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CITY OF ATLANTIC BE,ACH
APPLICATION TO MAKE, ADDITIONS OR AMERATIONS
Owne co q- Address Phone
Architect Address Phone
Address 251 1_5�'1401E
7D
Contractors License/Cert4fication Nuibers.
Expiration Date �v
Property Address C A r H _Zoning
Lot # Block or Unit Subdivision
r'. k
Valuation of Construction Type of Construction
Describe Work to be Performed it (z-
Materials to be Used
Present Use of Building,
Proposed Use of Building,
Flood Zone
Diumisions of New Area: - APPROVED
CITY OF ATLANTIC BEACH
BUILDING OFFICE
11EMED
QMGE OR S'IURA(T,- JUN 19
19
CARPORr OR PORCII
LE CK
PATIO NO NLMBER
Will there be an ,iiicrease in nud.)er ,of units?
Will there be a decrease in nuiber of mits 7
Any additional plLubing fixtures7
tuiy new fireplaces?
SUUUT TM) CU11FLEIE SETS OF PLANS INCLUDING SITE PLAN
SI&iature MIER Date
Signature CON11=11OR Dat
DEPARTMENT OF BUILDING PERMIT NO. 9805
CITY OF ATLANTIC BEACH.FLORIDA
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date June 10, 19 88
Valuation '000.00 —Fee$ 7.SO
This pertnit not valid until above fee has been paid to City Treasurer,and is 7,53(1 T
subject to revocation for violation of applicable provisions of law. 7,sncxT -
This is to certify that MICHAEL HOLISINGER 7665 1 6/10/9
MCA L:
CBCO23286 3SI ISth Avenue cinilth- SilitUTO IA 1511 DID
inab
has permission to bu& repair and x-elmaild existing dock; in
aroserdesee with all state and leea& requireamits
Classification 16sidential Zone
owned by Dr- 130wel 1
Lot Block S/D
House No. 1733 BEACH AVENUE
According to approved plans which ate part of this permit
NOTICE—ALL CONCRETE FORMS
AND FOOTINGS MUST BE IN-
SPECTED BEFORE POURING.
PERMIT VOID SIX MONTHS
AFTER DATE OF ISSUE
4 10 4— 110. 0 Building material,rubbish and debris
Z-i from this work must not be placed
in public space, and must be cleared
up and hauled away by eithercon.
114W or owner.
7� �Iildi.g official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER_
PLUMBING
ELECTRICAL
SEWER
WATER