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Permit 700 Amberjack Lane
~~~ ~~ ~ CITY OF ATLANTIC BEACH ~~ ~~ 800 SEMINOLE ROAD j ~~ ~.^r~ ATLANTIC BEACH, FL 32233 ~ INSPECTION PHONE LINE 247-5826 .\ ~S 1 Application Number 05-00031265 Date 9/26/05 Property Address 700 AMBERJACK LN Tenant nbr, name .. INSTALL 6' FENCE Application description FENCE PERMIT Property Zoning TO BE UPDATED Application valuation 0 Owner Contractor ------------------------ ------------------------ JENKINS, KEVIN DANIEL L. DARMATA, INC. 700 AMBERJACK LANE 5144 LEXINGTON AVE ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 333-0981 ---------------------------------------------------------------------------- Permit FENCE PERMIT ~ Additional desc , Permit Fee 70.00 Plan Check Fee .00 Issue Date Valuation . . 0 Fee summary Charged ----------------- ---------- Permit Fee Total 70.00 Plan Check Total .00 Grand Total 70.00 Paid Credited Due ---------- ---------- ---------- 70.00 .00 .00 .00 .00 .00 70.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDIING CODES. ,. r: ,-~ ~ y~ ~'~ ~,,;., BUILDING OFFICIAL ~,.`~' `''''~~> „ CITY OF ATLANTIC BEACH c~: ~' ~~ S i~, _ _ D. Ford ~.. ;,~ BUILDING /ZONING DEPARTMENT ~.. ~ ins ,~J (~,~ ~= ~ --~ ~~'f~ 800 Seminole Road 3. ~._~ oerr ~ / ,/ Atlantic Beach, Florida 32233 ~~ " `~~"~ s1r ~---~~/ (904) 247-5800 (904) 247-5845 Fax f~ www.coab.us V`~ PLAN REVIEW COMMENTS Permit Application # ~~ ~~~~ ~ (0,~ Property Address: ~(~ ~ ~ ~- r/l~ ~ ~ A C, K.. ~~--~ V 1-P , Applicant: ~ ~. ~ ~ ~ Ir' ~ (~-~~ Project; ~ ~1~--}-.~_ ~ ~ +' ~~,(_;~~ This permit a placation has been: Approved _~- Date Contractor--Notified: Please re-submit your pplication when these items have been completed. Reviewed By: e.~ ~`^ Date: /;~ 5 --- ~ ~ - D S ~~1't ~5 ~..%1i`Jr,. j 'N ~ YI ~--' CIT AT~...A IC AC FENCE I A I IO Date: l J PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Job Address:~l~ Owner's Name: Address~~ Legal Description: Fence Contractor: Address:..~`~~ Block Number: ~ Lot Number: ~ ~` Zoning District: ~~~~~ ~ a r, ; ~e( L . ~ ar~ 0.-}a ~ t ~ ~ / 7 L~'~i~l_ C~~ ~ V~ Phone: /~ Y 3 ~3~`Sc~/t City: ~ GL ~ I Type of fence and materials to be used: _ ~Q ~ State: ~~ Zip: 33(7 Fax: ~~ ~ „~ S/ ~38..5"~ L~ ~Q Gn Valuation Of Fence: ^ Interior Lot Corner Lot ^ Durnpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? ~_ If yes, please submit with this application. Tree Protection: NO. Applicant certifies that ne trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shalt not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application (please print) Name: ~lAh _~~ki~ L Mailing Address: ~~ ~Vh~~C.1~ `Ve} I"~ 7~,~[, ~~~y \ ~ ~1~ PhoneC~~ Zy,G 1P~ 7j~ Fax: E-Mail: 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 • Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 1 Revised 3/04/04 I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: ~~ ~ Date: r~~~ AS TO OWNER: ~ Jt ~~~ ~Q,^,~ ~ S Sworn to and subscribed before me this State of Florida, County of Duval I ~ ~~" °~NS:t. JEANNE M. SHAW "' `~ r ~:; 1"1Y COMMISSION # DD 435986 e ~ ~~ EXPIRES; May 3i, 2009 ~ ` -- ir'd Thru Notery Public Underwrkrro Signature of Contract AS TO CONTRACTOR: Sworn to and subscribed before me this State of Florida, County of Duval ~~ day of ~ ;P~e,~.v`.•~yc..(" , 20 US . Date: ~ / ~ ~" day of ~•~-~,-_ - ks.~ ,~_ , 20 ~;- V ~'~&~ Not 's Si afar car` ~ eyp> JEANNE M. SHAW ~' ~ pay COMMISSION # DD 435986 d ~ EXPIRES: May 31,200`1 ^ Personally kno ':' ~{;tc ~4 ~ 3nndod Thru Notery Publ~ Urnierwrllen ~roduced identification :s+w~,w'r ..~..... Type of identification produced ~ l.__ ~n~ (~. Page 2 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fay: (904) Z47-5845 http://www.ci.atlaatic-beach.fl.us Notary's Signature: .-;----~" /" / L - ^ P rsonally known Produced identification Type of identification produced '~1-- ~Y; ~/ ,,.,t; L_ ~ .~ - - Revised 3/04104 Sec. 24-155. Establishments Offering Dancing or Live Entertainment. If at any time the City Commission shall determine, based upon procedural due process, that the Live Entertainment, for which aUse-by-Exception has been issued, constitutes a public or private nuisance, is not in the best interests of the public, is contrary to the general welfare or has an adverse effect upon the public health, safety, comfort, good order, appearance or value of property in the immediate or surrounding vicinity, then the City Commission may, upon such determination, revoke, cancel or suspend such Use-by-Exception and related Occupational License, and any person or party applying for and receiving aUse-by-Exception for Live Entertainment is hereby placed on notice that the Use-by- Exception may be canceled, revoked or suspended at any time pursuant to the provisions of this Section. Every Use-by-Exception hereafter granted for Live Entertainment shall contain a recitation upon the face thereof that the same is subject to revocation, cancellation or suspension for the reasons stated in this section. Sec. 24-156. Exceptions to Height Limitations. Upon specific application, the City Commission may make exceptions to the limitations and restrictions on Height of Buildings or Structures only within the CL, CPO, CG and CBD, ILW or PUD Zoning Districts, provided that in any instance wherein such an exception is granted, the City Commission shall prescribe the maximum allowable Height of the Building or Structures involved. Sec. 24-157. Allowable Height of Fences and Walls.. (a) Within Required Front Yards, the maximum height of any Fence or wall shall be four (4) feet. (b) Within Required Side or Rear Yards, the maximum height of any Fence or wall shall be six (6) feet. (c) On Corner Lots, no fence, wall or Landscaping, exceeding four (4) feet in height, shall be allowed within ten (10) feet of any Lot Line which abuts a Street, provided however, that clear vehicular and pedestrian sight distance shall be maintained at any Street intersection. (d) The height of fences and walls shall be measured from grade to the top of the Fence or wall. Where a Fence or wall is erected at the junction of properties with varying elevations, the height of the Fence or wall shall be measured from the side with the lowest elevation. The use of dirt, sand, rocks or similar materials to elevate the height of a Fence or wall on a mound is prohibited. (e) The maximum height of retaining walls on any Lot is four (4) feet. A minimum of forty (40) feet shall separate retaining walls designed to add cumulative height or increase site elevation. Sec. 24-158. Guardhouses and Security Buildings. (a) Guardhouse or security Building shall mean any Structure designed, built or used exclusively for the shelter and on-duty accommodation of persons engaged in the protection, guarding and security of persons and property. Initial Effective Date: January O1, 2002 as adopted by Ordinance Number 90-01-173 Last amended April 11, 2005 as adopted by Ordinance 90-OS-186 74 477 DEPARTMENT OF BUIl.D1N(i CITY OF ATLANTIC BEACH ----- PERMIT INFORMATIt]H -~----° -°--r - LQCATION INF'ORriATIUH -------_._...._ i'ermit 4[umber : 4772 Addrea~s : aflC~ AMBERJAC2~ ;~2:~3:3 ATLANTIC BEACH, FL©kIUA F°ermit Type: RE--RQC3F ~ --------- LEGAL QESCkIPTIQTi - C3~~~ a~ Warkt NE1V Cpra~str. Type : Wt1t117 FRAME Lc:~.: 83.~+ck s Section preRpased Uee: SINGLE FAMILY Township: RMG: C~ Dwe~.lings: 1 Code: O Subdivision: E~atimeted Value : ~©. 00 I>+npre~v. Cast ; SO. t3Q Tota3 F~~s:, X22.50 A-;~ount FnYd : X22. S0 .___.,.~_____~ C-itNER I~Q~'QRI'#ATIOH - -_-- ~- ____ APPLICATICIN FEES ----- M~ ~ ~~?~~~ H,G ~ ~ ~ PERMIT ~ ~2. 5i~ Address : 7'OD A1K~'!'JACK WATER IMPACT' FEE ~C~. Ct0 . ~ ~ ATLIIHTTC pL;~CH- FLORIDA 322 ~ SEWER I~PAG:m FEE ~Ci. QO . PT4te:- {9d~! );~43~~439 WAT1~~R M~'1`I~ #O. C3!!G RAULlN GAS-H. R. S. ~Q- 00 _ _ _ _ _ - - CE~HTRAC~TOR =-~fi~FG)R)sTATI Dtt - - - - - RADCII+T GAS - SY. ~t~• 00 - Name: W. H; W,ILL~W ROC1FIlli{3 MATER TAP ~O. ©O Addr~a~: 911 BERRY" AVEPtUL JACKSQ~!~ILLE, FLORIDA 32211 SEWER TAP SO. UO HYDRAULIC SHARE ~t7.00 Li~~~~e . "RCflDO,~~~3 Type : 7 RE-IP~SPECT FEE ~Q. 047 _ ' SEC. H IP~PACT FEE ~Q. 00 ;: = ., k : ;'. , , QTHER 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." VALIDATI~! DATE: 01106l~ ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ~~ REVOCATI~tR VIOLATION OF APPLICABLE PROVISIONS OF LAW. ~ ~,r~} ATLANTIC BEACH BUILDING DEPARTMENT a~ `b By: ~. ~/~ ~/ CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING ,1 Owner (s) . _ , :~..!~ • ,_~~~ , °a.~ f "~ ~.. ,.~ ~'t , t Address : ~ (; ~'~ t-- ~ ~~:~~ ,.~ ,~ ,: Phone : _ ~ ~-~'{ - (;; ~I 3 ~i Lot # Black or Unit # Subdivision ~.~ Contractor : ~,,i~ . 1-~ . ~;j ~i.~ ~.:~ --'IC.~-t'. Address: ~ j ~• I l~~ [~.z~ ~,~~~. Phone: ~1J,S •- ~? - ~''S State License No. Describe work to be done: ~~ r~c,~ e Materials to be used: 5~~~ ,' ~~ ~ ~.S Signature OWNER: Date : / ~ ~ - `) ~ • Signature CONTRACTOR: ~.v! /~, G,/. ,~~, T ~ tD y 3. O .J Y C N ~ 'b N v o ~ z O N ` ~^ ~~ ^'~^' l~+ 1 T ~1 J 1 T ~~ J_. N 0 in. ~ «,. ~ ~~ n ~ ~ ~ ~. ~, ~ ~~ ~~ ~i~~ ~ J~1Ris13iCTION OFFICE F I IYi! OFFICIAL ~{ .~~. ~" ~ Ear' '"`"'~ This building has been inspcctcd and ' eneral Gonstruction~--° ~~'/~~~c®~s ~G~a~ ~' Goncrete® Masonry and Finish ~err~ent V1lork ~ Lathing - C~ Plastering D Elevators ^ Plumbing ~ Mechanical work Electric i/~iring ~ Gas Piping ~~ ~~ ~ ~' Please correct as noted below before any further ~n,~ork is done. ~° ~ ,~ etc Inspect®r- %~G ~eQ~, F~~ i ~ r ~ Sa ' r ~ O +~ ~ t ~~{' ~ '~ ~ ~ L ,. yam. ti rt f GZ ~) ~. ,'a ,~ ~'' y; ~ 3 ~ ~ 8k~ §~a :.~ ty. ~ ,_ i; ~ .P~ ~,k 4 R •a,, ~ f ti ~-~ in .~ n .~ 4" ~, l ~ +~ '~ ~ ~ ti r~r ~ fa ~ ~ - *i ~'i t{{ ~?l''~ ~t ~~1 ' ~~~ ~. s~ 4~''-r, t ~r i; r$r '~ y ~ ~ ~; ~ 3t ~~. 1.fh s ~ ~'~ 4~ a~ '~ ~ ryt~ „ ~ , ' ~ ~ ~ ~ ,k ~ ~ ~"~'` y~F ~ AHi~~ ~ ,-, yhT '~ r ~ 9T '' .. iv t i ~ 11~ f z!"+ ~"~~ Fr `k t~~ ~.. !'. ~' 4 y'ili ~ ~.J J~ ~ ~' t 9'~ ~ ~ _ 1 - ` k w ~ '~ ~ l v a 4 ~ _, r - . ' ~ ~r - ~ s; k -_ ~ ~ ~ ~= t r ~ ~ y ~% ~ F s ; .- f-ft 4- ' s r ~~~ t~ :~ ~ ~.~ ..~t r r" ;i i ~` t. ~ ~ x .,yam _ ~ A.~ .5 - ~i~ ~; ~-2 ~ ~4 ~~ _ _ ~S ' ~f r SP' a `~ ~~ - ~~ :f54a .~sc~j r.~~ ~ ~ r ~ ~~ ,,t.. 2'.,s :~ t ~'-+Li~~ +'MY k ~ 4rr~r x.r Y~ tx ,. t. r ~f' ' tY,t ' - a , .~ ~ '. 1 1 r r _ _ ! ;r i t ~*• ~ t , , .5. Li ~~ ~{.~.,~• - - t -d ~ ~ r J. ._ft ~ zY tt fir. ,~ r .~ - r .~t ',- 4F ~ ~ -` h~ N *' f t ' v .* ~~d ,y 1 7 o~ ~ ~~ ,. ..r r ~ r r r ~; , ti ,x ga { ~ x ~ ~~ ~~~ i ~~Y~ ~/ x ~ ' ~ ~ 4 ~~ i - _ r7 t y,: ~ r~f`~ ~# c ~ -stn > `~~.L'~ '[.`yr"Y ~j ~~-~~~',r F y , `t~ ~ ':tit ~ ,•Si ~ 4, r``y~~,~ s, 'i.°?' ttFto ~ t~~ ~~ i i lye ~~r` M1 ;, .} ~~: ~`xY`_~c r. {y Y'. a "'^„~ .'.. a .,?ii. .. a `~ t Y P 1 -. ~r 3'I ,Lyti , '' 3Y ~ r ~ ~ ,~ =-`- ~~~~ CITY OF ATLANTIC BEACH ~~`"~ PUBLIC ~ ~-~"`~ lEPARTMENT 1 i ~' V~ 1200 Sandpiper Lane ,y Atlantic Beach, Florida 32233 ,-._ ~~.' `~` (904) 247-5834 (904)247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # ~~ _ ~1 ~"~~ Property Address: ~~~ ~ ~' ~~r~ ~~ ~ l~a ~ J Applicant: ~~. ~. t `e ~ +~a- ~ ~~- C~ ~ ~..~ Project: ~~` ~%~ ~ ~ ~V\. ^ Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department. ^ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions please call (904) 247-5834, Reviewed by Donna Kaluzniak, Public Utilities Director Signature Date Contractor Notified Date '' - - : ~~ .~,. ' r$ `~° CIT O;~ AT~AN IC ;'B ACI3`? ~" ~, ~, , ~.~. ~~; FENCE I~, ~ IT AP I~ IO ~~ ~; -~~ + ~~r,, ~~ ~ ~~ Date: 13~ `~:/ PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WTTH APPLICATION. Legal Description: Fence Contractor: Address: ~.-- Block Number: Lot Number: Zoning District: ~ LE'.~i~''1 ~~~ ~ /~ Phone: /~ ~ 3 ~~~-'i~/ City: ~ ~ I Type offence and materials to be used: ~ 7~ ~ L Valuation Of Fence: State: F- ..6^ Zip: ~~ ~ Fax: ~~ `f ,}~ ~) o~/? c~.S~ ~~ ~C.t!'d G-1 ^ Interior Lot Corner Lot ^ Dtunpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? ti ~'+ If yes, please submit with this application. Tree Protection: ~NO. Applicant certifies that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. T P.EE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appronriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact i Information of person to receive all correspondence regarding this application (please print). Name: ~U4 Jf'~~Iw Mailing Address: Phone~~(7~~ ~~~ ~°1 j~ Fax: E-Mail: 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone; (904) 247-5800 Fax: (904) 24'7-5845 http://www.ci.atlantic-beacl-.fLus Page 1 Revised 3/04/04 1 hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. ~' Q J Signature of Owner. ~ Date: Y~ AS TO OWNER: ~~~ ~~j"~ ~e~,~ ~ S Sworn to and subscribed before me this State of Florida, County of Duval »:r~..e I ; ' : ' ;, j< ` ; . ~s~; : JEANNE M. SHAW "~` ``"`~ ~1Y COMMISSION # DD 435986 ~ EXPIRES: May 31, 2009 .. _~f'~ ~ fs,~ded Thru Notary PuW~ Underwrilrrr ~~ day of c~-'.vr`-~ye.C` , ZO Os Notary's Signature: .--'" ! i ~- ^ P sonally lasown Produced identification ''~ Type of identification produced "~ ~ ~Y i ~/ ~t% ~.~ Signature of Contract AS TO CONTRACTOR: Sworn to and subscnl~ed before me this State of Florida, County of Duval ~~~,; `~,w-, JFJWNE M. SHAW ~~Y Ci'IMMISSION # DD 435986 ~~ ~ EXPIRES: May 31, 2009 ''?; is 's~;~•' ` i3andod Thru Notary Publ~ UrHlenvtilers f3'_:wKwliKliG~i Date: / day of -~c.~,~'i•c.,- , 20 ~. Notary's Signa ~~~~ ^ Personally lcno ~oduced identification Type of identification produced ~ L ~nJ ~ c`. 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 2 Revised 3/04/04 ~~' ~''~'rJ~ CITY OF ATLANTIC BEACH f ' ~" ;, ~ ~ ' AJ~~S`=~`~ PUBLIC UTILITIES DEPARTMENT `~'' 1200 Sandpiper Lane ^ ~vr1 Atlantic Beach, Florida 32233 r. ,,~!` (904) 247-5834 ~ -~ (904) 247-5843 Fax www.coab.us PLAN REVIEW COMMENTS Permit Application # (~5' ~J I ~- ~P~ Property Address: ~ ~ ~ C_X. ~ ~~ , Applicant: Project: ~'2, Your application is approved as noted by the Public Utilities Department. Final application approval must come from the Building Department ^ Your permit application has been reviewed by the Public Utilities Department and the following items need attention: Please submit these requirements to the Public Utilities Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions; please call (904) 247-5834. Revi d y Donna Kal 'ak, Public Utilities Director Date ~ ~7-'~~~ ?~ Signa e Contractor Notified Date ,~ ~.~ ;_~ , `; ~ t r S =->> ~, r n1i1` \~ vY,~ ~~i ~~,;~~ ~(~" CITE (.}~' AT~A~N , IC `B ACID`, FENCE P~~ ~ IT A ~ I~ IO Date: ~~~~ PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Job Address: Owner's Name: Address Legal Description: Fence Contractor: Address: ~.~ Block Number: Lot Number: ~ Zoning District: ~ S -y a ~ ~ e_~ ~...- - ~ Q i ~ ~-} ct ~ 1 n C. . ~__L..E'j~-i~'°1 C ~~ ~ ye Phone: /~ ~ ~ ~~j~-`~/ City: ~ G1.7C I Type offence and materials to be used: ~ 7 ~-) L State: F- ..G^ Zip: J~ l (~ Fax: ~ ~' `f ,}~ ~ ~ o~ ~ 8-ST ~~ C~ 1'C~ C r1 Valuation Of Fence: ^ Interior Lot 'Corner Lot ^ Dumpster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? ~; ~ If yes, please submit with this application. Tree Protection: ~NO. Applicant certifies that ne trees will be removed fcer the installation of this fence. YES. Removal of Protected Trees will be required for tl~~is fence. TREE REMOVAL PERMIT IS REQUIRED. Tree Removal Permits to be reviewed by the Tree Conservation Board, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow all steps and provide a[I information as appropriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address and contact information of person to receive all correspondence regarding this application (please print). ~" Name: _' ~( _}{+~.i~i'N~ MailingAddlr~ess: il.'(,- ~--T~~ 1v~J 1'T"T'Gti„]~ Phone~~ 'a"l~ ~~~ 1~~ J~ Fax: E-Mail: 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beaclt.fl.us Page 1 Revised 3/04/04 I hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Owner: ~• AS TO OWNER: ~e,/c~~"~ ~Qn.k iV1,S Sworn to and subscribed before me this State of Florida, County of Duval ,,i~1~:':~;t~;.~ JEANNE M. SHAW s ~' ```~ ~ ~lY COMMISSION # DD 435986 EXPIRES: May 31, 2009 ,~~ 1:9tNlefS Thru Notary Public UnderwrAera 4-i~~" ~~ day of ~~~~vv.-~,~ 20 US /j~ s~ Notary's Signature: i- / / ~. ^ P ovally known Produced identification Type of identifcation produced '~ L ~Y : ~/ L,t; ~_ l/w r :~ n '~- fj . ~ ~- ~ ` Signature of Contract AS TO CONTRACTOR: ~ /3 ~.~ Sworn to and subscribed before me this ~~ day of ~-f ~,,,~y~,` 20 ~~ State of Florida, County of Duval ~~/ '`~:'""° Notary's Signatur • /~-- `-'°~-•---_... `p~~,Y ,~~.., JEANNE M. SHAW ~:, .•or ~,!Y t%t?MMISSION # DD 435986 '":~~',',~'~'~`'~:`'' i3n:lpgii 1ZIIN Notary PUWblUncie~ ere ^ Personally kno '~~~~~~" ~oduced identification Type of identification produced ~ l., ~t~~ ~- c-- S00 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ciatlantic-beach.fl.us Page Z Revised 3/04/04 s s, :~ 1 , ~ r 1 '_M'AP ~SHC?iNtNG. ~vURVEY ~F ~~,~~ ~._~- ~ A~ ~HC~W N C1N MAP OF ~~~ - ~ r,.`. . ~, l.~ ~ t~ r~ ~ ©t~ ru®L.IC RECrojtos or: nuv~rv cam., tw+. k6 RtCifJltD1RE~,`1W .>M~Y;'P~K...~-.-1"~ i ~ ~,p !,~ ~ - FOR ~ ., 4 ~r b , ~ ~: • i s.,.,~ y of Atlantic :beach, I~ ~ Planning snd Zoning Dapartment / ~ 'This approval verifies compliance with appli ble ~,~ ~~. ~,,~' C..1'~-" ~ {~, ~~ , ~~ zoning, subdivision and other local nd development regulations, but does not cons ute . ~i E . ~ ' approval for the issuance of permits. Compii ce with Florida Building Code and a1i other appti hie local, State ~ar~i ;F.pd rai permitting requfrem pis ust be vetified Eby gnature of the City of Atla 'c t~ h Building Off ciail prior to the ssuance \ ~~ ~1T~o Bui Permit. ~~:~ .\ I ~~ ~ APPrave Y~ ,, .i munit a e.esprnent Director ~+~~~,~,~ ~ ~ r`,~. ate; y_ ,. ~ ~. :r+` l ~ ~~ ` 1:... G~ "~..' z,. Ski `~ '~ ~4; ~, '~ ~` ~' ~, ~ D"¢ a~C9 rte, Ct, ~. -~ Q ~ ~ ~- . Y ~ \ ,,, . . ~~ ~ ~ -. ......._....~ 1 ~•,. 1ik j :~ ..r. : ~s , , .~ ~,._ ~ .. ,.: yy '~' ~ . a ~'~..._ ~ f~ ~.:. ~, i~, - ~ i ., t r • , '_MAP=SHOWfP+1G.5l1RVEY OF I~:~T t .~ Bt~OGK ~_2. _ ALA ~HCyWN ON MAP 4F IkJS RBfiORD1k~?~Ii~=.!'4J1~,~~K~/i-+O~~C~l~ O~ 1M.19LiC RLCA~tDI~ OR DUV/41. CD., FLJ~• . _ _ FOR `~ ' ~ -K~.~f~'!~ X ., ~~ . ~~ ~e ~ ~ ..~,L~ CTS 7'~ ~.~, / "j ' ~~ ~ L~ ~ I' -~ , ,, 7 ~~ ~ ~ sr,,, 4 , ~'-"~":'i;..C~' C7`2... ~ ~. ~ Zonbrpolevi~sion •n bes~i~>wt nd . ,~' ~ ~ i . c'~ ` M.._,_ tlavt~Mpmsn! t~Nri+ons. i~ ~ not cons ute MpirreaR4 fOt Iha 7sswaaa D~ perDnits. Contpii ce with Florida BuNdfig Coda arNd sii other MppN to ' - ~ focal, State ~atyl lF,ed 1 permitting raquirem is uai be vaAfieB re of Me City of Ati 'c 4 J{~ 6u##ding ci l prior to th ssuance . ' \\ I . , f3 q~c Bul Permit. ~~~ ~~ ~ #gpprov Y~ munl eae opment Diroctac 25' Via: .~)+,~• ~ -~;,_ t ~, eta: - ,- n / ~ . 114.:9 ' S ~~, f- t ` d` ~ti ~` ~~ '~.~ ~'~ ' ~ , mss` S (~ ~, . , ~ ,~,a, ~~,~- f ~ ~ ~ ~,. . J ~^,~ i~ ,~...~.:!~ 5 518 9 DEPARTMENT OF BUILDING '~' CITY OF ATLANTIC BEACH __ PERMIT IAIFOR»'IATION ---____. ____ - LQCATIdN IAtFaRPiATION ____~-~._ P€?ra~it Nua-bear: ~~518 Address: 70Q A?lHERJAGK LANE Permit Types M~CHA'NICAL --ATLANTIC BEACH, FLC?RI)~A-32233 Class a~ Wcark: AADITIOAi ------" - LEGAL.DESCRSPTIAN - Caristr. Type: WOL}D FRAME Lot : Blocks Section : Prapased Use: ~ING1.,E FAMILY TaKnshipz RNG: O T~~-eiling>~ : 2 Code: O Subdiviaian Est.i~+sted Values ~O. DO I~prov. Cast.: ~o.oo Tatai Fees:. ~~47. C10 A»aun~ J'erid:: ~4?. 00 Dates- Paid: 61`x,7.1.92 Work ~ ~c--: E k~ACE~ ~[T i~F CENTRAL HEAT AND AIR SYST~)~ ..___ __~_~.. ©~~~~ .~fFtFGiSIfATTE~t~ --~___.,_ _ ____ APPLICATION FEES -____ N~~~~`3: Tt3!! ~`EN~'~~~~~. ~`` PERMIT X4'7. f10 Addiress : '~Qs7 ll~B~4~.RJACK LANE WATER IMPACT FEE ~fl. ()O A"T`LAMTIC >;i>~CH, FLORIDA 322 3 SEVPIl;R xP1PA~'x' FEE ~O.OD Ph'~~ s t J04) 24'~ ~:82~~1 WA'`II'ER. M~'"1`I~t ~EI.40 .., <,. RADON. GAS-H. R. S. ~0• ~ _ _ _ . _ _ _ ~QXVTRACT©t~ ~, ~NF~IRMAT~4N - - - - - - RADON C~A~ - S9~ ~0. 00 °~ WATER TAP X0,00 Msm~r: '`~lCEA~i ,STA`I'D NEAT &= ASR $p. 00 A+dc3>s•ee~ : 147b ~ ,A;~I;..AHT+C BLVI?. SEWER TAP NEf'TtJN)s'` BEACI~, FLORIDA 3223 HYDRAUI..IC SHARE $0. 00 License: MHAR-78Fa Types 3 RE-SNSP'ECT FEE X0.00 SEC, H Il't!'ACT FEE X0.00 ~a. €~ .. Y _ , . ~,. _ oTHhR ., 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 PUBLIGSPACE, 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." '~1t.1 C~ ~1T: ~: it3F9G ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJ~ REVOCATI~~~10R VlOLATiON OF APPLICABLE PROVISIONS OF LAW. ~ ~,~~ ATLANTIC BEACH BUILDING DEPARTMENT 8y`. j1 /F f} A BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ~ ~--(~~ ATLANTIC BEACH. FLORIDA ,Riga APPLICATION t~C?R MECMANICAI.r PERMIT __~ CAL.t..~N NUMf3tR IMPORTANT -Applicant to complete ell items in sections I, II, III, and IV. L~.ATION Street Address: ~r!_(„~~.;~`-f-r'_~._~ "~ " ~ OF And Inferwefiny Stneh: Between ~uj~o~N~ I1. IDENTIFICATION - TO be completed by all applicants In considers-ion of permit given for doing fhs work es described in Ihs ebcve •}efemen} we hereby agree 1o perlo••++ seed word ~- e:::•oe-:e rritll the e}tsc~id ptens sod specifiu}ions which ere s pert hsreof snd in eccordsncs with she Ciry of Jecksonvit'e ordi~e~ces ego s•s^~e•as of good prec}ice fsfed }herein, Nens..f AAec6enicef Conhecfors M ti ~ C.+strett« (-ilnt) er e (~ • Naase of $iSaeture e/ ~M1 SiynetY-e of ~ « ArN1«' t.. Artbibcf or Enpinee- 111. C-ENERAt. 1 T! A' Type o1 be.tinq iY.: B' ~ H.tfric IS OTNER CONSTRUCTION •E1NG DON~N TNlS SUI~OING OR SITE 1~~L/ ^ 6se - ^ ~ ^ NefYnl [] GnMel Utility • IR YES. GIVE NUM! ON ^ Oa ~ PERMIT ^ Otf1•r - St»cify ~ IV. EpC1iJW1GAL E~IfI-MWT TO tiE INSTAlLEO NATURE OF WORK (-r.ride coaspfefe fat d c«npolseah oa bed of +11a Fenn) ~.l Residential or ~~ f 1 Commercial Heat ^ Specs ^ Recesxed ~ Gntnl O Ffow i New 8ulldlny 1 ~ ) ~ /(} U Air Conddioaiay: ^ Roo1a -~ Gnfnl ~ ,~ Existing tluildinq a L t ,~r/~'y1r ~ /~,lf ® DYCf Srihwas hA.hw+e clan ~ Replacement of exlstinfl system "1 Ma~~ ca~ci~ ~~p ~f~ ^ New Inatallatlon (No syalem previously Installed) ^ Exlenalon or add•on to existing system ^ R.frp«rltioa ^ Other - Speclly _ Q Coolwp toror: Gp+dty 9•p~• rinll«e: NYraber of M.da ^ R _ rr e0 O ~~+ O fd.~iH ^ Es~~tor j""s"~) THIS S'FACE fWR OFFICE NSII ONIY Q (7.e0fiN 011111 IaYlalfe/' (Reexslwdl Q Tee (auasberl Ron-.rie ^ ~ ceaNiaerc,. ~aY1111Nrj ^ Ualwd Mewre cowl O leii.es Penail llpprowd by O+fa Q ONw •~ Sp.cify hrmit Few LIST ALL EQUIPMENT AIR OONDITIONiNG AND REFRIGERATION EQUIPMENT Capri ~p JaJ !'Immber Vatt. DeeerlpRloa 3lod)e! Nlsmt>!er lianuteaturer ('ibeu)y ~AS+eary ) f r, .----~'~ CITY OF ATLANTIC BEACH, FLORIDA Approwo by APPLICATION FOR ELECTRICAL RERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:~,_.,.. ~~I, ~ „~y~ IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLIOWiNG, 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. ELECTRICAL FIRM:_ MASTER EIEC~fi1C1AN SIGNATURE JOURNEYM N _~-~' /~~ /~~ NAME .._,l(~, sf~Cl~-K.~~/S ADDRESS:..~~d D ~1-'!~•ev J~ .ST ~,~,_RFO ~X 6L00. SIZE BETWEEN: RES. ~ APT. ( ) COMM. ( ! PUBLIC 1 ! INDUS. ( ! NEW i ! OLD ~ REW. ( ! ADDITION f ! TRAILER ( ! TEMP. ( - SIGNS ( ! Sf1. FT. SERVICE: NEW ( ) INCREASE (~ REPAIR ( ! Mun~~nrnn r~~r .~ //~ ~/fi7• .-/. (FEE ~_ SWITCH OR BREAKER AMPS PH W ~~ VOLT A EXIST. SERV. SIZE 6 AMPS PN 3 W ~°`~y~.T 5~ RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING f;U7LETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL O•DO AMPB. Ji•100 AMPB. SWITCHES INCANDESCENT FLUORESCENT d~ M. V. FIXED 0.100 AMP B. OYFR APPL.IANCE9 BELL TRANS F, AIR CONDITIONING H.P, RATING COMP. MOTOR H.P. RATING OTHER MOTORS AMPS CELL HEAT: KWHEAT d MOTORS 0 H .1 .P. VOLTAGE PHS NO. OVER 1 H.P. VOLTAGE PHS r CITY OF ~...~.. / Office of Buiiding Official ~ REQUEST FOR INSPECTION ~ ~ ~ „~ ~~ Date ~!"d s ~ -~ Permit No. ~..~ --' Time ~ ~ A.M, c Received .!"L -~ P. M. ,> ,~ISk`ictNO. Address BUILDii~bt; I CONCRETE ELE PLUMBING C M~ECH~ANICA Framing ~,/ ^ Footing ^ Rough Wiring ^ Rough ^ liir.'t~rtII"8-~J Re Roofing ^ Slab ^ Temp Pole ^ Top Out ^ Heating Lintel ^ Fire Place ^ READY FOR INSPECTION Pre Fab . Mon. Tues. Wed. Thurs. Friday A: M: -- f ~ A.M. Inspection Made p,M, Inspector •""~ ~ Final In ipt~ ^ ~ ~~ Q}~~~~ ` Certificate of Occupancy ~ , r~w~'~ / ,7 ~ vY,.~sC.~.ld Date CITY OF ATLANTIC BEACH PUBLIC WOi2KS DEPARTP+~ENT 1200 Sandpiper Lane Atlantic Beach, Florida 32233 (904) 247-5834 (904)247-5843 Fax www.coab.us PEAK REVIEW COl4IMENTS Permit Application # ~S' ~) ~~~ Property Address: t! U~ ~, CYl ~. ~ ~ ~ ~. ~ l ~ t/l.~ Applicant: ~~VLi ~. ~ ~-~(VVt(i~G~ Project: ~VL`~,t ~ l ~`~-Vl.-~'~.~ Your application is approved as noted by the Public Works Department. Final application approval must come from the Building Department. ~rmit application has been reviewed by the u ks Department and the following items need attention: Please submit these requirements to the Public Works Department, 1200 Sandpiper Lane, Atlantic Beach, FL 32233 in order that we can approve your application. If you have any questions, please call (904) 247-5834. Reviewed arper, P.E., Public Works Director T Date ? Signature Contractor Notified Date ' rS ~.11'I1 ~~~' ~,: , ;` \S~~` t~ Ir ,I ""'~ 1'rl ~:('~ CIT~~ ~~ AT~A~,N , IC FB ACHF EP~~~ ITAF I~ TO~~ FENC Date: ~~~+ PLEASE SUBMIT (3) COMPLETE SETS OF PLANS WITH APPLICATION. Job Address:~l.(~ Owner's Name: Address Legal Description: Fence Contractorf Address: S~j city: ~ G~~ Block Number: I Lot Number: ~__ Zoning District: 7 ~ E';tii~ C ~n ~ i/e Phone: /~ ~ 3 3~G`%~/. Type of fence and materials to be used: Valuation Of Fence: 1 State: ~~ Zip: J~ ~ ~ Fax: / ~ `~ .3 ~ ~ ~ 3 8-s~ ~a ~. ~ 1°'i '. -~~ ~~ ~ c.~ s~d c. r~ ~ ~~ i ^ Interior Lot Comer Lot ^ Dempster or storage tank enclosure Is approval of Homeowner's Association or other private entity required? ~i ~ If yes, please submit with this application. Tree Protection: NO. Applicant certifids that no trees will be removed for the installation of this fence. YES. Removal of Protected Trees will be required for this fence. TREE REMOVAL PERMIT IS REQUIlZED. Tree Removal Permits to be reviewed by the Tree Conservation Boazd, which meets two times each month. Procedure: In order to expedite issuance of permits, please follow alt steps and provide all information as aparopriate. Incomplete applications may result in delay in issuance of permit. 1. Attach copy of property survey showing location, height and all distances from property lines of the proposed fence. (Fences shall not be placed within any utility or drainage easements without written permission from the Utility and/or Public Works Departments. Fences shall not restrict any private easement.) Address+iand contact information of person to receive all correspondence regarding this application (please print). Name: [ 41 3~ k~~ Mailing Address: ~~ `G,f ~ i ~ ~tiu~ ~L~ ~~j ~J ~ Phone~~ ~~~ ~~ J~ Fax: E-Mail: 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http://www.ci.atlantic-beach.fl.us Page 1 Revised 3/04/04 1 hereby certify that I have read and examined this application and attached documentation and know the same to be true and correct. All provisions of the laws and ordinances governing this type of work will be complied with, whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any federal, state or local rules, regulations, ordinances, or laws in any manner, including the governing of construction or the performance of construction of the property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. '' Signature of Owner: i ~ Date: 1~~~~~~ AS TO OWNER: ~,e~c ~,,~~'~ ~~.~~'n S Sworn to and subscribed before me this State of Florida, County of Duval '' .•~~~~''+~~. JEANNEM.SHAW <~ r k• P.1Y G'nMMISSION # DD 435986 EXPIRES; May 31, 2009 +~e t,'.~ttdad firu Notary Public Underwrilera .Y„= ~ a,. ~~ day of ~-~~'_v~-I~-e.('- , 20 US . Notary's Signature: ~---'" / / `- ^ Personally laiown Produced identification Type of identification produced '~ 1-~ ~Y . ~/ tt% ~, Signature of Contract AS TO CONTRACTOR: Sworn to and subscribed before me this State of Florida, County of Duval •-,~:,~. , ~~ ; `y~ JEANNE M. SHAW p _ • ~ ,~ ~ ~ ,ly CtJMMISSIDN # DD 435986 31 2009 EXPIRES: Ma ; ,k' ~_ •,: y f?x ~; ~,• ;:}onriud Thru Notary Publb Undem~rilaro Date• ~ / ~~~ day of ~-~-~~,~.,~ , 20 ~' Notary's Signatur ^ Personally lcno [~oduced identification '''`~~ Type of identification produced ~ L /f~J L,,+r ~- 800 Seminole Road • Atlantic Beach, Florida 32233-5445 Phone: (904) 247-5800 Fax: (904) 247-5845 http:J/www.ci.atlantic-beach.fl.us Page 2 Revised 3/04/04 ~ ~ 'f t ~ . 'M'AC' ~SMC~WfNG. ~vURVEY Cjf= -L~~T ~ .~~Bt~C~K?_~. _AS ~t-1CyWN ON M/~P OF . IkB RgCtCiltD~D, tW ,r1~,/1'Y' °Rti~DK~J'l~a'~.~= d ~ qtr l~l1®l..IC R6C4~tDf~ OF QUVAt_ ca., ~. R'OR ./ . /_ ~~fZR' hS - e ~ Y .. {g{r ~ - r .F. ~~ • / .: 7 ~~ ..~ ~ S`n,/ ~"' y of Atlantic :Beach, ` • ~ Q Planning end Zontns Department ~ ,~a ~~~ ~,~,. ~ ' This approval verifies compliance with appii ble ~'. !~~ ~ ~~ zoning, subdivision and other local nd ~ ~ i} development regulations, but does not cons ute approval for the issuance of permits. Compli ce -~ with Florida Building Code and atl other appli Este (~ local, State ~ar~i ;€,ed ral permitting requirem its ust be verAied ~y gnature of the City of Atla 'c ;9 l{~ ch Building O ciaf prior to th 'ssuance ~ ~ ~) ~ '1~~ Bui Permit. ~~~) , . ~' ' / ~/J~G~---~ ~ Approve y: ~~, ~ y '~~ vnunit e~~elc~pment birector ,` ~~'~ , t. _ ~ ~ ,ate: -- `'. ~ 1 ~ ` _ , ~, 1 1 t~ }9 S ~ , --, ~ ,, ' [7' ~~ • ~ cJ.. ~ ~ ~. ~: ~ ~ ~ 6-M a~ ~ ~ ~"' ~ ~, ~ ~. ,. ~., ,~ `~ • ,:. . ~t:. ~~ ~, ~ ~s ~y~`;; ., 4 r ~ . '_MA~'-~SHC?WtNG. ~vURVEY CAF • ~~JT. _ 1 _._ .~•~:3~C~CIC ~_ ~ _ AS~`HC~WN ON Ml1P O-~ ' ~„ ~ ~` U ~ r~: kB RtCt~ltD!!;D IN ,!'IrA"f' `ir3~1K~J'/Et'~"~~~-0~ !"U0t,1C RI~CO~FD6 OF DUVAL Cq.~ ~4J~. `L~' ~~!~ ~ I off-- mac' fed ~~ - , 7~ ~ ~ 7~ ~ C ~; . r y o1 Atla a Beach. • ~ Pianninp and Zoning Department h. ~~ ~ ~ ~,."~ ~ This approval verifies compliance with appli ble ~' ~~ ~ „` zoning, subdivision and other local nd ~~, 7 y. development regulations, but does not cons ute approval for the issuance of permits. Compii ce -~ with Florida Building Code and all other appii hie " (~ local, State sand ;F.ed ral permitting requirem its ust be verAieti+by gnature of the City of Atla 'c :g ~ h Building •Off ciai prior to th 'ssuance ~, ~ r~ pEo Bui Permit. r Approve y: C imunit e~~elcpment Director 2 a~~,~,~..., ~. w.. ~ 'T.. ~ ~ ate: ~ `~..LQ~_____ :+~ r~„ ~ i ~ ~ ~P"~~ ~.~. ~ t .C} 9 ~ t' ~ ~'• ~:~ ~~~ ~, • fa r`a'Av ~~(~ F`f~' 4 • ~ r ~,~, '~' t ~.~ ~,n .fir' ~' ~~ V \ ~ - _., --"-- _ .. ~.. ~ - rf .~ ' a ~ .. y,. ~ yy w - c #,py ~ y ~? '~ t .:z DEPA.RTN~ OF BUTLI)TNG TOWN OF ATLANTIC BEACH, FLORIDA ~"'' • p 't for ~.. a FOB O y L rE! "~ Y ~ nf-. / 1. i~au_.. ~o O Permit No. ~----. Fee $-- ` ~.•~, o 0 Valuation $_--~`~!~-.~-- -°^' .______ House No. ___-___. .~ 1~--_-_- i , - Ap~hcc~on for errni __-- 'scellaneous Alterations, ~-'~~-~-'~~~~~`-~- ___ 1VI~ _ _ _ cmd Repaixs .____..~__. .-~--..-----_ ~ / To tho Supfzvisar of Building: C/ --V--~,- ~ y-~-/_~ "' __~~ `/~--.~~ The undersigned ap es for rani ~/~_----- `^ ~~"""' ` (State it to repair, alter, Odd to or move buildlns; erect aw ~ i~~, 6tc.; Install bolls etc Building on_-__ _._._._.Z.ot Na.--... ._._Block o.______----------•------Sub. Div. -~-- (stat. traotlonel n) ~ ._...5ta Side N .~~~~ -s-°-~~ __________._._________._ancL..,._..---------- At-...-------- O t! --------- ~..~__ ....._.~._.__.~._-- Valuation $~~ -------.__.____..^_------------.-_ (State cost of improvement) BUII.DINGS AND ANCY What is Present use of building ~idential er) o / ~ ~~_ ii residential, what type•--Dwellin8+ Garage Apartment, Apartments or Rooming House?_ 6 '" .__-How many when altered?-~~~------------------ How many families accommodated now?~.1Q--1~--~--------_--... It business, what type?.._._-. -----.--------------.-_---_--___.__. __..-_Will tood be prepared for .sale an premises?-.__-- What plumbing work to he done? ......................................................__~____ -------------- _'_ Size of present building _.~---.--- _Size of extension__L~~-"Y ~ -----------~- o~ 1ot,____-- • -- Number of stories now ................................................after altered.-.._____-------_------Material of Material of present building - -_----.------.-_-Material of extension -..---~-.---- ----- NECESSARY PLANS IN DUPLICATE TO BE SUBMITTID HEREWITH OIL BURNER OR GASOLINE EQUIPNIErIT Name of 011 Burner or Gaaaline Pump ..................._....-.............._..._-- _._____._..________.. Type or Mode ---------------- Name and Address of Manufacturer- ~ ___ -_~--r-_-----_-___ ~---- - In connection herewith, application is also made to install:___.___---.---_____-____- gallon eagacitq tank (8) (How many) made by-_ __ __ __ot -_-.~___ _-quage metal-___.-- --~~ (Name of ]-fannfs+etursr) ____-_ (Under or above) _ _ _____o! building. For_______ -----------.-- ----" ---'--- -- (inside or outslQe) -~ (;lame of Purchaser) FURNISH DRAWING SHOWING ENTIRE LAYOUT ON REYEItSE SIDE OF THIS BLANH - - SIGNS S1Ze~______._--_----- .~. Cla6SltlCatiOn__.-_________.____--- ~$tate whether e~roune, r~i. Bali, grns~iin~, i~.n~ar, eve~Eai. etc.) Weight __Material of construction___~-_-_~-----_.----------_ .._.._.._._~_..----.---------------t------~----- Illuminated?-__- _- - Type illuhiination__---------------------- ' - -.-__.- - '--- -~- ~~~' <6tate whether ratnpa or Neon) Will sign be over public property?---------- -_----------------------~~-.:.:.._-__----__~.,__ .----- SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW (For ca>3vas awnings provide dimensioned drawing on reverse side) IAII'ORTANT NOTICE: ~~- f ~ /~ CUw'' 1t ~~ ~ ~~th ~" 8od ~~e`fe C`h`ie In consideration of ge t gl e or doang the or as es bed in e a e s m nt we e b agree to per.(Ol'xn Saul wnrk in aCCOrdAncP rlth t n attaches; ri tt~g stn~i anarifi ~~+;nnc .-.~:~~- -..- -