEWAY FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.30 AMPS. 31.100 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 CEIL HEAT: KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS G r V0 i1wN 1,^J TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA I NO. IKVA --- NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH I FLASHER EACH SIGN --- 7 FORWARDED TOTAL FEES