315-317 2nd St. (vault) (2)CITY OF ATLANTIC BEACH
1 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247 -5826
Application Number 05- 00030064 Date 4/08/05
Property Address 315 2ND ST
Tenant nbr, name REPLACE EXISTING HVAC
Application description MECHANICAL ONLY
Property Zoning TO BE UPDATED
Application valuation 0
Owner Contractor
TRUETT, JAMES ARCTIC AIR OF NE FL
315 2ND STREET P.O. BOX 50496
ATLANTIC BEACH FL 32233 JAX BEACH FL 32250
904) 241 -1816
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 79.00 Plan Check Fee 00
Issue Date Valuation 0
Fee summary Charged Paid Credited Due
Permit Fee Total 79.00 79.00 00 00
Plan Check Total 00 00 00 00
Grand Total 79.00 79.00 00 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES
at"'-, Vin:
BUILDING OFFICIAL
OF TLAV Pic arA
0 EPA
Rk ll
s
FLORIDA ENERGY EFFICIENCY CODE
jM13 "'`4 FOR BUILDING CONSTRUCTION
i.SECTION 9— RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 900 -A -84 DEPARTMENT OF COMMUNITY AFFAIRS
NORTH 1 2 3
This form may be used to demonstrate compliance
hod fotr the Energy Code for new
le- family detached dwellings, and dmultifamily attach d ( dwellings of stories ror lessn s
of the ECode. An alternative to this me 9providedinSection10ofthisCode. Only dwellings which are above ground fraoncrete wall type construction maybecalculatedusingSections9and10. Other types of construction must comply under Section 4 or Section 5 of this Code. Addition
me (wood siding, brick veneer, etc.) or concrete
to existing residential
buildings shall comply with the requirements of Section 10 of this Code. Detailed information on how to complete this form may be obtained from your localbuildingdepartmentortheDepartmentofCommunityAffairs, Energy Code Program, 2571 Executive Center Circle East, Tallahassee, Florida 32301.
PERMITTING OFFICE:
PROJECT NAME CIRCLE CLIMATE ZONE: 1 2 3
AND ADDRESS:PERMIT NO.:
BUILDER:
JURISDICTION NO.:
OWNER:
GLASS AREA AND TYPE
DETACHED
IF MULTIFAMILY, NO. OF UNITS CLEAR TINT, FILM SOLAR SCREEN
COVERED BY THIS CALCULATION:
SEPARATE CALCULATIONS ARE REQUIRED SGL SGL
FOR EACH WORST CASE UNIT TYPE. CHECK IF
THIS CALCULATION REPRESENTS A WORST DBL DBLEli[ATTACHED CASE CONDITION,
NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION
CBS R=FRAME R=FLOOR AREA UNDER ATTIC SGL. ASSEMBLY
R m
COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM
ZCENTRAL NONE ELECTRIC STRIP GAS 1-1 NONE ELECTRIC RESISTANCE SOLAR
lF I
ROOM
OIL SOLAR HEAT RECOVERY GAS
HEAT PUMP: COP =
DED. HEAT PUMP: CO
PACKAGE TERMINAL AC
P = m
OTHER:
EER/SEER =
OTHER:
CALCULATED E.P.I.:
CALCULATED E.P.I. MUST NOT EXCEED 100 POINTS
In accordance with Section 553.907 F_-S.' I her certifycertify tancehwiththe
Review
ates compliance
l withnhespecificationsoridaEnergyvCrodebBefore
in accordancee
and specifications covered by this calculation completed, this building will be inspected for compliance in accordance
Florida Energy Code.with Section 553.908, F.S.
BUILDING OFFICIAL:
OWNERIAGENT:
DATE:
DATE:
9A
CHECK TO INDICATE
PRESCRIPTIVE MEASURES Must be met or exceeded b all residences.)
COMPLIANCEMINIMUMREQUIREMENTS
REQUIREMENTS' "'
COMPONENTS ING GLASS DOORS.MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH CRACK.MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES SLIDWINDOWS903.1
DOORS 903.1 tTOBECAULKED, GASKETED, WEATHER. STRIPPED OR OTHERWISE SEALED.EXT. JOINTS &CRACKS 903.1
CEILING INSULATION (903.9) MINIMUM
R
R-19.MUST BEAR ASHRAE STANDARD 90 -80 LABEL OR A MAX. 4 WATTISQ. FT. STAND -BY LOSS. SWITCH
WATER HEATERS (903.2)OR CLEARLY MARKED CIRCUIT BREAKER (ELECTRIC) OR CUT -OFF VALVE (GAS) MUST BE
PROVIDED.
SWIMMING POOLS (903.3)IF HEATED BY OTHER THAN MU MBE
HAVE
EQUIPPED
C DESIGNED TOAE
MINIMIZE HEAT LOSS.
SW
POOL PUMP TIMER
ALL NON - COMMERCIAL POOLS
v
WATER PIPES (903.4)INSULATION IS REQU
A MAX. 17-5
C CBTU?H PER LINEAR FOOT OF PIPE (SEE 504.4
HE
HOT W LOSS SHALL BE LIMI TED O
SHOWER HEADS 903.5 WATER FLOW MUST DTFIO
TO A MINIMUM R -4. .
INDUSOTRY STANDARDSOAND LOCALI MECHANICAL CODE.
CONSTRUCTION CONSTRUCTED IN ACCORDANCEDUCTSINUNCONDITIONEDSPACE MUST BE INSULATE(HVAC DUCT
903.6 A SEPAR TE, READILY ACCESSIBLE MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTEM.
HVAC CONTROLS 903.7 1
4
FLORIDA ENERGY EFFICIENCY CODE 1,eTfoc
FOR BUILDING CONSTRUCTION1eSECTION9— RESIDENTIAL POINT SYSTEM METHOD CLIMATE ZONES
FORM 900-A-84 DEPARTMENT OF COMMUNITY AFFAIRS NORTH 1 2 3
This form may be used to demonstrate compliance with the Energy Code for new single - family detached or multifamily attached dwellings under Section 9oftheEnergyCode. An alternative to this method for single - family detached dwellings, and multifamily attached dwellings of three stories or less, isprovidedinSection10ofthisCode. Only dwellings which are above ground frame (wood siding, brick veneer, etc.) or concrete wall type construction maybecalculatedusingSections9and10. Other types of construction must comply under Section 4 or Section 5 of this Code. Additions to existing residentialbuildingsshallcomplywiththerequirementsofSection10ofthisCode. Detailed information on how to complete this form may be obtained from your localbuildingdepartmentortheDepartmentofCommunityAffairs, Energy Code Program, 2571 Executive Center Circle East, Tallahassee, Florida 32301.
PERMITTING OFFICE:
PROJECT NAME
AND ADDRESS:
CIRCLE CLIMATE ZONE: 1 2 3
PERMIT NO.:
BUILDER:
OWNER:7 JURISDICTION NO.:
GLASS AREA AND TYPE
DETACHED
IF MULTIFAMILY, NO. OF UNITS
COVERED BY THIS CALCULATION:
CLEAR TINT, FILM,SOLAR SCREEN
SEPARATE CALCULATIONS ARE REQUIRED SGL F = SGL
FOR EACH WORST CASE UNIT TYPE. CHECK IF
ATTACHED THIS CALCULATION REPRESENTS A WORST DBL DBL
CASE CONDITION.
NET WALL AREA AND INSULATION CONDITIONED CEILING INSULATION
CBS R=FRAME R=FLOOR AREA UNDER ATTIC SGL. ASSEMBLY
0= EEO 3 ZZ R= • H R m.[]
COOLING SYSTEM PRIMARY HEATING SYSTEM PRIMARY HOT WATER SYSTEM
CENTRAL NONE ELECTRIC STRIP GAS NONE XTTRIC RESISTANCE SOLAR
ROOM OIL F-1 SOLAR RECOVERY GAS
PACKAGE TERMINAL AC HEAT PUMP: COP =DED. HEAT PUMP: COP = m
rnEER/SEER OTHER:OTHER:
L--
CALCULATED E.P.I. MUST NOT EXCEED 100 POINTS
CALCULATED E.P.I.:
In accordance with Sec e5his oa n co pliancewi h Cates cmpfa c with
andheFlo ida Beforeconstruction
and specifications co Y lculation completed, this building will be inspected for compliance in accordance
Florida Energy Code.with Section 553.908, F.S.
BUILDING OFFICIAL:
OWNERIAGENT:
DATE:
DATE:
CHECK TO INDICATE
9A PRESCRIPTIVE MEASURES Must be met or exceeded b all residences.MINIMUM REQUIREMENTS COMPLIANCE
REQUIREMENTS
COMPONENTS
WINDOWS 903.1
MAXIMUM OF 0.5 CFM per LINEAR FOOT OF OPERABLE SASH
CLU
903.1
MAXIMUM OF 0.5 CFM PER SQUARE FOOT OF DOOR AREA. INCLUDES SLIDING GLASS DOORS.
DOORS TO BE CAULKED, GASKETED, WEATHER- STRIPPED OR OTHERWISE SEALED.
EXT. JOINTS 8 CRACKS 9031
MINIMUM OF R -19.
CEILING INSULATION (903.9)
MUST BEAR ASHRAE STANDARD 90 80 LABEL OR A MAX. 4
UT-OF
Q.
F VALLVV E (GAS) MUST
STAND -BY LOSS. SWITCH
WATER HEATERS (903.2)OR CLEARLY MARKED CIRCUIT BREAKER (ELECTRIC) OR CUT-OFF
BE
PROVIDED.
cUpIIAING POOLS 903.3)IF HEATED BY OTHER THAN SOLA SEO
C
S QUIPPED W TH A EPOOLPUMPTM
MINIMIZE HEAT LO
ALL NON COMMERCIAL POOLS MU
3.4 INSULATION IS REQUIRED ONLY
MAX.
FOR C7 5BTU ? H PER LINEAR FOOT OF PIPE (SEE 504.4).
EA
HOT WATER PIPES (90 LOSS SHALL BE LIMITED TOERESTRICTED TO NO MORE THAN 3 GALLONS PER MINUTEWATERFLOWMUSTB.
TION U IT BESNSULATED
STAN
O A MINIMUM R-4.2.
MECHANICAL CODE.
SHOWER HEADS 903.5 CONSTRUCTED IN ACCORDANCE WIT
HVAC DUCT CONSTRUCTION IN UNCONDITIONED SPACE M
903.6 A SEPARATE, READILY ACCESSIBLE
HVAC
MANUAL OR AUTOMATIC THERMOSTAT FOR EACH SYSTE
CONTROLS 903.7
CITY OF ATLANTIC BEACH,FLORIDA
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:DATE:
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WEHEREBYAGREETOPERFORMSAIDWORKINACCORDANCEWITHTHEATTACHEDPLANSANDSPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
URNEYMAN
ELECTRICAL FIRM:MASTER ELECTRICIAN SIGNATURE
NAME ADDRESS: 3 /7 2 RFD BOX
BLDG. SIZE
L BETWEEN:
RES. 0 APT.( 1 comm.( 1 PUBLIC( 1 INDUS. ( 1 NEW ( OLD( 1 REW. l 1
ADDITION( ) TRAILER ( 1 TEMP. ( 1 SIGNS ( 1 SQ. FT.
SERVICE:NEW( 1 INCREASE( 1 REPAIR ( 1
FEE
CONDUCTOR SIZE AMPS COPPER ( 1 ALUM. (\`
SWITCH OR BREAKER AMPS PH 3 W 2-3() VOLT RACEWAY
EXIST. SERV. SIZE AMPS RACEWAY
FEEDERS NO.SIZE N0.SIZE N0.SIZE
LIGHTING OUTLETS n CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS,31 -100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS.OVER
APPLIANCES JBELLTRANSF.
AIR H.P. RATING H.P. RATING
CONDITI NING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT
Q
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.lKVA
NO. NEON TRANSF.NO.VA.MA.MOTOR SIZE SWITCH FLASHER
EACH SIGN
FORWARDED
TOTAL FEES
CITY OF ATLANTIC BEACH, FLORIDA
C S
Approved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:DATE:
2, e'19 c
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WEHEREBYAGREETOPERFORMSAIDWORKINACCORDANCEWITHTHEATTACHEDPLANSANDSPECIFICATIONS,WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
z,
JOURNEYMAN
ELECTRICAL FIRM.STER ELECTRI*SIGNAT6
NAME C4f7 ADDRESS:RFD BOX
BLDG. SIZE
4f ex BETWEEN:
RES. () APT.( 1 comm.( 1 PUBLIC ( 1 INDUS. ( 1 NEW ll OLD( 1 REW. ( 1
ADDITION( 1 TRAILER ( 1 TEMP.( 1 SIGNS ( 1 SQ. FT.
SERVICE:NEW( 1 INCREASE( 1 REPAIR ( 1
FEE
CONDUCTOR SIZE 1 AMPS COPPER ( 1 ALUM.
SWITCH OR BREAKER AMPS PH - E W 3 0 VOLT S RACEWAY
EXIST. SERV. SIZE R V 0LT7 RACEWAY
FEEDERS NO.SIZE NO.SIZE NO.SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES T 6) CONCEALED OPEN TOTAL
0 -30 AMPS.31 -100 AMPS.
SWITCHES Z-1f.2
INCANDESCENT
FLUORESCENT & M. V.
FIXED
jaTAPPLIANCES BELL TRANSF.
AIR H.P. RATING
CONDITIONING OTHER MOTORS I AMPS ICEIL HEAT: KW -HEAT
G
0.1 OVER
MOTORS H.P.VOLTAGE PHS NO.1 H.P.VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS:UNDER 600 V.OVER 600 V.
NO.KVA 11NO.lKVA
NO. NEON TRANSF.NO.VA.MA.MOTOR SIZE SWITCH FLASHER
EACH SIGN
T
FORWARDED
TOTAL FEES
CITY OF ATLANTIC BEACH, FLORIDA
Approvod by APPLICATION FOR ELECTRICAL. PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR:DATE:2 19 -
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING TH WORK
A
S DES IN
AND SPECIFIC
LFOLLOWING, WHEAGREETOPERFORMSAIDWORKINACCORDAWHICHAREAPARTHEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
Ail
JOURNEYMAN
ELECTRICAL FIR ASTER LECTRICIAN SIGN RE
NAME ADDRESS: Z STTi RFD BOX
BLDG. SIZE BETWEEN:
RES. k) APT. ( ) comm.( 1 PUBLIC( 1 INDUS. ( 1 NEW OLD( 1 REW. (
ADDITION( 1 TRAILER( 1 TEMP,SIGNS ( 1 SQ. FT.
SERVICE:NEW( INCREASE( 1 REPAIR( 1
FEE
CONDUCTOR SIZE Dd AMPS COPPER ( 1 ALUM. ( 1
SWITCH OR BREAKER AMPS PH W VOLT RACEWAY
EXIST. SERV. SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO.SIZE NO.SIZE NO.SIZE
TOTLIGHTINGOUTLETSCONCEALEDOPEN
Al
RECEPTACLES CONCEALED OPEN TOTAL
0 -30 AMPS.31 -100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT & M. V.
FIXED 0.100 AMPS.OVER
APPLIANCES BELL TRANSF.
AIR H.P. RATING H.P. RATING
CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW -HEAT
O.1 OVER
MOTORS H.P.VOLTAGE PHS NO.1 H.P.VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS:UNDER 600 V.OVER 600 V.
NO.KVA NO.lKVA
NO. NEON TRANSF.NO.VA.MA.MOTOR SIZE SWITCH I FLASHER
EACH SIGN
FORWARDED
TOTAL FEES
C
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.
LOCATION Street Address:
OF Intersecting Streets: Between And
BUILDING
Scab division
II. IDENTIFICATION — To be completed by all applicants.
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 Jacksonville ordin es and standards
of good practice listed therein.
Name of Mechanical
Contractor (Print)S LL aster
Name of gPropertyOwner
Signature of Owner Signature of
or Authorized Agent Architect or Engineer
111111. GENERAL INFORMATION
A' Type of heating fuel:
B.
IS OTHER CONSTRUCTION BEING DONE ON
Electric THIS BUILDING OR SITE?
Gas — LP Natural Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
Oil PERMIT
Other — Specify
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
Provide complete list of components on beck of this form)Residential or Commercial
Heat Space Recessed O Centel O Floor New Building
Air Conditioning: Room Centel Existing Building
Duct, System: Materie elgz Thickn Replacement of existing system
Maximum capaci eq c.f.m.New installation (No system previously installed)
ty
Extension or add -on to existing system
Refrigeration
Other — Specify
Cooling tower: Capacity g.p.m.
Fire sprinklers: Number of head
Elevator Manlift Escalator number)
THIS SPACE FOR OFFICE USE ONLY
Gasoline pum number)Reoeiwd)
Q Tank number)Remarks
Q LPG contains number)
Q Unfired pressure vessel
Boilers
Permit Approved by DN
Other — Specify Permit Fe
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
CapaciNumber y ApprevissNumberUaitaDescriptionModelNumberManufacturercY
6
DATING - FURNACES, BOILERS, FIREPLACES
Number Units Description oriel Number Manufacturer M
Cap
2—tiJC%
TANKS
How Many Namtnal Capacity I1rpe Liquid Name at Serial Ap ving
and Dimensions Contained Manufacturer No.ency
Apr 08 05 09:25a ARCTIC AIR 9042414383 p.1
Apr 08 05 10:02a City of Atlantic Beach Bu 904- 247 -5845 p•
p CITY OF ATLANTIC BEACH
MECHANICAL PERMIT APPLICATION
r
Date.
Property Address:sd'ec.3
pwnc
c
yul+Telephone #•
Contractor:c ( r o C N r 1 7cicphoxc
C Address: \? 0 . V ° J41 &k q 1 Fax #:
3a•o
In Cenaidon+ow of pormle given AY dams the , ,;a a dcaenbed ti the ab we 40440 Ent. MN haKMy •R/eC patunn aa.d work m aeeadanca
with jqhe •leached plans and apeei5eetiona which nc a pea ha"f end ie aceonunee with the City of Afta 9nch wdiianm aaut araadarda of
One listed therein.
Type of Heating Fuel if other consOwtion is being don On this buildiAge
or -life list the tMildioq permit nwuber:
Elcotric
0 Gas: LP Nourd Central Lkility
O Oil
a Other - s sir
MECHANICAL JE:QUIPMENT TO RE INSTALLED NATURE OM WORK
0 Heat Space Rccassed le"16o ltral . d RcsidoaxitJ
G Air Conditioning: _Roar" Aecenlral
O Duct Systotn Material Thickness O Cotomcroal
Maximum capacity cftn
0 New Building
O Refrigeration
0 Cooling'rowor: Capgc BPm qi/ Existing Bu'116 l;
0 Fire Sprinklers_ Number of Meads
o elevator:Monlift Escalator Number) 9$"merit of Existing System
O Gasolino Pumpx Number)
Now l
D Tanks Number) t]etatalUttion
NO aystem ptrviowJy iftst6iJled)
O LPG Containers Number)
Unfircd Prossure Vessel o k:,xtcnaion or Add•en to txisting SYstcm
Boilcr3 y
Gas Piping O 0cbcr - sp"°f'
O Other - Specify
LIST ALL E UIPMLNT
Atlt coMOrrieu rn ., tutFRtCZAATton 4QUt7rtrs]E 4T a Cpttnrrta4te•s
Nrmba Units Dcycripcion Model Murlie[•ror Ton' a Agent
W a -3 S c 3 UL.
trrATtr ptlANACES, DOILYAM FMI&Pt.AC[ AMR HANloLZWN
rustler their.DeKriptwn Model w tNaa•bcoarer tJ7u'ng-
A :f r 00(3 1;a 343 000 Q L
TANKS Nominal Cepc"y Type Lnu;d Saul AppwMP,
IlowhotaM ADimensiena 03ntalned Man•Aearer No.
s00 Seminole Road . Atlasdic Dwrach. Florida 32237 - 5445
phone: (904) 247 -5300 . FaR: (904) 247 -5845 - bttp:/ /www.ci.3dMntie- bC"bJ1.us
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
Application Number 06- 00031976 Date 1/10/06
Property Address 315 2ND ST
Tenant nbr, name INSTALL WATER HEATER
Application description PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation 0
Owner Contractor
TRUETT, JAMES DAVID GRAY PLUMBING INC.
315 2ND STREET 8850 CORPORATE SQUARE CT.
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32216
904) 744 -7255
Permit PLUMBING PERMIT
Additional desc
Permit Fee 42.00 Plan Check Fee 00
Issue Date Valuation 0
Fee summary Charged Paid Credited Due
Permit Fee Total 42.00 42.00 00 00
Plan Check Total 00 00 00 00
Grand Total 42.00 42.00 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
PLUMBING PERMIT APPLICATION
Date:
Property Address: CJ S'r"f G ?•
Owner:Telephone #: 7 4 — QA'd D
Contractor:David Gray Plumbing Inc.Telephone
Corporate Square Court
Contractor Address:ksonville, Florida 32216 Fax 51106a
Contractor Signature:CFC 0225$6
In consideration of permit given for doing the work as &scribed in the above statement, we hereby a perform said work inaccordancewiththeattachedplansandspecificationswhichareaparthereofandinaccordancewiththeCityofAtlanticBeachordinanceandstandardsofgoodpracticelistedtherein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard PlumbingCode.
Plumbing Type If other construction is being done on this building or site,
New list the building permit number:
q Re -Pipe
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Sprinkler System Other
Fees
Permit Issuing Fee: 35.00
Total Fixtures:l X $7.00 + $35.00 6b
800 Seminole Road . Atlantic Beach, Florida 32233445
Phone: (904) 247 -5800 • IFax: (904) 247 -5845 . http : /twww.ci.atiantic- beach.fl.us
Revised 1/04
Date:r U UO
Property Address:
Owner:Telephone #: Z 4G — Qua 4
Contractor:David Gray Plumbing Inc.Telephone #• 71" `- 12 -6
orporate Square Court
Contractor Address:a kSonville, Florid 32216 Fax #: 1;J_ 5,00 68
Contractor Signature:CFC 022556
In consideration of permit given for doing the work as cribed in the above statement, we hereby 0 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 trust be in accordance with the most recent adition of the Southern Standard PlumbingCode.
Plumhinu Tvnee if other rnnstmrtinn is iiaina rinnw nn *hie 1..,ilA:..n e
Jan 10 06 10:53a DAVID GRAY PLMBG 7235668 P.3
S >CITY OF ATLANTIC BEACH
c r PLUMBING PERMIT APPLICATION
JAi" ,
Date:
Property Address:7`
Owner:Telephone
Contractor:David G: ay Plumbing, Inc.Telephone 9: 7'r"T`- 77— K5"
orpbrate quare ourt
Contractor Address:a ksr Florida 32216 Fax #: Pj- - 5161?
Contractor Signature:Z'CFC 022588
In consideration of permit given for doing the work as 6qcribcd in the above statement, we hereby ag performm 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 PlumbingCode.
Plumbing Type If other construction is being done on this building or site,
New list the building permit number:
C/ Re -Pipe
P F
Number of Fixtures:
Bath Tubs Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer l Water Heaters
Sprinkler System Other
Fees
Permit Issuing Fee: 35.00
Total Fixtures:l X $7.00 + $35.00 =
800 Seminole Road . Atlantic Beach, Florida 32233 -5445
Phone: (904) 247 -5800 . !Fax: (904) 247 -5845 . http :llwvrw.cl.atiantic- beach.ft.us
Revised 1/04
FORM
4-84 RESIOENTIAL
COMP CgLCVCATIONONENT
WINTAO-?.g
M CONCRETE 9 --AAE x_ WPM GROS CLIMATE 2
FORM 900 -4-e4 RESID ENTIk CALCULgTIONCOMPON
en.
i
CITY OF ATLANTIC BEACH
APPLICATION FOR BUILDING PERMIT 777 10 -39r3 r1<sr
Owner . tih s J uC (,t C1 Irv Address J/1 X. FL Lam;Phone
3Architect/A p Zit'AddressLz. - -C 1J F Phone
Contractor i.ttf L fJ Ji Addres twy, Z ,j 3t 3z 3f _3 ,rj - 7zv 1 --
License Number Expiration Date W3 c'7 J ..._ .
Lot #Block Subdivision3bt314 - , 4r'4AuncT3c /l Zoning
Street 5e-Cc Alp Between ZA-s (00;T" and side A/o ff t/
Valuation $ /S,C Purpose of Building LO Type Const.
Dimensions: Buildin Yt b b ry —
g jay ff Lot y Sz . Footings ,, 20 ,* z. sv
Sz.Piers A" IA- Sz.Sills f Greatest Span Sills
Sz. Ceiling Joist Distance on Centers Greatest Span ZZ Y
Sz.Floor Joists Distance on Centers Greatest Span
Sz.Rafters " SSS Distance on Centers Z Greatest Span 7" Y
Heating 640c:T /arc Solid Filled Ground 2.Roof Alggc;44ss
Flood Zone C 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 SETBACKSforaftercorrectionsaremade.
In consideration of permit given for doing Rear Lot Line
the work as describzd in the above statement,2weherebyagreetoperformsaidworkin
accordance with the attached plans and
specifications, which are a part hereof, and F',a
in accordance with the building regulations fD m
of the City of Atlantic Beach.o o
rt rt
L-4 r
Signature OWNER
Signature BUILSR
Front Lot Line
f
PLUMBING WORKSHEET
SINKS SHOWERS DISHWASHERS
O CLOSETS BATH TUBS FLOOR DRAINS
WASHING MACHINE WATER HEATERS DISPOSALS
S LAVATORY URINALS OTHER
TOTAL FIXTURE COUNT
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.
34
BATHROOM GROUP CONSISTING OF oG.. LAVATORY (I UNIT)
WATER CLOSET, LAVATORY, AND
BATH TUB OR SHOWER STALL SERVICE SINK TRAP STAND
6 UNITS)3 UNITS)
DRINKING FOUNTAIN (! UNIT)URINAL, WALL LIP
4 UNITS)
FLOOR DRAIN Cl UNIT)
WASHING MACHINE RES.
URINAL, PEDESTAL, SYPHON 3 UNITS)
JET BLOWOUT (8 UNITS)
WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TANK- OPERATED 8 UNITS)
4UNITS)
SHOWER STALL, DO'ESTIC
BATHTUB ([J /OR W/O OVERHEAD 2 UNITS) -
SHOWER) (2UNITS)
LAUNDRY TRAY
BIDGET (3 UNITS)2 UNITS)
DISHWASHER (2 UNITS)KITCHEN SINK (2 UNITS)
40" KITCHEN SINK /WASTE GRINDER
3 UNITS)J3 40,tc> J~y• tea
o
TOTAL FIXTURE LNITS @ $10. EACH
r
ADD P S J 1 CHANICAL PERMIT#
PLUMBING PERMIT
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT
TEMPORARY ELECT. J
seated Square Footage @ $S
der sq ft = $ 3q', ,5( Sze
Garage /Shed 7, U @ $00per sq ft = $
Carport @ $per sq ft = $
Porches ersgft =$
Deck @ $per sq ft = $
Patio @ $per sq ft = $
TOTAL VALUATION 1 7,21
Jr
c2 3h
Total aluation Data 1st $ 106 Off 60 (J -
Remainder Valuation @ $ per thousand
or portion thereof
TOTAL BUILDING FEE
2 FILING FEE S`C/ Sv
b FIREPLACE @15.00 5 : (- C)
TOTAL EUILDING PERMIT 7 g',S-
PLUMBING PERMIT FEE$MECHANICAL PERMIT FEE$
ELECT. TEMPORARY ELECTRICAL PERMIT
WATER METER SIZE - Yj 2. O ACCOUNT NUMBER
SEWER IMPACT FEE $
WATER CONNECTION $@10.00 per fixture unit)
APPROVED BY:TOTAL BUILDING /PLAN FILING FEE $
TOTAL WATER METER CHARGE
APPROVED TOTAL SEWER IMPACT FEES
OF CEEUILDIN TOTAL WATER CONNECTION CHARGE4r=PIGB
MISCELLANEOUS CHARGES
GRAND TOTAL DUE:
3 s-a
CITY OF
f4&4a4c /3e41A - AMsdii
Office of Building Official
REQUEST FOR INSPECTION
Date O Permit No.cl,
Time
Received P.M.District No.
3i S - 3/:Z
Job Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing Rough Wiring Rough Air. Cond. &
Re Roofing Slab Temp Pole Top Out Heating
Lintel Fire Place
Pre Fab
READY FOR INSPECTION
A. M.
Mon.Tues.Wed.Thurs.Friday P.M.
A. M.
Inspection Made P.M.
Inspector Finallnspection ` e /
Certificate of Occupancy
Date
DEPARTMENT OF BUILDING
PERMIT NO-6 7 1 "
CITY OF ATLANTIC BEACH, FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date April 11,19 04 #00 T
04013W
Valuation $
r A7•9907 1 n 4/?6/3
7 i CCCf'C
This permit not valid until above fee has been paid to City Treasurer, and is 671
4
0CA
subject to revocation for violation of applicable provisions of law.9907
This is to certify that DULMI,S 11A EIG & 'SIR IUNMG
I
f
has permission tcgkuild
I c'Zone
Classification
Owned by
Block -- -S /D
Lot
31 -317 5EMP
House No.
II According to approved plans which are part of this permitNOTICE ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
r--- O 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-
ct ner.
Building Official.
FOR OFFICE PERMIT DATE
CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT OF BUILDING
1 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. 6 7
PERMIT TO BUILD T1CKT
THIS PERMIT MUST BE POSTED ON JOB I ,I . 5/
Date t.tr_ il 11 19 _$,
017 900CAC
13G IA 5/15/8
Valuation $ PLUIBTNG Fee $ 1813.00 1 000
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.
r This is to certify that
FII PLIMING
RFOO42499
has permission to bA INSTAII, P1,I11BRIG
Classification MSI EMAL Zone
I Owned by Ja ES TRIXIT
Lot Block S/D
House No.315 -317 T&M 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
AFTER DATE OF ISSUE
4 — 10 0 Building material, rubbish and debris
ifrom this work must not be placed
in public space, and must be cleared
up and hauled away by either con -
Ira or owner.
I
t17,t1Z,i
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL i
I
SEWER
WATER
y
V
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION JjS
PLUMBING CONTRACTOR ov - Lti -
LICENSE NUMBERS U p C
OWNER
BUILDING CONTRACTOR
TYPE OF BUILDING
SINKS SHOWERS
LAVATORY WATER HEATERS
BATH TUBS L DISHWASHERS
URINALS DISPOSALS
CLOSETS r/ WASHING MACHINE
FLOOR DRAINS OTHER
TOTAL FIXTURE COUNT A-
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
b-7
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date _Alri 1 11 ,19 t5`
Valuation $ 157,249.15 475.50 478850 T
Fee $475.5nCKT
abu5 1A 4/11/5ThispermitnotvaliduntilabovefeehasbeenpaidtoCityTreasurer, and is 5719 900CQCsubjecttorevocationforviolationofapplicableprovisionsoflaw.t 71 l 4/1
This is to certify that ATJ;T:1;T L. BUFORD, JR.
PO BOX 4225-Tallahassee, k1oric
has permission to build DI leX as T)er plans
Classification Residential Zone c-1
Owned by Japes and Judith Trwtt
Lot 6 Block 4 S/D A. B. Subdv A.
House No.11 ri -Tt1 7 gg-nnnrl qt--root-
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 o Building material, rubbish and debris
i from this work must not be placed
in public space, and must be cleared, i
up and hauled away by ithersc r vner.
Building Official.
FOR OFFICE PERMIT
DATEUSEONLYNUMBER CONTRACTOR
PLUMBING
ELECTRICAL
SEWER
WATER
DEPARTMENT OF BUILDING
6968CITYOFATLANTICBEACH. FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date July 26, 19 85
7
Valuation $ ME>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 STONE CRAFT EN=RISES,fl
49u1 1A 7/261
has permission to bdd INS 7. (M FIRE PLACE;nCAC
I OnO I
Classification RF:.STIW.NTTAI.Zone
Owned b JAMES TRULM pwner paid for one arepla
Lot Block S/D
House No.315 -317 SECONDEEM I.T
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
r,AFTER DATE OF ISSUE
0 4 0 O Building material, rubbish and debris
i from this work must not be placed
in pahik space, and must be cleared
and d away by either con-
tract Owner.
Building Offic al.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTOR
PLUMBING
i
l ELECTRICAL
SEWER
WATER
BUILDING AND ZONING INSPECTION DIVISION
V '
1C1 CITY OF JACKSONVILLE, FLORIDA
APPLICATION F OR MECHANICAL PERMIT CALL -IN NUMBER
MP TANT — Applicant to complete all items in sections I, II, III, and IV.
I•Street Address: 3 /J 3/12Z
L 6N
OF Intersecting Street : Between
And
BUILDING Sub - division E. -,cc._
II. IDENTIFICATION — To be completed by all applicants
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 attachedplansandspecificationswhichareaparthereofandinaccordancewiththeCityofJacksonvilleordinancesandstandardsofgoodpracticelistedtherein.
Mechanical
Contractor Name State Certification or
Registration Number
Qualifying Agents Masters CardSignature
Gc Number
Property Owners
Name Signature of
Architect or Engineer
III. GENERAL INFORMATION
A. Type of heating fuel:B. IS OTHER CONSTRUCTION BEING DONE ON
Electric
THIS BUILDING OR SITE?
LP Gas Natural Gas
Oil I i Solar mod IF YES, GIVE NUMBER OF CONSTRUCTION
Other - Specify PERMIT cs^ 2/
IV. MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
Provide complete list of components on back of this form)A. L-esidential B. [' Commercial
Heat: A. Space B. Recessed C. 0 Central C. New Building
D. Floor 111re Place Wood Stove D. Existing Building
Air Conditioning: A. Air -to -Air Heat Pump E. Replacement of existing systemB. Water -to -Air Heat Pump C. Straight Water Cool F. 2 installation (No system previously installed)D. Straight Air Cool
G. Extension or add -on to existing systemDuctSystem: Total Capacity cfm
Refrigeration H. Mobile Home
Cooling tower: Capacity g.p.M.
Fire sprinklers: Number of heads
Elevator Fl Manlift Escalator number)
Gasoline pumps number)THIS SPACE FOR OFFICE USE ONLY
Tanks number)Received)
LPG containers number) Remarks
Unfired pressure vessel
Boilers
Rangehood Permit Approved by __Date
Cooking Equipment
Water Heater
Permit Fee
LIST ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
Capacity ApprovingNumberUnitsDescriptionModelNumberManufacturerTons)Agency
HEATING - FURNACES, BOILERS, FIREPLACES
Capacity ApprovingNumberUnitsDescriptionodelNumberManufacturerBTU)Agency
TANKS
How Many Nominal Capacity Type Liquid Name of Serial Approving
and Dimensions Contained Manufacturer No.Agency
PS -428
Cpfi ftr tttr u f (errCITYof rtr
R-UdaPpFI2'fllipn f D ffilti«?iny 3ThisCertificateisszied!Prtia1t
Pursuant to the reBuildingCodecertz 9uirement ofYigthatatf Section 109 of the Southervariousordinancere
the time of issuance this structure n StandardgzalingGuildin ,was ut complianceoconstructionor with theUseClusific1lTC. For theanon 011owina
Group__
Owner of Building
Type, Constroc{l Bldg. Permit No.Firc District_
Building Addms _ 1 — 07 ' Address
Locality
Buil m8 u By: —I 3
I ' Date:
POST
UOUB rUAOE
1
4r
CITY OF
716 OCEAN BOULEVARD
P. O. BOX 26
ATLAN77C BEACH, FLORIDA 32233
TELEPHONE (904) 249 -2396
October 31, 1985
Pre - Service JEA
233 West Duval Street
Jacksonville, Florida 32202
The following final inspections have been made and are
satisfactory:
Permit YA795 - 2148 Fairway Villas Lane South
Permit YK336 - 2179 Fairway Villas Lane South
Permit ir4805 - 2239 Fairway Villas Lane North
Permits issued to DSW Electric Company
Permit I4451 - 315 Second Street
Permit #4450 - 317 Second Street
Permits issued to Dennis Electric Corrmany.
Sincpsrely,
Rene Angers
Electrical Inspection Supervisor
JW : ra
INSPECTION LOG
rr-
JOB ADDRESS
CONTRACTOR
OWNER 7
i
ELECTRICAL PERMIT
BUILDING PERMIT
G
PLUMBING PERMIT TEMPORARY POLE PERMIT 7"``4 3
MECHANICAL PERMIT MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called -In Approved J.E.A.
Temp Pole
Footing
Slab
AS
Framing
Plumbing R)
Electrical R)
Mechanical
Fireplace
Top out
Other
Electrical F)
FINAL INSPECTION 3 )
Certificate of Occupancy Issued f
COr'2IENTS :
CITY OF l
4&42M&
Office of Building Official
REQUEST FOR INSPECTION
Date .
Permit No.
Time A.M.
Received P.M.District No..
Job Address Locality
Owner's ContractorName
BUILDING PLASTERING ELECTRICAL PLUMBING HEATING
Foundation .... Wire .......... Rough Wiring . C] Rough ........ 11 Rough ........
Chimney ...... Lath .......... Finish Wiring ..[] Final ......... Final
Framing ....... Scratch ... .... Fixtures ..... Sewers ........ Water Heater ..
Final .......... Brown ........ Motors as .. .......
Footing ....... E] Finish El Temp-Pole esspool ......
Slab .......... Wallboard ..... Final Inspection. Top -out .......
Lintel Beam ... r_1 Water .........
READY FOR 16PECTION A.M.
Mon.Tues.We Thurs.Fri.P.M.
b A.M.
Inspection Made
P.M.
Inspector
CITY OF
4&4st& /S e=4 - &;&u-d
Office of Building Official
Data 30 ,,' REQUEST FOR INSPECTION
Time Permit No.
Received A.M.
P ^M.District No._
Job Address
owner's Locality
Name
ContractorBUILDINGPLASTERINGELECTRICAL PLUMBINGFoundationWire HEATING
Chimney ...... Lath Rough Wiring .. Rough
Framing Scratch Finish Wiring .. .......
Fixtures
Fi n al FinalFinalBrownSewers0Water Heater ..pFooting ..... Finish Motors Gas
Slab Wallboard Temp -Pole ..... Cesspool ......
Lintel Beam ... Final Inspection. Top -out .......
Mon.
Wa
Y OR INSPECTION
ter
A.M.Wed Thurs.Fri.P.M.Inspection Made A.M.
Inspector
P.M.
L
CITY OF
4&44diC Be aA-
Office of Building Official
REQUEST FOR INSPECTION
Date Permit No.
Time A. M.
Received P.M.District No.
J bAddress Locality
Owner's
Name A Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing Footing J Rough Wiring Rough Air. Cond. &
Re Roofing Slab Temp Pole Top Out Heating
Lintel Fire Place
Pre Fab
READY FOR IN SP N
A.M. N:Mon.Tues.Wed.Thurs. Y Friday P.M.
Inspection Made
M
O
P. M.
Inspector Final Inspection
Certificate of Occupancy
Date
C/
CITY OF
4&aalw BeccAi 0 ; &Uk&
Office of Building Official
4EQUEST FOR INSPECTION
Date .Permit No.
Time A.M.
Received P.M.istrict
Job Address Locality
Owner's
Name Contractor
BUILDING PLASTERING ELECTRICAL
1
PLUMBING HEATING
Foundation .... Wire ......... C] Rough Wiring .,1 Rough ........ C] Rough ......
Chimney ...... Lath .......... E) Finish Wiring . E] Final ......... Final .........
Framing ...... Scratch ....... Fixtures ... .... Sewers ........ Water Heater . E]
Final .......... C] Brown ........[] Motors ........ Gas ..........
Footing ....... Finish .... ..... Temp-Pole ..... C1 Cesspool ....
Slab .......... Wallboard ..... Final Inspection. Top -out ......
Lintel Beam ...Water .........
READY FOR INSPECTION A.M.
Mon.Tues.Wed.Thurs.Fri.P.M.
C A.M.
Inspection Made v P.M.
Inspector
CITY OP
4 &aa c /3eacA 4 &U - Z&a
Office of Building Official
REQUEST FOR I SP TION
PermitNo.
Date
Time
A.M.District No.
Received P.M
3 /S o - 2- D S/
Locality
Job Address
Owner's Contractor
Name
BUILDING CONCRETE ELECTRICAL PLUMBING MEnAICAL
Framing Footing Rough Wiring Rough Heating
Re Roofing Slab Temp Pole Top Out
Fire Piece
Lintel Pre Fab
READY FOR INSPECTION A.M.
Mon.Tues.Wed. OU Thurs.Friday —P.M.
A.M.
Inspection Made 7— 3l 8 P.M. '
w ,C/Y Final Inspection
Inspector
Certificate of Occupancy
Date