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BONITA 705 10 197 0 EPA RTMENT OF BUILDING H OFATLANTfC, EAC OR#ATTO LOCATION INFORMAT1,0" Add.r e as 0 5 BON�I TA' ,lkoAb oarfA:,t� :,Typii�: 4 CAL AT]4Al4TTC BEACH, IDA, a2233 ------------ SCRIPTI011f LZOAL DE T�pe; WA: 'Lot , , 1. -,k,., : r'ovo, ii4, "'Ose'! 'a 1*: '0 Dwiau 11 11 Cd ng 0 vl si Subd "XOVA,� t '4006PI, -7 i4 T -jC&4Tj0K V*ZS ir P'l OQ -ROAD I PAO fry M A; 0 $0 , j*4 -W ATE, MET XR,/TA 7$0 . -0 __H, Vt.S. 00 N OAS $0 R DO A . N, CAS 5% CO eaki, gmmg Sl A 64R 0.00 L `jA "Cg 0 I DA '32245 OSS" CONNECTION .00 SEC H M PACT FEE 00 1111C SCH. SCRAP(; /AT -00 UST a Spe C ,�AND FOOTINGS M E I_N OTEO SEVOWPOUffiNG:1 T P0 hT VO SIX MO�THS APTER jDATE OF',ISSUE, T- 14, WiLm MAERIAL -_IS�RO�THIS WORK MUSTNOT BE PLAlbED NPUSUC SPAdE.AND MUST BE HAN H A 'D ': N , A�, , �C IrUP A '' QNTRACTOR OR OWNtRl 'y C HANIC S LIWI" W OEM' LT PIE , I' MN"��'MICEf RTH T ROVWPLAUNS 0;, APO_- WfilCHARE PART OF THIS 06606iNG" - RMIT OR PE AND :SUBJECT TO REVOCATION F D-F 1 4,1. APPQCAB LAW. RE CITY OF ATLANTIC BEACH, FLORIDA Approved by A PLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: May 26, 1995___19 IMP013TANT 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. R & R Ellectrlc of Nold Floridg, Mo. 4, ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN NAME nng!4z rulman ADDRESS: 705 Bonita Rd. -RFD-BOX_ BLDG.SIZE BETWEEN: RES. APT.( I COMM.( PUBLIC ( INDUS. NEW( OLD f-l' REW. ADDITION ( TRAILER ( TEMP. SIGNS SQ. FT. SERVICE: NEW( INCREASE ( I REPAIR FEE CONDUCTOR SIZE AMPS,=�6 COPPER ALUM. 6 SWITCH OR BREAKER AMPS PH,--:��W RACEWAY EXIST.SERV.SIZE AMPS PH- 9W -�)e�aj RACEWAY .FEEDERS NO. SIZE IND. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED1 OPEN TOTAL RECEPTACLES CONCEALEDI OPEN TOTAL 0.30 AMPS. 31-100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0-t0O AMPS. OVER AP.PLIANCES I I BELL TRANSF. AIR H.P.RATING H.P. RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS JCEIL HEAT: KW-HEAT J c�2 A3-6 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS MISCEMA-REOUS Service Inc7;a;"e: 77777r---� S4 0233 :00TMENT OF BUILDING., jiN� TLANTIC 0:A 8E�CH ATI,00 0IRMI, T if(001W, LOCATI low: INFORMATION T Addre$4 10'51� BO, 'T X ROAD' ,' ' VOWT- ATILAnT I c _H FLOXIDA 32233 . A clais work., ii-iii W OX ------- LWAL OESCRIPT11 Tyvei Lot oplo�oe&,-030,-� 0, HZR ",Pr v P44.-_ 0 iinqsl*, 0 0 improv $0-00 Tot e,o �50 Atop '7 7 Work J?H 3W 240 VOLTS:" N AT,1011 077 OF ;PZ"IT $43- 50, $0.00 , x 3 WA $0 00 ON "C RADON XPRO' X, 00 -N 160, FLORIDA , k#1 "A OIL, 00 CT-TOW �CROSS ';, ONW9 ve SEC, ff IMPACT FEE 00 OR CONSZ,810k-�iIAR T 0 NOtIC15—ALL S AN Nos MST BE INSPk DI FOOTI spo CT MONTHS AFTER bATE bF l$SU 7, THIS UBLIC SPACE AND MUST BE MATEfJIAL,,FWW'S DESAI$�Pllofvl WORK MU NOT BE P -IN P :SUILDING t 6 Up ANIP H��U "H"Iq'6' NTR ST, E 0 AC CL LED BY tbROROWNEA, LT''LIN"' Lk,W11 CA T _s 1Y W1, `E WE,00A Is Lie *fA" TCY�:Cmol R:`,,TH "Ic Re U NT O!PEft N THE U ME ;CE P 0 REVOCAnoN FOR CORDING10 APPRON HICH ARE PART OF THIS PEI:I" ANp,$U jECT ,I$SUEQ,AC ftc)'J��; S W, OF�LAW. ALNTIC B ATL 30':14 �ACH'Sul t ;P0 CITY OF AW4a&C Vead - 57&u�d4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 ... ......... June 28 , 1994 Mr. Leroy Coleman 705 Bonita Road Atlantic Beach, FL 32233 Dear Mr. Coleman: our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 705 Bonita Road a/k/a Lot 16, Block 2 , Royal Palms Unit 1 RE171140-0000 Investigation of this property discloses that I have found and determined that a violation of the Standard Housing Code exists thereon i . e. , Section 305 . 3 . 2 (Roof s) Facia and trim shal 1 show no signs of deterioration that would admit rain or dampness; Section 305 . 14 (Protective Treatment ) All exterior wood surfaces shall be protected from elements by painting. You are hereby notified that unless the condition above described is remedied within thirty (30) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09 , the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 . 00 per day for a repeat violation. Sincerely, -Z Code Enforcement Officer KWG/pah cc : City Manager CERTIFTED MAIL RETURN RECEIPT REQUESTED CITY OF AW44A'C &ad - 574na4 800 SEMINOLE ROAD ATLANTIC REACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 FAX(904)247-5805 CERTIFICATE OF SERVICE hereby certify that I delivered a notice to 4AwQy- Coleman at 705 Bonita Road Atlantic Beach , FLorida 32233 , this -00 day of August 1994 a 9 O ' clock M. This notification was in reference to CITY OF ATLANTIC BEACH CODE ENFORCEMENT vs. 705 Bonita Road L SIGNATURE OF SERVER: 7;i z SIGNATURE OF RECEIVER:-. DATED: 0"'Uh 7 L-etloy re)1er"-,J /-,o 11"l-elc- fia-C-5; /47 '70 5- C CITY OF 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE(904)247-5800 ........................................... . ............. FAX ON)247-580S June 28, 1994 Mr . Leroy Coleman 705 Bonita Road Atlantic Beach, FL 32233 Dear Mr. Coleman: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 705 Bonita Road a/k/a Lot 16, Block 2, Royal Palms Unit 1 RE171140-0000 Investigation of this property discloses that I have found and determined that a violation of the Standard Housing Code exists thereon 1 . e. , Section 305. 3 . 2 (Roof s) Facia and trim shal 1 show no signs of deterioration that would admit rain or dampness; Section 305 . 14 (Protective Treatment) All exterior wood surfaces shall be protected from elements by painting. You are hereby notified that unless the condition above described is remedied within thirty (30) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500 . 00 per day for a repeat violation. Sincerely, K�arl W. Crunewald Code Enforcement Officer KWG/pah cc : City Manager CERTTVTED MAIL RETURN RECEIPT REQUESTED 1 also wish to receive the SENDER: 17 fo tr I and/or 2 for additional services. following services (for an extra 45 * Complete items A2 4 Complete items 3,and 4a&b. .T. :0 reverse of this form so that we can f ee): (a * Print your name and address on the 'a ress 0 Addresses Add 'm return this card to You. or a ce 1 JZ-Addressee's Address (A 2" * Attach this form to the front of the mailpiece,or on the back if space 2 does not permit. d"on the mailpiece below the article number. 2. 0 Restricted Delivery ID 9 Write"Return Receipt Requests m the article was delivered and the date * The Return Receipt will show to Who Consult postmaster for fee. Cr d 4a. Article Number E 3. Article resse 0 —,Do r i S co le- V-V-CZ Service Type ,a Registered D insured CA E .1 a s-(3,)r)1 Certified 11 COD 0 -?-z2-3 %") El Express Mail Return Receipt for z 3 M rChandise r 7. a of De ver A001815110 dress(Only it requesteo w S C 5 n t re ee) and fee p ai cc W LU *U.S.GM ESTIC RETURN RECEIPT 199a,_M2-714 DUM d.2qpo 4�e"0112 CITY OF 1*&4*-e Vead - 574ud4 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-SU5 TELEPHONE(904)247-5800 FAX(%4)247-5805 July 12 , 1995 Ms . Doris Coleman 705 Bonita Road Atlantic Beach, FL 32233 Dear Ms . Coleman: our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 705 Bonita Road a/k/a Lot 16, Block 2 , Royal Palms Unit #1 RE171140-0000 Investigation of this property discloses that I have found and determined that you are in violation of City of Atlantic Beach Ordinance Chapter 12 , Section 12-1-3 i . e. , high grass and weeds in rear yard; Chapter 12 , Section 12-1-7 Le. , junk lawn mowers in rear yard. You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162 .09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and 4—ibrO .00 per day for a repeat violation. Sincerely, Karl 1. Grunewald Code Enforcement officer KWG/pah cc: City Manager CERTIFIED MAIL RETURN RECEIPT REQUESTED Date........... Permft c'I' M-�.l.yee CITY OF ATLANTIC BEACH Valuation t FLORIDA House APPLICATION FOR BUILDING PERMIT _.I/_ ' .- I... ................................. Application da hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for building or other structure described. This application In made In compliance and conformity with the Building Ordinance the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Reach and all rules and regulations of the Building DepaTtment of the City of Atlantic Beach, shall be complied with, whether herein specified or not. The Contractor or Owner-Builder who has been Issued a Building Permit is automatically responsible to ascertain that all sub- contractors engaged by him are duly licensed In the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it in suggested that a list of tub-contractors be submitted to this office so that licenses can be verff ied. Date.... ... ..... ................i!L.V...... a2i. a I IICN;�4t� 7, -------------Address--- ..A,4��elepbons No............................. Owner...... . .....4.............0 Architect......c;k'—.44.....al.441�_ .. "-f-Telepbone No Contractor Builder....C-1�'- <!4Z,4. ....Address29r4(0'-.-4Q. .�t ..AW elephone NO............................ Lot No-11.0-_------------------ No...-'�' - ----------_---_-----Sub Division...L._.Z.fa...... . .............................Ulm............. ............................................................Street.........__------------Side Between....................................................and......................................................ft. Valuation ...............For what purpose will building be used.......(!t1J.�.Pi0_11*14Typ4 Of enislaidion.... ...... ......... Dimensions of Building......IP..2!�.c_L_a......Dimensions of lAt......... .......................................Size o4jollngs......Z�... Size of Piers------ ..........size of Sills....... .......Greatest$111 span in ft......i;?�.............Type Roof....... 614-VA—" How will iuilding be Heated?.........e.'Z!q�.... ........................W, ill Building be on Solid or Filled Ground&, X ....... Size of Ceili�g Joists----------Y---- .......... Distance on Centers......... . .... ..............I Greatest SpsaL... .7 Size of Floor Joists.............................. .......Distance on Centers.-......... ----..... ..................... Greatest Spam........................................... Size Of Rafters_......................................... .......Distance on Centers ..... ................. ............... Greatest Spam...;�.*................................. This rectangle Is to represent the lot Locate the building or buildings in the ht position. Give distance in feet fV= lot-Unes and exbftx building& REAR LOT LINE Two copies of plans and spedfications shall be submitted with application. inspections required. 1. When steel is In place and ready to pm footing. 2. When steel Is In place and ready to pour columns aWor UntaL S. When steel in In plus and ready to pour beam 4. When fram%g is completed. 5. When rough'plumbing is completed,and ready to cover up. 6. When septic tank drain field or newer is laid but before it Is covered. 7. Electriad Inspection by City of Jacloonville. S. Final Inspection. Note: In came of any rejection,ra-I=peetion MUST be caw 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 sem to perform said work in accordance with the attached plans and specifications, which an a part hereof, and in accordavAe-with the building regulations of the City of Atlantic BeacL Signature of Builder...*.'.-.'.. . ......... AUress.................................................................................. . ................... Sipature of Owner... _.I............. AA&,m.........I.................. ........... .................... ING - 4155 DEPARTMENT OF BUILD pF-RMS' CITY OF ATLANTIC DEAC14,FLORIDA RMIT TO BUILD THIS PEP-MIT MUST BE POSTEI) ON '0" Date---------()""-7-------- 5 �00 500.00 Fee 3 valuation -id . City Treasunr, 'aa is it not valid U12til &bove I" h" been P This PC- I., I VpU-bl- .'al4ect to "Y"'Ation Lero C0111111110 ------- This is to certify S. ete slab f 0,01'e'r, S. mission to buil A specifiestiola has per rcordirig t'a sPecfir alxc�:hored a ne— 717 residentil" j class Icatio ock__— S/D owned Lo House No ed plans'W'hiell are Part of this permit �_XLL CONCRETE FORMS NOTICI MjJST BE 114- According to aWov AND FOOTINGS pOURjNG. SpECTED BEFORE pFRMIT VOID S'M MONTHS AFTER DKTF,OF'SS"E joh and debris :0 rubih 0 130ding matf"a�'Ust not be V1 Z from this work in must be Cleared up public space* and . either cOutra'W and hatiled &way by or owner- Da"11-s— 0 ja. PERMIT [)ATF CONTRp.CTOR FOR OFFICE U 13ER USE ONLY PLUMS'NG FLECTRICAL SEWER WATER CITY OF A&aac Ve4d 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 z TELEPHONE(904)247-5800 FAX(904)247-5805 Mr. Leroy Coleman 71-'n Bonita Road Atlantic Beach, FL. 32233 Dea.r Mr. Coleman : Clur records indicato thzit you ill-ce th(-� prope.ity in the City of AtianLic Beach, Florida . Lot 16, Ellock 2, Royal, Palms Unit I A/K/A 70EI Bonita Road RE#171140-000C) <� An investigation of t 1-1 i property discior'*o�':'* that. I h a V(:? found and determined that a f:'UbliC nUiBaDCO theic-on as L(i constitute a violation of Section 12. 1 of the Cucj(-�- (-,Ij Atlantic Beach, and that there al:e hiqh Weeds and qXasf-: 011 the property. You are hereby notif ied that tht..' L013d:it i,Qrt a 1-1('-)v described is remedied withili Seven (7) days from the date hc?r(--of' the City will remedy this condition at a cost, ol L-he work p I u.�. a charqe equal to 100% nf the cost al the work t,o C C)V cr C:i t y administrative e x P L-n ce s which will b c- as�,., i;u,I t t i propel,ty owner or occupant. If not paid within Lhirty ( 30) alter receipt of billing, the invoice amount plu'- advec-ti--;ai,c.j cxj-st !�;, will be posted as a lien on the property. Within seven ( 7) days from the date bereol-P You May MEtke written request to the City Commis.-s.ion of the City of Atlantic Beach for' a bearing before that body, for the Purpose of -;howinq that the above listed c o n d i t i L)n d o F-, not constitutu z pubj i C nuisance. Sincerely, Don C. Ford C� Code Enforcement Of I 1)CF/pa CC : City Manager HAL'" AT,' 0 4 1 0 n7 CITY Of ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DEM LITIONS own e r(a e51Q I ttY' Address :_a:i :Bot'l Iza 'Phone:— Lot 4 Y4 Block or Unit subdivision:11Y-41, !`,.,,itr&CtorQ0aL�. C0C—=7&n_r_J Address : _,;2__Q_3fj ._&u= 2a, Phona Describe work to be dona;'. —11�z& auLtzs Al D.__ LT_eL)C_-rz/'e7�_ Present use of building:- zval4e Valuation of Proposed Cons t ruct i on Proposed use: 41#A"4 is this an addition?- AJO_ _ it yes , what are the dimansion3 ot the added mp&co: _:4*__ _ft . X _tt . Will the added area be heated end cooled? )v/ Now electrical ( or 1ncreas#)?_AZ1& - '1-6— 7` Now plumbing tixturea?.1LM_, New fireplace? New Heat/AC? 77— -&* *&-- SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING L 't PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND �)WNEFI CONTRACTOR AFFIDAVIT, IF OWNER 18 CONTRACTOR. 8%9natute OWNER; Dot*: D. Signature CONTRACTOR;. -3844 PSR 9122 09PARTMENT OF BUILDING C 11Y OF ATLANTIC BEACH �:�Pi 'IT INPOIRMAT10N LOCATION INFORMATION --------- � A ,Pe rm, t Nurn)�er: 9122 -� Address,* 105 BONITA FOAD Permit Type.*� RVILDINO ATLANTIC BEACH, FLORIDA 52-2; r",-1 4�*t-of Work- REMODEL ----------- LZOAL .DESCRIPtION 'CO str , Type WOOD FRAME Lot : 16, Block: 2 , $ectli on*,� v pposed � r Township- RNG P OSe, SINGLE FAM,1 LY Code- Subdivi on ROYAL PALMS , 0, ftti;nated Valuo: $2300.00 -ITaprov. Cost $0 .00 Tota ' '$25.00 Amou za ao-iom Run Ole ov gr TIO14 --- APPLICATION FEES $25,00 so 001" AA4 ROAD 'WAV #,,," 'oIIIo ,mPAC FEE D*,- , A qu qvff� FLORI FZZ 4 4F *V AP ,P ON OAs�-H.R.S . FORMAT 16,11 $0 .,00 RADON CAB 5% -So .00 CAPIVAL ,IMPROVE. $0 .00 SEWER. TW LLE, FL� 3,2208 CROSS �CONNECTION $�Q .00 Type SEC R IMPACT FEE CONST-SURCHAROE , $0 gli C C NOTES. V11 J40TICE—ALL CONCRETE IFQRMS AND FOOTING$MUST BE I NSPEC TED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE MATERIAL,RUBBISH AND DE RIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SP ACE, AND MUST BE, UP ANQ,HAULED AWAYIBY EITHER CONTRACTOR OR OWNER IF LURE T I ' Ll-EN LAW .-C-A ULT IN THE VECHAN CS NO TWICETOR BUILDI '0 NO 1 NTS. 'CORDING T '100io AC 0 APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SU ECT TO REVO ,., 0 BJ ION O�,APOLICABLE`PROVISIONS OF LAW. V'ATLANTIC SE ACH BUILDINGDEPARTMENT OEM" Ift Zll-z/ J CITY OF ALAMIC BUCK ROOPIM FMIT APPLICILTION owner(s) : n LQ.� Yvi Address: Z'I 11A 01 _Phone:-.�LLJ Lot # Block or Unit Subdivision: Contractor: Address: City, State and Zi State License Describe work to be performed: Valuation of Proposed Construction: materials to be used: rl'Z ALA A,,s Signature of Owner; Signature of Contractor: & A� Liability Insurance Supplied workers Compensation Insurance Supplied- License Informatio DEPARTMENT OF BUILDING CITY,OF ATLANTIC BEACH PERMtTL INFORMATION - ------ -------- LOCATION INPORMATIW --------- PelfRit Number IV Addressl 705 BONITA ROAD Pie'r,mi t Type,: RZ-ROOJP� of Work: NEW ATLANTIC BEACH, FLORIDA 32233 ----------- LEGAL DESCRIPTION ---------- ,Cotistr. Typv--- 'W.O0P, FRAME Lot : Sectiow, ock*. ,;�sed Us,�s,*�, SIN049 FAMILY ToWrtZM Dwe ings j �C ff 0 RNG. 0 Subdivision: RHAL PALMS #s-tdmated value-. , ,$24WOO v. Cost Tptal Fees - $22 . 50 P i.d �$22 . 50 ./28/94 W 190 APPLICATION FEES " PE IT, Nft $22. 50 WAtElk IMPACT PEZ ACH FLORIDA �22 3 wli IMPAC FEE gio $0 .00, .3 P4e049P -PQ 0.t 4 , I 1� 0,� T AR A NFORMATIPN RAD ON CAB 5 go $0.00 fly CAPITAL IMPROVE, so.oo A '22 IN " STREET UW01, 'TAP CROSS CONNECT I ON to .00 .7T 0 Type, SEC H 1140ACT FEE lb`,90 CONST-SUR SCHA�ATL.BCH. a g , NOT 41" NOTICE: ALLCONCRIETE F014MS AND FOOTINGS.MUST 89 INSPECTED,BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL,RUBBISH AND,DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER � ,$�FAILURE TO-COMPLYWITH THE MECHANICS' LIEN LA CAN RESULT IN 0% PROV -THS PROPERTYOWNEWPA' ' ING YING TWICE FOR BIJI'Ll) EMENTS. �j Q CH ARE PART OF THIS PERMIT AND SUBJE, ACCORDING TO APPF40VED PLANS WHI CT TO,Rty N OFAPPLICABLE Pik OVISIONS OF LAW. At" 14C 8 CH BUILDING DE XA city of Atlatlo 4-it BUILDING AND ZONING INSPECTION DIVISION CITY OF AnMlnC INEUM ATIAWIC 1111"CH. IFUMIM Sa"1111 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER IMPORTANT— Applicant to complete all items in suRbAns 1. 11. Ill, and IV. LOCATION Prest OF Intersecting stroots: 8Q1wQQftLbP1-yX- A,4 WILDING I IL IDENTIFICATION — To be completed by all approconts. Is considereCon of poer%;# given for doing the weri as described In the above stafewwat we Welty agree to porfom %&W work is accordarce witk the attachod plans and specifications which are a poo hereof and I* accordance with the City of Jockso"Ife ordinances and standards of good practic l;sfedjh0?0;A. I q Home of Wskaft"I conw—hem / r) cestr6low Ihint) I V�fvj-tt WOOD? 014,104, of Frop" owpor sig00%re of 0"*f aw Amshorized Asent 46W, COMAL, WFODMTM is OTIM C01111111"Werio" 0111111111141 omit MI ?"IS 8WIL"s 0411 SITZ I 13 (3 LP (3 Netvftl C3 Cestref Uft IF,"X 41W won"OF Coo""M" 0 CM C) 0#" _r S.6#, IV. Us*"" $""a To a "TAUN agilp! k JW of soa%ps***Is*&bodl.,�t, 0 SON* a now at Edon GOA" aw� how: Me"" ww:m mewasawa C3 C4w#io9 ftwo. CaPoeft 0 Claw—apeaft C) An Wnfilon: Nwasbw of 13 boveter C3 moaft 0 Ime4fte�(nowAwl 1w VAN P" 011111"va any C3 6"A" a took - Rem"k 0 Lft oodftlf— a UwAsed prow"V00" C3 awk" Ilwak Apol bill 0 0jww — Spot* uIrr ALL SWIPUICINT AWL CONOMONU40 AND 77)M-3(o