334 19th St (vault) S%A i-
CITY OF ATLANTIC BEACH
y 800 SEMINOLE ROAD
r� ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Wilt
Application Number . . . . . 08-00000925 Date 7/10/08
Property Address . . . . . . 334 19TH ST
Application type description MECHANICAL ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------
Application desc
INSTALL CU & AHU
-----------------------------------------
Owner Contractor
--------------------
------------------------
BOWMAN HEATING AND AIR COND
SHORT, FREDERICK R.
334 19TH STREET 7523 N MAIN ST
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32208
--------------------------------------
Permit MECHANICAL PERMIT
Additional desc . Plan Check Fee . 00
Permit Fee 95 . 00 .
Issue Date . . . Valuation 0
Expiration Date . . 1/06/09
-----------------------------------------------------
Fee summary Charged Paid Credited Due
_ _ ---------- ----------
---------- -
Permit Fee Total 95 . 00 95 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 95 . 00 95 . 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 O$_ I I I I I
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
'
OFFICE (904)247-5826•FAX NO.J904)247-5845
BUILDING-DEPT@COAB.US
MECHANICAL PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.IS THIS A SUB PERMIT: J.DATE:
NO
34 ❑YES PERMIT#:
5 PROPERTY OWNER:
4.NAME:
5.ADDRESS IF DIFFERENT FROM JOB ADDRESS. 6.PHONE
MECHANICAL CONTRACTOR:
7,NAME OF COMPANY: 8.ADDRESS.
Catvv -- 3 Z�osl
10.CELL PHONE: 11.FAX NO.:
9.STATE OF FLORIDA LICE SE NO: qU 7- r SBC- 2-
c � �a ,4.
12.EM ADDRESS: 13 OFFICE PHONE:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet the
standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)months at any time after work is commenced.
CONTRACTORS SIGNATU
16.CLASS OF WORK: 16.BUILDING: 17.SERVICE: 18.CURRENT CO
❑NEW INSTALLATION ❑NEW RESIDENTIAL 0'06 FLORIDA BUILDING CODE-
XREPLACEMENT OF EXISTING SYSTEM EXISTING ❑COMMERCIAL MECHANICAL
❑ALTERATION/ADDITION TO EXIST SYSTEM ❑OTHER
❑REPAIR
MECHANICAL EQUIPMENT TO BE INSTALLED:
19. HEAT: ❑SPACE ❑ RECESSED CENTRAL ❑ FLOOR BURNERS:
20.AIR CONDITIONING: ❑ ROOM XCEqTRAL
Ti. DUCT SYSTEM: MATERIAL: THICKNESS: MAX CAPACITY: cfm
22. REFRIGERATION: MAX CAPACITY: Cfm
23. COOLING TOWER: CAPACITY: Spm
24. FIRE SPRINKLER: NUMBER OF HEADS:
25.LIFT SYSTEM: ELEVATOR: MANLIFT: ESCALATOR: AUTOLIFT:
26.COMMERCIAL HOOD NUMBER:
27. FIREPLACE: PREFABRICATED: MASONRY:
28. IRRIGATION: ❑ PUMP ❑WELL ❑ PIPING
29.GAS PIPING: #OF OUTLETS: ❑GAS AHU ❑GAS WATER HEATER:
30.OTHER-SPECIFY:
SOLAR HEATING, BOILERS,UNFIRED
PRESSURE VESSEL,HEAT EXCHANGER
OR COIL IN DUCTS ETC. IVALLIE FOR OTHER ITEMS:
31.COOLING EQUIPMENT:
AIR CONDITIONING REFRIGERATION EQUIPMENT CONDENSORS ETC. APPROVING
NUMBER
OF UNITS DESCRIPTION MODEL# MANUFACTURER TONS AGENCY
32.HEATING EQUIPMENT:
FURNACES BOILERS FIREPLACES AIR HANDLERS ETC.
ONUM F UNITS DESCRIPTION MODEL# MANUFACTURER BTU AGENCY
��,�
33.TAN
L
NUMBER GALLONS CONTAINED MANUFACTURER SERIAL# AGENCY
COAB FORM BLDG04:REVISED:1110/2008
rj It IS
f CITY OF ATLANTIC BEACH
s 800 SEMINOLE ROAD
r ATLANTIC BEACH,FL 32233
+� INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-dentaa coab.us
� , I
a ►
Application Number . . . . . 08-00000342 Date 3/18 , 08
Property Address . . . . . . 335 19TH ST
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7600
--- --------------------------------------------------
Application desc
REROOF, FL 1012 .4
-------------------------------------------
Owner Contractor
------------------
AlA ROOFING CO. , INC.
FREIDEN, SAUL N.
335 19TH STREET RYAN MILLS
ATLANTIC BEACH FL 32233 1724 ORMOND RD
JACKSONVILLE FL 32225
(904) 249-6999
----- ---- -
Permit ROOF PERMIT
Additional desc
Permit Fee . . . . 70 . 00 Plan Check Fee 00
Issue Date Valuation E 600
Expiration Date . . 9/14/08
-----------------------------------------------------------------------
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
d
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH 08- I I I I I
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826•FAX NO.:(904)247-5845
BUILDING-DEPT@COAB.US
BUILDING PERMIT APPLICATION DUVAL COUNTY
1.JOBADDRESS: 2.VALUATION OF WORK: 3.SQ.FT.UNDER ROOF
.;, _ 5 Q
4.LEGAL DESCRIPTION:' 5.CLASS OF WORK: 6.USE OF STRUCTURE:
❑NEW BUILDING ❑DEMOLITION RESIDENTIAL
LOT BLOCK SUB DIVISION ❑ADDITION ❑CONVERTING USE ❑COMMERCIAL
7.DESCRIPTION OF WORK: 11 ALT ERATION ❑ACCESSORY BLDG. 8.FIRE SPRINKLER:
[I REPAIR ❑POOL/SPA ❑YES 11N/A
El [I OTHER El NO
i; !
PROPERTY OWNER: CONTRACTOR: ARCHITECT I ENGINEER:
9.NAME: Q/✓ 15.COMPANY NAME: 23.COMPANY NAME:
16.NAME: 24.LICENSEE NAME:
'i S
10.ADDRESS: jyj 17.STATE O FLORIDA LICENSE NO.: 25.STATE OF FLORIDA LICENSE NO.:
3 3S�9 sT &c c 05 7 S
e 18.ADDRESS: 26.ADDRESS:
11.OFFICE PHONE: 12.FAX NO.: 19.OFFICE 20FAX
NO L!/27.OFFICE PHONE: 28.FAX NO.:
13.CELL PHONE: J ' 21.CELL PPHQj�E, 7 29.CELL PHONE:
3
14.EMAIL ADDRESS: 22. AILADDRESS: _ - 30.EMAIL ADDRESS:
FEE SIMPLE TITLE HOLDER: BONDING COMPANY: MORTGAGE LENDER:
(IF OTHER THAN OWNER)
31.NAME. 33.NAME: 35.NAME:
32.ADDRESS:
34.ADDRESS: 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
Electrical Work,Plumbing,Signs,Wells,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
*** WARNING TO OWNER: ***
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
OWNER or AGENT
(If ant,PONTRACTOR
ower 17itorney rA ency Le r Required) (Qualifier Only)
Signed:
Date: 3'1Z'd 8 Signed: Date:
2 7 he county of Before me this day of 2007 in the county of
Before me this day of tY
Duval,State of Florida,has personally appeared Duval,State of Florida,has personally appeared
herin by himself/herself and affirms that all statements and declarations are herin by himself/herself and affirms that all statements and declarations are
true and accurate. `,� �([� Notary true and accurate.
Notary Public at Large,State of County of�y\1
Public at Large,State of County of
C li ,
���--❑✓✓✓Personally Known ❑Personally Known
q� .Produced Identification- , � ❑Produced Identification-
Notary Signature: Notary Signature:
K. CUNNINGHAM
` Notary Public-State of Florida
W. y Commission Expires Feb 28,2010
Commission#DD 523638
COAB FORM BLDG01:REVISED:1/10/2008 ��� o�n •• Bonded By National Notary Assn.
NOTICE OF COMMENCEMENT
State of "/GZ1Tax Folio No.
County of 17,,i.s,
To Whom It May Concern:
The undersigned hereby informs you that improvements will be made to certain real property,and in accordance with Section 713 of
the Florida Statutes,the following information is stated in this NOTICE OF COMMENCEMENT.
Legal Description of property being improved:
Address of property being improved: �j /IZ S
General description of improvements: fe4 j&-
7C,.
Owner: j� i r'
/ P,'C •� Address: �1 ��� • +c f
—r
Owner's interest in site of the improvement:
Fee Simple Titleholder(if other than owner):
Name:
Contractor: t
n ,
Address: C�L-G ;�/, � i���7' l�' lj . r L ------
Telephone No.: Fax Fax No:_ Doc# gpsp OR BK 14425 Page 81,
Number Pages:1
Surety(if any) Filed&Recorded 03/1812008 at 02:24 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL
Q Address: COUNTY
Telephone No: Fax No: RECORDING$10-00
Name and address of any person making a loan for the construction of the in
y
Q) Name:
NAddress:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents may
served: Name: —
Address:
Telephone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section
713.06(2)(b),Florida Statues. (Fill in at Owner's option)
Name:
Address:
Telephone No: Fax No:
Expiration date of Notice of Commencement(the expiration date is one(1)ye from the date of rdin unless a different date is
specified):
THIS SPACE FOR RECORDER'S USE ONLY O
Date: �� 1
Signed-
the County of Duval,State
Before met ! d IF>°1
Of Florida,has pally
0 oda,County of Duval.
••�, �.... P�{eite S D t or
i� ced�� t1PpD
;�a,"�•'' Bonded By National Notary Assn.
L/
YJ
CITY OF
4j%�
Office of Building Official
^ REQUEST FOR INSPECTION
Date. Permit No.
CJ
Time A.M District No.
Received
^ Locality
s^ Job Address
Ownery zw-) Contractor
Name HEATING
BUILDING PLASTERING ELECTRICAL Rough
❑ Rough ........❑
Rough Wiring ..❑ Final ......❑
Foundation .. ❑ Lath .•........p Finish Wiring ..❑ Final ••..•... Water Heater ..❑
Chimney •.••"❑ Scratch .......❑ Fixtures .......❑ Sewers ........0
Framing .•••••'❑ Brown ........[] Motors ❑ G ....
Final ...... ❑❑ Temp Pole ...❑ esspool ......❑
Footing Finish ❑
Wallboard .....❑ Final Inspection Top-out .......❑
Slab ...❑
Water .........❑
Lintel Beam ...❑ A.M.
READY FOR INSPECTION Fri. P.M.
Wed. Thurs.
Mon. Cues. A.M.
P.M.
InspectionMade
Inspector
r
CITY OF
lftf4 &=4 � a
Drpartmrnt of Vnilding Jnaprrtinn
This Certificate issued pursuant to the requirements of Section log of the Southern Standard
Building Code certifying that at the time of issuance this structure was in compliance with the
various ordinances regulating building constructioor use. For the following:
n
Bldg.Permit No.
/ ArA—rii
Use Classification ., F�
Group
Type Constructio Fire District
Address-- _,q
Owner of Building �
_ Locality
Building Address L 'l
r /
By:
S D
�Building0 cial
POST IN A CONSPICUOUS rt-ACE
�.. CITY OF ..11101"
4&"&' /3ecc,�i-G��oricc
Office of Building Official
REQUEST FOR INSPECTION y� / 3
Permit No. r1
Date —),-)
A.M. // District No.-
Time
o.—
Received
Locality
Job Address
Owner's Contractor
Name BUILDING PLASTERING HEATING
..0
ELECTRICAL PLUMBING
Rough .❑ Rough ... .. ❑
El
Wire ...........❑ Rough Wiring Final ❑ Final
Foundation :� Lath ......❑ Finish Wiring ..EJ Sewers ........C] Water Heater ..❑
Chimney ...• Scratch .......❑ Fixtures .. ...•0 Gas .. ....
Framing .. ^�n .0 Motors Cesspool ......11
Final ...... r Temp-Pole .....❑ .... 11
Footing mesh .........❑ .❑
Final Inspection.❑ To
Slab Wallboard .....❑ Water ........
••� A.M.
Lintel Beam ...0 READY FOR INSPECTION P.M.
Thurs.
Tues., Wed, A.
Mon. - P
Inspection Made r
Inspector n /
V O�
CITY OF
Office of Building Official
EQUEST FOR INSPECTION yp!
Permit No. `
Date
Time �� A'M District No.
Received P.M.
. �P,•/ Locality ,
Job Address
Owner's Contractor
Name PLUMBING HEATING
BUILDING PLASTERING ELECTRICAL Rough ........❑
Foundation ....❑ Wire .... .....❑ Rough Wiring ..❑ Rough
.........� Final ❑
Lath ..........❑ Finish Wiring ..❑ Water Heater ..❑
Chimney ❑ Scratch .......❑ Fixtures .......❑ Sewers .....❑
Framing ❑ Brown ❑ Motors ❑ Gas
Final . ••••'❑ Finish .........E] Tern Motors ole .... .❑ Cesspool ......❑
Footing ❑ y�allboard .....❑ Final Inspection.❑ Top-out .......❑
Slab . .... ...❑
Water .........❑
Lintel Beam ...❑ A.M.
READY FOR INSPECTION Fri. P.M.
Wed. ,�(� hurs.
Mon. Tue j c�� A.M.M.
�
Inspection Made P.
Inspector /
v
i�
CITY OF
4&aw c Beac4- &;"c&
Office of Building Official
^� Q REQUEST FOR INSPECTION —'J/
9�
Date / /"' Permit No. /
Time Q A.M.
Received v P.M. District No.
Job Address Locality
Owner's � y/J
Name Contractor a
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ....E] Wire ..........❑ Rough Wiring ..Q Rough ........C] Rough ❑
Chimney ....E] Lath ..... .....E] Finish Wiring ..❑ Final ❑ Final
Framing .......❑ Scratch e a� � .❑
.......❑ Fixtures .......Q Sewers ........❑ Water Heater ..❑
Final ..........❑ Brown L] Motors ❑ Gas
.....❑
Footing .......El Finish
Slab ..........Q Wallboard .....❑ Temp-Pole .....❑ Cesspool ......❑
Lin Beam L] Final Inspection.❑ Top-out .......❑
..❑ Water .... ....Q
j READY FOR INSPECTION A.M.
/Weed. Thurs. Fri. P.M.
A
`(nspection MadeM.
Inspector
Inspector
CITY OF
4&4 t&C /3e=4-&;&I,
Office of Building Official
REQUEST FOR INSPECTION
Time Permit No. �" 2/4
Received
O
District No.
Job Address
Owner's
Locality
Name Contractor �!/� /(J
BUILDING PLASTERING ELECTRICAL PLUMBING
Foundation ..❑ Wire HEATIN
Chimney ......❑ Lath ........ 0 Rough Wiring ..❑ Rough
Fra In ❑ Finish Wiring ❑ Final Rough ........❑
Final .g........❑ Brownh ❑ Fixtures .......❑ ❑ Final ...ewers 0
Footing ..._, ❑ ❑ Motors ❑ Gas ❑ Water Heater
Slab . ❑ Finish ......❑ Temp-Pole '''.'•❑
.❑ Cesspool
Lintel Beam ,,.0 Wallboard .....❑ Final Inspection.❑ Top-out .......0
Water .........❑
READY FOR INSPECTION
Mon. Tues. Wed !, A.
Thurs. Fri. �
Inspection Made A.M. Q U
P.M.
Inspector
/
CITY OF
Office of Building Official
Date REQUEST FOR INSPECTION
Time
Received_ /d Permit No. ,3�j
District No.
Job Address /
Owner's
Name t�' Locality
BUILDING PLASTERING Contractor 646
Foundation ....(J Wire ELECTRICAL PLUMBING
Chimney ......❑ Lath ""� Rough Wiring ❑ Rou h HEATING
Framing ,.., •••--•...❑ Finish Wirin g ❑ Rough
Final ❑ Scratch ..❑ Fixtures g "❑ Final ❑ Final ❑
Footing ""❑ Brown ,••• ❑ Sewers . ❑
Slab g ❑ Finish ❑ Motors .ole.......n was .-.❑ Water Heater ..❑
Lintel Beam ...� Wallboard .....0 F na7eml Inspection Cesspool ..,,.:O
❑ Top-out
READY FOR INSPECTION
ater ❑
Mon- Tues.
Wed Thurs. A.M.
Inspection Made Qj/ Fri' P.M.
Inspector A.M.
P.M.
o C �
10aw
CITY OF � �� �,�� � •
.4t&"-c
Office of Building Official
Date
REQUEST FOR INSPECTION
— �� y
Time
Permit No. —
/ ' A.M.
Received r P.M. ��
r/ �District No. c^�
�'�.�P
Job Address PLocality
Owner's V /j��
Name Contractor 1 �QXJS
IVZ
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation ...El Wire ..........❑ Rough Wiring
Chimney ......❑ Lath .....❑ Finish Wiring ❑ Rough ❑ Rough ❑
Framing ❑ Scratch . .❑ Final ❑ Final
❑ Fixtures ..O Water Heater ..p
Final ❑ Brow •�•�• •�❑ Sewers ......
❑ Motors
Footing.........❑ F. ....... ❑ Gas
❑ Tem Pole p .._,..❑
Slab allboard p ❑ Cesspool ❑
Lintel Beam ...❑ ••••�❑ Final Inspection.❑ Top-out .......
Water .........❑
READY FOR INSP
Mon. Tues. Wed. Thurs. Fri. A'
M
r P.M.
Inspection Made — ( L. A.M.
P.M.
Inspector w
• CITY OF
J
Office of Building Official
REQUEST FOR INSPECTION / 2
Date !" ���' Permit No. f V
Time S�
Receivedggg
District No.
Job Address Locality
Owner's
Name Contractor
BUILDING PLASTERING ELECTRICAL�LUMBING HEATING
Foundation ....❑ Wire .'.p Rough Wiring ough
Chimney .... ❑ �ath ........0 Rough ........p
Framing .......[ Scratch "" ❑ Finish Wiring ,.❑ Final .........❑ Final p
Final ❑ Fixtures ..... ❑ Sewers ........❑ Water Heater
❑ Brown .......❑ Motors ❑ Gas "❑
Footing ❑ Finish ❑
..........
Slab .. ❑ Temp-Pole .... .❑ Cesspool ......p
...❑ Wallboard .....❑ Final Inspection ❑ Top-out .....
Lintel Beam ...❑ Water .........p
READY FOR INSPECTION A M
Mon. es. /�/ed. —Thurs.
f t/ ri. P.M.
Inspection Madel tJ – -1 I V A.M.
Inspector
CITY OF ATLANTIC BEACH FLORIDA
INSPECTIONS
BUILDING PERMIT NO.# ��/�3 ELECTRICAL PERMIT NO.#
PLUMBING PERMIT NO.P
JOB ADDRESS
CONTRACTOR � L"'e) T, yC'1"d XV
OWNER
DATE REMARKS INSPECTOR
FOUNDATION
FOOTING
SLAB
PLUMBING (R) - d a ,
TOP-OUT ��-
SEWER
TEMP-POLE
ELECTRICAL (R) .�� ,
ELECTRICAL (F)
FRAMING `�g
PLUMBING (F)
LINTEL/BEAM
COLUMN
STEEL
SHOOT GRADES
LOT CLEARING
OTHER BjUf h o�`l Sr'
FINAL INSPECTIONS
CITY OF ATLANTIC BEACH FLORIDAI / '3
� 0
I A ► �. by APPLICATION FOR ELECTRICAL. PERMIT 10, 3
PP
" 19-Y7
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE
WO HE ATTACHED PLANS AND FOLLOWING,
SE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
JOURNEYMAN
ELECTRICAL FIRM: MASTER ELECT AN SIGN TU E
-�
ADDRESS: �' RFD BOX
NAME �----�
BLDG.SIZE BETWEEN:
RES. ( 1 APT. ( 1 comm. ( 1 PUBLIC l 1 INDUS. ( 1 NEW ( 1 OLD ( 1 REW. 1 1
ADDITION ( 1 TRAILER ( 1 TEMP. (� SIGNS 1 1 SO. FT.
` d a' F
SERVICE: NEW( 1 INCREASE ( 1 REPAIR 1 1
n/_J�o_
COPPER 1 1 ALUM. ( 1 D
CONDUCTOR SIZE /SWITCH OR BREAKER �C� AMPS VOLT v RACEWAYEXIST.SERV.SIZE AMPS 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.
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. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V.
OVER 600 V.
NO. KVA NO. KVA
N0.NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES L) -
CITY OF ATLANTIC BEACH, FLORIDA
. 3
Appro .d YA. 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.
ELECTRICAL FIRM: MASTER ELECTRICIAN S G ATURE
Jt— t ��
NAME�� �� `�' ADDRESS:_-:33`L � qT-1- RFD BOX
BLDG.SIZEyy C u BETWEEN:
RES.(v� APT. ( 1 comm. ( ) PUBLIC ( ) INDUS. ( 1 NEW (✓) OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( 1 TEMP. ( ) SIGNS ( ) SQ. FT.
SERVICE: NEW (� INCREASE ( 1 REPAIR ( 1 FEE 7T�
CONDUCTOR SIZE ' v AMPS,-,),06 COPPER ( 1 ALUM. (A V
SWITCH OR BREAKER AMPS PH3 W YZAtOLT RACEWAY
EXIST.SERV.SIZE AMPS _ PH -W VOLT RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL r. SCI
10-30 PS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.700 AMPS. OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING CO MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
� ov
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. 11 H.P. VOLTAGE PHS
i]
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
NO. KVA NO. IKVA
NO. NEON TRANSF. NO. VA. 7MAT, 7MOTOORSIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES //�
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D C7
m C
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H
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HOWELL BUSINESS EORMS JACKSONVILLE FLORIDA 11769
CITY OF
ATLANTIC BEACH No. 08452
FLORIDA
FEBRUARY 2 19 82
NAME G & M CONSTRUCTION COMPANY
ADDRESS 214 ORANGE STREET (FOR 334 19th STREET)
CITY NEPTUNE BEACH, FLORIDA
ACCOUNT NO. 40-343-3700 WATER CONNECTION CHARGE $230.00
ACCOUNT NO. 41-343-5200 SEWER CONNECTION CHARGE $700.00
$930.00
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payment
;ITY OF ATLANTIC BEACH, FLORIDA TREASURER
I
HOWELL k)SINESS FOAMS 1--IE EIOtIDA 11769
CITY OF
ATLANTIC BEACH No. 08452
FLORIDA
FEBRUARY 2 19 K
NAME G & M CONSTRUCTION COMPANY
ADDRESS 214 ORANGE STREET (FOR 334 19th STREET)
CITY NEPTUNE BEACH, FLORIDA
ACCOUNT NO. 40-343-3700 WATER CONNECTION CHARGE $230.00
ACCOUNT NO. 41-343-5200 SEWER CONNECTION CHARGE $700.00
$930.00
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payment
ITY OF ATLANTIC BEACH, FLORIDA - TREASURER
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FOR OFFICE USE ONLY
Date------------------------------------19 ......
CITY OF ATLANTIC BEACH Permit #---•-•--•-----•--------.Fee$----_-----------------
Valuation $.
-FLORl
FLORIDA
IDA Hou .......... --------------------------------------Z7.....
......... ....... .......... ........ ... ... ......
APPLICATION FOR BUILDING PERMIT ---- --ff.. ......
............................ .....................4ai`................
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.................... ..L------------I---9 19.1Z
. .....! .........
__S --------Telephone No.............................
Owner-----------------------------------------------------S4014�r----------------_----Address....334n ....Telephone No-----------------------------
_.5-!A( ;�Y..........................Address,...............................3?Krl>
Architect_...GV�Agt............
Contractor Builder.-.-__ G------- .............Address.... Sj"__�44.....6"I>Telephone No-..24_L_.
Lot No. a-------------------...Block No--------------------------------Sub Division......_':Se51_XJ A M C44Z4"01 ........Zone-----------------
................................ ------------------------1.
Street--- ----------- Side Between.....................................................and------------------------------------------------------sts.
Valuation $ .........For what purpose will building be used----------------------------------------Type of construction....P>D__01—--------
Dimensions of Building--------------------------------------Dimensions of Lot........................................................Size of Footings.----..._--------------..-----_.-._--.
Size
ootings--------------------------------------
Size of Piers-------- --------------------....Size of Sills---------- ---- ---- -- ----.Greatest Sill Span in ft........... .........-Type Roof-•------•----••-------_--------------
How
oof-----------------------------------
How will Building be Heated?._-.._---.-_-- ----------------------------------_-----_Will Building be on Solid or Filled Ground?----------------------------------------
Size of Ceiling Joists-------------------------- ------.., Distance on Centers............................................. Greatest Span............................................ PI
Size of Floor Joists.-------------------------------------------- Distance on Centers.......... --------------------------------- Greatest Span--------------------------------------------
Size of Rafters--- ------ --- --- ------ . . ...... Distance on Centers ..... ...------------------------_---- Greatest Span.-------•-----•---------------•--•-_--------
P,R 0\1 F- This rectangle is to represent the lot
Locate the building or buildings in the
CITY OF right position. Give distance in feet from
81jj.L01t4G all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall FEB 18 1982
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. BY,
Z
Z
2. When steel is in place and ready to pour columns and/or lintel. Y�
3. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up. ;A
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksor.ville. M
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said
work in accordance with the attached plans and specifications, which are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
Signature of Builder...........................................•--•----•-•--.__...._............... Address Address---••-------•----------------------•-------- •--
Signature
ofOwner.-----------•----••--•-----------------------------------------4---------__ Address----------------------------------------------------------------------------------------------------
CITY OF. ATLANTIC BEACH
716 OCEAN BOULEVARD
ATLANTIC BEACH, FLORIDA
ADDENDUM TO BUILDING PLAN
1 . Building Location:
2. The attached plan for the above building is approved subject to meeting the following
applicable construction requirements:
a. Footings shall be continuous monolithic concrete under exterior walls, reinforced
with two 5/8" deformed reinforcing rods for one-story buildings and three 5/8"
deformed reinforcing rods for two-story buildings. Reinforcing rods shall be
placed in the lower one-third of the footings , properly placed and fastened on
metal cables with wire. Footings shall be s'i'x inches wider on each side than the
wall above, shall be at least eight inches thick and shall rest on firm soil at
least twelve - inches below undisturbed soil .
b. In hollow masonry unit construction, each unit cell shall be reinforced with at
least on No. 4 bar at all conrners, poured and tamped with concrete; such rein-
forcing shall be properly tied into -the footing and spandral beam.
C. All wood truss rafters (roof construction) , shall be securely fastened to the
exterior walls with approved hurricane anchors or clips.
d. Construction of nearby one-family dwellings , which are duplicates or intensely
similar, shall be avoided. Such similarity considers the external configuration
and appearance (i .e. , roof, outer wall materials, window size and design, and
other like characteristics) of structures. In accord with the foregoing, similar
and shall be at least 500 feet apart if any one similar dwelling is visible from
any other similar dwelling.
e. The final connection between the house plumbing drain and the sewer service
connection (at the property line) must be inspected by the City before being
covered.
City Manager
The undersigned hereby certifies that he has read the above and understands that this
addendum takes precedence over any contrary details to the plans and specifications and
agrees to comply with the intent of this addendum.
"FAILURE TO COMPLY WITH THE MECHANIC'S
LIEN LAW CAN RESULT IN THE PROPERTY
OWNER PAYING TWICE FOR BUILDING Contractor/Owner
IMPROVEMENTS:'
- Date
Cl TY OF ATLANTIC BEACH
APP LL_CAT� ON FOR PLUt•[3I NG PEP T
DATE 1'1✓C� ! L� Z
LOCATION
PLIC,31NG FIRM <------_'''' SCF �� O®t,S
MIASTER PLUt.3ERol
CITY/COUNTY OCCUPATIONAL LICENSE NO.L �� q
STATE CERTIFICATE NO.
BUILDER OR CONTRACTOR_ fZ F f'G Q C S
TYPE OF BUILDING —�2J ff N�+�`t�C� PO a
S I NKS l S,C�raln�k72
LAVATORY / Ma 4k) �,QRtnl
BATH TUBS le�fZ rJ N C 5
URI NALS DISPOSALS
CLOSETS WASHI NG lAACHI NE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT
NSTALLATION OF PLU431NG AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SOUTHERN STANDARD PMOING CODE.
CITY OF ATU NT1 C BEACH
vl
' �'�l�CATS 0��FOR PLIC�3� NG-pE�•1J1
DATE Z// -p 2- _
LOCATION
PLU43I NG FI FIA
V-t"STER PLU-2EFt
Cl iY/C:D0JN TY CCCLVATI OVAL L I C04SE NO.
STATE CERTIFICATE N0.
BUILDER OR CU TRACTOR
TYPE OF BUILDING
-
___S 1 NK.S _ SHOWERS
-LAVATORY li`A
/A'Y
_ ___URI t,Al S DISPOSALS
_-CLOSETS 4vrASHI tr7 M.ACHl NE
FLOOR DRAINS �OT}fi`R
_-TOTAL FIXTURE Cr-U4T
I NSTALLATI ON OF PLU•31 NG' AND FI XTURES 14UST BE I N ACCORD NCE WI TH THE I.10ST
RECENT EDITION OF THE SOUTHERN STANDARD PLU•31 NG CODE.
DEPARTMENT OF BUILDING PERMIT NO. 4933.,-
CITY
93CITY OF ATLANTIC BEACH.FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
I
FEBRUARY 19
D ate 19_82
� 6 000.00 33.00
Valuation$ ' Fee$� ---
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.
SURFSIDE POOLS
This is to certify that
321 BEACH BLVD. , JACKSONVILLE BEACH, FLORIDA
has permission to build
INSTALL A POOL AS PER PLANS SUBMITTED
SINGLE FAMILY Zone PUD
Classification
Owned by SHORT SELVA MARINA
2 Block—SSD
Lot
House No. 334 19th STREET
Ih are part of this per According to approved plans whicNOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
_n AFTER DATE OF ISSUE
—' �� O Building material, rubbish*3J brisr
from this work must not �ia a
inbl
uic spay , and mQ*tF
p 'way b�rl�eitl[e
up and hau
Z tractor or ov '' �
A a
u,
Building Officia.
CONTRACTOR
PERMIT DATE
FOR OFFICE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER I
WATER I
G/ � 9�1i rt ] n��PI:F�:•11T tt
.,: . P}:}-11T
�.1.}:CtRICAL I'ER 11T
:S}I
A BUILDING PER:-11T 1-:0R} EET T�-• jeps
HEATED SQUARE FOOTAGE @ $ �• d J per s. f. = S �71 d v
-- -- /
GARAGE (PRIVATE/SHED). S% _ @ $___�(o_•�� Per s. f. �G� •7
CARPORT @ $_ per s. f. $ —
P6�lC-H£�.! �A✓ d �Q @ $ _ .�0 per s. f. ,$--��_�-'/6 •aU
DECK @- $ Per s. f. $ -- —_--
TOTAL VALUATION DATA. . . . . . . . . . . . . .
___
. � PERMIT FEES —
/tel - S� - S_ �--3� __•S�
TOTALIALUATI AO DATE 1st $ QxJ-0U
�. $ �� • da
REMAINttR VALUATION @ $x.40 per thousand
BUILDING PE `*1IT
OTAL BLILD �l
PLUS 1/2 THE BUILDING PERMIT FOR PLAN FILING FEE $
TOTAL FEE DUE
PLt:;BING PER!, IT FEE $
1_,ATER METER SIZE c j�/ & FEE $
SEWER CONNECTION: =SQUARE- FOOTAGE l O U_ FEE $
:TATER CONFECTION: FIXTURE UNITS y_ @ $10.00 PER UNIT
TOTAL BP & PC FEES DUE .. . .. . • • •$ � •�s
TOTAL WATER METER CHARGE . . . . • . • •$ 5 `s�'' DCS
• TOTAL WATER CONNECTION CHARGE. . . .S42,
TOTAL SEWER CONNECTION CHARGE. . . . $ -�
1�3
GRAND TOTAL DUE. . _ . . . . . . . . . . . . . . .
DEPARTMENT OF BUILDING 4913
PERMIT NO.
'CITY OF ATLANTIC BEACH.FLORIDA
PERMIT TO BUILD , ,
THIS PERMIT MUST BE POSTED ON JOB
Date FEBRUARY 2 1982
Valuation$ Q° 7] —Fee$ —
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 G & M CONSTRUCTION COMPANY
214 ORANGE STREET NEPTUNE BEACH FLORIDA
has permission to build SING F
Classification
SINGLE FAMILY Zone PUD
Owned by G & M CONSTRUCTION COMPAIr'Y 12 S/D SELVA I`1ARINA
2 Block—
Lot
lockLot
334 19TH STREET
House No.
According to approved plans which are part of this permitNOTICE—ALL CONCRETE FORMS
Z AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
-n AFTER DATE OF ISSUE
�—� O Building material, rubbish and debr'
z from this work must not-lll N � .
in public space, and must=l3�
up and h W*is aY }'ei OCA C
= tractor o k J
Building Official.
CONTRACTOR
PERMIT DATE
FOR OFFICE NUMBER
USE ONLY
PLUMBING 4914
2_2_82 F. W. FAIR PLUMBING COMPANY
S ELECTRIC COMPANY
ELECTRICAL 3360 RES 2-9-82 FERRI
3363 TP
SEWER
WATER
I
DFP&r'TMENT OF BUILDING J 14
PERMIT NO.
)F ATLANTIC BEACH.FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date
FEBRUARY 2 19 82
Valuation$
PLUMBING PERMIT Fee$ 15.00
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
F. W. FAIR PLUMBING COMP
P. 0. BOX 51149, JACKSONVILLE BEACH, FLORIDA 32250
has permission to build INSTALL NEW PLUMBING AS PER PLANS SUBMITTED
Classification
SINGLE FAMILY Zone PUD
Owned by G & M CONSTRUCTION COMPANY
12 S/D SELVA MARINA
Lot 2 Block_—
House No. 334 19th STREET
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
_n AFTER DATE OF ISSUE
� r--� O Building material, rubbish and debris
--' from this work must not be placed
in public space, and mus fkare
UP
and u 4 V ay :UUM
1 W. 1 S p�. �ElCAC
FOR OFFICE
PERMIT DATE CONTRACTOR I USE ONLY NUMBER
PLUMBING
ELECTRICAL I
SEWER
WATER I
4
!~� 1 FORM 900 AND 901 -123
FLORIDA MODEL ENERGY EFFICIENCY CODE
FOR BUILDING CONSTRUCTION
BOB GRAHAM SECTION 9 GOVERNOFf3 ENERGY OFFICE
' MCOD_wE �• GOVERNOR POINTS METHOD LEX HESTER,DIRECTOR
PREPARED BY: BRABHAM KUHNS DEBAY — CONSULTING ENGINEERS
PROJECT NAME JURISDICTION
AND ADDRESS BUILl*G PERMIT NO.
BUILDER 11-7 eelil S
OWNER U ��' To K flLLco IN or aloa. oFflm
TO s[ fllL[O IN 1T 0[JlION[
STATISTICAL DATA
sZ0E ca EPI
oK Zlp COC�r A
1 1 1�7�- ] Hyo 1 14-2, 1!/// /'�? �-/. �' �' /�"'
HEATING SYSTEM TYPETWATER SYSTEM TYPE c qN NUMBER Of UNITS
STRIP PIAAIPT GAS I OIL SOLAR ELECT 4AS OIL SOLAR CRS FRAIL BIM i
1:1 ,� ❑ 1:1El cal ❑ DI ❑ ❑ o w
BAKIlUDW COMMON WALLS common ceiling MAXIMUM ALLOWED
X5 — X I! _
/NON APP[Ie1X D "W[R TOTAL POINT[ FANO SMATM "VIN144 EPI
CERTIFIED BY: DATE* �,� � EPlax
9D t DESIGN CREDIT POINTS( 9E DESIGN PENALTY POINTS(PP)
CEILING FANS (IN C011110. SPACE) 1 ►ill FAN WASNEl1 AND DRYER (IN COW•PAC[ 3
MULTI ZONE A/C (OPPMMi10AILE DOOR) S AX.OPENIN4 Of •LASSO 40'K 0
OPERABLE WINDOWS aN t ow I+oR[1 PER ROOM
sIo[ o► Roorl/
WHOLE HOUSE FAN (1.5 cfm/$F) S TOTAL
9G PERSCRIPTIVE MEASURES
CHECK FOR COMPLIANCE SECTION CHECK
HEATING SYSTEM EFFICIENCY 503.4 ❑
AIR CONDITIONING CONTROLS 503.7 ❑
A/C DUCT CONSTRUCTION 503.4 ❑
//CIRCIILATIMf� ❑
PIPING INSULATION 1 srsT $03.10
WATER HEATER (AOMA[ 90-76 LAM] $04.2 ❑
SWIMMING POOLS 504.2 ❑
TOTALSHOWER FLOW RESTRICTORS 504.6
SSNIAVS ADM3N3 rinwlxVw 2i0d 39van00N3 3MV SINIOd IV101 83M33
Ida
S1NIOd AIIVN3d SINIOd 110380 SINIOd 831VM lOH SINIOd 83mmnS SINIOd 831NIM
CZI - S3NOZ CZI -106 (INV 006 V480A
(dS)SINIOd >i3 oms * (dM) S1NIOd 831NIM
g 2Wo,-IA(301A10)VWo,-IA /� �'L��:
� MEP
(301n1a)V38V 80013
136 3IVV1 WONA ASO ��✓ X `� V6 31OV1 1408.1 ASH
0 0'1 Womoo M LonalQ 00'I �ON00 NI la Q
Zr I lVlls�li•I/,!'1 �>n
,6,1/277 21.1 ✓ srnem"w„i '� 7,// tf1 1 Z O ssv�ed3o13,1
(� SINIOd a3WWnS SSOa9 1v101 9 SINIOd 831NIM SSOb9 1V101
DZ-Z06 ns 33S C9'0 VA IS SSVI9 031Nll 80A ( SiH91IA)IS ) SSVI9 1VINOZI?JOH =H
o �
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z
0
2E7 907 bV7 H Z Q EbZ 7 '97 H =r
:.Sr[ ❑b`I 99n T22 MN T 9102T 7 'zS`L MN ;D
'1S2 272 b9 M o O/ 9 ' ❑2T 7 'zS`I M 0C
„ (A z
'L 922 6'12 rME MS a 9 ' 02T 7 'zS`L MS M
q z z
E'L ❑9'L 09'C Ilbq S v 9 ' O 2 T 7 'z ST S o
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69'1 922 6'12 'L 3S 0 9 ' 02T 7 'ZS`L 3S Z
b❑2 T52 272 b9 • r 3 IJ' /<; 9 'O 2 T 7 'Z S`L 3
b5'1 Ob`L 99`1 '2 3 N 9 '02T 7"2-ST 3N
�I TOT 02'L E21 97 1 N Q 9 ' ❑2'L 7 -Z S`L N
NIl 1110 N1.1 lil0
dS9 30S —wv 110 dM 1) 308 3I9n00 319NIS V3MV 80
3I9n00 3I9 N I S
7 '97 do '8 9u r
S ' b9 E9 - Ed ;ar
�% z '26 O 6'Z - C, J r raOD
dMI9 VNIA 113VV83d NOIIVInSNI 3903
i
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CITY OF A 11-Aw1 C Pr-l"NCH
A ZL�CATI ON FOR PLU-13 NG PEf��11 I Z/ c�
DATE L-
LOG4TI ON S V /9 �' di
PL -21 N-0 FI Rtd r-4
?•'.,STER PLU.'3ER---- --� --- --- - - ---- —
CI Tr/C:YJ: -lY cc-'^U'ATI O':AL LICENSE NO. �P6
STATE CERTI FI CATE N0. 6d
BU) LDER OR CG,TRACTOR
TYPE OF BUI LDI NG
- S I I:K's SH9,gERS
-3 -LAVATORY •2- V,ATER }:=�4TERS
2 BA jH TLl / D1 SF-iiASHERS
__ URI Ili"ALS DISPOSALS
_;Z,.CLOSETS WASH1 IVIG IA.ACHI NE
FLOOR GGA;I NS 0114ER
----15_TOTAL FI A-TlYRE COUNT
1 NSTALLATI CN OF PLL1431 NIG AND F1 XTURES I JUST BE I N ACCORDANCE WITH THE MOST
RECENT EDITION OF THE SO' , rRN STANDARD PLU.,3I t:G CODE.
CITY OF ATI .';-I'I C BEACH
WATER CO':NECTION CHARGE
DATE
LOCAT I ON
0'^:ER
PLL":BIPdG FIRM
----------------
- ----- ------
MASTER PLUMBER ----- --
BUILDER OR CONTRACTOR
TYPE OF BUILDING
— Z BATHROOM GROUP CONSI TING F — _ --
WATER CLOSET,LAVATORY AND BATH -- SHOWER STALL, DO"LrSTIC ( 2 UNITS)
TUB OR SHOWER STALL.(6UNITS) l
SHO'-ERS GROUP PER HEAD ( 3 UNITS)
BATHTUB ( WITH OR WITHOUT OVER
HEAD SHOWER) (2 UNITS) � — SURGEONS SINK ( 3 UNITS)
BIDET (3 UNITS) FLUSHING RIM SINK ( 8 U,v'ITS )
COMBINATION SINK AND TRAY ( 3 UNITS) - SERVICE SINK TRAP STAND ( 3 PITS
CO'BINATION SINK AND TRAY WOOD DIS. — POT,SCULLERY SINK ( 4 UNITS )
( 4 Units)
URINAL, PEDESTAL,SYPHON JET
DENTAL UNIT OR CUSPIDOR ( I UNIT) BLOWOUT. ( 8 UNITS )
DENTAL LAVATORY ( 1 UNIT) — URINAL, WALLL LIP ( 4 UNITS)
DRINKING FOUi:TAIN ('-? URINAL STALL, WASHOUT ( 4 UNITS)
UNIT)
DISI�!'�.=.SHER { 2 U?.I'TS) URINAL TROUGH EACH 2'SECTIOti
r
FLOOR DRAINS ( 1 UNIT) . ( 2 UNITS)
3 WASHING ML CHINE RES. ( 3 UNITS)
KITCHEN SINK ( 2 UNITS;" WASH SINK EACH SET OF FAUCETS
KITCHEN SINK W/WASTE GRINDER �j ( 2 UNITS )
( 3 UNITS) J
WATER CLOSETS, TANK- OPEP,ATED
LAVATORY (--1 UNIT ) f ( 4 UNITS )
----- IA�`ATORY,EAR?ER,P,EAUTY PARLOR / WATER CLOSETS, VALVE OPERATED
( 2 UNITS ) { 8 UNITS )
- _---
I�1L^.:DRY TRAY ( 2 UNITSAVATORY, SURGEONS ( 2 L741
I )
Date................................_..1Y ......
Permit #•---•..................F"i---—.-----.-
CITY OF ATLANTIC BEACH
Valuation $................._.........................
...........
FLORIDA
House �..........._...................__....._.
APPLICATION FOR BUILDING PERM:T
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. Ilia application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not.
The Contractor or Owner-Builder who has been issued a Building permit is automatically responsible to ascertain that all sub-
eo:ttractors engaged by him are duly licensed in the City of Atlantic Beach,Florida. To prevent delay or embarrasment regard-
Ing intermediate or final inspections it is suggested that a Wt of sub-contractors be submitted to this office so that licenses can
be verified.
ooData..... ................................... 19--t
Owner.......��1v- ........ ........................................ ddress.----•................ : ..Telephone �
No.._........_....._.
Architect-.S 1- L..s - .........' c r'1 •..... ........... Address. ,E.. ..J ,,�,?�^:_...Telephone No. ..... .6
/' ,,I ! r
Contractor Buildsr.62.r..fn.V.,�c[�K�_.- ....1. .................Telephone No.-- (d..-�/--
Lot No.................•....••••• .....---.Block No--------------------------------Sub Division. A� I .. -----------•---............Zone-
.....Street
one-...Street.........................Side Between.........pp...�.................---••----••----........and-......................—--------------_.----.-----$b.
Valuation;_._ ..�--_...... what purpose will building be used... `.....4 4.c:4�.a..Type of eonstrnatios4...k....':a Q��h,cS_.
Dimensions of BuildingJi .,�(J��F-�-Dimensions of Lot.... .a l . ..........................gin of Footing... .l..2-,p� U-...._...
Size of Piers....................................Size of iSills................................Greatest Sill Span in ft...........................Type Roof..d4.�-p••---.......... ---.-
How will Building be Heated? ---------------------------Will Building be on Solid or Filled Ground?... .¢.. _.._.--
Size of Ceiling Joists.... ................. .................. ------------- ---
... ...... .................. Distance on Centers--......-.. _.e............................. Greatest Span-3.(.___..df.»._..........._._.----.
Size of Ratters.....................� ..--..--.- .-..-.-.......... Distance on Centers.............. ..... Greatest Span
This rectangle is to represent the lot
Locate the building or buildings in the
A PP R 0 Vt position. Give distance is feet from
CITY OF ATLiAT!C EWMInes and existing buildings.
1JUILDING OFFICE REAR LOT LINE
Two copies of plans and specifications shall
!)e submitted with application. FEB 0 1 1982
lnsections required.
I. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and/or lintel.
8. When steel is in place and ready to pour beam.
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville. m
8. Final Inspection.
Note: In came of any refection,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 o t tic B
Signature of Builder....... [.� ..... Address.......2�.Y.O. ..... J..............1...` .... : e�i�2 ,
Signatureof Owner.....................................................•••--........--•-•........ Address...................................................................................................
urnx F_:S WORK ORDER
Owner/ContraCtor FREDERICK SHORT
Street Address 334 - 19th Street
Low 2 B10(30 Subdivision SELVA MARINA 12
Type Of Building SINGLE FAMILY
WAMRMEIER INSTAL 7 CG
Address Size Account - Meter Met
(if =lti=faoilp) Meter Number n rrhPr
12" 040168
Date Installed:
FEES PAID
I By:
SEE ATTACHED INSTRUCTIONS:
1) , Change out 3/4" meter to 1-1/2" meter
2) Change 3/4" line from main to meter to 1-1/2" line
YES NO
Locate Water
Locate Sewer
Make Water Tap
Make Saner Tai
NUM: . PLEASE LET HILARY KNOW BEFORE YOU GO OUT TO INSTALL- OWNER WANTS TO BE NOTIFIED
SO THAT HE CAN BE THERE
CITY OF—
ATLANTIC BEACH No. 1739
FLORIDA
April 211 1986
NAME Frederick R., Short
ADDRESS 334 — 119th Street
CITY Atlantic Bexabb,HL 32233
A=ount #040168
Nater meter 1j" $ 2 P
11) 0 TL
Less credit for 3/4" meter CKTO1/86 1
1;5.
Tboal due for meter 11 39 # . OCACG
1 .13 1A 4/21/06
Labor and materials involved in laying new 1}" line from ItrO>11
water main to meter will be billed upon complet&ionof fob.
When Signed, Dated and Numbered, This Becomes an Official Receipt
MAKE CHECKS PAYABLE TO Received Payment
CITY OF ATLANTIC BEACH, FLORIDA TREASURER
FREDERICK R. SHORT, SR. S 7 8' -
OR ELIZABETH I. SHORT
334 - 19TH STREET
ATLANTIC BEACH, FL 32233ar 1� 86 83.4
/630
ix
O � a
` .�-� ----�- Dollars
100 Laura Street
1
Jacksonville, Florida 32231
t
Aor
-t:0 G 30000 L. 71:0 9 13 2 10 3 28 50 1611
'ri t ::
y F-R Short
334 19th St.
At(antic Beach, FL 32233
T
S 7
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L o T ,.2 SQL VA 1,'qA 811v A U>✓ r T N n . /.?
�. �h�J4}-�G-� g/�j3 �-.�• A-ATEn / ETC!? TO J,Z ),,,ATER METER.
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