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CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner(s):
Address: fw-ref-l"i Phone:
Lot # Block or Unit Subdivision
Contractor:
Address: Phone:
State License No.
Describe work to be done:
Materials to be used:—
Signature OWNER: Date:
Signature dONTRACTOR:
OWNER BUILDER PERMIT AFFIDAVIT"�`;`
Stute of Florida
City of Atlantic Beach
EFOr HE the undersigned authority, personally appwarwd
- - �9__ -11J�77 who upon f1sat boing duly
J_u 7 -21 � 4------------
sworn, deposes anct sayas
and the legal
I -----------
owner of t.�* followl a propo;tys
Subdivision --------------
Block 7_T Lots' -
ARA
I am applying for a building permit pursuant Ld the Owner
Builder exemption not forth In Florida Statute, Section 469. 103.
Florida low requires that I .have been provided witts th& following
DISCLOSURE STATEMENT3
DISCLOSURE STATEMENT
atate law requires construction to be done by licensed
contractors. You have applied for a permit under an
,�xwmption to that law. The exemption allows Yout &a
tha, owner of your property, to act as your own
contractor even though you do not have a license. You
must supervise the construction yourself. You may
build or improve a one - or two family r*oid*nce or a
Sarm outbuilding. You may also build or improve a
commercial building at a cost of 025,000.00 or less.
The building must be for your use and occupancy@ it
may not be built for wale or lease. If you sell or
leabe nor* then one building you have built yourself
within one your after the construction in complete, the
law will presume that you built it for wele, or lease,
which in a violation of this exemption. Your
construction must be done according to building codes
and zoning regulations. Xt in your responsibility to
make sure that people employed by you have licenses
required by state law and by county or municipal
licensing ordinances.
I hereby acknowledge that I have read the above DISCLOSURE
STATEMENT and that X comply with all the requirements for the
issuance of an Owner-Builder permit,
Further. affiant noy*th not.
14;
Own r
Sworn- to and subsc ibWd
before me this day
19
5767
DEPARTMENT OF BUtILDING
CITY OF ATLANTIC BFEACH
-------- LOCATION INFORMATION
PERMIT INFORMATION -NORTH ,
Addreent 7 FORRESTAL CIRCLE
por*it,Mumber: 67-67
ATLAKTICBEACH, FLORIDA 32233 ,
rermit Typet Ri-� ROOF -------
LZOAL DESCRIPTION
Class of Workt NEW Sectiont
WOOD FRAME Lot: Block% 0 ,
Constr. Type; Township: RNG;
proposed Use: SINOLR� FAMILY
Codet, 0 Subdivisiont ROYAL PALMS
gutimatod VAluet
- ,Costs $01.00
Isprov
Totsl� Flees:, *212. 50 ',
Aiount,
Va
41,
' WITH NEW SHINGLES AND 'FELT
:_WoikDe
APPLICATIONFERS
NATION
PERMIT $22. 50'
A
N
,, , 1%, v
LE NORTH WATER INPACT�. FEE $0.00
�AL �'CIRC ' 11 1 1 ;
ImPAC p*,y 00.00.f
FLORIDA ,p2,2
A
CH: V4 SE
W
az �*(,OIVA 07
W
*0. 00
FORK& ------ 'RADON GAS ':
TIOX
WATER TA& $0. 00
$04 00"
'T
SE"R
HYDRAULIC SHARE $0.OQ
RE-INSPECT,,FEE *o.00
:T ,FEE *0"
"o"t ,
�SECIH` IRPAC
W,
(IT
T
S TED F POURING
SA Of ORIE
NOTICE AL CqNCRETE fO ND FOOTING MUSTSEINSPEC
L
PERMIT VOIO,SIX MONTHS AFTER DATE OF ISSUE
Bpi I LD.ING MATERIAL,,AU88ISH'AND,Dt8RIS FROM THIS WORK�MUST,NOT BE PLACED IN,PUBLIC SPACE,AND MUST BE
U -AND'HAQLED AWAY:BY1EtTH1EACONTRACTOR OR.'OWNE.A.
"',6*41RED P
to p Sr �N' LAW CAN ROULT IN
_0AILURIE. MbLY WITH THEMECHANIC 2 LIO
F ;Il .- I
R SUILOIN(
W P"Ir"'a TWC
PE fM
!��T VC&
ACCOROI AND TO RE "WN Fop,
NG; )VED PLANS WHICH ARE PART OF THIS PERMi
L TOAPP
t4 OF �PC I I , I eta",
'ICA $.00
$LeLPR0VjSj6,NS OFIAw.
VIOLATIO
OiNG�r_
11 2 r NT10 BEACKWIL DEPARTMENT
FOR OFFICE USE ONLY
ZDate.4r_
xPermit Fee $.. ....
TOWN OFATLANTIc BEACH" 0 C)
Ow Valuation $--------/---------------------------------------
FLORIDA House #._7--- -------CIRCW,...
-----------------------------------------------------------------------
APPLICATION FOR BUILDING PERMIT -------------I---------------
---------------------------------------------------------------------------
Application is hereby made for theapproval 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.
Da t e --------------------- 19 .....
Owner----- --------- ------------- -----Address---- -----------------------—-------------------------Telephone NaLe----
Architect------------_----------_------------------------------------------------------ -----Address---------_----- --------------------------------------Telephone No.---.---------------------
ContractorBuilder.-------------------------------------------------------------------------Address----------------------------------------------- --------Telephone No---------------------------
Lot -----------------------------Block No-------------------- -----Sub Division/)- 40Y ---------------------Zone-----------------
e .4,t i n---_---------- ---------------------------------and-----------------------------------------------------Sts.
------- ----Street........ -Side Betwee
Valuation $.---------------—----------For what purpose will building be used---- ------115�----- ---Type of construction------ ------
-----------Size of
000'* Dimensions of Building.4VY__"X..... Dimensions of Lot--./
Size of Piers---------------------------__----Size of Sills.------ --------------...Greatest Sill Span in ft..--....------------------Type Roof----
How will Building be Heated?_WA--- -----------------Will Building be on Solid or Filled Ground?._.____.___/____!........
Size ,of Ceiling Joists____.;�---)e _/ .14- ___J------------------
----------------------------- Distance on Centers-------- --------I-------------, Greatest Span._-------
Size of Floor Joists--(--- ------- Distance on Centers--..------ ------ --------------------- Greatest Span-------------------------- -------------
Size of Rafters------ --------------------------------------- Distance on Centers . ..... ..... .... ---------------------- Greatest Span-.--.-------------------------------------
This rectangle is to represent the lot.
Locate the building Or buildings in the
right position. Give distance in feet from
-all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall
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 Z
3. When steel is in place and ready to pour beam.
4. When framing is completed. E-4 601 f 10 E-4
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after
ell, corrections are made. 01
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-6VAtlantic Bea*
-----------------
7J0 Addre
Signature of Builder--- ------ty< .......... -----------------
_41
Signature of Owner_ ------- ------------ Address.------------------- 44t,:��------- -----------------------------------
09720
f 1'6FI-3"'4
'ID&ARTMENT,OF BUILDING
C
CITY OF ATLANTI BE
"'POR"'fl ON�, LOCAT ON INVORMATION
4 cxActZ, NOR
eotit Number. '9120 Addr,
Anawric BgA�ZH,, 'pLoRIDA: 322�1
,"pwrmit T 141MM ICAL
------*---- LZOAL- On X TION,
�-4�,Jajts, of Work,,*,: ALTIZRAtION
- , 0: 11 � ' Section:
Typvt VOOD MAKE Lot'
To4jaihi!0-t :1 1 RNG:
#AN I LY
Pr000sed Vlset 'STROLZ subdivist on**,,,ROYNL PAL14S
Code* Q
$0.00
I mpr
ov—cost'-
�00
Am* $25.
immman:
AV, L ViTION-OZZO
-S25.00
PEANI T
$0 .00
Addr
CL R
T s
rLOR vec
4" w
7 A 02 , :11 ;NA
-"R-".S
---- -- PADO I :-'S* $6-00
ArOMAT, ON -C
ON MO
IT
C0#NjCT ION, $0'00
A L' 32211
01 :
4XC� H- IMPACT ZZI, 00
Li 0 1 Ty" $
to, I FO
NOTICE—All FOOTINGS MUSTfIE iNSpECTE SEFOREPOURING
WAND
OF ISSUE
PERMIT Volt)SIX MONTHS AFTER AT
13UILDING MATERIAL 1101391$H AND,DEBRIS]FROM THIS WORK MUST,NO*BE PLACED INPUBLIC SPACE,AND MUST BE
EITHER CONTRACTOR OR OWN15W
CLEARED UP AND HAULED AWAY BY
Y WITRIT
FA �COMP HE MEC AW' ,CAN' RE$ULT,IN
!LURE TO �V HANIVS LIEN,L,
,T,H,E,pR0p,E 'PAY
Ejj,� ORTHESU VEMENTS
INGTWICE F ILQj&:#,(;4MPR0
RTY
T OR
ISSUED ACCORDING T0,A0PA0VED'PLANS.WHICH ARE PART OF THISPERM AND�SUBJECT TO REI�
TION OF APPLICABLERROVISIONS OF LAW.
VIOLA
.,�ATLANTIC BEACH BUILDING DEPARTMENT 14
01-
77"
4w
J
Most
'2'
Rink-' a ---4!1a
Wh ti�
ih 4------- --------
Water 604et,.� ---------...... 1*1%qh Ito----
-V-01,-------� 1.4-Ahl to
Bath tub
Shower e�Ver tub4l,.�....-,
St4l &J10*eL 00 -a-!t1rF :A
r
. .;--- �- --—----------
IAundr - ----------- j ------------
y tray%.,_,
#7
----------
- -------------- ------
..........
A—-
4
!ub
10*4 0�to
Sevas�k di '"Vidusil
*Show*ad&*0j*q require"Wnts.
At
Hou1M;dratn,(ir4ide):A-Cost 1Y6ftj*[:TVW t6; Q other-------------
Water piping:.V, G*il4ted Sill,topka,�nurnber A------
Domestic water�i;e�auf�ty1w --—------—--
recovery capaiity---52 gallo
gph.
se, ea in&,
-'[3 CookiaW; Lj hou h ti
Ce;_b LIt
G servi al
#A*e r'V U", OUV)P
ra ----------------------- ----- - ------------
Footing d inirecrnupA
--- -------- ----------------- --------
-7
Vi
%
M NIATIN(h
Ej -Hot wster,','�o stewn.
[D ftadiatora. El 06rivectarilt. 0 r4 ------------------- ----–----------------------------
..........
.'Radiant paritil;,"D Ft Atei -
---------- -- ---------:- ------*-------
0 Cirtulatot. 0 R �T'i, Kokie tn(fmo4bl ------------------ ..... . 9PM.
"7
Boiler�'Make-and rh6del
------------ ------ Output -----------1------ net raiiing Btuh.
------------I-----------I------- ---------- ------- ------- ----- --
Warm air:-0 Gravity. F.rami j ------------------ --------
u tribri 0 Outsifte air intake.
Duct material:'Supp y A
Ine ia
--------- Tituh.
Furmace;,XAke anit moasr,--
1�, 'L'� ".' . 7-
Z L -no
-------------"-<.....
11tuh.; mber units --------
wall heatef; j
13 Space heater- Q'floor
--------------
model J;
-A--- ------- -------- --------
7 -------
K:
Conti-ols: Make and t3qppos it�r 0, A)
------
A X
kt, A'A storaKeicaparity L - ---------
Fuel; D coid" 0 t"; 0 1�9- 4
kq�
------------------ - ----- -----------
Ve. -st6 t�, El r eed; bialced.
Firihg equiprixkt"fiff�t2hed"raWyl ty
ft�l QW,
Oil bulrner�,
atorni ingt
Make and Jnodet�:-
q ------
Electric heafing system: Tyw'. ------- ....... t Btuh.
Vi -4
::4 capacity --- ----- cfm.
ma.iw* '41, T`_:��,Z.
Milking equibmefit: Jk ? �**,- � -
——------------- --------- ----
en eXliaust ja� . ........
Hitch
7.
M
Other heatint;vi 6AIIA rgr,or to6lhig eqdipft*ak ............. .........
---—------
24. ELECTRIC. wlltmlll'-�,,
Service: ;Iurnber circuits -CCA*
a Overim"; under"rid. Ps)), --------
Wiring:'Utor4ult; 0, armored cable; X knA:Pna tube,�
othei"
----------i7.
71 other
special ouflets.'V Range; water heater;
0 Door b-PIL C) Chimes:' Push-trutton locations .....Erbat ------- -- -----
- ------------ -------------------------- ....... -----------------------------------
....... ....
IL LIGHYINQ FIXTURES:
Total nurntxr of fixtures Total allowanee for f�xtul;eff, lyf*ical ingtallation. $75-00-------
7,9-�,O�
N
v4
U
Nontypical installation ------ - ------ ---------
DESCRIPTION OF MATERIALS
1.-For sidifigsol lafosw4tion oft haw this farm 44 $0 be' bm '*WWsA,#*QY#ctTwhfi t'94"Ot*'gonsilef" IPA�i k�j�6r,d.
ions,AP40it041A so,-A* f14A Apoicati
of copies, etc., 546,64 instt4�cf ek W A. 04or0aictaft ifemi, (cQn-
Mortgage Insum(it er YA RcqfmWf6r Docog�aSe* of 1Lx&v"4d.,k,v*4,
1. . . . I I . " swerratiA,of 0.441"St "991PIOR4 Of Mfg rna#6644�a'r equip inf
as the case may"" 1" I _''. �. 1, .— � .,I I..� ,
is n9f*00 f'J'.
7, in
2. Descri6e all�fflcwlals IIW *q4i0rWjh#,1p bil or IW Vk0*ft'
an the drewiftIA b M40'40cj,v�.x ilt P40N, a ftm
46". Zlegmefe, "0"', g
CcU of, , ',SOW W�, 1111i 1�ixwpw*4 ii,cemolia*4, Wak the e4taked
.the inf twati6n 12, 4
6c it
draWA4$ *04, cg"4 iggoIlgd Avtioj pvagossi*,�,'The spoctfirafions
di" i *d'-wasi 18clidi this c ial�
L'Wlork fto cxc�h, !-"A fh`�Ovp& -MIMMU'rh con0luction
cot, c.
1.1MYATION L f.
A—
geir hg-soil,*P*
`e
4
�jv
Footin" 6" ma"iI
42�
Foundation wall: ow
Alite�ior
'c P. _qv_ 41�
columns,: "ial
-al and sizes 4
-tiers; ?46�
Gii
Water N
e r*i'tte,'V r o te,ct*a
B se;6tiritlrsis);pace myer-1
4,
8peLWj,,un1,ti,)r,g
------- - ---
&
--- --------
------------------
3. CHIMNSYS..,
P
re lbb
'lace flue 4i;e --------
Flute)ininx.
T c vi& Wir ieste
r ...... --------
Vents (ma Gat i hi�'4W
-- --------- . ........
4. FIREPLACES:
----------
Cie"-OiA ------
Type: 10 Solidl-641'
:7�7: 77
7
VOW
%
'AXT9*10k W*L
Wood fraftei Gra
41
She
7�,
Ing wl th
.... ............
41, -------
47 -- -- ------
M
-—-------- I......
10 94- e*
r-' Hat,
xterior: painliirtrl.
E 4tvtorial Al
Gable waii 06iTvtrW:, &W*e* ft"WOW
e
9
of
Y,
4. FLOOR FRAW"&,
ro
_;a
Concrete slab:
rein
............
Fib
............ ------
17
*k`
Material: Qrad'e antl species,
Laid: 0 F�M Ao6r;`0 #W91M4 floor;t-aft ---------------——
A, ------------- ------------ ............
-------- ---- ------ ------------ -
S. FINISH FL600ING: (Wow*awly. Poic ifig zw,
WIWI
First floor. __7n17t1W�1!1x_ W.W.W16� --------- - --- ----------
..........
Attic floor go. ft. f --- ---------------I
DESCRIPTION OF MATERIALS
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH. FLORIDA 32233
0 CALL-IN NUMBER
APPLICATI N FOR MECHANICAL- PERMIT
IMPORTANT — Applicant to complete all ;tems in sections 1. 11. 111, and IV.
Street Address:
LOCATION
OF � Intersecting Streeft; Between (h4q2LI-L PLAD And �76 Oe�5
BUILDING I . t %
sub-ois;on-
11. IDENTIFICATION — To be completed by all applicants
In cons;dorot;on of permit given for doing the woe% as described in the abeve statement we hereby agree to P01101m said -0-i
with the attacklid plans and specificsCons which are a part hereof and in accorcloncit with the City of JacksonvJ'a ord;A6MCe$ a-j SIG-20-0$
of good practice listed therein. I
Name of Mechanical Contractors
Cisafroctor liselftil Master
Home OF
hisporty Owner
$40sture of Owner S;qlnaturo of
or Authorized Agent _I Architect or Engineer
Ill. GMERAL INFORMATION
A. Tylewof hisetiog W: BEING
15 OTHER CONSTRUCTION
VIR�Ac THIS BUILDING ON SITE 1.
C3 Cam—0 V 0 Natural 0 Corritral Utility
OF YES, GIVE NUMBER OF CONSTRUCTION
13 09 PERMIT
C) Othw — spilay
IV. MICHANICAL WUW~ TO 86 INSTALLEC NATURE OF WORK
ad of comp~ft all back of this f6m) 16�Residentlal or f I Commercial
(1, 1 mat 0 SPWA 0 Recessed litnol 0 Flow I-] Now Building
13 Ak Cisfidefliolike: 13 Roose, 0 Contrill a--, at Building
13 " System: Motsitisil 111sickoem— CK-Replacement of existing system
Mosimum capacity 4.11.111. 11 Now Installation(No system previously installed)
0 Refirigolatilso, 0 Extension of add-on to existing system
Cl C0069 lwool: Capacity I-p^ C1 Other- Specify
(3 fife op6sifilon: Number of
0 So"few 0 Ms"ift E3 beals THIS 3FACI POlt OFFICS UU
C] G*sA&o pumps -(vember) (Rim"sil ONLY
0 —11numbsirl Remelts
13 M co kFasift.—(number)
u-&w plow"
Permit Appmw"
13 Bogen Do
r) 011wai, — spocay Permit Fee
LJffr ALL EQUIPMEW
AM CONNT11OMNG AND REFRIGERATION EQUIPMENT
rAft-ofty AIPPIPWAAC
Number Unft X*dd Number Kaffikfaebtrar
DEPARTMENT OF BUILDING
CITY OF ATLAN*TIC BEACH,FLORIDA PERMIT NO.— 000067
PERMIT TO BUILD
THIS PUtMit MUST BE POSTED ON JOB
Date 7/31 _19 87
Valuation$ -Fee$ 20-00
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 SAWYER A/C D T
KT
Has 1 � Bt
has permission to INSTALL /CHANGE OUT SYSWM;967 no
11.505 1A 8/01/8
1 TIM
Classification RESIDENTIAL —Zone
Owned by LOUISE CAUDILL
Lot Block S/D_
House No. 7 FORRESTAL CIRCLE NORTH
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
44 0 4 10 0 Building material,rubbish and debris
Z_i from this work must not be placed
in blic ace, and must be cleared
Pul
p
up led away by eith n-
tr,
a owner.
1 ding Official.
FOR OFFICE PERMIT
USE ONLY NUMBER DATE CONTRACTO,
PLUMBING
ELECTRICAL
SK ER
WATER
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 1, 11, 111, and IV.
Street Address:
LOCATION
OF Intersecting Streets: Between f�nc�RT 6(_ U fz-
BUILDING
Sub-division
11. IDENTIFICATION — To be completed by all applicants .
In consideration of permit given for doing the work as described in the abcve statement we hereby agree to perform said work in accordance
with the attac4d plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good.practice listed therein. I
Name of Mechanical Contractors
Contractor (Prin S V2_ 41 f— Master
Name of &0— A
Property Owner Lnki kLE i,,Aol I L-L
=t of Owner Signature of
-hod Agent VxA�� 46-o-a 1 Architect or Engineer
III. WERAL INFORMATION
A, Type of hooting W: B.
IS OTHER CONSTRUCTION BEING DOME QN.,
E3 Electric THIS BUILDING OR SITE7 - I N ()
10"al—KLP (3 Natural 0 Central Utility IF YES, GIVE NUMBER OF CONSTRUC1*__
13 on PERMIT
0 Other — Specify
IV. OWMANICAL IPUIPMONT TO 06 INSTALLED NATURE OF WORK
(PmvW*complete list of componenh on back of this form) Residential or El Commercial
0 1 Nest 0 Space 0 Recessed 0 Contral 0 Root New Building
)5�_AIPConallrtlonmq: E3 Room X Control X_Existing Building
13 Duct System: Material Li 11 1 !�oThschnosa.._ le Replacement of existing system
El New installation(No system previously Instolted)
M43rofflum capacity c.f.m.
0 Refrigorallion El Extension or add-on to existing system
0 Cooling fo~- Capacity El Other — Specify
13 Fire sprinklers: Number of hes
(3 Ellovat(w 0 Monlift 0 Escaloto (number) THIS SIPACEI 0OR OFFICIF USE ONLY
0 Goorino pumpG -(number)
[3, TerAl (number) Remarks
13 LPG cootsinom .(number)
C3 Unfired prenure vosew
Permit Approved Do
beillm
Othw — Specify Permit
UST ALL EQUIPMENT
AM CONDITIONING AND REFRIGERATION EQUIPMENT
C9WtY AppraVft
Number 117nift Doeription Ka"Number Manufacturer
(TOM) A#WW
c7b ii Z E m-s-,Lit Avigmst; Aae-nA4-ej-_
CITY OF
800 SEMINOLE ROAD
ATLANTIC BEACH,FLORIDA 32233-6445
TELEPHONE(904)247,5800
FAX(904)247-5805
SUNCOM 852-58M
October 23, 1997
Bobby Caudill, Sr.
7 Forrestal Circle
Atlantic Beach, Fl 32233
Dear Mr. Caudill,
Our records indicate that you are the owner of the following described property in the City of
Atlantic Beach:
Re: 7 FonmW Circle
It has come to our attention that the assigned house street numbers are not permanently
attached to your building. This is required by Chapter 6, section 108 of the Code of
Ordinances of the City of Atlantic Beach and Jacksonville Electric Authority Rules and
Regulations section 2.19
The absence of these numbers affixed to your building and visible ftorn the street is a determent to
your saky should you require police, fire or medical emergency services.
I urge you to install a minimum of four inch high numbers in addition to any numbers presently
displayed on a mad box.
Failure to properly display the numbers can result in this violation being brought before the code
enforcement board. UndorFl . S.S. 162 you can be fined $250.00 per day for a first violation
and$500.00 dollars per day for a repeat violation.
z
Code Enforcement Officer
KWG/ph
cc: Public SafL-ty Director
eo� CITY OF ATLANTIC BEACH, FLORIDA
�
Approv"bV APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: .19
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND IN�ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
�4
ELECTRICAL FIRM: V MASTER ELECTRICIAN SIGNATURE "/JOURNEYMAN
'6�Z�� X
NAM 4/�17 -ADDRESS.'/'7--/- r- RFD-----BOX-
BLDG.SIZE BETWEEN:
RES.t-+"�APT.I I COMM.( PUBLIC I I INDUS. I NEW( OLD REW.
ADDITION ( ) TRAILER ( TEMP.( SIGNS ( ) -SO. FT.
SERVICE: NEW( I INCREASE REPAIR FEE
CONDUCTOR SIZE AMPS 1 1-6) COPPERf I ALUM. ( L4-"'
SWITCHORBREAKER -206) AMPS PH 3 W RACEWAY
fl) VOLT
EXIST.SERV.SIZE Id/9 AMPS PH �? W -,?Yd VOLT RACEWAY
.FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
SWITCHES 30 AMPS. 31-100 AMPS.
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 ICEIL HEAT; KW-HEAT
0-1 OVER
MOTORS H.P. i VOLTAGE PHS No. 1 H.P. VOLTAGE PHS
MISCELMNEOUS
77 &1 k R&6-cle
Q4
T-55 SANFORD GRI-P-LATE
SAN FORD GR I - P - L A T E S NOTE. No allowable unit DESIGN FOR TRUSS - 2,4--,-
stress Increase.
SANFORD Gltl�-P-LAIES, pressed into each
2-1 sig; ol TIUSS face, sho I be 20 gage (.0359) 320#
electro galvanized steel, perforated with 1/4"
deep triangular teeth to form the gripping sur- 3601 d
face and having position nail holes pierced ap- 267# 1
J 0 1 N T 1 - 2 proximately 2"o.c. (2.225 teeth per square b �34
inch). 2
Q-3D SANFORD GRI-P-LATE POSITION NAILS, driven through each of the L k h
position nail holes, shall be 1-1/2" long annu- 0
lar ring shank .120 diameter, 9/32" head, as 106
manufactured by Independent Nail Co. or equal. 24'-0" clear ii�,
k:F'r LUMBER shall be of a structural grade with a Live load (in roof 2D#sq. ft.
P112 minimum modulus of elasticity of 1,540,000 Dead load on roof I0#sq. ft.
p.s.i. and a minimum*allowable extreme fiber Dead load on calling 101' sq. ft,
stress in bendIng of 15DO p.s.l. for C, 1200
J 0 1 N T 2 - 2 p.s.I. for A, and 750 p.s.1. for B.
H-91 SANFORD GRI-P-LATE 4
2
-12D#T
3
;7/16"
S T R E S S D I A G I A M
Total design load 40# sq. ft.
JOIN T 3 2
Q-2 SANFORD GRI-P-LATE
JOINT 1-2
R
-U
2,k 4 C'
J01 NT 4 2 JOINT 2-2
12 12
S-90 SANFORD GRI-P-LATE 215
x
2x4 A
JOINT 5-2 JOINT 4-2
J01 N T 5 - 2 CAMBER BOTTOM CHORD 3/8" AT CENTER
JOINT. DETAILS T
S A N F 0 R D
c 0 p y r I g h t 1 95
BUILDING FOR OFFICE USE ONLY
CITT OF IC BEACH, FLORIDA bate 19 ,,a
Permit #1061. Fee
tiofi for Permit Valuation $
for Misc. Alterations House
an, Repairs
DESCRIBE: 1-f6611 01
(state if to repair, alter, add to or move building, erect awnings
or signs, etc. )
Building on: Lot Ino. Blk No. Sub.Div.
Address
Owner's Name g Valuation
BUILDINGS & OCCUPANCY
-A
Building, Use Residential or Business WO
What Plumbing work to be done?
Size of Present Bldg.. ___Size of Extension
Lot size Material of Roof
No. of stories now after altered :
Material of Present Building terial of Extension
PLANS, MUST BE fiUBMITTEb HEMITH
SIGNS
Size
Classification
(state whether ground, roof, wall, projecting
Material of Construction banner)
Illuminated? Type of illumination
(State whether lamp's or neon)
Will sign be over public property?
SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AND METHOD OF HAN(;ING
WRITE ADDITIONAL INFORMATION BELOW
(For eanvas. awnings provide dimensioned draw* de)
ImwLt"WO Si
4111 VY-1. 4n76
W W,
IMPORTANT NOTICE: --------
In considorationof permit given for .doing the work as described
in the above statement', we hereby 'agree to perform said work in
" accordance with the aitached ��plans and specifications, which are a
part hereof, and in accordance with the building regulations of the
' City of Atlantic, Beach,
$outhern Standard Bu* ng Code)
Signature of Builder , er
or,
Address Pho
ne