Permit 76 Ardella Road`~ ~
- ~ CITY OF~' ATLANTIC BEACH
FLORIDA
e
-FOR OFFIC U9 O~N,LY
Date_.......~~i- •-~ --~9 ..---
~~ ~
Permit # .....................~.j.Fee $...... ~""'.
Valuation $...,,`~..~ .°.~,~ .........................
House ...................•f.•.•-•..--•-••---..........~Le...
.
. r°
APPlICAYION POR BUILDING PERMIT ~'~/~~.........---!.-r .......................•.....~ ~;
{,
Application ds hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
$each and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether
herein specified or not. '
- The Contractor or Owner-Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlantic Beach, Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested that a list of sub-contractors be submitted to this office so that licenses. can
be verified. '
Owner..~.,:.f~,",r~--.._..~~-.r..-•~i-~- •r-'.~ ..............Address...~.fo~..~/.`Q~ff- !-4'~.--•~~-.•--Telephone No...~.~' .!t~.~!."~~iw
Architect . (7./.":C`': ___.._~..~~,S:~Y~• .......................Address_..'.~.._"`rj.~~3..~"~'~1i<! _.~rCLL~'eIephone No..~~~._~~.~.~
.Contractor Builder--~•-j.~.3.~~!':._...._~. r-~.4~r..'~"....._.Address.-•---• .....................................................Telephone No........----••-------------••
Lot No-------------•--..~...t~t ••----•---.._.:.:.------Block No.-----------•----......---------Sub Division--•~-~C3J't.r+•-~'~`~~----.-___...-----...:.------ --•--.-._Zone._...-1-•---......
_..__.:..._...~"! a4~_~,..tl..~----•----..__Street----$'~,~'~"'~- Side Between..,~""c~;,k,•-•-•-F'~",c ,,.~,~,..and.~/1.L~~~"•.:c~,iL...Sta.
Valuation $..~~.~?.!1?.f~_:For what purpose will building be used...~',n-CL-••••-Type of construction-."a'y,,~:(jrg•-~"~.-'~/ '
Dimensions of Buildin ~ Z..X. ~ ----- ---_Dimenaiona of Lot:.:.....:__~ ~.__~. Size of Footin ._..._. ... ~ ......:...... `
..:Size of Sills Greatest SiII S an m ft ......... ... ......... T e Itoof_
Size of Piers ..:--- •- •---•-•------ ..-- ---~ - P ~ ~ , Wi~~~
How will ~tlilding be HeatedR..:.,.:d,.$" ... ...... .....Will Building be sirSolid or Filled Ground t-.- ...~"~.~ ~~
. ~- ~;
. Sise of Ceiling Joists, ..._:_. ...: ...... ........ Distance on Centers ........: .. -:;:- ~,..-- Gr~Gest Span -.---- ~~~'~-........ "
~, ~ ~.,
-•--..:-- -•---•--•--•---- Distance on Centers.......... .: _. G~rea~Ees#~paa-----. ::.. -t...... ...-- ;..... ~ " ,,.;
•„~-,--,~:°` .:'Size of lour Joists. __:.: ---- -•---... ._...._ ,
•; ` `' --~
Size of Rafters ---------- ------ ----------- ---- -- -- ---------, Distance on Centers ..... .-•.- .- --.....-- --:...._..., Greatest Span -~t ;`~,~...:... ...._......_..
FLORIDA STATE REGISTRATION #~ This rectangle, is t4~, represent the lot. .
Locate , ;the b~ldu-a. or buildings in the `'° ~,,,,
' riKht position.' G~_i~}~e distance in feet from
r all lot-lipes and '"fisting buildings..
Two copies of plans anZ specifications shall
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing. ~
2. When steel fa in place and ready to pour columns and/or Iintel.
3. When steel is in place and ready to .pour beam. "'~
4. When framing is completed.
5. Whan rough plumbing is completed, and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered. W
?. Electrical inspection by City of JackaonviIIe. ~
8. Final inspection.
Note: In case of any rejection, re-inspection MUST be called for ~aftez
corrections are made.
R.hIA$-LOT LINE
•~. ~
.:,;
~~t
~~
~ a+
A
FRONT OF F,OT
I~' 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, w~hieh are a part hereof, and in accordance with 'tlie building
regulations of the City of tlantic Beach
Si~gnsture of Builds ' t" .... Address.'"..
Signature of Owner .... ....... ................. ................•---..._................__ Address........... ..........- -----..........:..:.... .
~ ,
CITY OF ATLANTIC BEACH
FLORIDA
APPLICAYION FOR BUILDING PERMIT
FOR OFFIC US O(N~LY
Date...........' .. ~.,.) ..19 -•----
Permit #p ........................Fee $.....S,ls........'....~
Valuation $..Y~~~~ ....................~-----
House --------------~ -•-,~-•--------.....-----..........- -
.....~~,~~----..------ t-~ ............................. ~.~
Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the
building or other structure described. This application is made in compliance and conformity with the Building Ordinance of
the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic
Beach and all rules and regulations of the Building Department 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 Buildingx Permit is automatically responsible to ascertain that all aub-
contractora engaged by him are duly licensed in the City 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.
Date---~sl~~.e.------~----------------------------------------- is_.7,.
Owner......-Z---I~,~,~~•~••---•~,-•---~i-~~-.-~.~!~5 ..............Address_.7.b._,~1..`.'~~Qr.~l.~,.._~-~. ~....._TeIephone No..~~l~?.._.~.~~..~.'~ry
Architect.~.G2/.':.C`..'.`~........:c~:4'_5..~_~.X'~-.......---•--.._._.....Address..~'.~'..5.,~.1~~_~_~_~1.1~E-Telephone No..~~..~'~_~6.~f
Contractor Builder.....'~~..~~:---••--~'ey.k1.~--1'-~--~-~~'---....._Addresa-•-•----------••-----•-•--....--•--...------•-------•-•--•--Telephone No...-----•---------•---------
Lot No.--••----•-•---- ----~--•----•--•--------------Block No.-----------•----------....-----Sub Diivi~ion...~.~_I'\.t~_el('..~'.-----•-----...-•----------- -••-----Zone....._..---......
..............~~•`•~__C?..~~...Q1..-.----...-----•---Street--J'~oU-~~_ Side Between.,..l:~.c_~SS51!L----~':~.:51...and/~.~d-.~_....~~._.Ste.
Valuation $.~,~-~_a_d.4_.For what purpose will building be used..~{~' lr;Si.S~.~L~-...-..Type of construction.. .~.~_~'~'ff/.?._~1"~/`
.....
Dimensions of Building.__.~.z_x..y._~._......._.Dimenaiona of Lot_......_.:._~..Q...,1~.../. a ~ ..............:Size of Footings.____...___...__....__.__.__.....
Size of Piers.----...----•-.•----••--•.__.--....-Size of Sills ............................•.--Greatest Sill Span in ft......--•---.---...--..-.--Type Roof~~?~_~?~f `~..._......
How will Building be Heated?.._..~-~'3.~ ...........................................Will Building be on Solid or Filled Ground?.__.__.....~._S~.~i ,c![......._..
Size of Ceiling Jdists .............._........._.._............, Distance on Centers_............__.. »
---------•--• .............. Greatest Span..........------•------.....................
Size of Floor Joints ------------------------••-----••-•---------., Distance on Centers........... ------ -•-------.........----•--, Greatest Span.--•--------....--••-....................... „
Size of Rafters----------- ------ --• ------ ------- ----- ----------, Distance on Centers ._._._ .... ---------•---•--- ---•---..., Greatest Span.-----...- ----•---•--......---.............
This rectangle is to represent the lot.
FLORIDA .STATE REGISTRAYION #~ --- -- 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 plane ant 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.
3. When steel is in place and ready to pour beam.
4. When framing fs completed.
5. When rough plumbing is completed, and ready to cover up.
6. When septic tank drain field or sewer 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 MTJST be called for after
corrections are made.
W
z
a
W
m
L.~f
W
z
a
W
m
~~
40~
FRONT OF LOT
In consideration of permit given for doing the work as described in the above stateme~, we hereby agree to perform said
work in accordance with the attached plena and specifications, which are a part hereof, and in accordance with the building
regulations of the City of lantic Beach. ~~ Q
Signature of Builder,. _..ne~°~?!~d. ~,ti-r'=r.~"~ Address....~..~.,~.~...f`..r... _ :.:~...~.~~~;G~~_~..~.`~.....
Signature of Owner ...............................•----........._....._......_....--=..............__ Address.
CITY OF AI'LAN"I'I C BEACH
APPLICA'I'lON I'ORL~L,U`11iING ~'E' IpT $~
--_ --
OWNER' S N
// /r~ /j REPIPE
~P(p /~,l iPa~~ 1~Ad
LOCATION
PLUMBING FIRM
MASTER PLUMBER
S
rn~~urT et
please print
CITY/COUNTY OCCUPATIONAL LICENSE N0.
STATE CERTIFICATE N0.
ADDITION
D
BUILDER OR CONTRACTOR /~~~ ~~
I SINKS f LA~" V~-~T@RY I h BAH TUBS __ URINALS
CL SHOWERS l WATER HEATERS DISHWASHERS
~f -'~ ,t~
_-~-..-<~..-ty~ --
DISPOSALS
WASHING MACHINE OTHER TOTAL FIXTURE COUNT
INSTALLATION OF PLUMBING AND FIXTURES MUST
BE IN ACCORDANCE WITH THE MOST RECENT EDITION
OF THE SOUTHERN STANDARD PLUMBING CODE.
SIGNATURE OF MASTER PLUMBER
FIXTURE UNIT BREAKDOWN
FIXTURE UNITS ARE ESTABLISHED AS THE MEASUREMENT OF WATER DEMAND FOR EACH WATER FIXTURE UT
INSTALLED AND CONNECTED TO THE CITY WATER SYSTEM. THE WATER SUPPLY CHARGE IS HEREBY FIXEI
TEN DOLLARS PER FIXTURE UNIT CONNECTED TO THE CITY WATER SYSTEM. SEC. 27-3 (c)
BATHROOM GROUP CONSISTING OF
WATER CLOSET, LAVATORY & BATH
TUB OR SHOWER STALL (6 UNITS)
COMBINATION SINK & TRAY
(3 UNITS)
COMBINATION SINK & TRAY W/
FOOD DIS. (4 UNITS)
DRINKING FOUNTAIN (z UNIT)
FLOOR DRAINS (1 UNIT)
LAVATORY, SURGEONS (2 UNITS)
SURGEONS SINK (3 UNITS)
FLUSHING RIM SINK (8 UNITS)
URINAL, PEDESTAL, SYPHON JET
BLOWOUT (8 UNITS)
URINAL TROUGH EACH 2'
SEGTION (2 UNITS)
WATER CLOSETS, TA~'~K-
OPERATED (4 UNITS)
BATHTUB (WJOR Wj0 OVER
HEAD SHOWER) (2 UNITS)
BIDGET (3 UNITS)
DENTAL LAVATORY
(1 UNIT)
DENTAL UNIT OR CUSPI-
DOR (1 UNIT)
DISHWASHER (2 UNITS)
LAVATORY (1 UNIT)
SHOWERS GROUP PER HEAD
(3 UNITS)
SERVICE SINK TRAP
STAND (3 UNITS)
URINAL, WALL LIP
(4 UNITS)
WASHING MACHINE RES.
(3 UNITS)
WATER CLOSETS, VALVE
OPERATED ($ UNITS)
TOTAL FIXTURE UNITS ~__-'~" ~~U. ~~
-~ ~ $ ~ --
ATE
_l TYPE OF BUILDIN~G/
RESIDENTIAL /~
SHOWER ST.A
DOMESTIC
LAUNDRY TT
(2 UNITS)
_~_ KITCHEN SI
(2 UNITS)
KITCHEN SI.
WASTI~RIN;
zl~ru
LAVATORY, l
BEAUTY PARI
(2 UNITS)
POT, SCULLS
SINK (4 UNI
URINAL STAR
WASHOUT (4
WASH SINK F
OF FAUCETS
(2 UNITS)
~~. OdS~ ~l~' j1I
~ f... ~~ ' G7 t~~;w