Permit 628 Atlantic Boulevarda
DEPARTMENT OF BUILDING
`" 3431
CITY OF ATLANTIG BEACH, FLORIDA PERMIT NO.
PERMIT. TO BUILD
THlS PERMIT MUST BE POSTED ON JOB
Date ~+ 1~7f Y9~2_
Valuation $ ~• ~ Fee $ ~ • ~
Tbia permit not valid anti! above fee has been paid to City Tzeaaanr, aad is
assbject to rovocation for vioLtion of applicable proviaiona of
Lw.
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'Chis IS to Certify tha* ~~~~ ~~"~ ~ ~ nu ~`riF..-7- ~-flCr
has permission to build ~~~ '~ ~f;tl ~~ ~'~`
Classificatio*- ~~+ne
Owned by ~-~tlk ~+1 --CC~.1 ! i t~~-fw6+:-z-r-1'1~:
Lot Block S /D
House No Ad's itt'#' ~ c B I V c3.
According to approved plane which are pant of this permit
NOTICE-ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
• PERMIT VOID SIR MONTHS
•n AFTER DATE OF ISSUE
f.----~ ~ - O Building material, rnbbish and debris
~ from this work moat net be placed in
public space, and must be cleared np
and hauled away by either e~trsctor
or owner.
~. C. V+~ge~
Bnildin~ OfSeial.
FOR.OFFICE
USE ONLY PERMIT
NUMBER ct ATF CONTRACTOR
_. ,.. . .... ..i'
PLUMBING
ELECTRICAL s
SEWER
WATER
FOIL OFFICE USE ONLY
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r~~.~~, I _ OF
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APPLICATION
ATLANTIC BEACH
FLORIDA
FOR BUILDING PERMIT
Date----•--• ............................1(9~...._.
Permit #~ Fee $--.-•~.••'-~b.....
o~
Valuation $-/---~--Q-~•-,-~'•-~-•-•-•.•-------•-/a
House ~#----(.r..~(C....~.fLl-~GZ~-.-.•---....... '
............................................................
~~~
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 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.
Q / ~yf /~ ~ ~ .1~/C° / Date..------•-•~ ------/~ ~----~ ...::........................... 19.. ~..~
Owner~.~l~N~~-------11~ °.---~-°U~/-~-110-~------CJ•------~:(j_.Addressl7.e~.~.1~T~19.,t./.l/------}~ --- ~..._Telephone No._at~,~:"~~,~.~
Architect.------•=-----------------------------------------------------•-•---•------•---•---------.._...Address.------.•--^<-..._._-----•-----•--••---...-----.,Telephone No..."".'-._-.--------
Contractor Builder---~--'-__-`---'~-•--- -•------------•-•--- -----•----••-------------Addreas---------------------...-------•----•-----•---------------..Telephone No.----:"'..---.---. -
Lot No---------------•-•---•-------------------•------•--Block No.-------------- - ------ ---Sub Division._..--•-----------•-----------.....--••----------------•------•------- -------..Zone.------------ ---
-----------•---•--------------------•-----------•-----------Street---- --- - -- ---'Side Between.- ---- -- ----------------•--------•-•---...-------and------.._..-•-----•-----•----•----------•-•-••---•-•--5~-
Valuation $________________________________For what purpose will building be used~q~(/~R-Tt. ~.! -~----f .Type of construction.._~19..N.._~E_- /-.N_{....
Dimensions of Building._.__s-'_-'" ...................Dimensions of Lot_...__._:-~'""_`~--._............................Size of Footings.___....__................._........._
Size of Piers__:'~----.-.______..._.:Size of Silks___.._.__-_'-"'.-_______Greatest Sill Span in ft___________________________Type Roof._..._.._.._.........................
How will Building be Heated?_._,-----.------._._ ............._._____..___.._-Will Building be on Solid or Filled Ground?..._so~~l__.._._..__._.
Size of Ceiling Joists.___..._'._.._____.-.~____._____.., Distance on Centers._.._..""~~_____________________ Greatest Span.___..~-..__._.___....__._.._. "
Size of Floor Joists -----•--------- ----------- -•--------------, Distance on Centers_......_ - ----... -----~---••----------, Greatest Span------------.....-•----------...--------.... »
Size of Rafters----------------------------..---------.-------.----, Distance on Centers .._._..:.-- ---..-.----•-----.--_--__--, Greatest Span----.___.__~.-.-_.~.._-•
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.
3. When steel is in place and ready to pour beam.
4. When framing is 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 MUST be called for after
corrections are made.
This rectangle is to represent the lot.
Locate the buildintt or buildings in the
right position. Give distance in feet from
all lot-lines and existing buildings.
REAR LOT LINE
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S ~ nr
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FRONT OF LOT
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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, v~*hich are a part hereof, and in accordance with the building
regulations of the City of Atlantic Beach.
...------•. Address..... .... 1 .-•--.,
Signature of Builder---•-•-•--•--•-•-----•-•--•-------•-- --~-•-••.-••--•----•--..... L.? ,~/35._---~--- - - l_ -•----•--~~----- -
Signature of Oan~Q~i~~~~~~~1..--•-~~r'---•---- Address...~~~f..°f'!~.,~'._..f..,~..c.~l~.._~~r.._..~a.?a3
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