341 11th St (vault) (2) FOR OFFICE USE ONLY
Date ..:� —/�.----....19
Permit .--.Fee •J-^----
CITY OF ATLANTIC BEACH f/
• Valuation $L(�?f._Da•a---�.. --- -
1
FLORIDA House #.J_#/........./(...........................
----------------------------------------------------------------------------
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.................................r- ----(-o---•-------------, 19
Owner-•-MR-:±M2s - r'-S-'t 2 /�-•i: O 1S u rt�•--------------Address./o A 3.....JV"" 2 Lq. 1� phone No.71f.
•------�-•-•--•--••---• -------------------•---..!.A_.4.2.••---Tele ---- --....---
Architect. R _Nw!..... .1 Lej!; _ - .I1i✓G• Address.•z}�Ff...T�-b�A �----------Telephone NoT3%:. s�io
Le e sP ' 'tqc/;WCC �?issc �
Contractor Builder.............................. .... ..........................._..Address----.......................................................Telephone No...... ------- --
iLot No----------''t O--•---•-----•--------------------Block No------!t-------------------Sub Division---------`f------6------------------------------------------------------Zone.................
�! _XJ 't D/,ttfi /JeY�1/�Ste.
-• --------Street-------------- ----Side Between-----------------------------------------------------and---.��-
Valuation 0............. what purpose will building be used_..fM1S_f �.�_._...----- Type of construction..�."Iry
.............
..................
Dimensions of Building_.X'f/.3 -____---------------Dimensions of Lot ._11_9D----------.....................Size of Footings.........X .....................
IT
Size of Piers--------- _✓e.............Size of Sills--------`_`_`-----------------Greatest Sill Span in ft........ y--.---------Type Roof-!r �......
How will Building be Heated?.4�'_:'.._ _'_:S¢-4-''-_ ________Will Building be on Solid or Filled Ground?__... .��.'�
/ y
Size of Ceiling Joists--2-11............................. Distance on Centers.-..___..'.:__........---_.___-.-....__--., Greatest Span.........��.:.a.._.____-._------.--. "
Size of Floor Joists-..____....__/ � ?-:.................. Distance on Centers......_....':::.____._.._...__..__.__...____, Greatest Span.......... .......... "
....................
�, ry , 6,1
Size of Rafters -x Distance on Centers........-_lea............................ Greatest Span ........................................
This rectangle is to represent the lot.
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. td a e A.9
Inspections required.
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. Z
3. When steel is in place and ready to pour beam. ''� a
4. When framing is completed. I ofo
5. When rough plumbing is completed,and ready to cover up.
W : p
6. When septic tank drain field or sewer is laid but before it is covered. WA
8 O
7. Electrical inspection by City of Jacksonville.
8. Final inspection. ia� 1►
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 specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
Signatureof Builder................ . ----------••.............. Address-------------------------__...............----------------------------------------------------
-•--- /. ^ C.__..
.................Signature of Owner--�----`
u 5235
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
--- - PERMIT INFORMATION -- - --- LOCATION INFORMATION ----- -
Permit Number: 5235 Address: 341 11TH STREET
Permit Type: FENCE ATLANTIC BEACH, FLORIDA 32233
Class of Work: ADDITION ---------- LEGAL DESCRIPTION -------- --
Constr. Type: WOOD Lot: 20 Block: 14 Section: A
Proposed Use: SINGLE FAMILY Township: RNG: O
Dwellings: 1 Code: O Subdivision:
Estimated Value: $842. 00
Improv. Cost: $0. 00
Total Fees: $10. 00
Amount Paid: $10. 00
Work ' od fence attached to existing fence
OWNER INFORMATION _-- - ---- APPLICATION FEES -----
Name: DAVID STEIN PERMIT $10. 00
Address: 341 11TH STREET WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORID: SEWER IMPACT FEE $0. 00
Phone ; (0,04 )246-1::'36 WATER METER $-0.00
RADON GAS-H. R. S. $0. 00
------- CONTRACTOR INFORMATTON RADON GAS - 5% SU. 00
Name: WATER TAP $0. 00
Address: SEWER TAP $0. 00
HYDRAULIC SHARE $0. 00
License: Type: RE-INSPECT FEE $0. 00
SEC. H IMPACT FEE $0. 00
OTHER $0. 00
NOTES:
P
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."
4L1uttiiUiv JJHik:
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CWME
ATLANTIC BEACH BUILDING DEPARTMENT
By:
J
APPLICATION FOR FENCE PERMIT
wor;K GS�Z-�133U
Owners name ---Ikti�-- c2�(o -/Z 38
-- ------ --------------p
E�u hone-------------
Job address 1 ----� �
---------- ---------------------
►,
Lot_ ��__ block and/or unit # r' _ subdivision--
Contractor if different from owner h L"-/
----z-------f-P.(r�Ce=----------------------
Valuation of fence $-110--- Corner or interior lot__ 1L�
----------- --------
Type construction_ \\ —
Show location and height of fence as well as location of street(s).
X
►J �Xn�Tw ��t
x wwoFv►ou° x
I -
STL ��
�1
.a 0
g 3
zI
wao��nY,E
-A—X
V')
2
N
J
c L v TSI l I h <STiQC E l
Owner signature Date ,/Zoj!z-
- -- ------------------- ----
Contractor signature___ � pate
------------
_- �� --------
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32233
APPLICATION FOR MECHANICAL PERMIT CALL-IN-NUMBER
IMPORTANT — Applicant to complete all items in sections I, II, III, and IV.
fLOFCATION
/ S
Street Address: fIntersecting Streets: Between. S 0 (\ 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 abcve 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 Stan rds
of good practice listed therein.
Name of Mechanical Contractors
Contractor (Print) �G C, Master
Name of ; y`
Property Owner 0 V 6
Signature of Owner Signature of
or Authorised Agent Architect or Engineer
111• GENERAL INFORINATION
A, Type of sting fuel: 6 IS OTHER CONSTRUCTION BEING DONE ON
Ehxiric THIS BUILDING OR SITE?
❑ Gas—❑ LP ❑ Natural ❑ Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
❑ Oil PERMIT
❑ Other — Specify
IV. MICHANICAL EQUIPMENT TO BE INSTALLED rr:tor
K
Provi m ate list of components( plate on back of this ❑ Commercial
H ❑ Space ❑ Recessed antral O Floor ❑ Ne din
Air Conditioning: ❑ Room Cy Central Ing Building
❑ Duct System: Material Th;ckn.0 Replacement of existing system
Maximum capacity c.f.m,
❑ New installation(No system previously installed)
❑ Refrigeration ❑ Extension or add-on to existing system
❑
❑ Cooling tower: Capacity q.p.m. Other — Specify
❑ Fire sprinklers: Number of head-
[3 Elevator ❑ Manlift ❑ Escalator (number) THIS SPACE FOR OFFICE USE ONLY
Q Gasoline pumps (number) (fid)
❑ Tanks (number) Remarks
❑ LP6 container (number)
Q Unfired pressure vessel
Q Boilers
Permit /approved by Da++
❑ Other — Specify Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT Capaci
Number Unita Description Model Number Manufacturer (Joos)y A r� 12 c L
L� ✓\ L--
HEATING FURNACES, BOILERS, FIREPLACES
C:Ipmdty
Number Units De is tioa No"Number ][aaufa UUT (NM) � (6 ch
"T—
(n
TANKS
now Many Naming Capacity Type Liquid Name of Serial Approving
and Dimelodoos Contained l[anufactm�r No. Agency
5301
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- --
PERMIT INFORMA'T10N - -- -_- - _ LOCATION INFORMATION --
Permit Number: -9301 Address: 341 ELEVENTH STREET
Permit Type: MECHANICAL ATLANTIC BEACH, FLORIDA 3223
Class of Work: ADDITION -- ---- LEGAL DESCRIPTION
Constr. Type: WOOD FRAME Lot : Block : Section:
Proposed Use: SINGLE FAMILY Township: RNG: O
Dwellings: 1 Code: O Subdivision :
Estimated Value: $0. 00
Improv. Cost: $0. 00
Total Fees: $47. 00
Amount Paid: $47. 00
P ,
OWNER INFORMATION -- - - ---- APPLICATION FEES - ---
Name: DAVID STEIN PERMIT 547. OC
A.,i341 ELEVENTH STREET WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORIDA 32233 SEWER IMPACT FEF:.
Phone: (904 )6.11 -t3E,OQ WATER METER $O. 00
RADON GAS-H. R. S. $0. 00
- - -- GON TRACTOR INFORMA 1ON - RADON GAS - S% $0. 00
Name; SNYDER HEATING & AIR COI. 11, WATER TAP $0. 00
Rcifir,?ss: P. O. BOX 16826 SEWER TAP $0. 00
JACKSONVILLE, FLORIDA 322 . HYDRAULIC SHARE $0. 00
CACO14642 Type: RE-INSPECT FEE $0. 00
SEC. H IMPACT FEE $0. 00
OTHER $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 IMPROoVEMENTS "
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB REVOCA S OR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHANGE $.00
ATLANTIC BEACH BUILDING DEPARTMENT
By:
CITY Orl- ATLA,`-J'C BE;`\CH, FLORIDA
C,,r
-rova by
TO TEE CHIEF E'-ECTRIC-AL INSPECT, 4-29 1992
IMFvi3YANT NOTICE: t4C, THE l.;v-)PK AS DI:SCRISED IN T-r FOLI-VNING, WE
FzCATION,S,
IN CON-IDERATION OF PlE-RllA!T GIVEN FOR E :Ci
�AGREE --' PERFORM SAID WORK, IN ACC C -DAF'4CEv%'1T*.-i T'�IE AY-c'-HED F"L--kNSAN; 'D CITY Cr
HEr'�"EBY AG ti c ODES F.%N
�'7-'- ANCE- THE E LECTR 10"L R"GU LA-1 IONS, C
WHICH ARE A PART HEREOF, .^,ND IN ACC
ATLANTIC BEACH OMNANCES.
R& R ELECTRIC OF NORTH. FLOP10A,IM,'-
P. 0. BOX 62238
JACKSONVILLE, FLORIDA 32219 R E L-C -1(-'N'ATU'RE
IM A STIR EL' 'REGAL FiR,.*
NAM Stein AC��RESS:-341 11th Street RFD BOX
BLDG.SIZE —BETINEEN:--�-
RES. AF'7- COMM- PUBLIC INDUS. NEW OLD (y) REW.
SQ. FT.
ADDITION ( TRAILER ( TEMP. ( SIGNS (. ) FEE
SERVICE: NEW ( INCREASE ( REPAIR
AMPS COPPER ALUM.
CONDUCTOR S!ZE
•
SWITCH OR BREAKER AMPS PH w VOLT RACEWAY
)10
EXIST.SERV.SIZE V AMPS PH 3w. l2k VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
CONCEALED OPEN TOTAL
RECEPTACLES 31.100 AMPS.
0.30 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V. AMPS. OVER
BELL TRANSF.
APPLIANCES
AIR H.P. RATING H.P. RATING S CELL HEAT: KW-HEAT
CONDITIONING COMP. MOTOR OTHER MOTORS AMP
0 OD
01 OVER PHS
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. lKVA
NO.NEON TRANSF. NO. VA. h1A. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED /,57
TOTAL FEES Z5,50
Received: 2/ 5/98; 9:32AM; => CHAMPION ROOFING INC; #1
P_O1
Feb-06-98 08:38
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
.JOB LOCATION:
OWNER OF PROPERTY'
CONTRACTOR: 12MM,4C_ ✓cam i ��C.
CONTRACTOR'S ADDRESS.
ZP :B22n7
STATE LICENSE NUMBER.- CCC 5:z yid Z TELEPHONE. 2-
DESCRIBE WORK TO BE PERFORMED:
VALUATION OF PROPOS&D CONSTRUCTION
MATERIALS TO BE USED: acs .`c Ks—
SIGNATURE OF 1`t v
SIGNATURE OF CONTRACTOR:
SWORN TO AND SUBSCRIBED BEFORE ME THIS
S=p �5g_8
NOTARY PUBLIC
Liability Insurance Supplied
al-41011 WOvll AR-W44
vVcrxers Ccmpensancn Insurance SuFpiiea V09Z0[00'ON
� onena N
IOOZ1911Z1 'd%3 wwo0 AW °AHV10N
Contractor License information Supplied wVHVa9 0 1100S boIj 40�~
occupational License information Supplied
PSR3844 15886
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFiDRMATION ------- LOCATION INFORMATION
ermit Number : 15896 ddressi 341 ELEVENTH STREET
Permit Type:RE-ROOF ATLANTIC BEACH , FLORIDA 322-k-�
,lass of Work:NEW ------ LEGAL DESCRIPTION -------
,'onstr , Tvve:wocr FRAME Block , Lot * T-,—
Proposed Use: Section: 0 Subd*O Ri:
Dwellings : I Subdivision-
Est . Value: 0 . 00
Imvrov . Cost : 4 .000 . 00
Total Fees : 25 .00
Amount Paid: 25 -00
Date Paid,. 2/05/1998
--,WNER INFORMATION APPLICATION FEES ----------
lameEAVID STEIN PERMIT 25
'-'-..ddr - 141 ELEVENTH STREET
ATLANTIC BEACH, FLORIDA
.. honr--,. f 9041,S41-0600
1 ai-ri e CHAMPI--N R,r(--FIN":9 SERVIC7E ., TiJ!-
.1
--..ddi 3-, 34 SFF1N,-- PARY ROAD
JAICKSONVILLE . FLORIDA 32207,
CC 0 15 74x,2 Exp
NOTES:
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 MECHANICS' LIEN LAW CAN RESULT IN
THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS.95
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. $25.00 14
htes @W98 ot Receipts 0030968
CHECKS 3621
ATLANTIC BEACH BUILDING DEPARTMENT 00100003221000
By:
CITY OFATLANTIC BEACH
800 SEMINOLE ROAD
Is1 ATLANTIC BEACH,FLORIDA 32233-5445
J .• TELEPHONE:(904)247-5800
FAX:(904)247-5805
v SUNCOM:852-5800
N � http://ci-atlantic-beach.fl.us
November 12, 2002
Debra Stein
341 1 It' Street
Atlantic Beach, FL 32233
RE: Building Plans
To Whom it May Concern:
The City of Atlantic Beach has begun imaging building plans and the plans for this
property are now on compact disc. Since we have no further use for the paper copies we
are making them available to homeowners at no charge. If you would like to have the
plans of your home, please pick them up at the office of the City Clerk, 800 Seminole
Road. Our office is open from 8:00 a.m. to 5:00 p.m., Monday through Friday. Plans not
picked up by 5:00 p.m. on Wednesday, November 27, 2002, will be destroyed.
If you have any questions or need additional information regarding these plans, we may
be contacted at 247-5809.
Sincerely,
Maureen King
Certified Municipal Clerk
t2t4
� �
5306
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
PERMIT INFORMATION - - --- --- LOCATiUN 1141-'ORMA71UN
Permit Number: 5306 Address: 341 ELEVENTH STREET
Permit Type: ELECTRICAL ATLANTIC BEACH, FLORIDA 32233
Class of Work: ADDITION ---------- LEGAL DESCRIPTION ----------
Constr. Type: WOOD FRAME Lot : Block: Section:
Proposed Use: SINGLE FAMILY Township: RNG: 0
Dwellings: I Code: 0 Subdivision :
Estimated Value: $0. 00
Improv. Cost : $0. 00
Total Fees : $18. 50
Amount Paid: $18. 50
1 /92
,!R CONDITIONING\
fjWNER INFORMATION APPLICATION FEES -----
DAVID STEIN PERMIT $18. 50
341, ELEVENTH STREET WATER IMPACT FEE $0. 00
ATLANTIC BEACH, FLORI':- ,3 SEWER IMPACT FEE $0. 00
WATER METER $0. 00
RADON GAS-H. R. S. $0. 00
CONTRACTOR INFORMATION RADON GAS - 5% $0. 00
Name: R & R ELECTRIC COMPANY WATER TAP $0. 00
Address: P. O. BOX 62238 SEWER TAP $0. 00
JACKSONVTLLE, FL. 32219 HYDRAULIC SHARE $0. 00
!.icense: ER0008470 Type: RE-INSPECT FEE $0. 00
SEC. H IMPACT FEE $0. 00
OTHER $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.99
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOP
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEACH BUILDING DEPARTMENT
By:
J -
1, CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
-- r ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
>� Building-deptncoab.us
Application Number . . . . . 07-00001679 Date 12/12/07
Property Address . . . . . . 341 11TH ST
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
---------------- ----------------------
Application desc
WIRING FOR DRYER/ 4 WIRE
---------------- -- - ---- ---------------
Owner Contractor
------------------------
STEIN, DEBRA AC/DC ELECTRICAL CONTRACTORS
341 11TH STREET 1779 WOODENRAIL LANE
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32225
(904) 201-0094
--- -- -------- ----- --------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 70 . 00 .
Issue Date . . . Valuation 0
Expiration Date . . 6/09/08
----- ----- ------ ---------------------- -------- -- -----
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 _
f 4 'J`iti 800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233 07 1 T_
I`- '� �� OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
!47J
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: 3.DATE
❑NO n
❑YES PERMIT#: Z 2-16
I
Y d Atlantic Beach, FL 32233
PROPERTY OWNER:
4,NAME:
5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
ELECTRICAL CONTRACTOR:
7 NAME F COMPANY. 8.ADDRESS.:
A<i- -�rd-Ca kAJoes 9
r
OFFLORIDALICENSE 10.CELPHO E: 1.FAX NO.:
v DDRESS: 13.OFFICE P O)NE: 14.
III 0 ��fl- slplicatio is hereby made too ain a permit to do the work and installations as indicated. I certify that all work will be performed to meet
ds of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
the standar
months,or d construction or work is suspended or abandoned for a period of six(6)months.at a ti a work is commenced.
CONTRACTORS SIGNATURE:
16.CLASS OF WORK: 17.SERVICE: :11:[3'0:5NATIONAL
NUMBER:
❑ MULTI FAMILY-#OF UNITS: SIDENTIAL
YY INGLE FAMILY ❑TEMP SERVICE ❑ COMMERCIAL V l v
❑ADDITION ❑TRAILOR 19.BUILDING: NT CODE:
❑ALTERATION ❑SIGN ❑OLD ❑ NEW 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
AMPICITY: ❑COPPER ❑ALUMINUM
22. SIZE OF CONDUCTOR:
RACEWAY SIZE:
23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT:
24.EXISTING SERVICE SIZE: AMPS: PH: W: VOLT: 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:
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
33.MOTORS:
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
34.TRANSFORMERS:
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
35.MISCELANEOUS REPAIRS:
DESCRIBE IN DETAIL:
COAB FORM BLDG02:REVISED:8/13/2007
HP Ofliiceje{ 7410 Log for
Personal Printer/Fax/Copier/Scanner Information Systems
904-247-5845
Dec 12 2007 4:45PM
Last Transaction
Date Time Type Identification Duration Pages Result
Dec 12 4:44PM Fax Sent 96657372 1:24 2 OK
�`j► 'L`1 f. .
CITY OF ATLANTIC BEACH
J 800 SEMINOLE ROAD
�•� ATLANTIC BEACH, FLORIDA 32233
V
INSPECTION PHONE LINE 247-5826
JF3l}�
Application Number . . . . . 04-00028801 Date 8/03/04
Property Address . . . . . . 341 11TH ST
Tenant nbr, name . . . . . . REGROUND AT METER CAN
Application description . . . ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
PETTY, DEBRA ADVANCED WIRING SERVICES INC.
341 11TH STREET P .O. BOX 350177
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32235
(904) 744-4446
----------------------------------------------------------------------------
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
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
Date:
Property Address: 3
Owner: 1�Q b ca_ Telephone#:Ij
Contractor. QAC 1� �'; /C_ <' Telephone#: 7i l Lf-1�
Contractor Address: PC( Fax#: a -l0'1 a
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: ❑ Trailer Service: if other construction is
❑ New Residence ❑ Temp. ❑ New being done on this building
Old E3Commercial E3Signs ClIncrease POr site list the building
number
cir Re-wire 13 Addition Sq.Ft Repair ama
Conductor Size: AMPS: COPPER ALUMINUM
Switch or RACE
Breaker AMPS PH W VOLT WAY
Existing Service c(� RACE
Size AMPS I U PH W VOLT WAY S�t
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
UNDER600V OVER600V
Transformers NO. KVA NO. KVA
No.Neon_Transf.
Ea._Sign
Miscellaneous 12CC�-QUnd S�.-�� CQcc�
800 Seminole Road•Atlantic Beach,Florida 32233-5445
Phone: (904)247-5800. Fax: (904)247-5845 • http://www.ei.atiantic-beach.fl.us
�j..YL`1f
CITY OF ATLANTIC BEACH
f 800 SEMINOLE ROAD
J ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247-5826
` r ills)"
Application Number . . . . . 04-00028721 Date 7/22/04
Property Address . . . . . . 341 11TH ST
Tenant nbr, name . . . . . . 10 FIXTURES
Application description . . . PLUMBING ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
PETTY, DEBRA DAVID GRAY PLUMBING INC.
341 11TH STREET 8850 CORPORATE SQUARE CT.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
(904) 744-7255
----------------------------------------------------------------------------
Permit . . . . . . PLUMBING PERMIT
Additional desc . .
Permit Fee . . . . 105 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . 0
Expiration Date 12/31/04
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 105 . 00 105 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 105 . 00 105 . 00 . 00 . 00
r
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.
B Lb FF IAL
CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
BANK: Wachovia
Check Number : AM
Date:
Property Address: 14- 1 I
Owner: ee�'04 1 r--ff-'r- Telephone #: M10" ( �
Contractor: DAVID GRAY P1 11MBING . IN(L Telephone #: 724-7?11
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 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,
❑/ New list the building permit number:
E;7 Re-Pipe
Number of Fixtures:
Bath Tubs Showers
L Closets Shower Pans
t Dishwashers I Sinks
Disposals f Urinals
Floor Drains ` Washing Machine
Lavatory Water
Sewer l Water Heaters
1 Other R._)0t.A-04,t(,
Fees -�
wtL 7L Cr.
Permit Issuing Fee: $35.00
Total Fixtures: _/10 X 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
MAP SHOWING SURVEY OF
10T 20, BLACK Up LTLANTiC BE.kCH Ao ' ECCIDID IN PIAT HOOK 5,9 PAGE 69 OF THE CURRENT PUBLIC
RSCORDo OF DUVAL COiINTY, FLORIDA
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FOL/ND�"//ZON� ✓�, �`SET/2"/KOC/
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u1TY a„
A t;�t I✓` 1' �y
1 HEREBY CERTIFY THAT I HAVE SURVEYED THE LANDS AS SHOWN IN THE ABOVE CAPTION
AND THERE ARE NO ENCROACHMENTS. H. A. DURDEN & ASSOCIATES
928 - 7TH AVE. SOUTH
JACKSON LLEBE H. FLA.
SIGNED /1�LJ.gGy 2/ LLE:
SCALE: � - ;O —
REGISTERED SURVEYOR NO. 1674 FLA.
SOUTHSID9•/P acRVICR INC. ORDER NO.