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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 I .. I I FDU/✓O/2-/RON 5O' I SET/�2^/QON ` � t s G 7100-� i C• v 0 � � FOL/ND�"//ZON� ✓�, �`SET/2"/KOC/ T, C o 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.