94 W 3rd St (vault) 01F. 13
,wlas& t Suildi"O
Ott-tee 0 ovk ISSIPVC T%0%
,av()Uf-S'T P.,r6,jtlo. I
cwa
-T�rne Cond-&
con rector par
f:!,e Place
job pddress ec'-T
12 \N"f'%ng -Topoll, pre F-ab p�.,A-
ovin soucit,pole tA
Same 13 -Temp
t4G rocllng It4slPfc-TION
SUILDI 0 Stab 0
f,amog C3 kjolel 'T'Affs.
JIF t),,(
,�,Ovmg —P,
Re \Ned. on
-fu jospecli
ot Occupancy
CaMicate
Mon-
%n-pec"on Made Date 77i
Inspector
STATE OF FLORIDA
DEPARTMENT OF HEALTH AND REHABILITATIVE SERVICES
INSTALLATION PERMIT
ONSITE SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND
Authority: Chapter 381, FS
DWIT Chapter 1OD-6, FAC
Applicant mab constr—uction Permit Number 51670
93 West 3rd Street
---------------PART I - SYSTEM CONSTRUCTION SPECIFICATIONS AND CONSTRUCTION APPROVAL---------------
Treatment Tank Minimum Draintrench OR Minimum Absorption
Size Bed Size
Septic tank or Grease Square Feet 280 Square Feet
aerobic unit 750 gallons interceptor gallons
Septic tank or Square Feet — Square Feet
aerobic unit—gallons Dosing tank— gallons
Graywater Square Feet Square Feet
tank gallons
Laundry Square Feet Square Feet
waste tank gallons
Other Requirements:
(a) installation must be in accord with requirements of chapter 1 OD-6, FAC.
(b) A system construction permit is valid for a period of one calendar year from date of issue.
(c) Final installation inspection and approval is required before the sys Wp' is covered. benchmark.
(d) Invert of stub-out for bouse to be benchmark.
Invert of stub-out for to be benchmark.
Invert of stub-out for to be benchmark.
Invert of stub-out for to be fill in an area 34'x45' . Install
(e) Fill quality and quantity: Provide 32"of clean oakridge type
—a 280sq.ft. drainfield 12'x23 1/3' in center of this fill, hold cm of-drainfield
a miniffm of 14"above natural grade,
(f) Other:
0 arres E. Salzer, Title Supervisor
System design and specificati ns 'L�' - 1� 11/20/85
i s E. S zer, rvisor Date
Construction authorized by:
Duval County Public Health Unit
Note: Completed copies of this form will be provided to the applicant, installer and the building department.
AUDITCONTROLNO. 11-289
HRS-H Form 4016,Feb 85(Obsoletes previous editions which may not be used) Page 1 of 2
(Stock Number.5744-001-4016-0)
DEPARTMENT OF BUILDING PERMIT NO. 000
CITY OF ATLANTIC BEACH,FLORIDA
PERMIT TO BUILD 38400
THIS PERMIT MUST BE POSTED ON JOB 38e00CKM
AUMST 16, 85 439� 1A 12/P6/95
Date 19— -7000 900CAC;
38.00 4395 1A 12/26/15
Valuation$ NICAL 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 OCEAN STAM TEAT & AIR
has permission to kkid tnmt-211 Imant- AL ni-r
Classification residentiU Zone
owned by Ibbry Constrixtim
Lot 94 I&ST THEM STFa:T Block S/D
House No.
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
bl. 0 Building material, rubbish and debris
zi from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tra Pr r owner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
L
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 and IV.
Street Address:
LOCATION And
OF Intersecting Streets: Between_
BUILDING
Sub-division
111. IDENTIFICATION — To be completed-by all applicants hereby agree to perform said work in accordance
In consideration of permi t q iven for doing the work as described in the abcve statement we a
with the attacl�Led plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and st nclards
of good practice listed therein.
Name of Mechanical Contractors �7
_�La,ter
Contractor (Print) Cc-on's -tTjAnt—
Name of
Property Owner 14 E MAIF.-Vt-V
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
I— — L IIPOORMATIIQ�
, Ill. GENERA
A, Type of heating fuel: IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE?__ _ - lk<�
Gas LP 0 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION
C] oil PERMIT
[3 Other Specify
IV. MgCmANICAL EqUIPMENT TO BE INSTALLED NATURE OF WORK
(Provide complete list of components on back of this form) Residential or El Commercial
XHeat 0 space 0 Recess" Central 0 Flow New Building
11 Existing Building
Air Conditioning: 0 ROOM Central El Replacement of existing system
Duct System: MateriallbU6090fte Thichn.L--�
Maximum capacity c.f.m. New installation(No system previously installed)
El Extension or add-on to existing system
0 Refrigeration El Other — Specify
0 Cooling tower: Capacity 9-p-M.
C] Ere sprinklers: Number of lheads.------�
0 Elevator 0 Manlift 0 Escalator—(number) THIS SPACE FOR OFFICE USE ONLY
Gasoline Pump" (number) (Rocei"d)
Tanks.—Ilnumbor) Remarks
LPG contain* (number)
El Unfiried pressure vessel Permit Approved by Date-
0 toilers
(3 Other — Specify Permit Fee
TLIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT CaparAty Ag;��g
um
Number UnItA Description Model Number Manufacbmvr (Tons)
HEATING - FURNACES, BOILERS, FIREPLACES capadty
Number Units Description Model Number manufacturer (BTU)
fl�r 2-3
TANKS Serial Appro-ing
How Many NoiIning CaparAty Type Liquid Name of
and DillnenilliOnS Contained M=Uf&Cturer No. Agency
FTE $10-00
APPLICATTON FOR WaL PMZ'ZT
C= OF ATLANrIC PEACH
PROP=- WER
Name: __Pay Phone
Address c-94 t Uq'6t f zip_
APPLICAn, IF an-MR MAN MIER
NamL--. ___Pay Phone
Zi
Address,, p
4�)
JOB
Address or Location: P< t4
Legal Description.
Arry person, individual, corporation or other entity receiving a permit as
provided in Section 22-40 of the Atlantic Beach Code, and who T)lans to use
water from the permitted well for drinking purposes, Tmi t first obtain a
bacteriological test report from the State of Florida Health Department,
furnishing a certified Copy thereof to the building department of the City of
Atlantic Beach. A certificate of occupancy will not be issued until said
report is an file with the building department.
Deoartment Notes:
I agree to comly with regulations stated herein:
e
Signatur�
DEPARTMENT OF BUILDING -7064
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. ( J
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Dat:e__D,Lcenb,e M,19
x_.2 1041D TI,
Fee$ 10.00 10900CRT 1
Valuation$ 4253 A 12/20/'3
This permit not valid until above fee has been paid to City Treasurer,and is 7364 9 QUCAC
subject to revocation for violation of applicable provisions of law. 4253 2/P0/0
This is to certify that STER-01 H. 11ABRY TOM
has permission to &Nd IN(STAIL IkATER 11MI: Jb Certificate of CtUME)
issued mtil bacteriological test r=Qrt iEi
Classification RESIDUUM Zone
rAVM F,z T I�UR F-SA
Owned by
Block S/D
Lot
House No. IrP-qT
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
x
0 Building material, rubbish and debris
ZI from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
trii or owne:I;�
ing Official.
CONTRACT R
FOR OFFICE PERMIT DATE
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
L
'2
CITY OF ATLANTIC BEACH, FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
/h
M' ER cl C'Jol "a IRNFVM
EL�ECTRICAL FIR�M: ���
NAM FE S'74- tae— ADDRESS:_� RFD_BOX_
BLDG.SIZE -BETWEEN:
RES. (�() APT. ( I comm. PUBLIC INDUS. NEW ( OLD ( REW.
ADDITION ( I TRAILER ( TEMPA SIGNS SQ. FT.
FEE
SERVICE: NEW( INCREASE ( REPAIR (
CONDUCTOR SIZE AMPS—2—CC-,) COPPER A L U M. (V--)
SWITCH OR BREAKER J ("CT AMPS PH VOLT RACEWAY
�Ll—P%Iv"
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE __�O: SIZE— NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOT
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS, 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
&M
0.100 AMPS
__F;_lXED 0.10 1 0 AMPS. OVER BELL TRAN!,;,F.
APPLIANCES
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
.2
0-1 OVER
MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE ::�PH:S
--- I -
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
KVA
I SWji
NO. KVA NO. KVA
NO. NEON TRANSF. NO. VA. MA. SIZE SWITCH FLASHER
EACH SIGN
FORW��RDED
CITY OF
716 OCEAN BOULEVARD
P.0.BOX 26
ATLANTIC BEACH,FLORIDA 32233
TELEPHONE(904)249-2396
February 25, 1986
Pre-Service JEA
233 West Duval Street
Jacksonville, FL 32202
The following final inspection has been made and is satisfactory:
Permit #4363 - 94 West 3rd Street
Permit issued to Barkoskid Eelctric
erely,
Hilary ThAson
Building & Inspection Division
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION
PLUMBING CONTRACTOR
LICENSE NUMBERS 0036,qS-3
OWNER— 67
BUILDING CONTRACTOR �5�-ryc -VOhfzV
TYPE OF BUILDING_ -S F H
—�—S INKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS __LDISHWASHERS
URINALS DISPOSALS
CLOSETS WASHING MACHINE
FLOOR DRAINS —OTHER
_Lo_TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE .
DEPARTMENT OF BUILDING –7001
CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date AXV�w t 16, 19 85 4540 T .
4590OCKT)
Valuation$ M TNfRTYr_ Fee$ 45.00 40214 14 12/12/5)
7UU1 900CAN
This permit not valid until above fee has been paid to City Treasurer,and is 41324 1A 12/12/83'
subject to revocation for violation of applicable provisions of law. I ri 1.1 ri
This is to certify that S= PLUTABINO, 001TAI-14Y
has permission to bNj�j MTaa
Classification 1W I DE Mi LA L Zone
Owned by MARRY Q)NS1L'1=IQa
Lot Block S/D
House No. 94 WEST nMM 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
M
P. 0 Building material, rubbish and debris
z
i from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tr ctor or owner.
ell— Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT
Owner_n�AUI� +�Af -fl!lAddress 91-11)5ecl ,54 Phone
i _4q gk No
Architect I Address Phone
C Contractor L Aes. &-tid Address
ontracto
L. xpiratii
cense Number-' iration Date- ;4g7
to I
Lo t Block # S�ubdivision Zoning
Street Xt-e-i A4 WeAf Between #704 andjlf
_0!110 side
Valuation $_ els, eer, -Purpose of Building 15 —Type Cons t. tt'w
Dimensions : Building J*tS V 0_0_Lot $0 le /At- Sz.Footings /Ole
Sz.Piers Sz. Sills Greatest Span Sills
Sz. Ceiling Joists Distance on Centers Greatest Span �;?Awr
Sz.Floor Joists Distance on Centers Greatest Span
Sz.Rafters Distance on Centers Greatest Span
Heating/,L tor-p Solid-Filled Ground Roof
A-r FWU
Flood Zone If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns/lintel.
3. When steel is in place and ready to pour beam.
4. When framing , mechanical , rough plumbing and fire place
is completed and ready to cover up.
5 . Rough electrical.
6 . Final inspection.
In' case of rejection, reinspection MUST be called SETBACKS
for after corrections are made.
In consideration of permit given for doing Rear Lot Line
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 0� Q.
in accordance with the building regulations M1 M
t-4 IV_&,Im 0*0
of the City of Atlantic Beach. 0
rt 17 rt
M
Signature OWNER
Signature BUILDER Front Lot Line
)r)RESS PLIJIMBING PERMIT
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT
s-b TE�IPORARY ELECT.
_,ated Square Footage /1,0cj @ $ sq ft = $
irage/Shed per sqft - C)
3rport $ er sq ft — $
)rches @ -per sq f t - $
!ck @ per sq ft = $
Itio @ $ per sq ft = $
TOTAL VALUATION $
00
zff
4Q A
Ist 106 od
)tal Valuation Data
$
Fj
mainder Valuation @ $ per thousand
or portion thereof
TOTAL BUILDING FEE
+ -k FILING FEE $
FIREPLACE @15 .00 s
TOTAL BUILDING PERMIT $ 5-0
- - ----------------------------------------------------------- -------------------
,UMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
,ECT. TEI-EPORARY $ ELECTRICAL PERMIT $
=R METER SIZE $ ACCOUNT NUMBER
"WER IMPACT FEE
=R CONNECTION -(@10- 00 Per fixture unit)
'PROVED BY: TOTAL BUILDING/PLAN FILING FEE s
NOR TOTAL WATER METER CHARGE
O.V"s
TOTAL SEWER IMPACT FEES V? .4,1
0! TOTAL WATER CONNECTION CHARGt $
�3 MISCELLANEOUS CHARGES s
GRAND TOTAL UE:
S
0 V E_D
MBEACH
OF51CS
PLUMBING WORKSHEET
SI S SHOWERS DISHWASHERS
CLOSETS BATH TUBS FLOOR DRAINS
L WASHING MACHINE WATER HEATERS DISPOSALS
LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT 0� YSZ)
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10-00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM,
BATHROOM GROUP CONSISTING OF LAVATORY (I UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN Q�j UNIT) URINAL, WALL LIP
FLOOR DRAIN Cl UNIT) (4 UNITS)
WASHING MACHINE RES.
URINAL? PEDESTAL, SYPHON (3 UNITS)
JET BLOWOUT (B UNITS)
WATER CLOSETS, VALVE OPERATED
WATER CLOSETSP TANK-OPERATED (8 UNITS)
(4UNITS)
SHOWER STALL, DOMESTIC
BATHTUB (W/OR W/O OVERHEAD (2 UNITS)
SHOWER) UUNITS)
LAUNDRY TRAY
BIDGET (3 UNITS) (2 UNITS)
DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE UNITS @ $10_,00 EACH-
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA PERMIT No._6999
PERMITTOBUILD
THIS PERMIT MUST BE POSTED ON JOB 193,550 T,
August 16, 85 1
Date 19 193o5rCKT j
Valuation$ 46-11-0-2-.95 Fee$ 193.50 3379 1 A 11/25/85
6999 900CAN
3379 11 11/25/r-",
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 U&M MISTRUMON COWA14Y
has permission to build- SirVle Fanlly Elam'
ifi accordmce with attachfiEnt, RE: possible assessumt
Classification cesiAmtial Zone RGI
Owned by Da&d Coats
qgM
Lot— 5 Block 80 S/D 0[j H
House No. 94 WESE THIRD STIREEP
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 111, 4 10 0 Building material, rubbish and debris
z
--i from this work must not be placed
in public space, and must be cleared
up and hauled away by either con-
tr ner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUM13ING
-n A—,Lq��-TTc_ G EA ::�4
P-V--N C/ 11/29/77
az_t�. cx_t&_�
INTER-OFFICE CORRESPONDENCE
M 19_aL
SUBJECT!
FROM:Distribution EnS�neerinq Division, General MOMMI111161� Section
TO:— Pre-service. Aft Floor, C.O.B.
Electrical Permit No. - (13
Electrical Contractor -
Phone #
Type of Service NIF-\,) �2�,S
Project Name - M A S V-1 C,0 t,a--,:T.
Please return the attached electrical permit to the Electrical
Inspection Department for necessary corrections as indicated
below.
Meter can has been installed in an unapproved location
on the house. Meter can, conduit, etc. must be relo-
cated to the N S E W side of house or a continuous
raceway installed—from the existing meter can to a lo-
cation designated by the J.E.A. ---& - GNIVIPM4-T
IE�CA\j I CE g &@maims in accordance with J.E.A. Rules &
Regulations.
Meter can has been wired incorrectly. Load and line
side connections are reversed.
No service exists at this address.
Meter can and/or conduit has not been installed on
house as of
Service cable from temporary pole not of ample length
to make connections in transformer.
Service permitted incorrectly. Permit should read
not
Other Conditions:
Please return this permit when the necessary corrections and/or
additions have been made by the electrical contractor and rein-
spection completed.
yes
Electrical Contractor notified by J.Z.A. on
No
xc: C.G. Section File
Pre-Service
CB 179
C:ITY OF' 13eacA
4&0940
Oitice ot Building Officis'
REQUEST FOR INSPECTION
permit NO--
Date A.M. District No-
Time
Received
J,bAuu— contractor MECHANICAL
owner's 0AL PLUMBING 0 Air.Cond.& 0
Name ELECTFtil Rough Heating
BUILDING CONCRETE 0 RoughVViring 0 Top Out 0 Fire Piece 0
0 Footing 0 TemP pole pre Fab
Framing Slab A.M.
Re Rooting Lintel 0 READY FOR INSPECTION FrldaY--------- P.M.
Thurs.
Wed.
Tues.
3 Fine
I inspection
ion Made
Wlt u
;e Doc Pa
Inspector
Date
Tatifiratr if (Prrupaurg
CITY OF
Owft&
j3partinrut of
This Certificate isstied 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
Fo the followin"
various ordinances regulating building Construction Or use. r
Single FamilY Bldg.Perout No.
Us'clsssification Frame Fire Atlantic Beach
Group--Typ'Construction
Mabry Construction
—Address
0�ner of Building--------- ectiOn H
94 West 3rd St- Ltq--
Building Address By:—-
Rene' Angers 2 9
Daft:
—Ki—Iding0116111
...........
t1TY OF'
4&,a.-t&- Be=k-0;&U-4&
office of Building official
REQUEST FOR INSPECTION
Date M. Permit No.
Time P.M. District No.
Received
Locallt
Job Add reSS
Owner's Contractor,���
Name CAL-7- PLUMBING MECHANICAL
BUILDING CONCRETE ELECTRI El Air.Cond.& 11
Footing El Rough Wiring Rough Heating
Framing Slab 0 Temp Pole Top Out Fire Place 0
Re Roofing Lintel Pre Fab
READY FOR INSPECTION A.M.
Mon. Wed. Thurs. A.M. Friday-P.M.
P.I�i)
Inspection Made Final lnspection,1;4�
inspector Certificate of Occupancy
Date
INSPECTION LCG
(Val JOB ADDRESS
CONTRACTOR
OWNER
BUILDING PERMIT- ELECTRICAL PERMIT
PLUMBING PERMIT_'�� TEMPORARY POLE PERMIT
MECHANICAL PERMIT MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved J .E .A.
Temp Pole
Footing
C>
Slab
I -
Framing
Plumbing (R) Z-.f7
Electrical (R)
Mechanical Dj�::)
Fireplace
Top out
Other
Electrical (F)
FINAL INSPECTION
Certificate of Occupancy Issued
COMMENTS :
-3 CA_ f AAjaAANj__-*
CITY OF
4&44t& 13ea4CA—q&UC&
office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date
Time A.M. District No.
Rec�% P M. ' — /&�
Locality
Job Address
owner's Contractor
Name BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Rough ........0 Rough El
Foundation ....Ei wire ...........E] Ro ugh wiring ..0 Final
Chimney ......E] Lath ..........E] Finish wiring ..E] Final .........0 Water H.e.ater
ra h ...E] Fixtures ....... Sewers ........C3
Framing ....... '�c tc M Gas ..........0
inal ........ .C1 -to's . ......
0
F Brown
B 0 Cesspool ......0
Footing ,Zr/Firnish .........0 Temp-Pole e.... -out .......El
S Wallboard .... .Cl Final Insp ction.E] Top ....
lab . .......(I Water ....
Lintel Beam . El A.M.
DY FOR INSPECTION
Thurs. Fri. P.M.
Tues. Wed
Mon. A.M.
Inspection Made
Inspect C
CITY OF'
4&,a&a
Of f ice of Building Of f Wei
REOUEST FOR INSPECTION r
permit NO.
-M
P
�-M
Date A.M. District No-
Time 3 5 P.M.
I 7�e—d Locality
owner's job Address -.Contractor /0 117
Name BING �MECHkNICAL
CONCRETE ELECTRICAL PLUM Air.Cond.& 0
BUILDING RoughWiring 0 Rough Heating
0 Footing 0 Top Out 0
Framing 0 Tamp Pole 0 Fire Place
Re Rooting 0 Stab Pre Fab
Untel 0 A.M.
7SPE MTION P.M.
"J
Friday
7::�Thurs. ,
Tues. A.M.
I
Mon. P.M.
Made Z —
inspect on Made Final inspection 0
inspector Certificate of Occupancy
Date -----------
CITY OF'
4&4l2*M& Be44CA—d9&U9&
office of Building Official
REQUEST FOR INSPECTION
Permit No.
Date A M I NO.
P
Receiva�d
Time
—lity
JODAUU
0 -22!a::
wrier, Contractor
N m,-
a a, PLUMBI MECHANICAL
BU LDING C CRETE ELECTRICAL
ILD Air.Cond.&
Fra 9 Footing 0 RoughWiring 4f Rough Heating
Re Roofing 0 Slab 0 Temp Pole El Top Out Fire Place
Lintel 0 Pre Fab
READY FOR INSPECTION A.M.
Tues. Wed. Thurs. Friclay�P.M.
/,-;? 0— P.*
inspection Made—,
Final inspection 0
Inspector x�2 Certificate of Occupancy
Date
CITY OF
4&aa4-c Bew.4-0;&?14&
Office of Building Official
REQUEST FOR INSPECTION
(11363
Date A(, Permit No.
Time 9 ,, 3z District No.
Received P.M.
(7(-1- 01143� 6+ -
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE PLUMB613 MECHANICAL
Framing El Footing El RoughWiring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Slab 0 Temp Pole 01 Top Out 0 Heating
Lintel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mon. Tues. Wed. Thurs. Friday-P.M.
Inspection M 2
Inspector Final Inspectiox
Certificate of ancy
Date
DATE:
PRE-SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
233 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTION(S) HAVE BEEN MADE AND ARE
SATISFACTORY:
q1631 9y '/_k�
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I - / - (Z�e
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Enclosed are the blue copies of the permits.
SINCERELY
BUILDING INSPECTION DIVISION
cc : FILE
CITY OF ATLANTIC BEACHl FLORIDA o[10
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: -3 -It 6�4_
IM"FITANT 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 SPECIF'*CATIONS,
WHICH ARE A PART HEREOF, AND IN-ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AG CITY OF
ATLANTIC BEACH ORDINANCES.
C F
ELECTRICAL FORM:—
ELIMICIA BIGNATURN
NAME
----ADORE=: ' CI'4- I-) 3 ,e-,) J-
ewa-sall 11m c -e—L�RFQ__B0X__
BETWEEN:
RES.(�A ArT. CO#AL I I PUBLIC INDUS. NEW i I I OLD f REW.
AODITION I ) TRAILER ( TUV.t I SIGNS f I Sm FT.
SERVICE: NEW INCREASE( -REPAIR FEE
CONDUCTOR SIZE
$WITCH OR ORFAKEIR P VOUT
EXIST.SERV.SIZE
W
FEEDERS SIZE NO. SIZE NO. size
LIGHTINO OUTLETS CONCEALED
OPON TOTAL
RECEPTACLES
0-80 AN". CONCEALED OPEN TOTAL
SWITCHES 81-100 A
INCANDESCENT
FLUOR ESC HT& V.
11%X90 0-140"* ovim
APPLIANCES - ------
AIR H-P-RATIN43 BELL TRANSF�
CONDITIONING H.P.RATING
OTHER MOTORS AMPIII -VIA HEAT: K
MOTORS H.P. VOLTAGE va
MISCELLANEOUS LF. VOLTAGE PH$
c_
TRANSFORMERS- UNDER 60 V. OVER so V
NO. NEON TRANSF. NO.NO. KVA NO. KVA
EACH SIGN VA. MA. MOTOR SIZE SWITCH FLASHE
FORWARDED
TOTAL FEES
ea�A
office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A.
Received
Job Address
Owner's 14tj o Contractor
Name
BUILDING CONCRETE
r(�� D Rough L] Air Cond. &
Framing Footing Temp Pole Top Out Heating
Re Roofing Slab Final L Sewer Fire Place
Insulation Lintel Pre Fab
READY FOR INSPECTION A.M.
Tues Wed. Thurs. Friday-PM.
CIA-1) ' A.M.
Inspection Made
Final Inspection I
Certificate of Occupancy
C7,S-A-F-e 7- Date
0003172
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
per FAVL Humber' '3172 Picaressi "3AI W. THIRD ISTftEET
Permit Type2 Buz Alrt.Awrm rIcACts, rt�uftxo^ 24-22,33
Class OX Work% ----- Lt"AL ----------
constr. Typ4-- : WOOD PftAnit Lot Zlock: ��ectxon;
Proposed use% �Srfft3f-ic rAnxLy Townsnip-. nff%3- to
Dwellings% I Code, 0 nubc2lvlslon%
P�stlmatecf Value: so, 00
rmprc,v. Cost , 1410. 00
Total rees: 12A451,3. on
Amoun't Paid : 00
pa:te pa*Efs 1
40641k. Pose It Ade -r / !2 a
awmE" inronnATio" -- - - APM.ICATXON rdW-5
Home% DAVXD COATF�S I*F-ft"IT '�PO. 00
Address; -q4 W. Tmxftf) !STREET WATER 1"PAICT rtE 1510. 00
ATLANYVC MrAt:-", FLORIDA -32'2'324 nrwen xnPACY rEE ex).00
WATn" ftryvft Oic
RADON EM-'I-H. 50� 00
CONTRACTOR x"runnATIO14 -- - - RADON CIA'S - 13% 110. 00
name: rUbLrC WORK'S DerAwrnEHT WATER TAP �00. 00
piddresst *3ItwIIErft TAP 1*0. 010
HYDRA01-1C �3HARE 15%). 00
t-�i c.en se Ty pe I a "e-Iffneret pf:e V10. DO
t�FLM. ?i ZffrAk:�T FUkt 1.110. 1010
on
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.59
�L�J�,;�
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ4p-T:TO REVOCATION FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW. C N
ATLANTIC BEACH BUILDING DEPARTMENT
By:
Quo
APPLICATION FOR WATER AND/OR SEVER TAP
APPLICANT NAME
-----------
MAILING ADDRESS r
PHONE
------ DATE-_&
SERVICE REQUESTED_ -
-"2 ------------
------------------------ ---------- -----------
SERVICE LOCATZOM6,�lt
------------------
S��------- --------------
DATE SENT TO
PUBLIC WORKS_-, DATE RETURNED
TO BUXLD.DPT
DATE OWNER
NOTIFIED
CITY OF
0;4n d- 6
Office of Building Official
REQUEST FOR INSPECTION
1.-;2
Date Permit No.
Time A.M.
Received P.M. District No.
<7
Job Address
own& 4&4!fn contr
Name M—a actor&�--���
BUILDING dNCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 0 Rough Wiring 0 Rough 0 Air.Cond.& 0
he Roofing 0 Slab 0 Temp Pole Top Out 0 Heating
Lintel 0 Fire Place 0
READY FOR INSPECTION Pre Fab
Mon. A.M.
Wed. ThPrs. Friday_P.M.
Inspection Made
M.
Inspector Final Inspection 0
Certificate of Occupancy
Date