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Permit 273 Atlantic Boulevard~~•'j~ II ~~~~',~\ i ~r BU~D~ ,fiw FOR OFFICE IISE ONLY +~++ i #++ ^r , ~r*. Date ~.;~_..Q~___._--, 19~ 'TOWN OF ATLANTIC BEACH. FL©RIDA •~ ~. Permit No.__._~.~~~ Fee ~,~__- Valuation S-~~-~-___~~yy ~~,,,tt ~~ ,AppliCa#ion for Permii# #or ~`~~~.. House No. __.~.~"-~----%ZC~_~t~-- Misce~ianeaus Al#,arations, ___._______..__..__--__-.-------_-----.._____-_ _____. cxnd Repcrirs ----------------- --_-.-------------- _.____---- --- --- -------~--~------- ---------------, 1962 To the Su rvisor oI BuBding~ ^~ / , ~© ~~ ~_. ~- - - Pe ~~"~/~ The undersigned hereby applies for permit- _ -- _._. _ _ ''~ "/.-- -___-_ _- ----~a~~~=--_t-~_ (8t eft to repa7r, attar, add to or move bufldtng; ereef a a, stgn, etc,; Install bolSer leroa ,etc.) ~ ____ ~~ _ ---- /errec~e Budding on-_~_____.-_----_----Lot No.~__-~~.~ ?~'¢-Block No.__---.-__-._-Sub. Div.----°_-~-_-~~ ---__.---___-_-- ,,// (state fractional pan) At.~C_~-._Side No....,...!~ L_`~...~s~Z~~ ~% ftt' Between._.~~t_~/__!~k~,~~ and_+~4'?__~.!? _~~ Valuation S-1Q~-~--®-----~---------_ _._~~ ~±~~---~---~---~'.---.~f~--~.-~'sl~- (State cost of Smprovement) ~ ~~~--- sss~~~~ /~~fJL ~~ --- - - -.... ~,,.-~i +y ., Buu.DlxGS AND OCCUPANCY -~` A pR / f What is present use of building--Residential or Business?-_-__-__~ssdd'•~-t __--__._-. C/~~! Of~~~~ oVED ?~ 2 If residential, what type--Dwelling, Garage Apartment, Apartments or Rooming House3_______ ~V~~ ~~'__ How many families accommodated naw _---__-- _-_----_--__._-.----.How many when alt-~,-- ~---- _ ....... . If business, what type?-~ -~~~/------•-------_----- _---- ---- - -Will food be prepared for dT~ Aplses.. What plumbing work to be done?.......1.1:~1-T1'.P ..:......................•---..-..-• __ . g rr~ _ ~ ~ X z .Size- of lot_ Size of present.buildin 1____ .~~1' ___.___.-____Size of extension-------_.----___-__ 4~ _._._.~_~__-- ~ _ Number of stories now............~:~.r_=,~:.~~ .............after altered.-.._____.S'-f'-•-~-~.;~ __Material 01 roof_.~D_1!1r~.~'`~ Material o! present building_.;_~!~t~ _4.,~'.~____________-- _ -_-Material of extension.~~sc /~f~t _~~~~ _-___-__-- NECESSARY PLANS IN DUPLICATE TO BE SUBMITTED HEREWITH OII. BURNER OR GASOLIIVE EQUIPMENT Name o! Oll Burner or Gasoline Pump ..................._--•---..--.....-.-.--..-------------_-------------.____Type or ModeL____~- Name and Address of Manufacturer__-___~_--.._..~,-______-•-~---__~_------_----_______ :.._---__---____-_--- In connection herewith, application is also made to install:-_.___________________________,__~__..___.-__gallon capacity tank (s) (How many) made by -_----------.-._._.__._ _._oL.~-----------_-------------ij~~Lulage metaL________.~.~_.__-..-----_-~------~_.ground ffliune of ~iaaufacturer) (under or atwve) _._______~---.-.._~._.._-__.._..._____-..of building. For-------_--_--_-_-_-v----_-------_-----_---_--___________-____------------.__.__ (Inside or outside) (. ams o[ Purchaser) FURNISH DRAWINGf SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS GLANS SIGNS Size~___-_-.__.._.___.__..._.. Classification.----------------_--_-------. --_----------------------------------_-_-_-------------_-__-_ _____ (8tate whether around, root, wa71, pro3ecUna, banner, speclai, etc.) Weight.~_-.~._--_ _-Material of construction------------------_-------._..._---^_-___------.-------______---•--------------_~ Illuminated? Type iilumination__.___._________-__._____.________._..__________._____.----________~-__~__._ (State whsther Lamps or Neon) Will sign be over public property?-_____.-____ .____-_______________.___.________-____-.__________~~ ___ SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN AND. METHOD OF HANGING WRITE ADDITIONAL INFORMATION BELOW ~~ ,_`~ _ ~~~~ (P'or canvas a~Ili~r gs prov~d~imens~d dI~wing~ rev~rse side> ,/, ~ l IMPORTANT NOTICE:. In consideration of permit given. for doi: said work in aceordan e ith th ttaehe building regulations. of, e Atta Signature of Braider 1 Signature of Owner~_~'"~,C..~~?il/+~-~ the work as described in the above statement, we hereby agree to perform rf~and specifications, which are a .Bart hereof, and in accordance with the ~.1~4~~ No.~-