Permit 1189 1199 Beach Avenue CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Dal
Application Number . . . . . 09-00001368 Date 10/01/09
Property Address . . . . . . 1199 BEACH AVE
Application type description ELECTRIC ONLY
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
REPLACE METER CAN
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
BILL THOMPSON ELECTRIC CO, INC
49 WEST 7TH ST
ATLANTIC BEACH FL 32233
(904) 249-5601
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL PERMIT
Additional desc . -
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . - 3/30/10
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD.ATLANTIC BEACH.FL 32233 07-.
r) OFFICE:(904)247-5826*FAX NO.:(904)247-W45
BUILDING-DEPT@COAB.US
ELECTRICAL PERMIT APPLICATION DUVAL COUNTY
1.JOB ADDRESS: 2.-is-, IS �3.DATE-F'f-�,�"i�'-
TH ASUBPERMIT.-�,-
kNo
0 YES PERMIT M
Atlantic Beach, -FL 32233 f
PROPERTY OWNEP-,.�-i�,,
4.NAME: Idl 5.ADDRESS IF DIFFERENT FROM JOB ADDRESS: 6.PHONE:
Ow
7.NAME&�WIANfi: 8.ADDRESS.
9.STATE OF FLORIDA LICENSt NO: 10.CELL PHONE: 11.FAX NO.:
t7
12.EMAIL ADDRESS 13.OFFICE PHONE: 24q-S(.0Di 14.
15.Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that all work will be performed to meet
the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced vvithin six(6)
months,or if construction or work is suspended or abandoned for a period of six(6)rnonths at any time after is commenced.
CONTRACTORS SIGNATURE:
16.CLASS OF WORK:- I-t'�' ;:�:�r-� . - , . � -
'ME-TER NUMBE R!
17-.-SERVICE.-4,7 it 1w
0 MULTI FAMILY-#OF UNITS: fiMESIDENTIAL
0 SINGLE FAMILY 0 TEMP SERVICE 0 COMMERCIAL
0 ADDITION 0 TRAILOR 19.BUILDING::-,
19.CURRENTCOOF-��
0 ALTERATION 0 SIGN OM)LD 0 NEW 4rM5 NATIONAL ELECTRICAL CODE
1,V,REPAIR 13 POOL/SPA 10 REWIRE 0 OTHER:
"AWOMN-4M
am
�.44- zi .��"��'H
20.TYPE OF SERVICE: KOVERHEAD 0 UNDERGROUND 0 UtLUERGROUND UP POLE
21.NEW SERVICE: CONDUCTORS PER PHASE:= OfOWER IS ON 0 POWER IS OFF
22.SIZE OF CONDUCTOR: AMPICITY: OCOPPER )-<,�LUMINUM
23.SWITCH OR BREAKER SIZE: AMPS: PH: W: VOLT: RACEWAY SIZE:
24.EXISTING SERVICE SIZE: AMPS:�7� PH: W: VOLT: RACEWAY SIZE:
f2L
25. FEEDERS: #OF AMPS: #OF AMPS:- #OF AMPS:
26.LIGHTING FIXTURES: INCANDESCENT: FLUORESCENT&M.V.:-
27. FIXED APPLIANCES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
28. FIRE ALARM- 0 YES 0 NO
29-31 DO NOT APPLY TO NEW SINGLE FAMILY,MULTI-FAMILY AND ROOM ADDITIONS
29.SMOKE DETECTORS: NUMBER:
30. RECEPTACLES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
31.SWITCHES: 0-30 AMPS: 31-100 AMPS: OVER 100 AMPS:
3ZAIR CONDIT KIINM.-�dO
#OF UNITS: COMP. MOTOR HIP RATING: AMPS: HEAT KW:
#OF UNITS: COMP. MOTOR HP RATING: AMPS: HEAT KW:
_IPS&W. 'IM-M-Wv'W�a.w -MOTORS.
331,
NUMBER: VOLTAGE: HP: KVA:
NUMBER: VOLTAGE: HP: KVA:
UNDER 60OV: NUMBER: KVA:
OVER 60OV: NUMBER: KVA:
J.
DESCRIBE IN DETAIL:
CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-depta,coqbxs
Application Number . . . . . 08-00000186 Date 2/08/08
Property Address . . . . . . 1199 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 16000
- -- ------ -------- --- -- ---- ------------------- --- -- -- -- -- - - - -- ---- - ----------
Application desc
reroof fl 2122
---------- ---------- ------- ------------- - ---- ---- -- -- ---- --- ----------------
Owner Contractor
--------------- -- ----- - - --- -- - -- -- -- - ---- - - - ----
BURGER ROOFING CO.
134-1 ERNEST STREET
JACKSONVILLE FL 32204
(904) 355-2756
----------------------- ---------------------- -- --- -------- ------ ------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 110 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 16000
Expiration Date . . 8/06/08
----------------------- ---------------------- --- ---------- - -- ------- --------
Fee summary Charged Paid Credited Due
------------ -- --- -- ---- - -- - -------- - - - - -- -- --- - - ------ ---
Permit Fee Total 110 . 00 110 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 110 . 00 110 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: January,22,2008
Job Address:1199 Beach Avenue,Atlantic Beach, FL 32233
Owner of Property- Maxwell Dickinson
Address: 1199 Beach Avenue, Atlantic Beach,FL 32233 Telephone:249-2528
Contractor: Burger Roofing Co. State License Number: CCC032514
Contractor's Address: 134-1 Ernest Street,Jacksonville,FL 32204
Telephone: 355-2756 Fax: 358-0733
Scope of Work: Removing and replacing flat roof on main house
Deck Slope: 0.12 Greater than 2:12 Less then 2:12 X
Valuation of work: 16,000.00
Product Name(Example: Timberline): Dynaglas
Manufacturer(Example: GAF): Johns Manville Z (.2-2-
ASTM Designation(s):
Required lnspectio�ns: Sheath' g and Fi*
L-'IA57� Date:
Signature of Owner:
Signature of Contractor: Date: z/Z 4CA
AS TO OWNER:
Sworn to and subscribed before me this day of 2 A
State of Florida,County of Duval -ZIA
Notary's Signature:
FL MEREM
my COMMISSION#DD 4060
EXPIRES:Ju1y 14,20M
BoWed Ttn Bu*t"Sefvbs Personally known
Produced identification
Type of identification produced
AS TO CONTRACTOR:
Sworn to and subscribed before me this —--------day of '2066
State of Florida,County of Duval Notary's Signature:I
RL MEREM
MY COMMISSION#DD 40SON
Personally known
EXPIRES:JUIy 14,2OD9
ication
,4 OF K7,qs 8=W Thru Upt NoWy Suvims El Produced identif
Type of identification produced
800 Seminole Road,Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 bttv://www.ci.atiantic-beach.fl.us
Page I Revised 2/21/03
06-001 ATLANTIC BEACH LOT'S 5,6 BIX 42-O/P,BK 124-364
REMOVE AND REPLACE EXISTING ROOFING.
General description of improvements
Owner Maxwell Dickinson
Address 1199 Beach Avenue,Atlantic Beach,Fl, 32233
Owner's interest in site of the improvement FEE SIMPLE
Fee Simple Title holder(if other than owner)
Name
Address
Contractor BURGER ROOFING CO.
Address 134-1 ERNEST ST,JACKSONVILLE, FL 32204
Surety(if any)
Address Amount of Bond
Name and address of any person making a loan for the construction of the improvements.
Name
Address
Name of person within the Sate of Florida, other then himself, designated by owner upon whom
notices or other documents may be served. AY
Name
Address
In addition to himselt owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06(2] [b],Florida Statutes.(Fill in at Owner's option).
Name
Address-
THIS SPACE FOR RECORDER'S USE ONLY
(O"er-Ma
I e, f
COWe
Owner - Print
Doc#2008016513,OR BK 14353 Page 1988.
Number Pages:I Sworn to subscribed before me this
Filed&Recorded 0112212008 at 01:37 PM,
JIM FULLER CLERK CIRCUIT COURT DUVAL 20Z
Of
COUNTY
RECORDING$10-00
Notary Public
0�:Nt, R.W3MM
MY COWMSSION III DD 406969
EXPIRES:Ady 14,2W9
"t"7de BOWW Tin Bow afty SWAM
�Z�jl
L
CITY OF ATLANTIC BEACH
800 SENMOLE ROAD
t.) 77 ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
INSPECTION EMAIL REQUEST:
Building-deptDa,coab.us
Application Number . . . . . 08-00000101 Date 1/22/08
Property Address . . . . . . 1199 BEACH AVE
Application type description ROOF PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 7350
----------------------------------------------------------------------------
Application desc
REROOF FL 183 . 3
----------------------------------------------------------------------------
Owner . Contractor
------------------------ ------------------------
BURGER ROOFING CO.
134-1 ERNEST STREET
JACKSONVILLE FL 32204
(904) 355-2756
----------------------------------------------------------------------------
Permit . . . . . . ROOF PERMIT
Additional desc . .
Permit Fee . . . . 70 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 7350
Expiration Date . . 7/20/08
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee- Total 70 . 00 70 . 00 . 00 . 00
Plan Check Total . 00 . 00 .00 . 00
Grand Total 70 . 00 70 . 00 . 00 . 00
PERMIT IS "PROVED-ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AM THE FLORIDA
BUILDING CODES.
7j-..
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
Date: January 22,2008
Job Address:1199 Beach Avenue,Atlantic Beach, FL 32233
Owner of Property: Maxwell Dickinson
Address: 1199 Beach Avenue,Atlantic Beach,FL 3223 3 Telephone:249-2528
Contractor:Burger Roofing Co. State License Number: CCC032514
Contractor's Address: 134-1 Ernest Street, Jacksonville, FL 32204
TeleDhone: 355-2756 Fax: 358-0733
Scope of Work: Removing and replacing shingled roof on cottage
Deck Slope: 4.12 Greater than 2:12 X Less then 2:12
Valuation of work: 7350.00
Product Name(Example:Timberline): Royal Sovereign
Manufacturer(Example: GAF): GAF
ASTM Designation(s):
Required Inspecti ns: Sheat g and F' Date:
Signature of Owner:
Signature of Contractor: 111074--y (A ZA%d6d Date: Z— !�g
AS TO OWNER:
Sworn to and subscribed before me this C=>ec/ day of 20 14
State of Florida,County of Duval Notary's Signature.
R.MEREDITH
MY COMMISSION#DD 406969
EXPIRES:July 14,2009 Personally known
Bor"Thru Budget Notary Services Produced identification
""16001: Type of identification produced
AS TO CONTRACTOR: day
Sworn to and subscribed before me this of 20,) 5
State of Florida,County of Duval
Notary's Signature: ta�A
KMERMTH
My0UISSION#DD4= Personally known
UPIRES:J*14,2= Produced identification
44,v'f,:,?*BMW Thru Budget Notary Solcas Type of identification produced
800 Seminole Road,Atlantic Beach,Florida 32233-5445
Telephone: (904)247-5800 Fax: (904)247-5845 httv://www.ei.atiantic-beach.fl.us
Page 1 Revised 2121/03
01/22/2008 14:17 9043580733 BLRGER ROOFING PAGE 03
PWmft N
No&e of Commenc~nt
To wbom it may cooemm,
no underyiped bagby jolorm you"msprovemenu will be made to ooradn real prqpwW,OW in
eaccirdaisce with wcWn 713.13 of da Florida Stofte,dw folkrwing infb"Wi0ft b la*k NOTICE
OF COhOWNCEMENT.
Description of property L7=3 OM 1199 Oftcb Avahs,Adv&k Bea*FL
"I ATIANTIc REACH LOTS1,6 B14 42-04t SK 124-364
General description of improvements REmOVE AND REPLACE EXISTWG ROOFING.
oweer Mwmu Dieldwas
Address j!"Bmb Avew^-Atlonfic Boack,Fl, 32233
OwlIces interest in site of the improvemmt FEE SIMPLE
Fee Simple Titleholder(if OthOrthUx Owner)--.-,
Address
C.,"WWr BURGER ROOFING CO.
AAdpM.134-1 ERNEST ST JACKSONVILLE,FL 32204
Suroq(if any)
Address AMOMU Of BODd
Now sed addrm ofaw palm mdft a Iten fff the 000IM1406m Of 90 IMPIMV0120411.
Address
Name of person within the Sate of Florida,otbor than him"IC desipmed by owner upon wbom
omioss or othev docuawnts noy be served.
Name-_.
Address-.
in addition to biinseK ovnw desigeafts Me FaHowino perum to receive a copy of the LkmWs Nod=as
prvvided in Sootkm 713.06 E21 t1b),Florida Stautes.(Fill in at Ownees option).
Name--...
Address-....
INS SPACE FOR RECORM1 USE ONLY
CKVner-print
Doe v 20MIG513.OR SK 14353 Pso 19M.
Number Pages:I Sworn I subscribed before me this
Filed&Remded w2=08 at 01:37 PM.
JIM FULLER CLERX CIRCUIT COURT DUVAL 2000
COUNTY Of
RECORDING 3110.00
N
oWy Public
Of 00�10041"
Imma'"%aws
INSTRUCTIONS TO BIDDERS
Residence for Mr. and Mrs. Maxwell K. Dickinson (Owner)
Atlantic Beach� Florida
William Morgan, Architect
1800 Universal. Marion Building
Jacksonville., Florida 32202
Telephone: 356-4195
12 November 1971
Bids for the subject project shall include the following
information and be submitted as follows:
1. Submit on letter head of firm, signed by owner of firm, or
if corporation., signed by officer of firm and sealed with
corporate sealq in sealed, addressed envelope.
2. Address to Owner, c/o the Architect at -above address.
3. Submit on or before 2:00 p.m. EST Friday, 3 December, 1971.
Telegraphic modifications will be accepted until said time.
Telephoned modifications shall not be acceptable.
4. Indicate total lump sum bid for all work called for by
drawings and specifications, except that indicated as Not
in Contract (N. I.C. ) and/or "By Others", "By Owner" etc.
5. Indicate willingness and ability to enter -into' standard
.form of agreement with Owner, AIA Document A-1071. Septem-
ber 1970 ed. , if Owner accepts bid.
6. Indicate willingness and ability to commence construction
not later than Wednesday,. 8 December 1971, -'if Owner agrees
to enter into above contract; to prosecute the work dili-
gentl-y; and indicate the date of substantial'completion.
7. Agree to provide Owner written releases of liens from all
sub-contractors and materials suppliers upon application
for final payment. -
8. Bids shall list the proposed sub-contractors to be employed
on the work for the following trades;
Heating
Plumbing
Electrical
Glazing
The following information is given:
9. Owner reserves the right to waive any informalities and
to reject any and all bids.
10. Bid bond, performance and payment bonds are not required.
11. Questions and requests for interpretations and additional
information during bidding shall be directed to the Arch-
itect in writing and shall be answered to all bidders by
mail. They shall not be accepted nor answered within
24 hours of bid receipt.
12. Bids may be privately opened at the Owner' s discretion.
13. The Contractor shall bear the cost of all reproduction of
working drawings and specifications which he may require.
-OF MATERIALS No. ..................................................
Proposed Construefion DESCRIPTION (To be Inserted by FKA or VA)
n Under ConsiTuefion
Properfy address ....1.1K.AP,.49Jh..Ayenue......................... cify ....A��-2ntic Beach.......... Sfatejjq-Kida
......... ........................
OWNER
Mvdga9§KZK1P==r..N]:.....4XIL.NrAj�..j�axwell K. Dickinson Atlant'ic...Beach, Florida
...........**........"....... -------*.... .... .... .
(Nam*)
ARCHITECT
Universal Marion Bldg. Jacksonville, Fla
.................. .... ............I...........J�ao......................................
(Name) (Address)
INSTRUCTIONS
1. For additional information on how this form is to be submitted, number minimum requirements cannot be considered unless specifically described.
of copies. efc., see the instructions applicable to the FHA Application for 4. Include no alfernafes. ..or equal" phrases, or contradictory items. (Can-
Mortgage Insurance or VA Request for Determination of Reasonable Value, siderafion of a request for acceptance of substitute materials at equipment
as the case may be. is not thereby precluded.)
2. Describe all materials and equipment to be used, whether or not shown 5. Include signatures required of the end of this form.
on the drawings, by marking an X in each a iofe check-box and entering
the information called for in each space. rf"Op.pre is inadequate, enter "See 6. The construction. shall be completed in compliance with the related
misc." and describe under item 27 or on an attached sheet. drawings and pecifications. as amended during processing. The s�ecificafions
3. Work not specifically described or shown will not be considered unless include this D:scription of Materials and the applicable Minimum Construction
required. when the minimum acceptable will be assumed. Work exceeding Requirements.
1. EXCAVATION:
Bearingsoil,type......5-alld. ...2 5. ................ ---------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
2. FOUNDATIONS:
g---9---#-J�j & B of thicken slab
Footings:Concrete mix----3 Q-0-0---P--ai----thrufnaut-------------- Reinforcin ---------------------------------------------------------
Foundation wall: Material ---1KQ11P----------------------------------------- Reinforcing------ -----------------------------------------------------------------
Interior foundation wall: Material---lklgg--------------------------- Party foundation wall ---NQ119L-----------------------------------------------
Columns: Material and size--aggL-T-Ians-------------------------- Piers: Material and reinforcing-----7-7-71--------------------------------
Girders: Material and sizes ---naxip----------------------------------------- Sills: Material --------------------------------------------------
Basement entrance areaway--N-Q.UP--------------------------------------- Window areaways --7-7=7!--------------------------------------------
Waterproofing-Bit.uuLtno.ua4.-Z.QupeX,.9--J3Qjad-abl-e- Footingdrains ---------NODLe----------------------------------------------------
Termiteprotection ----------------------------------------------------------------------------------------------------------------------------------------------------------- -
Basementless space: Ground cover.4 Mil VisqqqPIInsulation---NQPLq------------------ Foundation vents --N-Qjlp....................
Special foundations -Thi.(;kpn---s-1abax-Quud--_4ier-1me-ter---1-1-------8-1-
Thicken slab under fireolace 7 '---5."-x...1-9-1--.4'1 11MV
--------------------------------------------------------------------------------------------------------- .. .............................
-------------------------- -----------------------------------------------------------------------------------------
S. CHIMNEYS:
MaterialMtqaQT1ry--F1ikU5..................... Prefabricated (make and size) ---Smoke-,Dome--D-42R------------
Flue lining: Material ..Firp,-d---Clay------------ Heater Rue size _Plans
------------------------------- Fireplace flue size ..........
Vents (material and size): Gas or oil heater ...WAre.rg.Q.Q.1Pd---he-at-puirps------ Water heater 314'---G.-I.Ti-pe..
..............................................................................................................................
..................................................
4. FIREPLACES:
Plans
Type:Yj Solid fuel; 0 gas-burning; [I circulator (make and siz e- --------------------------------- Ash dump and cIean-out.KQ11P............
rp Aet.
Fireplace: Facing -F;LrP----Rr1r-k; lining F-jr.e.-..Q-jjky-------; hearth 1-1 -3r-ick.......; mantel .5e.e ------ -
--------------------------------------------------------------------------------------------------------------------------w-----------------------------------------------------------
S. EXTERIOR WALLS:
Wood frame: Grade and species N�Qf-g---aE-------------------------- M Corner bracing. Building paper or felt
Sheathing-IqQI)LP—----------------; thickness ------------; width ------------ [3 solid; [I spaced -------------1 0. C.; C3 diagonal; ....-------
Siding-'-T"1'-.11 ............; grade r�Qq&h.,---; type FLWD -:.�; size 4X8 i&12;exposure fastening'-10dg�alVnal
Shingles NQn sawn p
_Q ; grade - -------; type------------- size--------------- exposure...........; fastening.....................
E , --'-76-77
Stucco kag
------------------ ----------I thickness-- --------". Lath.-:---------------------------� .2------ ------------------; weight-."77=...lb.
r Ng�p?---------------------------------------------- Sills ----------------------------------- Lintels -7.777:n-------------------------
Masonry venee
811 Dur-o-wal
Masonry: Facing jQ6---tk�g------; backup -----------thickness --- .......... Bon�ing-------- 1611 CTRS
a - -----------------
ans j B
Door sills -------------------------- Window sills ------j�LqnS----------------------------- Lintels��QRq- -W —.1-------................
P 1 ---
Interior surfaces: Dampproofing, --- coats of ------- -------------------------- furring... ..............................
Exterior painting: Material,,Co-ating .,&ed'. Item 27, .L.3,�,-� - - ----------------------- number of coats
Gable wall construction- C] Same as Main walls;C]other-----------------------------------------------------------------------------------------------------------
Sid.i ---s.j;,Ain;....2U-.!11-P,-aqht-Qne 1.1------------------------------------------------------------------------------TrC 6 E-r--i p- -g-r
----- M& Simpson HHUC 412+612
6. FLOOR FRAMING:
Joists: Wood,grade and species ......; other 16"; bridging ---$-Q1!d--!L-Y-anchorsP09t cap;.F(,
Concrete slab: 0 Basement floor; 0 first floor; 0 ground supported; [I self-supporting; mix-Z5 Q-Q---P-6 I--------; thickness
6 x 6 `616 ,." WWM ! insulation --None--------------- --------------: membrane
DESCRIPTION OF MATERIALS
9, PARTITION FRAMING:
Studs; Wood,grade and species N_JQLi6?r.. Size and spacing .2...&A. (0)...IEL!!ja,.Cother .P.Laaa��6..-stud)
Cedar acceDtable for non-structural interior flamiLi&..only........................................
.................................................
10. CEILING FRAMING:
Joists: Wood, grade and species Other
..se-Q..f mamingplana,,.11aximum.. .......................................
11. ROOF FRAMING: JOIStS
ItTrftC11% Wood, grade and species _No...Z.��YF--------------------- Roof trusses (see detail) Grade and ape e
---I.Q..@ ..............................................................................................
12. ROONNG: 1
Sheathing. Grade and species _.:11.1..exterior .................; size��Ix8
................. ........ type 2UM.....M solid; [3 spaced........o.c.
Roofing.......=:=-----------------------------; grade .....................; weight or thickness .........; size .........; fastening ..................
Stainor paint_�7=7..................................................... 'Underlay ............................................................................
Built-up roofing ZQ..Y!_.R_QjadAb.J1g...................................; number of plies ....5......; surfacing material ri_V_P_r_.grAv_e I
Flashing: Material ._Ga1uanized_.EtP_eL......................; gage or weight .22...Q-A*......;)h gravel stops; 0 snow guards
....................................................................................................................................................................................
13. GUTTERS AND DOWNSPOUTS:
Gutters: Material...None..........................;gage or weight............;size...............;shape ...................................................
..........
Downspouts: Material -None.....................;gage or weight............;size...............;shape ...........................; number ..........
Downspouts connected to: 0 Storm sewer; 0 sanitary sewer; C]dry-well. %] Spla:sh blocks: Material and size��Q..plfim;........
F.M.PIP;Lng.;...2_10-aam..Ro.af...Urain&.............................
14, LATH AND FLASYER:
Lath 0 walls, 0 ceilings: Material .....................;weight or thickness�Wfi........... Plaster: Coats.......; finish .........................
Dry-wall]Q walla,Z] ceilings: Material.jM................;thickness ... finish ...?TQ...SPJQ_Q..._; joint treatment lapp_..
...excLep-t...spray...tex.=e...Ceililags................................................................
19. DECORATING: (PoW, walljoapet, etc.)
Rooms WALL FINISH MATERIAL Axv APPLICATION CEILING FINISH MATERIAL AND APPLICATION
Kitchen................... ..PPG "Bone White ...................... ..........................................................................
y .texture G.W.B.
Bathg---................. .. ................. . P .....................................
All others ............................ .............
...................................................................... Nat .............
beams
............_-----------_- - ..................----------------------------------------------------- ................................................
16. INTERIOR DOORS AND TRIM:
Doors: Type JU_2Aqb.3--- ....................; material -------------; thickness ...315f
Door trim: material ... Base: Type ..N-O-Ue........ material ...................; size
Finish. Doors _hLkn!;.........................................................; trim .... ........................................
Other trim (item, tVpe and location) __F.aiat:..SgImp.11-s.............4..........................................................................
..................................................................................................I...........................................................................
17. WINDOWS:
Windows: Type JE�xed - make----J.At!_14b...............;.material sash thickness
. ............. .I
I ligg -1 balances,type ..==nm.........................; head flashing ....:n-n==.........
Glass: Grade Ai...5_QJArgr.6LYF0 Uweights; [_
Trim: Type _.W.Q0CL----------------; material ...Yir............................ Paint ---atai])L...........................; number coats
Weatherstripping: Type .......................................................; material ....................................... Storm sash,number
Screens: 0 Full; 0 half; type .............................................; number.............; screen cloth material .............................
Basement vAndows: Type ..�......................; material ........................; 0 screens,number.........; 0 Storm sash, number
Specialwindows __.---------_--------................................................................................................................................
See s
.............................................................................................
...........
Its ENTRANCES AND EXTERIOR DETAIL:
Main entrance door: Material width AA1 1...;thickness 1�31 411 Frame:Material Fg.oft...; thickness aq1t;J,
Other entrance doors: Material width AA"...;thickness_LJ/.4Prarne: Material -WQ-Ctd---;thicknessD.P_1;.P11
Head flashing V111Y.L.GaSket...irLW&.. Weatheratripping: Type saddles ..altlm.................
Screen doors: Thickness number k1Q11P,..; screen cloth material...=MM....... Storm doors: Thickness==_";number-==—
Combination storm and screen doors: Thickness.........; number-------; screen cloth material ...................................................
Shutters: 0 Hinged; E]fixed. Railings..==--------------------------------------- L*uvers _=. =7:.M.............................
Exterior millwork: Grade and species ...Q.1ear-lir.................... Paint ..........................................; number costs
..................................................................... .............................................................................................................
19, CAOINLITS AND INTERIOR DETAIL;
Kitchen cabinets,wall units: Material .......; lineal feet of shelves DW95.e.; shelf widthD.W&F6
Base units: counter top ......; edging L.J?........................
— . I __A --I-..UMAi-r-b c0unter------ Finish of cabinets ...F_dC-tQr_Y..................................; number coats_.— ,
'104114at I AX`bWAIH5C0?t
LwATiom MATERIAL.COLOR.BORDER,SIZES.GAGS,ETC. THRESHOLD BA31 UNDERFLOON
"ON
.arayerune..9.42.22................................................................... Conc, slab
r
anOf
3/3211 v A.1.................
............................A ........ZL!j..Wbj te..y in
-P ........Y1. ................
_S V att_e� " otiC:�t.et-e,.-Boxianite-..Cojip............
.. ......... n_;Q ----- ----------------
-- ........................................................................................................ ....................
UCATION MATERIAL.CoLon.BORDER.CAP.Sim,GAGE,ETC. MIGHT HEIGHT AT Tun HZIGHT AT SHOWER
..................................................................
................ ............................................................................................I........ .......... ........ . . . . ...........................
............... .....................................................................owawoow.................................................................. ............
Bathroom accessories::n Recessed; material SAKA]Rig�.........; number...... attached; material .......................; number......
..........;.........................................................................................................................................................................
22. PLUMBING:
FUTURE NumsaR LoCATION MAKE M1FR'S FIXTURE IDXNTir[CATION NO. Sizz COLOR
Sink.......................... k3JJ;_Q!!Qja......3-rigg.,9.................. ..Bo.ston_.B-5313 3*211 x-2'I"'""'white
Lavatory....................3....Jaal�hs............R rU 95,.a.................. ...........15T....x....1611 white
.........................
Water closet...............9 ------- Ambass. I.IIJ3
........... .................. .... .
Bathtub................. ._Nat...
.60..x...3-2..x 76 white
.........................................
Shower over tub*..... b,a'th #.,a..- ..................whit.e..
......... ..
Stall shower"............2.... 36 x 80
.......................................................
Laundrytrays...................................... -------------------------------------------------------*....*-----------------*-----------------*......
................................N M a;.....E La a L;---d-ommat..all..-sboxer_e ii.Q.1 gLauxg s......I..........i...............I................
j?AthA!..fi' ck outlet 1white
Tlugggi.................... ..........h .......................I................
............................I..................... .....................meav�w ............................................. .......................................
*0 Curtain rod 0*2g Door 0 Curtain rod
Water supply: 0 Public; C3 community system; 0 Inalvidual (private) system.*
Sewage disposal: 0 Public; 0 community system; [] individual (private) system.
*Show and describe individual system in complete detail in separate drawings and specifications according to requirements.
House drain (inside):X] Cast Iron; 0 tile; El other................ House sewer (outside):M Cast iron; 0 tile; 0 other..................
Water piping: 0 Galvanized steel;X] copper tubing;X1 other 2 Las-tic.=code............................ Sill cocks, number...1......
Domestic water beater: Type ._E1eCt3d_Q-------------------; make and model _We_%tinghQusp_,_TAj�Q2j�qEX
recovery gph. 100* rise. Storage tank: Material glas-a.1-in-ed................ capacity .....
.;�......gallons.
Gas service: F1 Utility company; 0 liq. pet. gas; [3 other....N.Q13a............................ Gas piping: 0 Cooking; 0 house heating.
Footing drains connected to: 0 Storm sewer; 0 sanitary sewer;C1 dry well. Sump pump Agne................................................
.S,u...s1t.P,...p_Laa..f o.r...o.ut.$1d_eL...9hQWP_r........................................................................................................
23..HEATINGi
[3 Hot water. Ej Steam. [3 Vapor. 0 One-pipe system [I Two-pipe system.
[3 Radiators. 0 Convectors. E] Baseboard radiation. Make and model.......................................................... ...........
Radiant panel: 0 Floor; El wall; El ceiling. Panel coil: Material....................................................................................
[I Circulator. 0 Return pump. Make and model ..................................................................; capacity ............... gpm.
Boiler; Make and model ......................................................— Output .................. Btuh.; net rating..................Btuh.
...........................................I.................................................................................................................................
Warm air: 0 Gravity. & Forced. Type of system ..WLZKW...Hkat...Strip........"........
Duct material: Supply__.G0J.4..........; return........ ......... Insulation ...E.JG...... thickness =.... [3 Outside air intake.
Furnace: Make and model ....................................................... Input..................... Btuh.; output.....................Btuh.
*...*.....*.......*....*------------------*---------*-----------------------*---------------------------------—------------------------"----------......-
0 Space heater; [] floor furnace; E] wall heater. Input.................... Btuh.; output.................... Btuh.; number units.........
Make,model ...................................................................................................................................................&......
.............................................................................................................................................................................
Controls: Make and types.............................................................................................................................................
............................................. ---------------------------—------------------------------------------------------------------------.......
Fuel: 0 Coal;,0 oil; [3 gas; [] 11q.pet.gas; 0 electric; 0 other.....................................; storage capacity ............................
*.................... ----------------------------------------------------------------------------------------------------------------- ..................................
Firing equipment furnished separately: 0 Gas burner, conversion type. Stoker: 0 Hopper feed; E3 bin feed.
Oilburner: C] Pressure atomizing; 0 vaporizing.........................................................................................................
Makeand model ............ ........................................................... Control ...............................................................
..............................................................................................................................................................................
Electric heating system: Type C limat e Master 25 1
. .........................................WC1nput Lki..LQffatts; @ ZZQ.....volts;output..............—Btuh.
..... ...w.iXh__.Z..KW rip
......jjQA!;..5t..... ............................. ................................................
Ventilating equipment: Attic fan, make and model ..NQnP...........................................................; capacity.....................efm.
Vib-han avlismaf fnn- malra sunil vnnflpl Pqr.lcqoPr1 wi t-h nxTPn--rq-ncrP iini t-
DESCRIPTION OF MATERIALS
:6. INSULATIONt
LOCATION THicxNzss MATERIAL.TYPE I AND METHOD OF INSTALLATION VAPOR BARRIER
Roof......... 6FF Batt Fiberialass
..................................... ............................................................... inteRral
..............................
Utz It
Ceiling.......... .......... ............................................
7i........
Wall........ ... ... .... �j_5.........
Floor....g.........................................................................................................................
...................
...................................................................... ................... ...........................................................................................
17. MISCELLANEOUS:
(Describe any main dwelling materials,e ulipment,or construction items not shown elsewhere) ......................................................
Jc..&T;...C QAt ijigz......
...q..;� .........
.. .... ..... .... .. . .. ......... .. .. ....... ........ .... ........... ....... ..... .......
a J�n-er..and -Pri.me.r-:.....Z.onoli.t.e..Per.1tex...fiar.dener...and..Dri.mer...........................................
-Eiller:-----Zonad�e_......R_e-, _e"x_". I oc---k-".'F---1-1---E e*'r�'_.a_*n"_"d",','_C'...o'n"a" ...e-,t...
Texture Coat;
------------------------------------7 iaQjjj�q - textured sand finish: qq1q]L;,
.,q _.j�qr�lt;ex..Ver.s-ako.te.--.f.i-ne...............................................................
---waite...................................................................................................................................
1EXter_iQr._La_t.eK_.PVC.;---C_Qlar.......w_hit_e.;._.PF.G..Spe�.....I-O.a...................................
.1_�'Int C oat*----
........... .........................................................................................................................................................................
................................................................................................................. ...................................................................
....................................................................................................................................................................................
HARDWARE: (Make, material, and finish).5e0v..FJ_6Ln.$._±---FD9P_..3...0.f...Specif-tcations..............................................
.....................................................................................................................................................................................
.....................................................................................................................................................................................
SPECIAL EQUIPMENT: (State material or miahe and model.)
Venetian blinds ..................... Number PlBnS.... Automatic washer ..Ownp—r...........................
Kitchen range 1iQtP_qiAt_.9199..... Clothes drier............�!.......................................................
RefrigeratorAq�p.gfiit"C'SF...24...E---------Ic-------- Other.....................................................;.............................
Dishwasher..Ma_yta&..Bu:L l.t=in.................................. ..........................................................................................
Garbagedisposal unit .... 03-2.0.. ..........................................................................................
PORCHES:
5 P 1.4 L n.:5...4 j Id..d.Pct-a i 2,a. ...............................................................................................................................
......................................................................................................................................................................................
.....................................................................................................................................I..............................................
...............................................................................................................................................................................
TERRACES:
..................S ape...drawing.5.......................................I..............................................................................................
...................................................... ......................................... ------------7..................................................................
.............................................o........................o...... .............o.............................o......................................... ..................
GARAGES:
........0..........N.Qxlg................................................................. ........................0.......................................................
...................................................................................................................................................................................—
.........................0....0.................0.....................................................................................................................................
............................................................................................................. ..........................................................0..........__
.....................................................................................................................................................................................
WALKS AND DRIVEWAYS:
Driveway: Width............ Base material............... thickness.......'. Surfacing material .....................o......... thickness......
Front walk: Width--------- Material...................... thickness......... Service walk: Wid'th...... Material ......... thickness......
Steps: Material ---S?I r.e..pl-dn-$...............; treads ..............; risers .................. Cheek walls ..........o..............................
..............................................0...........................................................................................0......................................
OTHER ONSITE IMPROVEMENTS:
(Specify all exterior onsite improvements not described elsewhere, including items ouch as unusual grading, drainage structures,
retaining walls, /ence, railings, and accessory structures.)
.................................................................................0...................................................................0......
..............................................................................g.......................................................................................................
............... ............................................................................................................................................................
...........................ol......................................................................o..................................................................................
.........................................................................................0.......................................0..................................................
LANDSCAPING, PLANTING, AND FINISH GRADING:
Topsoil..........t thick: C] Front yard; C] side yards; 0 rear yard to ............o............. feet behind main building.
Lawns (seeded,sodded, or sprigged): 0 Pront yard.................... side yards...................; [I rcar yard..............................
Plantin&- W Ast qnneifiPti Rnd shown on drsLwinvs: rl as follows-
Group 1: Main Entry Doors
3 Pr Butts BB191 US26D 4�x4� NRP Stanley
I Lockset CO 5407 US26D Yale
1 Threshold 205A Pemko
2 Flush Bolts 2050 - 1211 US28 Baldwin
2 Stops 510EP Baldwin
Group 2: Exterior Doors
1� Pr Butts BB191 US26D 4�x4k NRP Stanley
1 Lockset CO 5407 US26D Yale
1 Threshold 205A Pemko
1 Stop 515 RP US28 Baldwin
Group 3: Bath Doors
1� Pr Butts 1179 US26D 4x4 Stanley
1 Lockset CO 5402 US26D Yale
1 Stop 515 US28 Baldwin
Group 4: Utility Door
1 Pr Butts 1179 US26D 4x4 Stanley
1 Pull KP-52 1" US26D Epco
1 Roller Latch 23 Stanley
Group 5: Pocket Doors
1 Set 6825 Stanley
1 Edge Pull 230 B US26D Ives
2 Flush Pulls 221 PA28 Ives
1 Jamb Bolt 42B US26D Ives
Group 6: Exterior Blind Door
1k Pr Butts BB191 US26D 5x5 NRP Stanley
1 Lockset CO 5407 US26D Yale
1 Threshold 205A Pemko
1 Stop 501 Baldwin
Group 7: Dining Storage Doors (5 pairs)
7�2 Pr Hinges 3002 Stanley
10 Pulls KP-52 1" US26D Epco
10 Roller Latches 23 Stanley
117
IVA-
BUILDING AND ZONING INSPECTION DIVISION d
0 CITY OF ATLANTIC BEACH, FLORIDA z CD
0
W
a.
U) ELECTRICAL PERMIT
z
Date 1-014 - Fee $ 9�IS Permit No.
LU
ca
Location d"aiiiiiiiis
Between and
This is to certify that
M E
#nt"r.0, "most!V271t)
has permission to install Electrical Construction as described herein in cc
LU
accordance with the provisions of the Electrical Code and regulations U
z
of the City of Jacksonville, and subject to the information shown on the Lu
application, drawings and specifications which are made a part of this 3:
permit.
for M
Type of work: Us
SERVICE: C0114194M 1#0 a" COW" >
battr* IJl# W06 X
Feeders: 0
Outlets: -3
Receptocles:ts
Switches:
incandescent:$
Fluorescent:
Appliances:
Air Conditioning:
Moto S-.
r
Transformers:
Signs:
Miscellaneous:
IF NO WORK IS DONE UNDER
THIS PERMIT DURING ANY SIX ISSUED BY:
MONTHS PERIOD, PERMIT E1AaA"-s-pYA19pervisor
BECOMES VOID.
ow
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE.— it F'z4_
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE
HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS,
WHICH ARE A PART HEREOF, AND'fN'ACCORDANCE WITH THE ELECTRICAL REGULATIONS, CODES AND CITY OF
ATLANTIC BEACH ORDINANCES.
lk ICAL FIRM: C JOURNEYMM
NAMEAVWell A 0j";4, e. ADDRESS:_&s7'? RFD—BOX
BLDG.SIZE —BETWEEN.
REL V,,r' APT.I COMM. I PU13LIC I INDUS.I NEW OLD( REW.
ADDITION I TRAILER TEMP.I SIGNS ( —SO.FT.
SERVICE: NEW( REPAIR FEE
SOW'jM AMPS COPPER I ALUM.(,-,l,
among KER AMPS PH_ W VOLT !3AC
vx
JIMST.SERV.SIZE AMPS, : .4PH jW
LT R&CE Y
stz*
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OOPEN TOTAL
0.30 AMPV,� , 31-100 AtAPS,
SWITCHES
114CANOESCENT
FLUORESCENT&M.V.
FIXED OAQO AMPS. 1: OVER
ApiwLIANcEs BELLT F.
AIR H.P.RATING HY.RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT
0.1 OVER,
MOTORS H.P. VOLTAGE pHs NO. 1,Hop. VOLTAGE PHS
LLAN 04
TRANSFORMERS. UNDER g0O V. 7`70VER 600 V.
FOR OFFICE USE ONLY
Date.......... -�T72-.19 ....
CITY OF ATLANTIC BEACH Permit .....Fee$
Valuation ....................
...q
FLORIDA House # . .............
......................1, e,�
. .... ......
.. . .............
APPLICATION FOR BUILDING PERMIT
----------- ------------
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 automdtically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic 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.....F.�. .........ze�.................................. 197.2—
Owner... .................-Address-A.-1-1, -----------------------Telephone No.............................
It it
Architect--1 W. i.... ...................................Addres&-.-......................--------------------------------Telephone No.............................
Contractor Builder.—P-0 e,ec> raoo S:7- C-el clo�
--------------------------------------------------------_------Address...Ncy-t...&5�14--------------------Telephone No:Z.4 ----------
1Z___--------- A-r-1—. 41.-c'f4- a&s
Lot --------------------------------Block No._�4------- -Sub Division...=1------------------------------------................................Zone.............
----R?A=_0'44A4....A.V_E------------Street 4�� -----...Side Between...
-----------*-----------------------------------and..............I--------------------------------------st's.
Valuation $...4!j.0rP----For what purpose will building be used.,OJ� ------ --------------Type of construction.F .........
Dimensions of Building---9......4_;KjO�5�_��_.Dimensions of Lot_ozc"�5 ---------------Size of Footings-407'-.10.................
-------------X...Z
Size of Pierdq."��_.Size of Sills-_---- ..........-----Greatest Sill Span in ft....-------------------.-Type Roof.-O./P---------------------_-
How will Building be Heated?----_G�E�7---------------------------------------Will Building be on Solid or Filled Ground?
...................................
Size of Ceiling Joists_ ------------------- Distance on Centers............................................. Greatest Span-------------------------------------------- yp
Size of Floor Joists.--------------------------------------------., Distance on Centers........... _.............................. Greatest Span-----------------.......................... 09
Size of Rafters_--------------------------------------------- Distance on Centers........ ..... ............ ..... Greatest Span............................................ it
This rectangle is to represent the lot.
Locate the building or buildings in the
right position. Give distance in feet from
-all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall OC G__$_4_)Q1
be submitted with application.
Inspections required. 60
1. When steel is in place and ready to pour footing. 04
2. When steel is in place and ready to pour columns and/or lintel. Z
3. When steel is in place and ready to pour beam.
4. When framing is completed. 17 Eg
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. Q
7. Electrical inspection by City of Jacksonville.
8. Final inspection. t
Note: In case of any rejection,re-inspection MUST be called for after
corrections are made.
FRONT OF LOT
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 building
reg+tions of the City of tiantic B*ch.
;;2:C: Address-------------------_--------..................................................................
S-4pature of Bu .. ...... ................... ....
Shifiitur of Owner�........ ---------------------------------------------------------------- Address.............................................................
-------------...............
DEPARTMENT OF BUILDING 4118
JCITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 7.127 1979
Valuation S 20.00 Fee $ 5.00
This permit not valid until above fee has been paid to City Treasurer, and is
subject to revocation for violation of applicable provisions of law.
This is to certify that 11axwell K. Dickinson
has permission to build to iift4al affence according tp plans
subutitted.
Classification residential
Owned Maxwell K. Dickinson
Lot Block— S/D
House No- 1199 Rp-aCh Ave,
According to approved plans which are part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
x
4-10o 0 Building material, rubbish and debris
Z from this work must not be placed in
public space, and must be cleared up
and haxiled away by either contractor
or owner. TL
Bilk� Dav*,,t, 121 G'I/7.9
Building Of"C)CAC6
FOR OFFICE PERMIT
USE ONLY NUMBER DATE. CONTRACTOR
Pi-UMBING
ELECTRICAL
SEWER
WATUR
ell
6�
t4t IN
crun
"41�YA .31INVIivi ij A113
rjo
d
Y
dfvY� "S
1(V (I-ErG�&g I
_3-,-�L-1-7J 3d QJ- J"Y'Id
Hj 7-7/^ F/n 1;917YI-I!�; M HN
FOR OFFICE USE ONLY
WITH rr
M" ANICtS Date........Z:2��E...........19
1AZ A
k A Permit *..4ze.......Yee
FF
AT
DWHER AYBV#*j',CTjWq5 LA&N=L4tkCH
IMPROVEMTS.YA, Valuation $........... ..............
FLORIDA House ......
\,Z 1'.Z a.c.....................................................
APPLICATION FOR BUILDING PERMIT
............................................................................
..........................................................................
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 verihed. Date..............4. .1.f. .... I....../...,7...................... 19.2-7.
-----------
- ---------
Owne ........ ---------------_- .......... _-----Address] -.Telephone 21
Architect.......... ......................_-_---_--- --------------------------------------Address..............._-_--------_..........................Telephone No.............................
Contractor Builder.._....------_-_--------_-___-----_-_--_--- ------------Address............_........ ............................Telephone No...............__.........
LotNo.........-----_-----------....................Block No...............-----__.......Sub Division....................................................................I.........Zone................
. . - ...... ..........j4kipeet..._...................jSlde Between...................................................and............................. ......................sto.
Val 'on $_ _1. !6�?.Fo at purpose *I building be _- -------__...........Type of construction....
Dimensid of Building... -------------____-------Dimensf s of Lot......... .. .............................. ......Size of Footings.... ............... .......
Size of P, ......... ...._Size of Sills---_---------.... ..Great Sill Span in ft-----_----..... .......Type Roof....------------ --------------------
m
I bu
ens'
d ng
of
e
tu
s
d
at
'o
G e "fl
s T ------S "Sp_�
ill BuIldinj
re . ... ..........
t . . ... . .......
----- -_X_
How will Buildi N.Mted? ------ -------------------------------- ill Building be on Solid or Fill und?.... ..................................
ista on C ters----- ...................................... Greatest Spa ..... -----------------------------------
Size of Ceilin ---- ----------- Distance
of
Size of F or Joists------- -------------------------------------Distance Centers.......... - _-_--------_-_-- Great pan........ -----_---------------
�j 0 t s eates� Span-------------------------------- ----------
Size Rafters...-----_---_------ --------_---------------- Diats, e on Centers........ .... .........
This rectangle is to rePreSent the lot-
Locate t1w building Or-ItWldift"
right positlitn. Give distance in feet from
all lot-lines and existing buildings.V4
REAR LOT LINE
f orw shall
X0 coples o' n:17,�ation.
e 'b '
au mitted ZI; cspeo Icati
Inspe *On$requi - Pq I /
and ready to pour footing. Z
is place
e in place and rezdY to Vow columns and/o,lintal. V�4
P C.
When Ste in place and ready to POur b` I [�JUMA-I.,, BENrV1
4. Wheu fr is completed. teat Wd X*pAy to cover up 11,4 G Pq 5i5l)
1- 'Bi ered. Ea 'Ropo
ing is comple laid b�it before its
t L Lilt ,
LOT
W;
DEPARTMENT OF BUILDING FQR�,,OFFICE U E NLY
Ty OF .,ATLAVTXC AlrACH, FLORIDA Date 197��10
U 13 0
;A
----------- Permit
Fe i
Appli0ation for Remit Valuatlo OW,
i n
for Miec Al.,te
r JW
and Repail
�7
DZSCRI BE: PAW
'(state if to repair, alter,, add to 6r buildin , erect awnings
or signs, tc
Building on: Blk No. nL 4� 6
Sub.Viv.
Address —) valuation
Owner s Name
BUILDINGS & OCCUPANCY
Building Use Residential or Business
What Plumbing work to be done?
Size of Present Bldg,.. , Size of ExtenGlon. ,
Lot size Material o,f Roof
No. of stories now after altered
Material of Present Building Material of Extension
P&M,S MUST BE, ST BMITTED HEREWITH.
SIGNS
Size Classification
(state whether ground, roof, wall',' projecting
banner)
Mater4 al of Construction
illuminated? Type of illumination
(State whether lamps or neon)
Will sign be over public property?
SUBMIT DRAWING SHOWING CONSTRUCTION OF SIGN AIM, ITI W&IANCING
Z:�
0 'LOW
WRITE ADDITIONAL INFORMAtI N SE
(For canvas awnings provide dimensioned drawing on reserve side)
IMPORTANT iZTIEE.-�
In consideration-of permit given for doing the work as described
in the above statemelnt,, we hereby agree to perform said work in
accordance with the attached plans and specifications, which are
part hereof, and in accordance with the buildin regulations' of
nq
City of Atlantic Beach. , Southern 'Standard B de)
Si nature of Builder or owner
9 oy
Address
Phone
Jl�
N
pgpART#AF.NT BUILDING
CITYlOF ATLANTIC BEACH-
L06AtION rkFoRlf i
im
ACH A :,$*I'
Ober
Porwit
mu Address
ATLAWIC',--01tAcili:
,CAL
-8 WRI '0
Pe
fy EL ------- - -- VOAL MORI
Cleate Work
Lott ock t
Alf
Catwetr., Ty0e
ro"PAP
d
Subdivisi
00.00
$0 W
0
opr v. 'C
........
To
19 0
u
�"'41 J�
419
low APPLIVATION ,
it ititki T WWII.
46 v
WAM 10A W'� ,
Min 04
:FLOR�
R .0
ev
51%
VN RADOW
JR,
ATI, of
40
'00
6*iic� cc (C-
-3 HlYlbf,.W' Ll 'lC' SHARE
I*SPVCT F,VE,
2
ypo
N
OTHKfkl'�71�`
�NOTJCE LCONCIRST OOTINGS MUST' #04$fftTt0JB9lF0Ra 0
AL 9,FORMS AND F
ATE Of:IS
UE
VOID SIX MONTHS AFTER
_!A S
T PLA ED IN OV,13LIP USt 6E' ,
'I. RU'9'$ISH,AUD DEBRIS FROM THIS WORKrMUST NO SE S ,
j�LEA,r RED YPAND,HAUpMAWAY"ay' E"T' CONTRACTOR OR OWNERI�
'U'.AMW
A
H 9 1 1�'; —, 1-11-1.", s"',,"',
A-
Wtl THE: Mf.CHA, �K- K-A
AYING TWICE FO
R 0
,Q F�V�rr , L, r T r
"I IE A CORP , _ i'S'Ll - �� '�;'��
-A�,�p ILANS WHICH ARE PART OF TH "MIT
D C F
j'j
LAW.-
ATION 6F�A�L,
PT
0 9 ING'_Of
BEA j
H 8U-IL P�RTMENT
fX
CITY OF ATLANTIC BEACHs FLORIDA
APProw0d bY APPLICATION FOR UKTRICAL 4MMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE:-- zz-
IMPORTANT NOTICE:
IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, 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.
BILL THOMPSON ELECTRIC CO., INC.
P. 0. Box 503.38
JACKSONVILLE BEACH, FL 32240-El9g
ELECTRICAL FORM: --- MASTER ELECfflICIAN RK JOURNEY
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