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331 2nd St (vault) CITY OF 4&4a& Office of Building Official REQUEST FOR INSPECTION Date Permit No. Time A M. District No. Received - 3 3 1 °�- �-; Job Address Locality Owner's Contractor f3 C1in Eizi L�E2S Name BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ aa4►r+g ❑ Rough Wiring El Rough ❑ Air. Cond. & ❑ Temp Pole ❑ Top Out ❑ Heating Re Roofing ❑ Slab Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION � c r �` A Thurs. Frld.y Mon. Tues. W� A.M. �--- =� C Inspection Made C.. P.M. Inspector Final Inspection ❑ Certificate of Occupancy Date CITY OF' Z Office of Building Official REQUEST FOR INSPECTION g 2 Permit No. L� 6 Date A.M. District No. [� Time M Received 3 Locality Job A e Owner's Contractor PLUMBING, MECHANICAL Name CONCRETE ELECTRICAL Rough ❑ Air. Cond. & ❑ 1 ❑ Rough Wiring ❑ ❑ Heating ❑ Footing Temp Pole ❑ Top Out Fire Place ❑ Fra Slab ❑ Re Roofing ❑ ❑ Pre Fab Lintel A.M. READY FOR INSPECTION Friday P.M. Mon. Tues. Wed:.. Thurs. � J Inspection Made Final Inspection ❑ Inspector Certificate of Occupancy Date i / CI 1 OF f4&4"& Be4c s - AAM & Office of Building Official — �"r REQUEST FOR INSPECTION `�` Date Permit No. T me Received A.M �, / !3 d 9 C� P.M. tract No. b ddress _ Locality Owner's N or BUILDING CONCRETE F �TR� is o� PLU N8 MECHANICAL Framing Footing ❑ Rough Wiring ❑ Rough p Air. Cond. & ❑ ng ❑ Slab ❑ Temp Pole ❑ Top Out Heating Lintel ❑ Fire Place ❑ Pre Fab READY FOR INSPECTION A.M. Mon. Wed. Thur . Friday P.M. C Z A. M. Inspection Made Tue Inspector Final inspection ❑ Certificate of Occupancy V Date CITY OF 4&aatic 49,GvU Office of Building Official REQUEST FOR INSPECTION Permit No. L � Date f Time A.M. District No. J Received P � s J � locality Address Ow er' J Contr Na MECHANICAL BUILDING CONCRETE ELECTRICAL PLUMBING Rough El Air. Cond. & ❑ Framing ❑ Footing Top Out ❑ Heating Re Roofing El Slab ❑ Temp Pole ❑ Fire Place ❑ Lintel ❑ Pre Fab READY FOR INSPECTION ^ - � A.M. Thurs. /� Friday P.M. Mon. Tues. Wed. TvMI/� P. Inspection Made Finalinspectl Inspector on ❑�----- Certificate of Occupancy JC A ( P(-CP. /nre C/4) Date CITY OF 4&`a& B6104Cli - IloVd* Office of Building Official REQUEST FOR INSPECTION Permit No. Date Time A. District No. Received Locality � Job ress owner's Contrac Name MECHANICAL BUILDING CONCRETE ELECTRICAL P MB ❑ Air. Cond.B ❑ ❑ Rough Wiring ❑ u g h Heating Framing ❑ Footing To t ^ ❑ Re Roofing ❑ Slab ❑ Temp Pole ❑ Top Fire Place ❑ Lintel ❑ /�V / l Pre Fab AEA ,Y FOR INSPECTION P.M. Wed \ Thura. 2 Friday Mon. Tues. P. : Inspection Made Final Inspection ❑ Inspector Certificate of occupancy Date " rt �S vlJ�f f J � CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247 -5826 Jil�� Application Number . . . . . 04- 00028840 Date 8/09/04 Property Address . . . . . . 331 2ND ST Tenant nbr, name . . . . . . INSTALL SPRINKLER SYSTEM Application description . . . PLUMBING ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 Owner Contractor ------------------ - - - - -- ------------------------ AIBEL, KAREN HUNLEY JOHNSON 331 2ND STREET 27 FAIRWAY LN ATLANTIC BEACH FL 32233 JAX BEACH FL 32250 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit Fee . . . . 50.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Fee summary Charged Paid Credited Due ----------- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- ---- - - - - -- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 r 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: % - D L/ Property Address: 3 / C�"qln ze ` Owner: Telephone #: Contractor: `�C�f.ci►1. -�—�'� Telephone #: Contractor Address: 1 Fax #: In consideration of permit given for doing the work as described in the above statement, we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Atlantic Beach ordinance and standards of good practice listed therein. Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing Code. Plumbing Type other construction is being done on this building or site, • ❑ New list the building permit number: ❑ Re -Pipe Number of Fixtures: Bath Tubs Showers Closets Shower Pans Dishwashers Sinks Disposals Urinals Floor Drains Washing Machine Lavatory Water Sewer Water Heaters ✓� Other Fees Permit Issuing Fee: $35.00 Total Fixtures: X $7.00 + $35.00 = 800 Seminole Road . Atlantic Beach, Florida 32233 -5445 Phone: (904) 247 -5800 • Fax: (904) 247 -5845 . http :llwww.ci.atlantic- beach.fl.us Revised 1/04 VA Form VB4 -1852 r �, FHA Form 2005 For accurate register of carbon copies, form Form approved. Jan. 1955 may be separated along above fold. Staple Budget Bureau No. 63- R055.9. completed sheets together in original order. �] Proposed Construction DESCRIPTION OF MATERIALS N o_ -------------------------------------------- (To �e inxer6ed by FHA er VA) Under Construction 0 0 S7 Property address --------------------------------------------------- -`' - - - - -- - State �, ------ - - - - -- Mortgagor or Sponsor ____ ____ • - �- t� - - - ---- - - - - -- ------------------ - - - - -- --- Addreee - ----------------------------- L" , Contractor or Builder -- -- ____ -- ------------ - - - - -- -- t lasevi]:r - -- Rcl- — --------- ?`_- it -__ 1or =-`-- -- -------------------- (Name) (Address) INSTRUCTIONS I. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically described. of copies, etc., see the instructions applicable to the FHA Application for 4. Include no alternates, "or equal" phrases, or contradictory items. (Con - Mortgage Insurance or VA Request for Determination of Reasonable Value, sideration of a request for acceptance of substitute materials or equipment as the case may be. is not thereby precluded.) 2. Describe all materials and equipment to be used, whether or not shown on the drawings, by marking an X in each appropriate check -box and entering S. Include signatures required of the end of this form. the information called for in each space. If space is inadequate, enter "See 6. The conttruction shall be completed in compliance with the related mist." and describe under item 27 or on an attached sheet. drawings and specifications, as amended during processing. The specifications 3. Work not specifically described or shown will not be considered unless include this Description of Materials and the applicable Minimum Construction req uired, when the minimum acceptable will be assumed. Work exee44ipg Requirements. 1. EXCAVATION: Bearingsoil, type -------------------------------- ---- -I - --- -- -------- ----- - - - - -- - - - -- -- - - -- - - -- - -- - -- - -- -- - -- - - - - -- - - -- - - - i --------------------------------------------------------------------------- - - - - -- --------------------------------------------------------------------------------------------------- 2. FOUNDATIONS: 2- n 1 �,� j � CCti, Footings: Concrete mix - - - - - -- --UVRIU..R -- ------ ---------------- - -- - -- Reinforcing ------------------------------------------------------------------: - - - - - -- Foundation Material ----------------------------------------------------- Reinforcing ------------------------------------ --------- ---------------- - - - - -: - - - - - -- Interior foundation wall: Material ------------------------------------------ Party foundation wall ------------------------------------------------------------ Columns: Material and size --------------------------------------------------- Piers: Material and reinforcing ----------------------------------------------- Girders: Material and sizes ------------------------------- -- ------------ - - - - -- Sills: Material ---------------------------------------------------------------------- Basement entrance areaway --------------------------------------------------- Window areaways ----------------------------------------------------------------- Waterproofing - - - - -- n- - - - -- - -- -- - - Footing drains ---------------------------------------------------------------- - - - - -- Termiteprotection -------------------------------------------- -------------------------------------------------------------------------------------------------------------- Basementless space: Ground cover ------------------------- Insulation _______________________________ Foundation vents ______________________________ Special foundations -------------------------------------------------------------------------------------------------------------------------------------------------------- -------------------------------------------------------------- -------------------- --- - -- --------------------------------------------------------------------------------------------- _______________________________________________________________________Y_______________._-_______________________________________________ 3. CHIMNEYS: `,'�.-`"rAL AMOM Material ------------------------------------------------------ Prefabricated (make and size) .---------------------------------------------------------------------- Flue lining: Material ------------------------------- - - - - -- Heater flue size --------------------------- - - - - -- Fireplace flue size ------------------------------ Vents (material and size) : Gas or oil heater ________________________________ _________________________ _ _ _ _ __ Water heater ------------------------------------ -------------------------------------------------------------- ------ -------------- - - - - -- --------------------------------------------------------------------------------------------- 4. FIREPLACES: Type: ❑ Solid fuel; ❑ gas- burning; ❑ circulator (make and size) __ _______________________________ Ash dump and clean -out ________________________ Fireplace: Facing ---- ------------------ - - - - -- lining -------- -- ---- ----- ------ - - -- -; hearth ---- --- ---------------- ---- - - - - -; mantel -------------------------------- ------------------------------------------------------------ ---------------------- - - - - -- --------------------------------------------------------------------------------------------- 5. EXTERIOR WALLS: Wood frame: Grade and species ______________ _______________________________ ❑ Corner bracing. Building paper or felt -------------------------------- Sheathing -------------------------- .; thickness ------------ ; width ------------ ❑ solid; ❑ spaced ----------- 11 o. c.; ❑ diagonal; ---------------- Siding - ---- ---- ----------------- - - - - -- grade ------------ - - - - -; type --------- - - - - -; size ---------- - - - - - ; exposure ----- - - - = -; fastening --------------- - - ---- Shingles ------------------------ - - - - -; grade --- -------- - - - - - ; type - ------- - - - - -; size - -- ;exposure ------ - - -` -; fastening ---- --------- -- - - -- -- Stucco - - -- - -- - - - - -- -- thickness -- - -==- - --r.. Lath ----------------------------------------------- ----- ------- - - - - -; weight --------------- lb. Masonryveneer --------------- - - - - -- Sills --------------------------------------- Lintels --------------------- -------------- Mason, Facing • Y g -- - •���1 -- --- - - - - - backup ------ - - DRjL_K- - - - --- thickness ------------ BondixW ffii�E� E►f��+�9'Llft Doorsills -------------------- - - - - -- Window sills ------------------ --- ------------ ---- ---- - - - - -- Lintels -------------- - - -- -- --------------------------------- Interior surfaces: Dam ____ • furring plBg> l;':�- �i�jco -, � -- -- --- - - - - -- , g ----------------------- --------------------- Z-- - - ---• Exterior aintin Material _____________________ ________ _____� �T�� _____________________________; number of coats p g : •ai at r riiFril�rs t..'t - -- - - Gable wall construction: ❑ Same as main walls; ❑ other _______________ ------------------------------------------------------------------------------------------ ---------------------------------------------------------------------------------- - - - - -- --------------------------------------------------------------------------------------------- 4 6. FLOOR FRAMING: -- Joists: Wood, grade and speciesX-___ _____________ --------- ;other ----------------------------- ; bridging ___ _ --------- anchors ----------- Concrete slab: 063e6 t floor; ❑ first floor; ❑ ground supported; ❑ self- supporting; mix --------- thiFkll reinforcing ---------------------- Sa;; :Vx ----------- f irtsulation ---------- -------------- - - - - -- _ i membrane ----------------------------------- --- - - - --- 11 Fill under slab: Material ---------------------------- --------- ---------- - - - - -- thickness ------ - - - - -- • ---------------------------------- --------------------- - ------------------------ ----------------------------------------------------------- - - - - -- - - - - - -- - - - -- - - - - -- --- - - - / -r ° -- - - - -- ------- - - - - -- - - -- 7. SUBFLOORING: (Describe underflooring for special ,floors under item 21.) (� f Material: Grade and species -- - -- -- - - - - - - - - - - - ; size - a' - - - -; type. -- - �r - - - - - -- - -- - -- Laid: E] First floor; El second floor; ❑ attic __________________ sq. ft,; ❑ diagonal; El right angles: ------ _ �- - -------------------- -- ---------- V •- � $ , r ,. , . - , ----------------------------- -- - in \��°f,� - - - - -- - - - -- -- - 8. FINISH FLOORING: (W oo d only. Describe other finish flooring under item 21.) J LOCATION Rooms Qr.4DE SPECIES TiiicKNEss WIDTH BLDG. PAPER J� NISH — _—' -_ s _ v . First floor- - - - - -- ------------------------ - - - - -- - \ Second floor - - - -- ------------------------ - - - - -- ---------------------- - - - - -- ------ - - - - -- Atticfloor- - - - - -- --------------------- sq. ft. ---------------------- - - - - -- -- - - - - -- VA Form V1114 -1852 ] 09 -16- 63168 -5 DESCRIPTION OF MATERIALS FHA Form 2005 21. SPECIAL FLOORS AND WAINS,60 f. LOCATION MATERIAL, COLOR, BORDER, SIZES. GAGE, ETC. g THRESHOLD BASE UNDERFLOOR r l Kitchen - - -- •--- -MAUI _ Tom----- ----------- - - - - -- ---------- - - - - -- ---------------- - - - - -- - - - -- - ---- - - - - -- s -- - nrwG------ - -- �c l�-------- - - - - -- ------ - - - - -- - -- --------------------------------------- - - - - -- -+ - - -- -G .I - - - - -- - -- - - - ------- - - - - -- - - -- --- - -_"__ T__T_1U---------------- - ----------------- ---------- ------ - ----- --- - - - - -- - ---- - - - - -- - -- =�''� 1 % - - LOCATION C9 �----------- MATERIAL, COLOR, BORDER, CAF, SIZES, GAGE, ETC. HEIGHT Fp HEIGHT AT TUB HEIGHT AT SHOWER C Bath-- - - - - -- Cc "#I;f ��T. i----------------------------- ------- --------------------------- 41—!w!-------- - 6 �� Jr _ �- wp -- IA tATEI? _PI.A. TIC _.FIT_ �_ - -- -6-1 "-- - - - - -- --------------------- - -- -- - -- -------------------------- - - - - -- -- --------------------- - ---------------------- - - - - -- ------------------ - - - - -- ---------------- -------- - - - - -- - - --- - - - - -- Bathroom accessories] Recessed; materialGH______ - - - IL ___________; number b___; ❑ attached; material ________– ____– _______; number ------ ----------- 22. PLUMBING: ----------------------------------------------------------------------------------------------------------- ----------------------------- -------------------------------- FIXTURE NUMBER LOCATION MAKE M FGR's FIXTURE IDENTIFICATION NO. SIZE COLOR Sink __------- ------- -- - - - - -- ........ K_ --------- G' r�3 :_.' � 5' 14 �"3- - -� -27. - - -- -- - � ' } - - 2Z --X 3- - - - - -- - - -4 ---- - - - - -- Lavato -------------------------- ------- ----- - - - - -- G'F:+�3Tt: - - -- - -- - - - - -- - -- - iJ:CJT>fAI_ Water clo set----------- ----- - - - - -- ---- - - - - 1•�lt- -------------- - - - - -- --- 1$-- JL- a.1------- --- I4----- - - - - -- �- P - -:-------------------- - - - - - - - =- - ------- - - - - -- ------------------ - - - - -- ---------------- Bathtub - - -- - - - - -- - - - -- --- - - - - -- --- - - - - -B �r y ITbl3ICIGi - --------------------- ---------------- Shower over tub * - - - -- ---- - - - - -- ------------- - - ---- --- - - - - -- ------------------------ �------------- - - - - -- ------------------ - - - - -- --------------- - Stall shower" ------------------- ------------ ------------------------------------------- --------------------------------------- - - - - -- ------------------ - - - - -- --------------- - Laundry trays------------- - - - - -- - – - - -- --- - - - - -- -------------- - - - - -- ------------------------------ - - - - -- -- -------------- * Curtain rod * *❑ Door ❑Curtain rod Water supply: �j Public; ❑ community system; [}.individual (private) system.* Sewage disp osal: ❑ Public; [I community system;%, ] individual (private) system. * i t SF:P"1IC �' ii�K *Show and describe individual system in complete detail in separate drawings and s IgacZLt�lon3� �g t�uirements. House drain (inside) .1:1 Cast iron; ❑ tile; ❑ other ______ __________ House sewer (outside) : ❑ Cast ironer tile El other --------------- - -- Water piping: [x Galvanized steel; ❑ copper tubing; ❑ other --------------------------------------------------------- Sill cocks, number ____________ Domestic water heater: Type&= _ ' ------------------- ; make and model =- Q_______________ - ------------ - - - - -- ---- - - - - -- recovery ----------- ---------- gph. 10d° rise. Storage tank: Material ----------------------- - - - --' ___- ---- - - - - - -- ---------- , capacity _52 ---------- gallons. Gas service: ❑Utility company; ❑ liq. pet. gas; [I other ___________ _____________________________ __ Gas piping: ❑ Cooking; ❑ house heating. Footing drains connected to: ❑ Storm sewer; ❑ sanitary sewer; ❑ dry well. Sump pump --------------------------------------------------------- ---------------------------------------------------------------------------------------------- - - - - -- - --------------------------------------------------------------------------- "" 23. HEATING: ❑ Hot water. ❑ Steam. ❑ Vapor. ❑ One -pipe system. ❑ Two -pipe system. ❑ Radiators. ❑ Convectors. ❑ Baseboard radiation. Make and model ------------------------------------------ - - - - -- -- Radiant panel: ❑ Floor; ❑ wall; ❑ ceiling. Panel coil: Material ❑ Circulator. ❑ Return pump. Make and model _________________________________________ _______ ______ ______ ___ _ _ _ _ _; capacity --------------- gpm. Boiler: Make and model -------- Output -------- - '--------- Btuh.; net rating ------------------ Btuh. ---------------------------------------------------------------------------------------------------------------------------------------------------- Warm air: ❑ Gravity. ❑ Forced. Type of system _ - - -- - - - - -- - - -- - -- - -- - - - -- - ------- - - - - -- - - - - - - - - -- - - - - - -- - ----------------------------- Duct material: Supply ___________ _________ __ return -------------------- Insulation ---------------- thickness --------- ❑ Outside air intake. Furnace: Make and model ------------------------------------------- •----- - - - - -- Input --------------- - - - - -- Btuh.; output --------------- - - - - -- Btuh. ------------------------------------------------------------- --------- -- ---- --------- - - - -- - - - - -- --------------------------------------------------------------- ❑ Space heater; [I floor furnace; [] wall heater. Input _____________________ Btuh.• , output --------------------- Btuh.; number units __________ Make, model ��}-------------------------------- - - - - -- ------------------------------------------------------------- -------------------17A-- 8o- - a� P►I�F£ -2 -I -------------------------------------------------- -------------------------------- Controls: Make and types -------------------------------------------------------------------- ------------------------------------------------------------------------------------------------- - - - - -- --------------------------------------------------- Fuel: [I Coals] oil; ❑ gas; ❑ liq. pet. gas; ❑ electric; ❑ other_______ ______________________________; storage capacity ------------------------------ ---------------------------------------------•---------------------------------------------- - --------------------------------------------- Firing equipment furnished separately: ❑ Gas burner, conversion type. Stoker: ❑ Hopper feed; ❑ bin feed. Oil burner: ❑ Pressure atomizing; ❑ vaporizing - - -- -- -- - -- ------ - - - - -- - - -- - -- - -- - -- -- - - - - - - - - - -- - - -- ------ - - - - -- - - - - - -- Makeand model ------------------------------------------------------------------ - - - - -- Control - -- -- - -- ----- - - - - -- --------- - - - - -- ---------------- ------------------------------------------------------•---------------------- Electric heating system: Type _______________ ___________ ____________________ Input ____________ watts; @ ------------ volts • ou tp u t ---------------- Btuh. ------------------------------------------------------------------------------------------------------ - - - - -- -------------------------------------- Ventilating equipment: Attic fan, make and model ' 4 _F ____________________ ____ ________ __ _________ __ _____; capacity --------------------- cfm. Kitchen exhaust fan, make and model ------- Other heating, ventilating, or cooling equipment ------------------------------------------------------------- �- {�------------------- - - - - -- ------------ ----------- 24. ELECTRIC WIRING: s. -------------------- - - - - -- - -- -------------------- - - - - -- - - - - -- - -- - -- -- - - - - - -- -- --- - - - - -- - - ------ - - - - -- 6,1`� ---- - - - --- - - ----- - - -- Service: 91 Overhead; ❑underground. Panel: ❑Fuse box; )[I circuit- breaker _ ' cui Wiring: ❑ Conduit; ❑ armored cable;$] nonmetallic cable; ❑ knob and tube; ❑ other ___________ ___ It _�►___ �F`C Special outlets$❑ Range3C❑ water heater; ❑ other ________ VIT ; DIN SCI Doorbell. El Chimes. Push- button locations - - - - -- – �y--- _-------- ---- - - - - -- -- - -- -- - - -- - -- - - -- - - - - -- �- -s---- 5('r-------------- r 25. LIGHTING FIXTURES: - - - --------------------------- I D Total number of fixtures __________________ Total allowance for fixtures, typical installation, Nontypical installation _-------------- - - - - -- - -- - - - - - -- - - -- - -- - - - Lam__ ----------------------------------- ---- - - - - -- --------------------------------- oo--Ie- sales -a 3 DESCRIPTION OF MATERIALS DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFOR11ATION -------- LIJL� SE, Per Nu7mbe 41 LCJL,A,.iujj Iffl-ORMATIUN rP r: AT LANTIC T t'e t 4836 Ty -8 s: 331 SECOND STREET Pe mit Type: BUILD 0 W k. REMO ATLANTIC BEACH, FLORIDA 32233 ClasO of Work: DEL --------- LEGAL DESCRIPTION conotr. Type: WOOD FRAME ot: Block : Sectio Pxp 'oosed Use: SINGLE FAMILY Township: RNG: n: 0 Dwellings: I Code: 0 vision: Estimated Value: $8823.00 Improv. Cost: $0.00 Total Fees:, $222.50 Amount Paid: $222.50 92 ROOM "D CA H & GARAGE; OWNER INFORMATION —TTPERM- APPLICATION FEES ---- 'OERXIS ROSA - PERMIT 582.5E AddreOss: SR QND STREET WATER IMPACT FEE $140. O�. C CH, FLOP AT -ul)(TIC, 81KA SEW,,ER IMPACT FEE $0. 00 Ph4fne 0 �904 016 WAFER j&E -- - - - - OtR RADON GAS-H.R.S. $U. UL) ACTOP RADON GAS - 5% $0.00 Ni BUCK BUILDERS, INC. ;me: , -P WATER TAP $0.00 Addx a 0 Iox 8056 SEWER TAP JACKS,0$,V_ILLE, FL 3223f--, HYDRAULIC SHARE Licen! Type, $0. Oc RE FEE $0.00 SEC.H IMPACT FEE $0. 00 OTHER 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." --ATE: 011211 2 ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SURMC-T TO REVOI VIOLATION OF APPLICABLE PROVISIONS OF LAW. MON FOR ATLANTIC BEACH BUILDING DEPARTMENT By: r ' JA 1 o '1992 , CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner (a) : _� $ _ -- Lot�y Address: _ � - -- lt?°vd �'� - - - -- PhoneW 0 ` -- _E___ Block or Unit #t__�/._L__ - -_ l7__ Subdivision: Contractor _emu c� _ n� - 2rae Describe work to be done: _ __ - "'---------- - - - - -- � l?'�__{O -yeo ------ - - - - -- ------ -------------------------- Present use of building :_PS'l,t,�e Valuation: -------------------------------- Proposed use:__ �� r -- - - - - -- -------------------------------- Is this an addition? No If yes, what are the dimensions of the added space: ......... ft. R ft. Will the added area be heated and cooled? -1 4( S __ New electrical (or increase)? xe: . New plumbing fixtures ?yea New fireplace ? /U0_New Heat /AC ?__Ci___ 7 - SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER /CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER:_ .?�iv_�%• �_ _ ___________ Date: Signature CONTRACTOR: _ _ Dater /a f /Lw. taa7 LAWS rf 71 3.1 D RAMCO r0111a a" ft • I ea luturn ic ienwitt �GU Eaho it tttq ttJCttCPCIt: The undersigned hereby informs all concerned that improvements will be made to certain r eal property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.' Description of prop ..... „o „ . .. ... ... . ........... 1.......2-3z . ......... , P�:� s... ............ ,.. .................».._...... _._.._.. __...._ ..............................».........»................ ».............................. . ...........................................».»... .................. ».........._ General do=i S )LCJD ption o f improvement :....� /�:v .� fqq�..� Uo • �� » ». . »..................... »....»..» ....... _ _ »..�_. _ ...._ �•>v�/�'.1.5 .............� ...........................................................................................................»......_... ...». »............._..._....... Owner... ..... �.......1 �� s: ................................................................. ............................... _.» ....._.......... ... ._..._...... Address .. .... . ..,°'/............ 3�' s %c�'U............ »->........../7/, /i/ c°:... Owner's interest in site of the i m p rovom@ nt Fee Simple Title holder (if other than owner) Name........... e... .............................. . .... ............. _........... Address .....................:..................................................................................................................................... ......... ....... _.... ......... » ....».. ...... _._..... . Contractor .................... ............................. » . Addreu ...............................................................................»............................................... ................. »............. » ..........» .»..»__ .. _.... »_ _:_ Surety (if any) ..... ............................... Address .................................................................................................... ............................... » .............. Amount of bonds.. »_......._...._....._ Name of person within the State of Florida deshp atod by owner upon whom notices or other documents ma be served /�;? Y Name .......<i.1 .............. .. ...... ..... »... Address... �a. �. 1. �.......(.. u:.:.. � .�... �.... 1. �4::..... ��....`..:. �/��US .......»..... ».......». » � ». 330 ............ � ..... 6 ... .........................�...-° .... .:..� ..._...» In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name 5 C.....5..= �', I/ P ................................................................................. ........ ».. »..__......_.......» ...» ............. Addres s ....:...................................... ............................... . TH15 ePAC[ FOR Ptacolloga - e Uat ONLY ........................... .......; .... ». ..... ». ».. »................ ._. ..... Sworn to and subscribed before ...................da J . v :x.....................19.. R. Naary..Public ............. »........... _..._...... Address — 3 -3 ( _ �0 T(o� ' Heated Square Footage p Shed @ $L ©a per sq ft = $ `�`, • G6 b. Do rpor /Porch -- O S @ $ - (0 0 r sq ft = Deck @ $ 13.00 er sq ft = Patio /._3 - D o q ft ers =$ @$ p ersgft =$ TOTAL VALUATION: Tot a a uatlon 15t -1/61) Rsnainr Valuation de Per usan or $ 4 10 . o _ portion thereof ADDITIONAL, PERMITS and /or FEES REQUIRED - -- Total Building Fee $ + -k Filing Fee $ J Mechanical Fireplaces @ 15.00 $ Plurbing ; BUILDINr. PERMIT FEE $ _ f S y Electric /Nei Electric /Temp ------------------------------- Septic Tank BUILDING PERAIT $` :l S Well �— _ WATER HE ER CHARGE $ _- O S,ikmdng Pool SEWER IMPACT FEE $ U� Sign r WATER IMPACT FEE $ Water Connection MISCELLANE7OUS $ Sewer Connection /U U Q 6,D o $ �-- Water Meter $ Elevation Certificate GRAND, TOTAL DUE $ ? a --------------------------------------------------------------- - - - - -- CALCULATIONS and /or NOTES CITY OF ATLANTIC BEACH Fixture Unit Worksheet for Water Impact Fee 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 TWENTY DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. BATHROOM GROUP CONSISTING OF WATER CLOSET, LAVATORY & BATH ---- -- SERVICE SINK TRAP STAND TUB OR SHOWER STALL (6), (8) WATER CLOSET, TANK OPERATED 4 — WATER CLOSET ( ) VALVE OPERATED (8) BATHTUB /SHOWER (2) URINAL WALL LIP (4) SHOWER GROUP PER HEAD (3) FLOOR DRAIN (1) SHOWER STALL DOMESTIC (2) LAUNDRY TRAY (2) _LAVATORY (1) COMBINATION SINK AND TRAY (3) WASHING MACHINE (3) POT, SCULLERY SINK (4) DISHWASHER (2) WASH SINK EACH SET OF KITCHEN SINK (2) FAUCETS (2) DENTAL LAVATORY (1) KITCHEN SINK WITH WASTE DENTAL UNIT OR CUSPIDOR (1) GRINDER (3) BIDET (3) URINAL STALL, WASHOUT (4) FLUSHING RIM SINK (8) COMBINATION SINK AND TRAY WITH FOOD DISPOS. (4) URINAL, PEDESTAL, SYPHON JET DRINKING FOUNTAIN (112) BLOWOUT (2) LAVATORY, BARBER /BEAUTY ICE MAKER (1/2) SHOP (2) _SURGEONS SINK (3) LAVATORY, SURGEONS (2) JACUZZI (2) URINAL STALL, WASHOUT (4) TOTAL FIXTURE UNITS_ @ $20.00 EACH $ JOB INFORMATION 3 3 PTO [ ! p,. MAP SE )WING BOUNDARY „.4'URYEY OF LOT 8 BZ OLK 4, E,l'G'EP 7 7A/- SOU7N /O FEET TNE�f EOF, A 744,U7/G S-z C,-/, AS,PEC0401 - D IAI PLAT BOOK S, PARE 4 9 OF 7W-c eZ1ACe - A17 - PC19e-1C RECORDS OF DUV ,4Z e0e1A17Y, 4- LOR1,0A. CER77FIF_ FOR: DE.yAtJIS M. ROSA , SEAN-5' MORT. CORP. �T /EO T /TLE /N Co. SCO,OO 1 r J 'CNA /AJ I x f- ' fewe E JNfD x O Q � A/G 0 Q s.a' ze.s' c til 0 °• ° 0 S Me Y' FRAME, '' Srcl eeo, N �.a 28.7 CAR 331 SO!/TN /o' Exe-x o71ox/ /3°' 7 -3E'COND STk'EET NOT VALID UNLESS EMBOSSED WITT-1 SEAL OF THE UNDERSIGNED. Z4 1,(/TER /OR 4itlXI-A ARE 90 ° 00'oo 1 HEREBY CERTIFY THAT 774E Z 0 - 7 ' SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE A AS SHOWN ON FLOOD INSURANCE RATE MAP 0001 FOR Ar«,vrie FLORIDA, DATED W- /7- 8 9 TRl - ,S`TATE LAND ,BUR v�'YORS, INC 8411 BAYMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 (904) 731 -7235 LEGEND I HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY CONC MOO RESPONSIBILE SUPERVISION AND DIRECTION, 771AT THERE ARE NO m ""' ` ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN (SIE-7 Mf7N CAP / LS 144) HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FOR771 BY FENCE THE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECT70N o morn COR (ft7UND) 472.027, FLORIDA STATUTES ® CROSS CUT B.R.L. BALDING RESTRICTION LINE e f-W7 EASEAAENT LARRY G. EDDY, P.L.S. No. 4144 RI 1 W RICH T -CI- -WAY COY COVERED AREA SCALE. f CENTERLINE A/C Am COND1710t#NG FAD e j; GIS URVEYOR/ ATE OF FLORIDA (R) RADIAL DISTANCE DA TE 7-13-9 C_] CONCRETE MAP SI L -)WING BOUNDARY 'URVEY 0 LOT 8 BGOeA' 4, EXCEPT T/✓E SOUTf/ /O FEET T,yE,QEOF F A S ,PEt O,epE /,lJ PLAT BOO C S �'4 R E 9 OF T.�/E GU.Q,PE.t/ T PU.BC /G /C B E,q e,41, r ,QEfOROS OF DuVf1 [ eoutJTY, F[ o,PIpA , CER TIFIED FOR: DE,U,v i S A4. ROSA SEA,Q s r MO,PT. CORP. T /['OR TITLE /WS. CO. 9 7 5 k 3 'CN.4 /AJ Ale C/.vK FENIE k _ G' luoop FEA/C E o. 5 • JNfO X z. ze. S 0 STcleeo, N - C111,t/, d � CE s.a Z�.7• o /o. S•Q' Pox T 331 SOVTN lo' EXe fPT /ON 50.00 ' �J r° � CORAJER _� . -34CeO /D so •Riw S T T NOT VALID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. 4 Z 1N76R 10R A,t)XZES fl RE' 90 ° 00' 00 I HEREBY CERTIFY THAT THE Lo T SHOWN HEREON IS IN THE SPECIAL FLOOD HAZARD ZONE x AS SH014N ON FLOOD INSURANCE RATE MAP 0001 FOR 4 re qA1 rie FLORIDA, DA TED 4-17-82 TRI -STATE LAND SURVEYORS, INC. 8411 BA YMEADOWS WAY SUITE #2, JACKSONVILLE, FLORIDA 32256 ( 904) 7,31 LEGEND • I HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY • ) R0N O R R SUPERVISION AND DIRECTION, 7HAT� THERE ARE NO (SET WI GAP ENCROACHMENTS EXCEPT AS SHOWN-AND THAT THE SURVEY SHOWN F wr Ls +r++) HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FOR714 BY 0 O � THE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SEC7ION IRON C (FOUND) 472.027, FLORIDA STATUTES ® CROSS p/T 8-R.I. &ALDING RCSTRIC71CN LINE C-WT EASE4CNT LARRY G. EDDY, P.L.S. No. 4144 1 RIM' RIGHT- CIS -WAY COY. COVERED AREA SCALE. f CEN M"f A/C AN CON0177OMNG PAD GISTk" - URVLcYOR/ ATE OF FLORIDA (R) RADIAL DISTANCE DA TE, 7- L CONCRETE MAP SL -)WING BOUNDARY "URVEY OF LOT B L BLOCK 4, S reSP7' T,4 .SOC/Tiy /O FEET A S Tf/E.eEOF A 7 - Z,4,07 - le ,c ECOR / ,U PL A 7 BOO,r S, PA X E G 9 OF TiS/E GU,Q,PE',t/ T PUBC /G R ,-,-0,e,0 S OF DUI/AC GoU,uTY, FLO,e /pA, CER RFIED FOR: D,-W U M. ROS,4 SEA,Q S "neT. eo,e P. T /EO,e T /TL E 1AI r. Co 9 7 5 So. 00 o.7' k 9 'CNA /A/ L /A/A' FEA/GE k L' W OOD FEAle E 0.5 • JNCO x s.e 0 zs.s• \ S M W sTdc'Co, N ° se a 28.7' \ CAR- /OR T 331 SOU7N /O' EXCEPT /O.v SO. OO /10' T° I CORA/EK -' �ECDit/D So',�iw .ST�PEET NOT VA LID UNLESS EMBOSSED WITH SEAL OF THE UNDERSIGNED. LL /N TER /O,e A.tI,-.GES i4RE' 90 ° 00' 00" I HEREBY CERTIFY THAT THE -507- SHOWN HEREON 1S IN THE SPECIAL FL D00 HAZARD ZONE Y AS SHO ON FLOOD INSURANCE RATS" MAP 0001 FOR A >CAt/ >/� BEAC//, FLORIDA, DATED 4-17-8 TRI -ST.A E LAND SURVEYORS, INC. 8411 BA MEADOWS WAY SUITE ,#2, JACKSONVILLE, FLORIDA 32256 (9014) 731 -7235 LEGEND I HEREBY CERTIFY THAT THE ABOVE LANDS WERE SURVEYED UNDER MY WON OR RESPONSIBILE SUPERVISION AND DIRECTION, 77YAT THERE ARE NO (Sff W nH cAP ENCROACHMENTS EXCEPT AS SHOWN AND THAT THE SURVEY SHOWN (s ET Ls 4144) N CM (FOUND) HEREON MEETS THE MINIMUM TECHNICAL STANDARDS SET FOR774 BY NON GlIT THE FLORIDA BOARD OF LAND SURVEYORS PURSUANT TO SECTION ® R0 O . 472.027, FLORIDA STATUTES B.R.L WING RESTR)CRON UNE VW7 EASGWIWT R/b RTCN T - OF WAY LARRY G. EDDY, P.L.S. No. 4144 I CO V. COVMED AREA SCALE: f CtN TER(./NE A/C AIR CON PAD GISTF URV£YOR/ ATE OF FLORIDA (R) RADIAL DIS rANCE DA TE 7- LgNCR[TE ���� ���� PF' DEPARTMENT OF BUILDING RMTT TNPORMATT! CITY OF ATLANTIC BEACH LOCATION INFORMATION - Class of Work: REMODEL J'A Lot: Block: Section: �roposed Use: SINGLE FAMILY F Township: RNG: 0 Dwellings: I Code: 0 Subdivision: Estimated Value: $0.00 Improv. Cost: $0.00 Total Fees: $25.50 Amount Paid: $25.50 Date Paid: 1/23/92 iuring remodeling zA STREET WATER IMPACT FEE $6. AlLANT1C BEACH, FLORj SEWER IMPACT FEE WATER METER $0.00 P-0. BOX 328 WATER TAP $0.00 SEWER TAP $0.00 PORTE VEDRA BEACH HYDRAULIC SHARE $0.00 I RF0037899 RE FEE $0.00 SEC.H IMPACT FEE $0.00 OTHER 1000 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. : I ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT rBy: PSR -3844 7558 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH PERMIT INFORMATION - - --� -- - - - -- LOCATION INFORMATION Permi �t?mL =r: ?55r3 _____ 1' r +, .t 3.31 SECOND STREET TyPr RE -RnnF ATLANTIC PEACH, FLORIDA 32233 ' lass �?f stork . !VEW �, -- - - - - -- LEGAL DESCRIPTION ..cans t Type: WOOD FRAME ___- - - - - -- Prb ee U S NIG r a Blocky Section 4 s I LE D"AM L' Township* RN, Sr i , 1 + �� 'A-;division; ATLANTIC BEACH W] ? n T Mp`r o V . Cott: n ,- APPLICATION FEES - - - -- _ PERMIT $22.50 N WATE STREET R, -- :,IMPACT `FE F FLORTrr SEW]*' IM , B F. WATER 'ME tM1 RADQN GAS -H < R < S ,. so . Or! CO "# R I�'ORMAT I ON - - ... RADON GAS -- 5 CAPITAL IMPROVE. �Sns0�' SEWER TAP �5 D HYDRAULIC s � v. � SHARE Y? CRr�Sc CONNECTION SEC ,H IMPACT FEE' D Dr, CON. "Git 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." ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT Appr ~ator: CRYRTRI. Bate 11/17/93 00 Receipt: 0010470 g Total Payment CITY OF ALANTIC BEACH ROOFING PERMIT APPLICATION Owner(s): l Address: Phone: Lot #,__, Block or Unit ll Subdivision: Contractor: Address • City, State and Zip Phone G State License # Describe work to be performed• 4/-'4/ 1J ' Valuation of Proposed Construction: U. Materials to be used: Signature of Owner; Signature of Contractor: Liability Insurance Supplied Workers Compensation Insurance Supplied License Information 4868 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH P L k lk'11CT I N FLO R M AT1 U N Permit Number: 4868 ------- LOCATION It Per Type; ELECTRICAL �ddress: 331 SECOND STREET Class of Work: ADDITION ATLANTIC BEACH, FLORIDA 32233 LEGAL DESCRIPTION ---------- Constr. Type: WOOD FRAME ot: Block: Secti on: Proposed Use: SINGLE FAMILY Township: RNG 0 Dwellings: I Code: 0 Subdivision: 'estimated Value: $0.00 Improv. Cost: $0.00 Total Fees: $23.10 Amount $23.10 OLITI.,ETS, RECEPTACLES AND -HES IN ADDITION .,0W1Ak.*'1_ T ION APPLICATION FEES Nmicez 4 PERMIT $23. C STREET WATER IMPACT FEE $0. Oci TL AJj1TIC­ftXACH, FLORTI It "I SEWS IMPACT FEE" . . e At W RADON GAS - H. R. S. to. 14FOR M A T I Uii, RADON GAS -- 5% $0. OCR 1 � * P ' AWO I ORD 9� ECT. WATER TAP $0.00 SEWER TAP $0.00 HYDRAULIC SHARE $0.00 Type- L, RE FEE $0.00 SEC.H IMPACT FEE $0.00 OTHER 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 ST BE "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENT, 5 9 , 6b VALIDATION DATE: U! 5 192L ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJES& tOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. CHAIEE ATLANTIC BEACH BUILDING DEPARTMENT CITY OF ATLANTIC BEACH, FLORIDA APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE : ____ - / iy ` lam IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICA WHICH ARE A PART HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODE WE ATLANTIC BEACH ORDINANCES. ) Ify S AND CITY OF G2 ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE r /�iJ7v�i NAME % 2 oS, - ADDRESS:' / < BLDG. SIZE — RFD — _BOX_ BETWEEN: RES. ( 1 APT. ( ► comm. 11 ) PUBLIC ( 1 INDUS.( ) NEW( ) OLD (I) REW. ( ) ADDITION ( ) TRAILER( ► TEMP.( ) SIGNS( ) SO. FT. SERVICE: NEW( ► INCREASE( ) REPAIR CONDUCTOR SIZE FEE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RA EWAY EXIST. SERV. SIZE AMPS PH J' W 2 VOLT RACEWAY FEEDERS NO. SIZE Np, SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED 0.30 LAMPS. --- OPEN TOTAL SWITCHES 31.100 AMPS. - INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS, OVER APPLIANCES AIR -BELL TRANSF. H.P. RATING H.P. RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT 0 -1 MOTORS H.P. VOLTAGE pHS OVER NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE SWITCH FLASHER EACH SIGN FORWARDED TOTAIFEES � r-- CITY OF ATLANTIC BEACH, FLORIDA y� Approved by APPLICATION FOR ELECTRICAL PERMIT / / v d TO THE CHIEF ELECTRICAL INSPECTOR: DATE: f) f}A 20 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. EL FIRM: j� /.,. �,•.. MASTER ELECTRICIAN SIGNATURE , NAME 121-4 i s / q — ADDRESS: � � =/C RFD BOX BLDG. SIZE BETWEEN: RES. 1 1 APT.( 1 comm.( ) PUBLIC ( 1 INDUS. ( ) NEW( ! OLD( ) * REW. ( 1 ADDITION TRAILER ( 1 TEMP. ( ) SIGNS( ) SQ. FT. SERVICE: NEW( ) INCREASE( 1 REPAIR ( 1 F CONDUCTOR SIZE AMPS COPPER f I ALUM. SmTCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. S ERV. SI ZE AMPS / PH 3 W -,' VOLT Sl' r-� RACEWAY FEEDERS NO. SIZE I ND. SIZE NO. SIZE LIGHTING OUTLETS 21 CONCEALED 06�- OPEN TOTAL 2 RECEPTACLES J CONCEALED OPEN TOTAL 0.30 AMPS. J1.100 AMPB. SWITCHES IS INCANDESCENT FLUORESCENT & M. V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR N.P. RATING H.P- RATING CONDITIONING COMP. MOTOR OTHER MOTORS AMPS , CEIL HEAT: KWHEAT OVER MOTORS H.P. I VOLTAGE PHS NO. I H.P. VOLTAGE PHS r MISCELLANEOUS TRANSFORMERS: UNDER 600 V. OVER 600 V. NO. KVA NO. 1KVA NO. NEON TRANSF. NO. VA. MA. MOTOR SIZE _ ... n EACH SIGN FORWARDED $ . TOTAL FEES l f � I .......... FOR OFFICE USE ONLY Date - - - -4 4 ­ 7 ----- Y7 19b —7 Permit --Fee 0 TOWN OF ATLANTIC BEACH '16d-4 ------ Valuation $ - ----- -------- ------- FLORIDA House ---- Cr APPLICATION FOR BUILDING PERMIT M - ------- -- ----- d --- C, ---------------------------------------------------------------------- -------------------- ------------------------------------------------------- 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 Town of Atlantic Beach, Florida, and all provisions of the Laws of -the State of Florida, all ordinances of the Town of Atlantic Beach and all rules and regulations of the 'Building Department of the Town 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 Town 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. . 19� Date— Owner ;� ---- ----- .. .... .......... ---------- ------- - - ------ Address___. - 40�/­ ------------- ------- ---- Telephone No.--------------------------- Architect_._.. Architect...- -------------------------------------------- ­­ --- Address ------------------------------------- ------ --- -- -- ---- ---Telephone No .......... Contractor Builder­- LotNa . - - ----- ­------------- ------------------------------- ----- ..Address--.-.. ........ ­ ------------ ----- ----- --------- --- --- T elephone No .------------------------ -2 -- '444 ----------------------- - -- -Block No ----------- - q ------------ ­Sub Division - - ---------------------------------- ----- ­­ ---- ---------------- ------ Zone -------- - - - -- ---- - - - - -- --------------------- ---------- -Street ------ W --------- . B ------------- XAVY­ --------- and ----- ­­­ATA1�r!V -----------------! rV AAQ ------ Type of construction - -_ - 4eA? Valuation $.__ -. 4 --- ---- jForwhat purpose will building be used- _.. � Dimensions of Building ----- - T-7 of Lot __._.__ ___ - -,. - -------- ----- Size of Footings. ------ d ----------- Size of Piers ------------ !------------------- --- gize of kills --------- ---------------- GTeatest Sill Span in ft .--- - - - --- ----------------- Type Roof ----- ­­ ---- -- ---- ---- How will Building be Heated?-. V% 4 -- ..... 4 . r -Will Building be on Solid or Filled Ground? ------- Size of Ceiling Joists ------------------ Size of Floor Joists ---- -- 11!!Z4 ----------- . Distance on Centers _...__..- / 41( ------ ­ ------­----- Greatest Span --- -- -- - -?�'.' . . .......... ---------- - ----------- --- --- -- -- ----- Distance on Centers ........... . , Greatest Span - - -- - - - -- - -- -----1­ ------- Size of Rafters ---- --- ------- -­-------------------- Distance on Centers 14(1,* ------- ------------------- , Greatest Span. ------------ / --- 4 I - ------------------------ This rectangle is to represent the lot. Locate the building Or buildings in the right Position. Give distance in feet from ull lot-fines and existing buildings. Two copies of plans and specifications shall REAR LOT LINE be submitted with -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 and/or lintel. Z 3. When steel is in place and ready to pour beam. 7 Z 4. When framing is completed. P 1 5. When rough h plumbing is completed, and ready to cover up. \� 3 6. When septi tank drain field is laid but before it is covered. W W 7. Electrical inspection by City of Jacksonville. 8. Final inspection. U2 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 Town of n i tea gh., 02 Ilk Signature of Builder ------ -------- -------- A0'6U - --- � ............... Address - -- -------- ----------- ------ ------------- ---------------- ----------------- --- --------- Signature of Owner -- -- ----------- ------------ ----------- Address ---------------- ......_