Permits 450,456,462,468 Aquatic Drive ADDRESS ?MECHANICAL PERMIT#
------ PLUMBING PERMIT #
BUILDING PERMIT WORKSHEET ELECTRIC PERMIT #
TEMPORARY ELECT. 0
lea ted Square Footage @ $ `9.50 per sq ft = $ f y5, 99 OC)
;arage/Shed '�� @ $ )$,yU per sq ft — $ 1,51� . G&
arport @ $ per sq ft = $
orches @ $ per sq ft = $
eck $ ,10 per sq ft = $
atio @ $ per sq ft = $
TOTAL VALUATION $ }Oj 3 viJ
12? 083.loO 3to,5(? $ x36,50
otal Valuation Data 1st $ ) jc
T
qq T083,&C $ /a 3. 7;
emainder Valuation @ $ I . ax per thousand
or portion thereof
TOTAL BUILDING FEE $ 60, ,i5
+ -k FILING FEE $ I30, 13
FIREPLACE @15 .00 $
TOTAL BUILDING PERMIT $ 5140, -V
------------------------------------------------------------------------------
LUMBING PERMIT FEE$ MECHANICAL PERMIT FEE$
',ECT. TEMPORARY $ ELECTRICAL PERMIT $
kTER METER SIZE •- FA $ ,3 SLO= ACCOUNT NUMBER
:WER IMPACT FEE $ �/5/D
ffER CONNECTION $ 900. D D (@10. 00 per fixture unit)
'PROVED BY: TOTAL BUILDING/PLAN FILING FEE $ �j C� � • 3
-- TOTAL WATER METER CHARGE $ 3 U _
TOTAL SEWER IMPACT FEES $ L)
. - TOTAL WATER CONNECTION CHARGE $ ,
" . MISCELLANEOUS CHARGES
r' - GRAND TOTAL DUE: $
CITY OF ATLANTIC BE'AGII
APPLICATION FOR BUILDING PERMIT
Owner TOM WEST & ASSOCIATES Addj:ess P.O. BOX 1155 Phone246-2320
Address A0NTE VEDRA BEACH, FL Phone
--2 0-
CContractor8 3-2 4 Phone
License Number
-,A(D/ )-5j Expia--Ition Dat:e JUNE 30, 1985
i,o t Block Vision AQUATIC GARDENS Tonin
SLI:(,er AQUATIC DRIVE Between ATLANTIC BLVD. ;InCIROYAL PALMS SideATLANTI*C BCH VII
Val.i-iation $ plil:p(ise of RESIDENTAL Type Const �IOOD FRAME
Dimensions Building 301 X 30 Lot s Footings 12 X 12
----------------
e r-s Sz . Sills - ------ f cla L(2st Span Sills
oz . Coiling Joists—RAFTERS --Distanc(� on Centers 2411 O.C.- Greatest Span 24,, O.C.
SZAF Joists -SLAB 01-1 Ce.Ylt--ers- Greatest Span
Sz . Rnf Lers.-SE-E PLAN -- Distance on Centers 241,--0- C.'Gfeatest Span2411 0.C.
Heating TR TO AIR H%IP-Solid-Filled Crolind S,O-LID- ------ROof ASPHALT -------------,
Flood Zone If located Within a FLOOD HAZARD ZONE fill out
reverse o.Lthis application.
Inspections Required:
1 . When steel is in place, and ready to pour footing .
2 . tahen steel is in place and ready to pour columns/lintel .
3 . t,Then steel is in place and ready to pour
4. When framing, mechanical , rough plui,,-tbing and fire place
is completed and ready to cover up .
5 . Rough electrical,.
6 . Final inspecti-on.
In case of rejection, reinspection MUST be called
for after corrections are made . SETBACKS
In consideration Of permit given for doing
ng Rear Lot Line
the work as de' scribad in the above statement , 201 BRL
we hereby agree to perform said work in
accordance with the attached plans and
specifications , which are a part hereof, andR n
in accordance with the building reg tula -ons
of the City of Atlantic Beach. J
t
0 0
rt
(D
Signature OWNER
Signature BUILD-R20' BRL
Front Lot Line
CITY OF A'1'I.,ANTIC BEACH
APPL,ICA`I'ION FOR L'UILDT.NG PI.II'II'I'
Owner TOM WEST & ASSOCIATES - -^-. `Address P.O. BOX- 1155 ---- Phone246--2320
ArchitectN/A Address PONTE VEDRA BEACH, FL Phone
Contractor-i-f Address ��,��� tJy�jl3 hone
License NumberC AC-) Date JUNE 30, 1985
-__Block '`--------Subdi_visionAQUATIC GARDENS _Zoning
—
Street AQUATIC DRIVE Between ATLANTIC BLVD. ancaROYAL PALMS SideATLANTIC BCH V11
Valuation $ _ Purpose of Building RESIDENTAL Type ConstW00D FRAME
Dirrnensions : Building_30 �x 30 T,ot 30 x /09 e- :Footings 12 X 12
I'ie.c-s Sz . Sills -- ----Grc ate >t Span Si11s
Sz . Ceiling Joists RAFTERS Distance. on Centers 2/4 O.C. Greatest Span 24" O.C.
Sz . Floor Joists SLAB Distance on Centers Greatest Span
Sz . R3jterS SEE PIAN Distance on Centers 2411 O.C. G.r_ eatest Span24" O.C.
?Ieatinfj\IR TO AIR HE rI�Solid-Filled Grci�ind `OLID Roof ASPHALT, SHINGLE -
Flood Zone If located within a FLOOD HAZARD ZONE fill out
----------- --reverse of this application.
Inspections Required:
1 . When steel is in place and ready to pour footing .
2 . t- hen steel is in place and ready to pour columns/lintel.
3 . G7hen steel is in place and ready to poil7- bean.
4 . When framing , mechanical , rough plumbing and fire place
is completed and ready to cover_ up .
5 . Rough electrical,.
6 . Final. inspection.
In case of rejection , reinspection MUST be SETBACKS
for after corrections are made .
In consideration of permit given for doing Rear Lot Line ll
the work as de' scrihad in the above statement , 20BRL
we. 1-iereby agree to perform said work in
acco,-danc_e with the attached plans and cn
specifications , which are a part hereof, and Y)
, i.; ..;'1 Y?,�.I
in accordance with the building regulat:i-ons m
of the City of Atlantic Beach.
rt 1 J �,J...� rt
Signature OWNER
Signature BUILD _ ____—_ 20 BRL
Front Lot Line
Cll.'Y OF L'.Tl-,ANTIC BEACH
APPLICAT10N FOR BUILDING PERMIT
Owner TOM WEST & -ASSOCIATE-S Acl(ires,,-P..-O.--BOX--.,l-1,5-5 ----Phone 246-2320
Architect N/A Address PONTE VEDRA BEACH, FL Phone
2-
Contractor i- Addres4 (A
Phone
?,icense Number S Ex-i) .ration Date JUNE 30, 1985
L 0 t 7- Block SubdivisionAQU4"ITIC GARDENS
Street AQUATIC DRIVE BetweenATLANTICBLVD. an(JROYAL PALMS sideATLANTIC BCH VII
Valuation of Building_ RESIDENTAL Type Const WOOD FRAME
Dimensions Buil6ing--3O -?0 Lot FO -IrI00� Sz:Footings 12 X 12
S z. 1,i-er s Sz . Sills-— Span Sills
Sz . C.eiling Joists—RAFTERs --Distance on Centers-241,—O.C.- Greatest Span-241, 0.C.
Sz . Floor Joists ---- --SLAB--Dist-.ance on Centers --Greatest Span_-.------------
Sz . Raf"Lers-SEIE PLAN -Distance on Cen1L:ers2-411 -0.--C- Greatest Span2411 0.C.
lleatil-ISATR TO AIR HKN Solid-Filled Ground SOLID Roof ASPHALT, SHINGLE
Flood Zone-, If located �.jit:hin a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required;
1 . When steel is in place and ready to pour footing
2 . When steel is in place and ready to pour columns/lintel .
3 . 'VThen steel is in place and ready to poin: beam.
4 . When framing , mechanical , rough plumbing and fire place
is completed and ready to cover up .
5 . Rough electrical,.
6 . Final inspection.
In case of rejection, reinspection MUST be called SETBACKS
for after corrections are made .
In consideration of permit given for doing Rear—Lot Line
the work as describad in the above statement , 20 BRL
we hereby agree to perform said work in
accordance with the attached plans and Cn (n
specifications , which are a part hereof, and
in accordance with the buildiii(, regulations
of the City of Atlantic Beach.
0
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Signature OWNER
E
Signature BUIL4r 20' BRL
Front Lot Line
CJ ',['Y OF AT1,AN1T_.1(, BE'ACE
APPLICA'T'10N FOR BUILDING PEI"11111T
Owner TOM WEST & ASSOCIATES Ad(.1(i.-essP.O. BOX 1155 Phone246-2320
-—-------------
ArchitectN/A Address RNTE VEDRA BEACH, FL Phone
Contractor Phone
License N Limb e r Exp-irl-ltion Dat-e JUNE 30, 1985
Lot. '7- D Block SubdivisionAQUATIC GARDENS Zoning
Street AQUATIC DRIVE Be tIWC.(,,-,ATLANTI C BLVD. ;ind'ROYAL PALMS sideATLANTIC BCH vii
Val,iiation PU1:T_1()Se of l)i-,,%I.(-'�-.i-ng- - Rl7STDENTAL Type CojjSt �400D FRAME
Dir,ierisions Building 30� 7,o t- 1/6' footing
S_12 X 12
Sz . sillstest ")pan Sills
Sz . Ceiling Joists---R-AFTERS.--D.-I-stiiice n Canters-2-'411 O.C.- Greatest Span 24,, O.C.
Sz . l,'I (-)())- joists on ('.enters Greatest Span
Sz . Raf'Lers SEE PLAN Distance o n C e n I-e r s 24" 0.0. G r e a t es t- p a n 2 41, 0.C
fleating\IR TO AIR
HW MP-Solid-Fill(-.d Gro-,nd-JOLID _---Roof ASPHALT, SHINGLE
Flood located NviLhin a FLOOD HAZARD ZONE fill out
r0VCrS(2 Of this application.
Inspections Required:
. When steel,L
1teel is in place, and ready to pour footing .
2 . Wh e n steel is in place and rnad-v to pour columns/lintel .
3 . Glhen steel is in place and ready to pour beam.
4. When framing , mechanical , rough plumbi_ng and fire place
is completed and ready to (,over up .
5 . Rough electrical,.
6 . Final inspection.
In case of rejection , reinspect--ion MUST be cnllecl SETBACKS
for after- corrections are made .
4
In consideration of permit given fCIOor _:_ng Rear Lot Line
the work as describ2d in the above statement , 20, BRL
we hereby agree to perform said work in
accordance with the attached plans and cn Cn
specifications which are a part hereof, rind Fl.
'J P D
in accordance with the building regulations
of the City of Atlantic Beach.
c
of
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Signature OWNER
Signature BTJ;BERM 201 BRL
Front Lot Line
FORM900-IM84 CLIMATE ZONES 1 2 4,1
WINTER SUMMER
OR AREA SGL DBL WOF GROSS OR AREA SINGLE DOUBLE SOF GROSS
(9F) WINTERCLR TINT CLR TINT (9F) SUMMER
POINTS POINTS
N 157.4 120.8 N 146 1 123 120 101
NE 157.4 120.8 NE 221 186 190 159
O E 157.4 20. E 289 242 209
Z
SE 157.4 1 .8 SE 261 219 189
S 157.4 120.8 S 190 160 160 134
N SW 157.4 120.8 SW 261 219 226 189
¢ yy 157.4 0. W 289 242 209
IM NW 157.4 120.8 NW 221 18B 1;90 159
H 46.4 79.3 H 489 408 432 360�
J
V
2
O
2
H= HORIZONTAL GLASS(SKYLIGHTS). FOR SC OTHER THAN 0.83 SEE SEC.902.2(a)5.TINT MOLT.MAY BE
USED FOR GLASS WITH SOLAR SCREENS FILM OR TINT.
TOTAL GROSS WINTER POINTS TOTAL GROSS SUMMER POINTS "
R=4.2-4.9 1.14 R=4.2-4.9 ` 1.14 •�
f-J R=5.0-6.6 1.12 R=5.0-6.6 1.12
>> R=6.7&UP 1.09 R=6.7&UP 1.09
DUCTS IN CONDI- DUCTS IN CONDI-
TIONED SPACE 1.00 TIONED SPACE 1.00
-44FP7 AV-
HSM FROM 9G x D CSM FROM 9H I LS7oM4, x a
41j, 41j�
DIVIDE BY �j DIVIDE BY l
CONDITIONED �•�(�� •✓ CONDITIONED �5p�'�= ()l�
FLOOR AREA I WINTER POINTS FLOOR AREA SUMMER POINTS
C=o E ENgRGY PERFORMANCE INDEX
WINTER SUMMER HOT WATER E.P.I. ADJUSTMENT ADJUSTED CREDIT PTS. PENALTY CALCULATED
POINTS POINTS PTS. 91 SUBTOTAL MULTI. 98 E.P.I. 9C+9D PTS. 9E E.P.I.
+ Z�v _ ( b( -
THE CALCULATED E.P.I.MUST BE EQUAL TO OR LESS THAN 100 POINTS.
M IPIERS
CONDITIONED 901- 11 1-' 1301- 1501- 1701- 1901- 2101- 2301-
FLOOR AREA(SO.FT.) 0-g00 1100 1 1000 1500 1700 1900 2100 2300 ABOVE
ADJUSTMENT 1.21 1.25 .31 1.36 1.42 1.49 1.57 1.65 1.14
MULTIPLIER
3
RESIDENTIAL CALCULATION
FORM 900-A-84 CLIMATE ZONES 1 2 3
COMPONENT WINTER GROSS SUMMER GROSS
WINTER SUMMER
AREA x WPM = POINTS AREA x SPM = POINTS
R 0-2.6 31.4 16.2
R 2.7-3.9 'i';.3 11.5
CONCRETE R 4.0-5.9 15.6 9.9
N R6.0&UP 13.1 9.2
-1R 0-10.9 26.1 20.0
Q FRAME
3 OR R 11.0-18.9 7.8 9.2
BRICK R 19-25.9 4.9 5.6
VENEER R 26&UP 3.6 4.2
COMMON 7.8 2.5
WOOD OR METAL 247.7 4r, 36.4
M INSULATED 235.5 14.5
O STORM DOOR 124.4 29.0
04.5 61.9 4.5
R 19-21.9 aqL40 5.0 5.5
UNDER R 22-29.9 4.1 5.0
ATTIC R 30&UP 3.3 3.7
O R 6-7.9 14.2 14.9
Z
J R 8-9.9 10.9 11.3
W SINGLE R 10-11.9 9.2 9.5
U ASSEMBLY7.0
R 12-18.9 6.7
NO/ATTIC R 19-21.9 5.0 5.5
COMMON 4.8 1.5
us R 0-6.9 15.5 4.8
U
R 7-10.9 6.5 2.1
N WOOD R 11-18.9 5.6 1.8
ZR19&UP 4.0 1.3
m�-
00 R 0-2.9 19.4 6.0
0z R 3-5.9 12.4 3.7
LL'= R 6-10.9 9.3 2.6
Q CONCRETE R 11-18.9 6.2 2.2
> R19&UP 4.4 1.6
O
COMMON 4.8 1.5
WEDGE INSULATION PERIMETER WPM o237.
Q Q R 0-2.9 92.7
J cc
a R 3-5.9 69.5
PERIMETER R 6&UP 46.4
O
Aw
2
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA SZYaB
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT -- Applicant to complete all items in sections 1, 11, III, and IV.
LOCATION Stre•t Address:
OF Intersecting Streets: Between T— q L� iq c, And
Sub-division G
BUILDING - Q)L3 `7
11. IDENTIFICATION - To be completed by all applicants.
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards
of good,.practice listed therein.
Name of MechanicalA , f Contractors
Contractor (Print) 1� F. 10 Ue (� " Master
Nam$ of
Property Owner
Signature of Owner Signature of
or Authorised /Agent ,K SC Architect or Engineer
111. fi DWAL INFORMATICl►N
A' Type of hooting f": �'
IS OTNER CONSTRUCTION BEING DONE ON
Q Electric THIS BUILDING OR $1TEt `,
17)
❑ 6aa 0 LP ❑ Natural ❑, Central Utility
IF YE$. GIVE NUMBER F CONSTRUCTION
13 OIT PERMIT �¢ 3
.— Specify i Or (A) n
W. rAECHANICAL EQUIPMONT TO U IN:TALL6D NATURE OF'WORK
(Previte complete Nat of components on back of this feralI 2r�'_Aesidential or ❑ Commercial
8 Heat ❑ Space ❑ Recessed O Conteel O Rear New Building
Q Air CISWOloeing: O Room C3Central ' ❑ `Existing Building
Q beef System: Meteowl Thiekl».. ❑ Replacement of existing system
e.fle, 0 New Installation(No system previously Installed)
Maximum capacity
O Extension or add-on to existing system
Q Rehigersthon
❑ Other— Specify
❑ Cacti" tower: Capacity 0
(Q Fire tprioklen. Number o heads
Q Eiwater O Monlift ❑ EsceletoTHIS !PACE POR OFPICE UEi ONLY
❑ Qasohne pump@ __(Iwmber) (R.e�iwdl
T..k (number) Remarks
O LPGC011tat11eK --(nYmbef) .. .
Unfired phswre ve"
Permit.Approved by slats
Q Eeilere
tv Olhw — Specify i (Z C P ACL Permit Foe
VIEW ALL EQUIPMENT
JURCONWIDNING AND REFRIGERATION EQUIPMENT
r ,.. ntlwerlpLia(rt R[edrltl�uatbat 11Rsutthelulair
INSPECTION LOG
JOB ADDRESS �Jv �1U
CONTRACTOR
- r
OWNER
BUILDING PERMIT ELECTRICAL PERMIT
PLUMBING PERMIT TEMPORARY POLE PERMIT
MECHANICAL PERMIT MISCELLANEOUS PERMIT
FLOOD ZONE DATE SURVEY FILED
Called-In Approved J .E.A.
Temp Pole
Footing
Slab
Framing ,-�
Plumbing (R)
Electrical (R)
Mechanical ,
Fireplace j
Top out t
Other
Electrical (F)
FINAL INSPECTION 16 (�
Certificate of Occupancy Issued / (�
C011T ENTS :
CITY OF -'-//
' ��ltl,G Ve4d - �� 716 OCEAN BOULEVARD
P.O.BOX 25
ATLANTIC BEACH,FLORIDA 32258
TELEPHONE 1904)249-2395
October 14, 1985
Pre-Service JEA
233 Duval Street •
Jacksonville, Florida 32202
The following final inspections have been made and are satisfactory:
Permit IJ4325 - 450 Aquatic Drive
Po-zmit #4324 - 456 Aquatic Drive
Permit I4323 - 462 Aquatic Drive
Permit IA322 - 468 Aquatic Drive
Permit 114321 - 558 Aquatic Drive
Beirnit I4320 - 564 Aquatic Drive
Permit ;4310 - 570 Aquatic Drive
P6zmit YA318 - 576 Aquatic Drive
Permits issued to Hinter Electric.
Sincerely,
John M. Widdows<<'%-��
Building Inspect an Supervisor
,Tel:ra '
BUILDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEACH
ATLANTIC BEACH, FLORIDA 32$93-
APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER
IMPORTANT —Applicant to complete all items in sections I, II, ILI, and IV.
i.
LOCATION Street Address: , OAA C.h
OF Intersecting Streets: Between �-t C ell3TLC jC,�jb And V
BUILDING
Sub-division RoUA-
11. IDENTIFICATION To beL completed by all applicants
In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance
with the attacl_ed plans and specifications which are a pert hereof and in accordance with the City of Jacksonville ordinances and standards
of good.practice listed therein.
Nome of Mechanical Contractors
Contractor (Print) Mester
Name of nn /�►_q�
Properiv Owner Fl`7 t1 Y
Signature of Owner signature of
er A thorisad Agent Architect or Engineer
Ill.
494111M IN MA
Type of heating B.
IS OTHER CONSTRUCTION BEING DONE ON
8666 isj THIS BUILDING OR SITE?_ Y
13 bet—0 LP ❑ Natural 0 Central Utility
IF YES, GIVE NUMBER OF CONSTRUCTION
C) on PERMIT
O OfJWSP«Wh
IV. MI6'MMICAL IOUMMWT TO RE INSTALLED NATURE OF WORK
(Provide C&Rpkft list of eomponants on back of this form) Residential or O Commercial
Haat ❑ Span ` Q Reeesad X CantM) O Floor New Building
Air Conditioning: Q Room K Control ' i( 0 Existing Budding
Dud System: MaterialbuambiAD ThiokO Replacement of existing system
Maximum capacity c f,m, New installation(No system previously In"*110d)
O Rafriganetioe 0 Extension or add-on to existing system
0 Other— Specify
O -,Gaoling tower: Capacity
Q Piro sprinlilm: Number of haat
O Elevator O M"Uh Q Ewlater (.somber)
THIS SPACE.MOR OpFICE ONLY
O'6ssd1109 pumps (number) (Raseirj
I3. Tallk>< (number) Ran &$
...(mumbor)
Q Uefiled p"uro vetal
Q Bailare Permit Approved by Do% .w.....
fl ONIer SpKi{y Permit IiM
yBT ALL EQUIPMENT
AIR CONDITIONING AND REFRIGERATION EQUIPMENT
NtmibW Vnft D"criptift Moctal NUMbW ]rGunutaolurat
Gt311�
D
�> PLUMBING WORKSHEET
SINKS SHOWERS DISHWASHERS
8 CLOSETS _ BATH TUBS FLOOR DRAINS
/ WASHING MACHINE —Z/_ WATER HEATERS DISPOSALS ,
LAVATORY URINALS
— OTHER
TOTAL FIXTURE COUNT T lS�, QCT
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE
UNIT INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY
FIXED AT $10.00 PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM.
BATHROOM GROUP CONSISTING OF _ LAVATORY 0 UNIT
WATER CLOSET, LAVATORY? AND )
BATH TUB OR SHOWER STALL _ SERVICE SINK TRAP STAND
(6 UNITS) (3 UNITS)
DRINKING FOUNTAIN (� UNIT) URINAL, WALL LIP
FLOOR DRAIN Cl UNIT) (4 UNITS)
URINAL, PEDESTAL, SYPHON WASHING MACHINE RES.
JET BLOWOUT (8 UNITS) (3 UNITS)
WATER CLOSETS, VALVE OPERATED
WATER CLOSETS, TAMC-OPERATED
(4UNITS) (8 UNITS)
_ BATHTUB (W/OR W/O OVERHEAD (2 UNITS)SHOWER STALL,
DO2�STIC
SHOWER) (.2UNITS)
BIDGET (3 UNITS) —____ LAUNDRY TRAY
(2 UNITS)
d" DISHWASHER C2 UNITS) KITCHEN SINK (2 UNITS)
KITCHEN SINK/WASTE GRINDER
(3 UNITS)
TOTAL FIXTURE LNITS @ $10.,00 EACH p0 c 10,00" Foo .`
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DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH,FLORIDA I 6995 9 9 C PERMIT TO BUILD PERMIT NO. O J J
I
THIS PERMIT MUST BE POSTED ON JOB r�a T
i tai;•I nCKj
Date 14,19 85 !{ 0/14 E
Valuati $ � 9v 0 AC
Fee$ 60.00 71 J6 1 I? 14/8
This mit not valid until above fe has been paid t City Ttea ter,and is 1
isu 'ect to revocation for violat n of applicable rovisions of
This is to c tify that w
has permission o
I
Classification
I Owned by Ucne
Lot --
�'g O1111r v�
House No. 4.50— 6-46 —468 'IB oc S/D
According to approved lans hich are ar f th'
permit
j NOTI E—ALL CONCRETE FORMS
A OTINGS MUST BE
j SPE E IN-
FORE POURING.
IT VOID SIX MONTHS
"'---♦ AFTER DATE OF ISSUE
Z' frBuilding material,rubbish and debris
1 om this work must not be placed
iin public space, and must be cleared
up and hauled away by either con.
j tractor or owner.
JOHN M. WLDWZ
FOR OFFICE p Building official,
N
USE ONLY PERMIT
UMBER DATE
CONTRACTOR
PLUMBING
I
ELECTRICAL
I
SEWER
i
WATER
I
400,
M31V/V� I
M3M3s I
I
I
l VO1b1O313
MOIJVMINOO `JNIaWnld
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