333 11th St (vault) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 05-00029660 Date 2/04/05
Property Address . . . . . . 333 11TH ST
Tenant nbr, name . . . . . . GROUND METER
Application description - . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
GARGIULO, ANTONINO BROOKS & LIMBAUGH ELECTRIC CO
333 11TH STREET 42 WEST 8TH STREET
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 241-9051
------------------- ---------------------------------------------------------
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
PERmrr IS APPROVED ONLY IN ACCORDANCE wITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUIULDING CODES.
BUILDING OFFICIAL
CITY OF ATLANTIC BEACH
ELECTRICAL PERMIT APPLICATION
If h
i' Property Address: r E�7
Owner: C) Telephone #:czf?4q—_7q
Contractor: (t&ephone #cP_-qL9_05_1
Contractor Address:
Fax #:c;;ZLjC) — C)-7(DS
Ln considcraiion of permit given for doing the work as described in the above statement, we hereby agree to perform said work in
accordance with the artached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach
ordinance and standards of good practice Ustsd therein.
Building: I Building Type: Ci Trailer Service: If other constructioa is
Q New D—Residence Q Temp. Q New being done on this budding
?I- Old U Commercial C) Or site,Wu the budding
Signs Q Increase Permrt number:
Q Re-wire U Addition Sq. Ft. 0 Repair
L Conductor S�ze. ANTSi C PPER AL
Switch or
RACE
Breaker A NQ S PH W VOLT>'�q (D WAY
Exisang Service
S. R.ACE
ize AMPS PH W VOLT WAY
Feeders: NO. SIZE NO SIZE NO SIZE
Lighting Outlets
CONCEALED OPEN
Receptacles CONCEALED OPEN
10 AMPS 31 10M0 AM-PIQ
Switches
Lricandescent
i Fluorescent &
M.V.
Fixed 0.IGO AMPS OVER BELL
Appliances TRANSFER.
Air H.P.RATrNG H.P. RATING CEELrNG KW-HEAT
Conditioning CO�AP. MOTOR OTHER MOTORS AN1PS
HEAT
Motors 0-1 H.P. VOLTAGE —PH I NO. OVER I HT— PHS
I
WNDER600V I OVFR6WV
Transformers NO. KVA NO. KVA
No.Neoo—Transf
Ea. Sign
'�e— G�) not,4,d
0—,
Miscellaneous KC xk 'F
De -
800 Seminole Road Wantic Beach, Floridi-M2233-545 F
Phone: (904)247-5800 C."
- F, : (9 4) 247-5845 - http://Www.ci.atlantic-beach.fl.us
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 04-00029430 Date 12/27/04
Property Address . . . . . . 333 11TH ST
Tenant nbr, name . . . . . . 16 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
GARGIULO, TONY CHRISTY FIRST COAST PLUMBING
333 11TH STREET P.O. BOX 50446
ATLANTIC BEACH FL 32233 JAX BEACH FL 32240
(904) 247-4419
---- --------------- ------ -------------------------- -------------------------
Permit PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 147 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 147 . 00 147 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 147 . 00 147 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
BUIL OWICIAL
R ECE I VE
CITY OF ATLANTIC BEACH
ING
BUILDING & ZON:
DEC 2 7 2004
CITY OF ATLANTIC BEACH
By. AeL
PLUIING PERMIT APPLICATION
Date:
s:
Property Addres c—
a/o Telephone
Owner:
Contractor,
I Fax
Contractor Address: I q-Vo&L
In consideration of permit given forioing;the work as described in the above statement.we hereby agree to perform said work in
accordance with the attached plans and specifications which arc a part hereof and in accordance with the City of Atlantic Btach
ordinance and standards of good practice listed'thercin.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the soutbern Swndard Plumbing
I Code.
If other consmuction.is being done on this building or site,
Plumbing Type: 0 Now list the building permit number.
Re-pipe
Number of Fixtures:
Bath Tubs Showers
Closets. Shower Pans
Dishwashers Z- Sinks
Disposals Urinals
Floor Drains Washing Machine
Water
Sewer Water Heaters
0tjier (/&e lnalW
Fees
Permit Issuing Fee: $35.00
Total Fixtures: X S7.00 + S35.00 0
800 Serrdnole Road.Atiantic Beach,Florida 32233-5445
Phone:(904)247-6800- Fax: (904)247-584-5- httP:Itwww.ci.atiantic-beach-fl.us
Revised 1/04
...........
............ ............ 52
E3UILDING PERMIT No.
DFpARTMENT OF
CITy OF ATLANTIC BEACH.FLORIDA I
T TO 13UILD 134
PERMI UST BIE pOSTED ON jOB I�etj'U.7"I 0
THIS PERMIT�A IOUCA
er 7 19
bau I
Date �je 3�uu A wuM
31500-,o $ 1410) 1 GUU
,Valuation$ 1 .8 to city Treasurer,and is
un ve fee has been pal .. ,of law.
This pernut not valid' ' abo . of applicable provision .-A
subject to"vocatl for violation
F-RLD
This is to certify that
ITh
'LEVE-"
3"i 3 E -ijoT TUB AS PEP' PLAI!
has pern'lission to build
Zone
TaLow'W"
Classification—
S/D
owned by----- Block-------
Lot L Th STREE
14ouse No. 3 3 3 -SLEY of this pernit
a plans which are part ALL cONCp�ETE FO',MS
prove NOTICE— BE IN-
AccOr ding to av FOOTINGS MUST
AND 3pFORE pOUPING-
SPECTED I r VOID SIX MONT"S
PEP'MI' R DATE OF ISSUE
-n AFTE . I rubbish and debris
Building'"at"la be placed
0
z fr.,,, this work Must not
space, and n-lust be cleared
in public by either con-
up and auled away
wner.
Building Official'
CONTRACTOR
pERMIT DATE
FOR FFICE N
USE ONLY
PLUMBING
ELECTRICAL
SF\NER
V4A-TER
low
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
OWNER'S NAME e?/v 13 14,0"e(9—
C
LOCATION 3,q
Oe�
MASTER PLUMBER
STATE/COUNTY OCCUPATIONAL LICENSE NO.
CERTIFICATE NO.
CONTRACTOR
TYPE OF BUILDING 111,97—
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS DISHWASHERS
URINALS DISPOSALS
CLOSETS __WASHING MACHINE
FLOOR DRAINS -- -OTHER 7 74 1-3
--/-TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT
EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
k N
A P'P R 0 v t:
CITY U -,
' " " dEACH
FL'lL3v,qG OF'-jc!�
PLUMBING 1"ORKSHEET
DISHWASHERS
XIS I N K S SHOWERS FLOOR DRAINS
CLOSETS BATH TUBS
WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY URINALS OTHER Aer
TOTAL FIXTURE COUNT
FIXTURE b-NTIT BREAKDOWN
TRE UNITS ARE ESTABLI
FIXTb SHED 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 $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT)
WATER CLOSET, LAVATORY, AND SERVICE SINK TRAP STAND
BATH TUB OR SHOWER STALL (3 UNITS)
(6 UNITS)
DRINKING FOUNTAIN (11-, UNIT) URINAL, WALL LIP
(4 UNITS)
FLOOR DRAIN (l UNIT) WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON (3 UNITS)
JET BLO14OUT (8 UNITS) WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANK-OPERATED (8 UNITS)
(4UNITS) SHOWER STALL, DOMESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) (2UNITS) LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
KITCHEN SINK (2 UNITS)
DISHWASHER C2 UNITS)
(2 uo-Ts
KITCHEN SINK/�%'ASTE GRI\DER
(3 UNITS)
TOTAL FIXTURE UNITS @ $10-.00 FAJ�
CITY OF ATLANTIC BEACM, ROMA
MIT
FOR LFCTRICAL rEn
t.np t o,4.d by A'PLICAT101
TO THE CHIEF ELECTRICAL INSPECTOR: DATE- 19
IIAKORTANT NOTICE-*
I,N CONISIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
4CE WIT11 PLANS AND SPECIFICATIONS,
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDA, I THE ATTACHED
WHiCH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH OR'DiNA14CES.
MP.STER ELECTRICIANSIGNATURE
ELECT R!CAL FIF-10.
ADDRESS333 RFD—BOX
ELDG.SIZE BETWEEN:
S. 0--"' AFT.'t C 0 1.11M. PUBLIC INDUS. N E'%V OLD ( REW.
A C L"I T 0 TI I L E R TEMP. SIGNS SO. FT.
FEE
"*EW INCRE�^SE REP Al R
A Fla, COPPER ( ALUM.(
�'IIJCTOR SIZE
-R S � I T
t.rps PH VOLT RACEWAY
s
PH w VOLT RACEWAY
EXIST.SERV. S!n-
S',ZE NO. SIZE N'0. SIZE
FEEDERS I —
L I G H T I NG 0 U r=-," 7. --ff'OuCEALED OPEN TOTAL
OPEN
---------------
--ioT L
Rcc-' PTACLES
zm�- A!�Eps.
C.L4=—S
jNCAt.':,ZZ;CENT
FLU-
—E Efl
n-----LL TRANSF.
AIR RA f TING H.P. RATING CEIL Hr--AT:i EAT
Co'.'DiTIC-N.'43 3TOR OTHER MOTORS A?."PS K
PH
OVER
'./OLTA I GE PI-S NO. VOLTAGE
S
1 4 D ER D:)V- v Ep 6DO v-
L
0--
KVA KVA
-VITCH F'--'-SHER'
Fr
RDED
6
TOTAL FEES
CITY OF
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time District No.
Received Locality
Job A dress
Owner's contractor
Name ELECTRICAL PLUMBING MECHANICAL
BUILDING CONCRETE Rough Wiring Rough Air.Cond.&
Framing El Footing Heating
Temp Pole Top Out L,
Re Rooting El Slab Sewer Fire Place
Final
Lintel Pre Fab
READY FOR INSPECTION A.M
CFr,day P.M.
Mon. Tues. Wed. Thurs. A.M. :y)—
Inspection Made RM.
Final Inspection
inspector Certificate of occupancy
Date
CITY OF
,&4jd& Ve4d-5;!�46W4
office of Building official
REQUEST FOR INSPECTION /-D
Date— Permit No.
A-M District No.
Time P.M.
Received
Localit�L
Job Address
Owner's Contractor ANICAL
Name CONCRETE ELECTRICAL PLUMBIN MECH —
Rough Air.Cond.&
BUILDING Footing Rough Wiring Top Out Heating
Framing Temp Pole
Re Roofing Slab Final Sewer F Fire Place
Lintel Pre Fab
G
S-��\ AM
READY FOR INSPEZCTIOWN4;1
Qmot in Thurs im. Friday P.M.
Mon. Tues Wed P-�>
Inspection Made Final Inspection D
Inspector Certificate of occupancy
Date-------------
CITY OF Q.�Jjk *-1?S(01r(
0
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.M.
Received PM. Pistrict No.
333
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE LECTRICAL PLUM ING MECHANICAL
Framing Footing Rough 0 Air,Cond.&
Re Roofing 7 Slab Temp Pole Top Out 0 Heating
Lintel :7 Final Sewer El Fire Place
READY FOR INSPECTION--, Pre Fab A.M.
Mon. Tues. Wed.,, (h.r J—J M- Friday—PM.
Inspection Made IA
Inspector Final Inspection :1
Certificate of Occupancy
Date
D D
E
P
E
EPARTMENT OF BU!LDING PERMIT NO9569
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD
ISP F
FTHIS PEPWIT MUST BE POSTED ON JOB 55.50 T1
1 19 89 55,50CM
Date l4arch 10 9199 1 P, 3/100"
9569 nOCACI
V Valuation$ 11.00() 5.50
aluation$ 10—Fee$__5 9199 11
1000
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 Q11ality pool% R20070407
cksony L11D
2419 Burlingame Drive West J115 _322.11
has permission to build 61 Swimming Pool as 1PQr
Classification— Residential Zone RS-2
Owned by FrQd Wienberg 14 S/D "All
F ?ol of Lo1_12—Block
Lot__1D1_1Q--&-- , I
House No.— 333 Elegenth Street
According to approved plans which are part of this permit
N TICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTH
AFTER DATE OF ISSUE
0 Building material, rubbish and debris
or be placed
zi from this work must n
in public space, and must be cleared
up and hauled away by either con-
tract r or owner.
ng Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
,Now
Address
Heated Squa e Footage @ $ ____per sq ft = $
Garage/Shed @ $ ____per sq ft = $
Carport/Porch @ $ ____per sq ft = $
Deck @ $ ___per sq ft = $
Patio @ $ ____per sq ft = $
TOTAL VALUATION: $ (4 C)
Totdl Valuation lst $ 600,66
Doi,
ReTaifider Valuation zoper thousand or
portion thereof
-------------------------------------------- Total Building Fee $
ADDITIONAL PERMITS and/or FEES REQUIRED + k Filing Fee $ 9" 5-6
Fireplaces @ 15.00 $
Mechanical
Pltubing BUILDING PEIMT FEE $
Electric/New
------------------------------------------ ------
Electric/Temp BUILDING PERMIT $ S55,5-6
Septic Tank WATER METER. CHARGE $
Well
Swimning Pool SEWER IMPACT' FEE $
Sign WATER D,1PACT` FEE $
Water Connection MISCELLANEOUS $
Sewer Cormection $
Water Meter $
Elevation Certificate GRAND TOTAL DUE $ -45,4�
----------------------------------------------------------------------------------------------
CALCULATIONS and/or NOTES
CITY OF ATLANTIC BEACH
APPLICATION FOR POOL PERMIT
Job Address
Lot # Block —Subdivision
Owner
Address—
Contractor
A d d r e s s
License Number (3
Valuation $ 0 0 —Gallons 0<D
SITE PLAN
front
(D (D
rear
Signature Owner Date
Signature Contractor —Date
PLANS REVIEW CHECK LIST
Address L-ILAJZ� Owner
- --- - -- -- -----------
Legal Descriptioq;j��t4�t:&72'�k /V-Contractor... -------
License Number -----------
------- ------------ -- ------------ ---------
License on File No
Section 24-101 * Zoning Rgg9jgtions
Zoning District----- IS-,;z--- Proposed Use-1rfj
Required Lot Size...4-LP,----- Actual Lot Size-196X/56'
Setbacks Required Provided Section 24-17
front CORNER LOT (-fI N�TR�0�RL 0�T
rear
Flood Zone
-,5X
�.0
side-1
Required Elevation_
side-2
Max. Height Allowed__A)-ft--- Proposed Height_j9j-t----
Section 24-82 * Minimum Lot Coveragg
Required Heated Area _Nk— Proposed Area...git------
Section 24-161 * Offstreet Parking
Number Spaces Required Spaces Provided...........
Section 24-82 * Duplicate Buildings
Is there a similar building within 500' of proposed building?YES NO
Utilities
Water and sewer service is to be provided by:
Buccaneer Utilities
City of Atlantic Beach Utilities
----- Private Sou3 SEPTIC,"ANKWELL
Date
Plans Reviewed by: .. .. ......
Building Permit 2--- 4ZSUE
:D:) DENIED
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES. 4i/
ELECTRICAL FIRM: MASTER ELECTRI IAN IGNATURE ---
7 ?'?� �/_ -RFD-BOX-
NAME -ADDRESS: ZZ?
BLDG.SIZE BETWEEN:-
INDUS. NEW OLD REW.
RES. APT. ( COMM. PUBLIC ( I
ADDITION\( ) TRAILER ( TEMP. ( I SIGNS SO. FT.
SERVICE: NEW INCREASE ( ) REPAIR FEE
CONDUCTOR SIZE AMPS COPPER ALUMA I
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST.SERV.SIZE AMPS PH W ;?-f& VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED -- OPEN TOTAL
SWITCHES 0-30 AMPS.
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA _;NO.---- KVA
NO. NEON TRANSF.' NO. VA. MA. 11 MOTOR SIZE SWITCH FLASHER
EACH SIGN
tFORWARDED
TOTAL
FEES
00
BUILDING AND ZONING INSPECTION DIVISION z jd�)
CITY OF ATLANTIC BEACH, FLORIDA
0 C:)
to
D --1
UJ
ELECTRICAL PERMIT
_20 Permit No.
F�. $ 0
Date
Location 333 Eleventh-Street -------------
and-------------
Between
This is to certify that
Co. Ri4Ch&Td C*t Z
E
HiOty' �(m.ser Electrician)
(Electrical Contractor)
Construction as described herein in
has permission to install Electrical LU
the Electrical Code and regulations C
accordance with the provisions of z �r
of the City of Jacksonville, and subject to the information shown on the W 0
application, drawings and specifications which are made a part of this
permit
Qt0lity Pools
for UJ
sotmin Pools
Type of work: U
1ph 3w 22WOlt
SERVICE: eZiStJA9 200MMS >
UJ
-------------- *
Feeders: 0
Outlets: UJ
Receptacles:
Switches:
incandescent:
Fluorescent:
Appliances:
Air Conditioning:
Motors:
Transformers:
Signs-
Miscellaneous: wire for swim pool
----------
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY: Electrical Inspection Supervisor
MONTHS PERIOD, PERMIT
BECOMES VOID. ,
oftice- .1 Buitding Official
;:OR INSpECTION
;,-,F-aUEcT
ri
P it NO
erm!
Date
Time P.M.
R eceived
job Address
Owner's contractor MECHANICAL
tI.-,me xsLc� PLUNIBING ir Cond. &
PUILDING C;0�vCRETE Rojjg�,Wiring Rough -j A
Heating
F�oling Fire Place
1,-np
sevier pre Fab
Framing Slat
n3 Roofing UntO Final A.M.
insulat�or'- REAPN' FOR 1NISPEcTION Thurs. Friday----P.M.
Mon. Tues AN
1J."Pe-clion Made
01 occtipancy
DATEt
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARr�
SATISFACTORY:
�2---- -----------------------
--------------------
---------------
- --------- -- ------------------------
-------------------------------------------------
Enclosed are the blue copies of the permits.
1 7��7v
BUILDING INSPECTION DIVISION
cc:FILE
PSR-3844 8949
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
LOCATION iNFORMATI-C-DN
33-1, ELEVENTH STREET
Permit Number : J514 d 2- i ATLANTI�_` BEACH FLORIDA 321- 7- -,
Fevmit Type " RE-ROOF ---------- LEGAL DESCRIPTION -------
Class of Work: ALTERATION f,ot Block, e c t i on
"onstr , Type: WOCD FRAME
proposed Use: SINGLE FAMILY Township: RN,: ,
old Atl . 8ch,
Estimated Value :
Total Fees : $22 . 5C.
Amount �aO �;22 � 5(-
�4
iijo
-- - PPLjf::ATI0N FEES
'� NATION
PERMIT
_T FEE
STREET
WATER IMPA,
E ,
`H . FL!" RTEA SEWER IMPA"'T FE
T
4
W Afro .11E
,,T
R
44�- trR,)
A-
CONTRACT-)R .INFORMATION RADON C"AB 5%
CAPITAL IMPROVE.
$0 .
pAv SEWER TPF
5 1 �XAL H(DM] In
-1,4L&,_FTv C"RO S S -r NN ECT!ON $0 ' .
jACK4
S E-_ H IMPACT FEE
CCccoft93 Type: CON ST . SUR�-HAROE
SCHARGE/.ATL . BCH .
NOTES:
NOTICE —ALLCONCRETE FORMSAND 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
F"FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
T 0 BUILDING IMPROVEMENTS-99
THE PROPERTY OWNER PAYING TWICE FOR
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:
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner(s) :
Address : 33:5 /1 Phone: Zq(y - ZZ-zV
Lot # Block or Unit # Subdivision:
Contractor: 4,14c"11 &L,
Address : /571 i�Vtzt"11�1 A". , Id Phone No: 7ZI-Z-EL
Describe work to be done: x'e �00r/'
Present use of building: ats(A- ewcc
Valuation of Proposed Construction:-33-60"`;'
Proposed use:
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 fireplace? New Heat/AC?
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY ,
ENERGY CODE FORMS , NOTICE OF COMMENCEMENT , AND OWNER/CONTRACTOR
AFFIDAVIT, IF OWNER IS CONTRACTOR.
Signature OWNER: Date:
Signature CONTRACTOR( ed Date:-
'azt /�' —
'OV
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
AGNTIC BEACH ORDINANCES.
miLLER�B�LEC�TRIC �COH"PAN�y
7 QS ER�ELECTRICIANI SIGNATURE JOURNEYMAN
ELECTRICAL FIRM'
NAME -ADDRESS: 33-3 -RFD-BOX
BETWEEN:
BLDG.SIZE _La
RES.V.) APT. ( COMM. ( PUBLIC INDUS. NEW ( I OLD ( REW.
ADDITION TRAILER TEMP. SIGNS SQ. FT.
FEE
SERVICE: NEW ( INCREASE ( REPAIR V,)
CONDUCTOR SIZE AMPS COPPE ALUMJ I
SWITCH OR BREAKER AMPS PH W L RACEWAY
EXIST.SERV.SIZE 2<51 0 AMPS PH -'W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 0.30 AMPS
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMP OVER BELL TRAN F.
APPLIANCES
AIR H.P. RATING H.P. RATING S AMPS CEIL HEAT: KW-HEAT
CONDITIONING COMP.MOTOR OTHER MOTOR
OVER
0-1 1 H.P. VOLTAGE PHS
MOTORS H.P. VOLTAGE PHS NO.
............
CELLAN OUS "" :!;.........
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA N - -- KVA
Wo.N Z-ON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES -7S
MAP SHOWING SURvEy OF
LOT 10 kND THE EAST 20 FEET OF LOT 12, BLOCK 14, PLAT NO. 19 SUBDIVISION "A", ATLANTIC
BEACH, AS.RECORDED IN PLAT BOOK 5, PAGE 69 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTyi
FLORIDA.
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EVEA/rh(
-7WIS P1qe9a-RT')`11 les'//V IC40 OR
15 1,V r1l.- ARIA O�- IWINIIV,44
A
I hereby certify that this survey meets the
minimum technical stendards as set forth by
the Florida Board of 1-and Surveyors, pursuant
to Section 472.07 Florida Statutes.
VLANDH. A. DURDEN ;rql.5 15 A 4ANO S'ORVI!�"r,
& A S S 0 C I A T E S 114 C.
r
SIGNED
V E
SURVEYORS
01'
p P.,t()tf
ost office Box 50670
8 80 E /
30 Beach Boulevard SCALE:
jackaonville Beach,Florida 32250
THIS SURVEY NOT VALID UNLESS THIS PRINT IS EMBOSSED WITH TI4C SEAL VNE ANOVE 916NO,
FOR OFFICE USE 0
Date----------------------
Permit *-S-21-.1----Fee $
ATLANTIC BEACH Valuation $....... 7.6.............
House # 3. .......
FLORIDA ........
r
.. .... .............
-ck
CITY OF, rwkkAWAI FOR BUILDING PERMIT ------
ent of the plans and specifications herewith submitted for the
Application is hereby made for the approval of the detailed statem
cture described. This application is made in compliance and conformity with the Building Ordinance of
building or other stru of Florida, all ordinances of the city of Atlantic
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State Atlantic Beach, shall be complied with, whether
Beach and all rules and regulations of the Building Department of the City Of
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 submit d to this office so that licenses can
' 19
bmit
e-1
Date..............
be verified. I.........................---------------------------
.........
641
Address- /,a,. -----Telephone No.
Owner-----�-W ....Telephone N ...........
..71.- _:� ......... 0.
Address./w//6-A-----------------------
7
Architect.------ --------------------Telephone N
.................. 1114——---------------------------------Addres!- - ---------
Contractor Builder-- —Z /w-----------------Sub Division----- ..................ii�*.111-----------------------------Zone-----------------
lo-k
Lot N ------------------ street.... 71 1-------------and----
//,m ...Side Betwee .-----------------
.......... -------------
Valuation $-zj�3, -�4----------For what purpose will building be used.. ........ jc.g-�.............Type of construc 0
-A tings
,� _J Size of Fool
--------------Dimensions of Lot- of��
ing----
Dimensions of Build
1, ------------Type Ro -------
Size of Piers---- ---------Size/of Sills-------------------------------Greatest Sill Span in ft--------------- d'? .......................
h�y-lee� Will Building be on Solid or Filled Groun
How will Building be Heated?----—---- ---- ---------------------------- Greatest Span-------- ...........................
J , istance on Centers-------------------------------------------I /
Size of Ceiling Joists------ ..........--------------- D Greatest Span------ ------------------
Size of Floor Joists.....f:!W0--------------------------.,Distance on Centers-----Ae .......... Greatest Span----we&.....................-------
Size of Rafters- ----- ------------------------ Distance on Centers...,04------------------------------ This rectangle is to represent the lot.
APPROVED Locate the building or buildings in the
CITY OF&6ANTIC BEACH right position. Give distance in feet from
a UI I OFFICE all lot lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
be submitted with application.
Inspections required. By
Z
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel. E-4
3. When steel is in place and ready to pour beam. 3
4. When framing is completed. PA
5. When rough plumbing is completed,and ready to
cover up.
it is covered.
or sewer is laid but before
4�t 6. When septic tank drain field Mr,
7. Electrical inspection by city of Jacksor.ville.
8. Final inspection. on MUST be called for after .27,
Note: In case of any rejection,re-inspecti
corrections are made.
FRONT OF LOT— '7&
described in the above statement, we hereby agree to perform said
In consideration of permit ' e for d g the work as ons, which are a part hereof, and in accordance with the building
work in accordi nc;eit7ith tp ttac e 5 dcifi*l
regulations of the y of �t tic eac -------
........ Address... ....---- ------ ----
Signature of Builder---- ------ ----------- --------- .............. ............................
Address----------------------------------------------------
Signature of owner........... I-- -------- ----- -----
DEPARTMENT OF BUILDING 3819
PERMIT NO.
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 19 '7 A
Valuation$ 56,676 149.50;
Fee $
This pernit not valid until above fee has been paid to City Treasurer, and is
s�bject to revocation for violation of applicable provisions of law.
action Co.
This is to certify tha
has permission to build sk regaidgame!"
Classification s/f .dwellips zo
Owned b' 14 AB
Lot 10 20 ' Lot 12 Block S/D
House No 133! — I I tb Atreet
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
X
.4—jo. 0 Building material, rubbish and debris
.4 z t not be placed in
from this work mus
public space, and must be cleared up
and hatiled away by either contractor
or owner.
149*5n TL
Bill M. DaVjW_1.50CKM
t� I C� Builaijaz Officiol.
------------
FOR OFFICE PERMIT DATE CONTRACTOR
NUMBER
USE ONLY
PLUMBING
!FOR OFFC
U BE ON LY
LU M N G
E C I C
LECTRICAL
SEWER
W W
ATER