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Permit 888 Bonita Rd 14,3 9 ell CITY OF ON SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5"5 TELEPHONE(904)247-58M FAX("4)247-5805 May 19, 1994 Mr. Larry R. Meadows 888 Bonita Road Atlantic Beach, FL 32233 Dear Mr. Meadows: Our records indicate that you are the owner of the following property in the City of Atlantic Beach, Florida: 888 Bonita Road a/k/a. Lot 17, Block 1, Royal Palm Unit I RR#171107-0000-4 Investigation of this property discloses that I have found and determined that a public nuisance exists thereon so as to constitute a violation of City of Atlantic Beach Ordinance Chapter 12, Section 12-1-(7) , outside storage of building material i . e. , abandoned motor vehicle. You are hereby notified that unless the condition above described is remedied within fifteen (15) days from the date of your receipt hereof , this case will be turned over to the Code Enforcement Board. Under Florida Statute 162.09, the Code Enforcement Board may impose fines of up to $250 .00 per day for a first violation and $500.00 per day for a repeat violation. Sincerely, Karl W. Grunewald Code Enforcement Officer KWG/pah cc: City Manager Don C. Ford CRRTIV1ZD MAIL RJ=RN RZCZIPT REQUESTED :136, DIEPART ENT 01F Butmwe CITY OF ATLANTIC 8 PERAIV,INPOP14AT ION LOCATIOW INFORMATION --------- 9136, Addre0* 888 , 800tTA ROAD rini t ATLANTIC BEACH, 3 Per'mit' TYV#t BUILDING ,, FLORIDA 3223 of W 6 r)� OARA-0t : Lian''DESCRIPTION �--------- r 17 S*otion: Tyj�t WOOD FRAME Lot 161 ock RNG*. T OAR OR/CARPOR. Townships -Nil l'ings: , I : C subdivi,.xion: ROYAL PALMS ti t�$,`mvat',6d -Vol ue JAPov,. Cost: , $0.00 r d Tot' S tk l4o.tk -PER PLAN work -CATI AVON APPLt, ON PRE$ N' ' IPERM,l T A ROAD WA hddf T IMPACT,, FEE CH ?LOR I D 2214 a I wp­� P, FEE �y � I 1 0 6ON GO H.R.S. $0.00 to .00 T Im ame lop I'VAL IMPROvg. W s 'R TAP $0.00, r4os' S CONNECTION , $0.00 EC H -T PEP. Ty0e JRCHA 0 ST R zr $0, MAO ? NOTWO—ALL,CONCRETE,:I FORMSAND FOOTINGS MUST'SE.INSPIECTED SEFORE'POURIU0 TE -S PERMIT VOID SIX MONTHS AFTERPA OF IS, UE, SQILDING MATERIAL$RUSilSK AND DEBRIS FROM THIS WORK MUST,NOT BE PLACED IN PUBLIC SPACE,AND MUST BE D UP AND:HAU LED AWAY BY.EITHER CONTRACTOR R W R . , OL 0 0 PLYVITH THEMECHANICS TAILIX01FE iro :COOM �,.LIEN, LAW CANAESULT IN THE PROPERTY0*0t]'", PAYING TWICE F' 8010*01 1 PROVtMENTS1.11 Al� 'JOUIWACCORDING,TO,ApPA0VEo PLANS-WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVO,(,ATt0N,.FOR� 0 *OtAtION OPAP LIC, LIS! ROV 4 OF LAW. 'IT I'll Ee 140-TIE o woom 000000000 $52.51) 14 A L TIC B CH BUILDING DEPARTMENT 9/27/9401 0*;,,00841 1 760, �w , 4 2 1. 1994 Building and Zoning CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIOiS OR ALTERATIONS DEMOLITIONS Owner(s) : Address: E� AjI _Phone: Lot # B ock ee-t%1% # Subdivision: Contractor:-, Address:, _Phone No: Describe work to be done: ro Aa-'�C— Present use of building: Valuation of Proposed Construction: Proposed use: ro 14 e ja(0& Is this an a ddition? A�<�> If yes, what are the dimensions of the added space: �4� --ft . X I * _ft. Will the added area be heated and cooled? a - Now electrical (or increase)? New plumbing fixtures? A)" New fireplace?Afl, New Heat/AC? A)O 1. SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS , NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOP AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: 1�eaAA-,kj 11?,..0oJ Date: 0 Signature CONTRACTOR. CITY OF ATLANTIC BEACH PERMIT CALCULATION SHEET Address y 11�(DA) 174 A-0 p(710 Date -7 Heated Square Footage @ 0 per sq ft = Garage/Shed @ $ p e r s q f t = $ Carport/Porch 0 @ $ per sq ft = $ Deck @ $ _per sq ft = $ Patio @ $ per sq ft = $ TOTAL VALUATION : $ 4t) ��, -2— $ J Total Valuation ist $ 6-1 Remaining Value per thousand or portion thereof TOTAL BUILDING FEE + 1/2 Filing Fee $ 7 (0) Fireplaces @ $15 . 00 $ BUILDING PERMIT FEE WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER METER/TAP $ CAPITAL IMPROVEMENT $ SEWER TAP $ ) RADON (HRS) .0050 $ SECTION H PAVING $ HYDRAULIC SHARES CROSS CONNECTION SURCHARGE .0050 OTHER GRAND TOTAL DUE ADDITIONAL PERMITS OR FEES: Mechanical_; Plumbing Electric/New Electric/Temp_;SwimmingPool Septic Tank Well Sign_Finish Floor Elevation Survey Other CALCULATIONS and/or NOTES: FLA. 1047 L^W$ VIA8660 FOR"A" FS 7 13.12 'bre of (90mmenrenwnt V08PARS W DUPLIG&T61 to Whom it MR tw== The undersigned hereby Informs all concerned that improvernents will be made to ceirtaln real property. and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. .......I... .............. ... .................... Dwriplion of property....... ......OAJ......4�� /.7......d1d,o� .................. .......................................... ...............—......................................... ............................................................................. ............................................................................. —..............................................I............................................................................................................ General dowiption of &. ,.0.................................... ...........................................................................................I........................ ......... ................. ... ................................................................................ ......................................................................................................-.—....... owner-1................... .2.....................;W ......................................................................... .............. Owner's Wored in site of the kWovoinent........... ..................... Fee sinwle Ule holder (if dhor #60 owner) 0 rei J- .................I....................................................................................... ............ Address.............----:.................................................................................................................................... ........... Cordrador-.0.6ijup.-E.............................a........................................................................................ AJ&m...............................................................................s...................... Surety (if aw).................................... ................................................................................. Addrea..............................................................................I............... ......... NWft of person W" 16 stme,of P"We 4 �*P -led hy owner"W Wh" nwi or dhor d"AWW my be served: NO" ..................................................... .......................................... Addross............................................................. ..................I...................... ........................... In addition to himself,owner cliesignstes Ow following perW6 to receive a copy of the Usnor's Notice as provided in Section 713.13 11) M, Florkla Statutes. (Fill In at Ownoes option). NOITA............................................................. ........... Address........................................................................................................... ed wo .�X (o jZA-r-7fkS SISPAry G� via' e /h ef S-t u Cc lki APPROVED MY Of AfLANOC BEACH BUILDING OFFICE P 2 lock A e')c tz-5 -Coo ep 1/1 VM tz cool. -�S k 0 - . .- 21 f.r F a17,1 4 017ing 1994 IN-l" FRONT OWIIER BUILDER PERMIT AFFIDAVIT 4 Stiotd. Qf Florida City of Atlantic Beach gFEA Personally bppvorvd undersigned authority, 24 vho upon figat b*AnV duly &.worn, deposes and sayss Z2k and the 10901 owner of the followino proportyi Subdivision Block AMA I so applying for a building permit pursuant Lo tho Owner BuIldor exemption set forth to Florida Statute# Section 482. 102. Florida low requires that I have been provided wLtte th& following DISCLOSURE STATEMENT& DzscLosum STATEMENT -State low requires construction tca be done by licensed contractors. You have applied for a permit under an �xemptlon to that law. The exempticin allows you# on the owner of your property* to act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or Improve a one - or two family residence or a fare outbuilding* You way also build or Impreove, a commercial building at a coot of 025,000,00 or less* The building must be for your use and occupancy* It may not be built for sale or leaned It you sell or loobe, more then one building you have built yourself within one your after the construction is complete* the low will presume that you built It for veto of looso# which In a violation Of thin exemption. Vowr construction aunt be done according to building codes and xonIng regulation** It in your responsibility to make sure that people employed by you have licenses required by state low and by county or municipal licensing ordinencone I hereby acknowledge that I have read the above DISCLOSURE STATCHENT and that I cosply with all the requirements for the issuance of an Owner-SuIlder permit. further, agglant sayeth noto /t; 6 �ropvrty 0/n*;r svorn to and subocrib before me this _!d day of lv�'�1 �/T- -777�- -U4 DEPA Wr#Arp.NT OF SultAt" CITY OF ATLANT16 40414, 777 777, 01 -TIO Acl d r es S"-,: 8 gi� BOXITTIA" ROAD Ple R P ormit Ty An" JICA IPTIM 0 f 0 O'k k �14 L L841A 0110 WOOD Lot Typ FRAME 0 on owuo T tit , p "t"', Dwellinqs- Subdivis V 7i Cost $0.00 t I ep $10 .00 10, 00 Da lf 4 X-FOOT FENCE PER PLAN 4 4� � p 0 N f,:it9VT`T 0P;-­AP` T, 'ROAD W, 'A FLOIRI c A 4 A RHATpN RADON,: 0 , C.Apj�' AL'�r "I'X ROV SZWZR $0 6 1 1Y NtR -,TAP 'HYDRA "T -,,o �,Type. c ".60, `—terml,MT J�' 'A'ILJ.� 0 0 1�pfltTE FORMS AMD FOOTIM09 MUST Be I , :!jOT C 'P�AMIT VOID SIX MONTHS AFTER DATE OF4s ST"NOT"j,�j,p ATERIALi RUSSISK AND DEBRIS FROM THIS WORKMIJ -OWNE i0l.04#0UP ANDkAULE6,*WAY�0�.OTHER CONTRAcToR,OR EfT -OMPLY RIE,TO'C .WITH TWEMSCHA 0 PAYlN0,TWJ":,Fb*00,- tsSm' .�ACCOROtio.10,APOROVEO,PLANS W141CH ARE.PAR'T OF,'*Hl S -APK F LAW� 0 J ,0.1 444 �A APPLICATION FOR PENCE PERMIT Ovners namezay-1- J��5 ..........Phone Job Address 6)v Ad _aJ::). - - ;2.�z------ ---- ------ Lot-y_:i_Blcpck and/or Unit #--y---------Subdivlsion-/L�11..�E",L Contractor if different from owner ------------------------------------------------------------------ ce Corner or Interior lot .4,)e- Valuation of fen Type Shov location and height of fence an well as location of Ovner signature oblvl/4 Date Contractor a I gnat ----------Date MAP SHOWING BOUNDA:RY SURVEY OF I" 11T ACCOUING TO PLAT AS VECOI,,Pl�� If) PM:l:,S 60,00A OF THE OF MWA! Fl.0RTDA Aeo�,p ,00 A A A 4k .m (, f SJ IV I U4 N IN 4"v I/ /7,y,* A- IV/ j 4,47 THE PROPERTY SIJO14N 11FREON 1 j FRI��-1 ; �lt ,, 00t) J�tlflll �, '' DEPARTMENT F�IUIWINQ 0 N' 000F PERMIT li:F ------ Loc ORMATION Peradt Numberl Addross.1t, a$$"'11010(V4 P or*i t Type: cla" ,of Work Conattv. Type i i#IjbjD FRAME Lot i 91 FAMILY, fx�opomed Vjie�i 'SIAM Subdivis out- 7 Dvellingai 1, Codei ' Esti*ated Value 1 *0.1 00 *I�rov. Cost: 1w.00 $46.50 A 046,50 Wor, 'M OF A a t rA VA 4W C)4- ' ,FL0RI p RA -0 ob"':-60 ATPR LU 7,1-Al lwl"��4;" VIA Name I & LU m zl"' t 011 mk-�v JAC LL90, jrL 3,22:14 0 Type: 0 jts--F�,TUSPECI 'No,rt's. A L-L I C 'RET FORMS AND FOOTIN( tit, is MUO*i I" NOTICIE oO q PC-01MIT VOID SIX MONTHS AFTER OA IS, $U10INGMATERiAL�RU$,BISH A M THIS WORK MUSt,,NQT'Se 'EBRISFRO CLEAR#6 UP AND-t'+AUIL,'�E-D'A'�WAYOY:F-tT+4E§C,',O-'NTi4ACTOR.00OWt4Eft"".1 F 43') AWCHAN11C AI RJETO OLY WITH, THE W EWPAYING dit's '-CCORDING,TO. 0, k" VEV'PLANS WHICH ARE,PART OF T-'IS' VISIONS&LAW. "y �A At 1 NT' IN WrWi W- 4 pmmm%�21,Pln-, a 'T- 'e.Y,- 0 t 4 YLK eo N 4' 'e-L xz e.- CITY OF ATLANTIC BEACH SPECIAL INVESTIGATION TO BE FILLED OUT BY COMPLAIRTANT DATE �)- -7 / A T ADDRESS LOCATION COMPLAINT OWNER OF PROPERTY, S-10ATUM–OF COMPLAZWAN�T PHONE 0 6 —----—----------- FOR O"Ics Vsz ONLY DATE OF INVESTIGATION INVESTICA!OR CONDITIONS FOUND ACTION TAKEN COMPLIANCE- NOTES: CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION PLUMBING CONTRACTOR LICENSE NUMBERS -, C-R OWNER A r5 L —/-ok 4( CL/Smct/ — v BUILDING CONTRACTOR TYPE OF BUILDING S INXS -.I.SHOWM c9- LAVATORY Y HUTERS BATH TUBS DISHMASHFM URINALS DISPOSALS CLOSETS ��WASHTJG MMMINE FLOOR DRAINS OTHER -2.-TOTAL FIXTURS COUNT INSTALLATION OF PLUMBING AND FIXTURES MST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. 0 PARTMENT OF BUILDiNa E CITY OF ATLANT CSEACK '1'4 IWO 4 A� -vt rypwl "T 4w* Voft A; -opoolver use's tilum e�, vatol 0.42).%0 040.So but* Mg, L l0OAv ...... ..... A* vO bo s ale" -"a' 00I e­�,,,,'ro�Ll"���,,�,*,� mki�-0, SUZ 2A, "w", tll_� `jf��j 2 Ike-It 77 `7,777 NOTES: A, �'X NOTICE­�-ALL CONCRETE FORMS AND FOOTINGS MUST 8 414 p4q0ple PERMIT VOID SIX MONTHS AFTER DA. -,A BUILDING MATERIAL,RUBBISH AND:DEBRIS FROM THIS WORK MUST NOT PL�: WA Y BY EITHER CONTRACTOR OR OWNER.' CLEARED UP AND HAULtl)�A 'o-COLMPLY S, "FAILURE 7 WITH THE MECHANIC V­ THE PROPERTY�OWNf R PAYING TWICE FOWOUI:%J ISSU,ED ACCORDING TO',APPROVED PLANS WHICH ARE PART OF,THIS, IPR '10 VISIONS VIOLATION OF APPLICABLE,. Ab OF LAW. j,�:71 7-7 ATLAN ACH B ILO nE U I N PARTMENT BY; CITY OF ATLANTIC BEACH, FLORIDA ApprovW bV APPLICATI ON FOR ALKTRICAL PIRMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 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. thECTRICAL FIRM: -"I�_ Eff ELiECT_Rlt09_S_lGNkT;i&' JOUfJNEYMAN le:? C�V// NAME - Lee Ah"/'o-V "�X " RFD —ADDRESS: .....JIOX BLDG.SIZE BETWEEN: RES." APT.( I Comm.f I PUBLIC I I INDUS.( I NEW OLD( REW. ADDITION ( ) TRAILER ( I TEMP.( I SIGNS ( ) SG.FT. SERVICE: NEW( I INCREASE M REPAIR FEE CONDUCTOR SIZE AMPS COPPERf ALUM.044 ,e SWITCH OR BREAKER AMPS PH w VOLT 5�5–L) RACEWAY "Mr.SERV.SIZE AMPS PHI 3 w I 1/�'OVOLT CL) RACEWAY FEEDERS NO. SIZE INO. SIZE I NO. SIZE LIGHTING OUTLETS CONCEALED1 OPEN TOTAL RECEPTACLES CONCEAL OPEN TOTAL 0.30 AMPS. 31-100 AM SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. OVER APPLIANCES BELL TRANSF. AIR H.P. RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS CEIL HEAT] KW-HEAT 0-1 OVER MOTORS H.P. VOLTAGE PHS NO. I H-P- VOLTAGE PHS MISCMAREOUS —- __ - L_ TRANSFORMERS: UNDER 600 V. I I I I OVER 600 V. EN+OF BUILDING DEPARTIM CITY OF ATLANTIC BEACH PERKrT 10FORKATION ------ LOCA T11001 It Potmit Humbors Addromes a 4641,*4", s*40- 23911 as ic Perwit Typet MCCRAMICAL ----------- - 000,, V-1'T Cleas 61 worki: it fi, C'cnot,r. Typos 'IN/* Loti 41 "0 Proposod Uset S�IJNGLR- FAKILY 'Mid i op 110YA III- -dot, gn: 0 Co : 0' Subd*vi Estiosted Valuort , '*0.00 toprov. Cost 00-00 Total F* pip A.; A '042.'00 moun 101" x' 01C �V" TEPI M�111 wv"'�""' "Ar K %f � 4 T1,O* I m , -7 p ma Addr4iiii�i"" VA it q Se :' Zs ph -4-VAT too "Ag'a RAJ DOW CIVIP'� T WAITS* A a A 'A '0 Addr-** i JACKS ,NOTES ........... ALI TE FORMS AND:FOOTINGS MUST KiNSpig NOTICE PERMIT VOID SIX MONTHS AFTER DATE OF, "Al RK MUSTNOT EPLA E BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WO CLEARED UP AND HAU1ED,AWAY'$Y EITHER CONTRACTOR OR OWNIER FAILURE TO COMPLY, WITH THE MECHANICS Ll"'� THE -PROPERTY OWNER PAYI-NG TWICE FOR SUl ACCORDING TO APPROVEDPLANS WHICH ARE PART OF THIS-PEAMITANP��� E VtOL� NOF APPLICABL PROVISIONS OF LAW. RT ACH B DIN ENT ATLA DIE, A �p BY. 4�4' 7771�77 V BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT . LL-IN NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. LOCATION Street Address: r 4 Aq' OF Intersecting Streets: Between &AZOWA ft—I C, —And BUILDING Sub-division 11. IDENTIFICATION —To ber completed by all applicants In consideration of permit given for doing the work as described in the above statement we hereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance with the City of Jacksonville ordinances and standards of good�.practice listed therein. Nam of Mechanical Con 'S '440 7,4,4.4. IV '4' tractor% '65 #0 0 -Y, Contractor (Print) aRIAVAN Matter Nome Of Property Owner Lai y J4 t, Architect or Signature of Owner Signature of or Authorized Agent En ino*r 60INAL 1NFOft4AnON A, Type of hooting fuel: IS OTHER CONSTRUCTION Bam$W"CO* esectrilc THIS SUILDING OR,SITgj 0 LP 0 Natural 0 Central UtilitY IF YES, 41VE"UMISER Of CONSTIVJCTIO14 C) on PERMIT 13 Other Speclih IV. mom"" SWIPM94T TO K INSTALLED NATURE OF W (pro"eorn*to list of cornpowts on back of this feem) Er-*'RebidentIWOr '0 00'M nwrl 1111111, Host 0 SPOA 0 "NOW W'�"tW ftW 0 New BuIldt-09 Q/�Nr ComWifi"ing: 13 Room la/caftw e-�Xiatifla quiloing System: n IacBmot 9f exleting systeM moxeelfflu�ffl cope APM �Zew irvotalletI06#40*yet"I)4VI0U,*11InSlI*" city 0 Ext"slon or oddoh,.to 0 Refrigoretion El Other— Specify Q Cooling feww- Capacity C3 Fire VrinMon: Numbeir of 13 Ellevetw 0 Wrillift C3 Escalater— (ftaiwi 'MIS W ilm va'�,40W� 'it I ja I OPII** 0 , 6*0111100 Pumps —(nufnber) (trumbor) 93 V6 we" .(nutnbw) 13 Unfired pteuvre ve" Porrnii Appro"d by Other SPOC4 permit he ;;W AU EQUIPM]ENT AM CONDMONM AND UFRIGERATION EQU.91(EM NMbWUnft Daniptift, KOWNUMbeir Kawdactow, H1116 3(0 W4 Z4W--WjM 77'7777 V-- �7 , 77 77 FOR 100, C, DEPARTMENT OF BUILDING CITY OF ATLANTIC BEMH, FLORIDA Permit Application for Permit for Miscellaneous Alterations$ and Repairs DESCRIBE. > Adim (state if� to repair, alter, , a4d to or move signs, etc.) r14 _t Sub Building on.- Lo N �*' Bik No Address VIM , Valuati owner's Name BUILDINGS, AND'OCCU SCY Buildin g Use Residential or Business. What ,P lWnbing work to be done? size Size of Okesent.,sid''g. of "o No. of stories now after altered.�__Matotijk Material of Present Building is, or fiNCESEARY PLANS T�Q- 9_2 OIL BURNER OR Name. of Oil"Burner or Gasoline PUMP Name and Addrets . of Manufacturer In connection herewith,, application 'is als6_ made by gal. capacity tank(a) ground* (Name of Manuf4c"t -Above .7 (Undor of building. For (Insid;9 or "Vute'4�0e) :ON PURNISR' DRAI�IXG SHOKING ENTIRE THIS BLUM Sift Size -ication (State who oQt V!4;� Material of, Construction Illuminated. t_�.Ty" of illUMiA4tiO4,­`. 4"AL Will sign be over public prqperty?.��. , SRBM AN SHOWING ,11�,gR 1,XQ x or gWTAUCTIO WRITE ADDITIO10$,. ngs provide dimension (For canvas awni all" X_PORTANT In consideration of permit,.given for doin, 10 in the above, statement,, we horiby, agree to_por' :fbVft�0', _­­­ accordance with the attached plans and specif id& part hereof, and' ih ,;Qccordance with the bU11ftaq-,,,x �City of Atlantic Beach. (Southern Standard-, lei& Signa e of, B (Amer 6tctA No. AddreoA Ph D PARTMENT OF BUILDING E ITY OF ATLANTIC BEACH, FIMMA t Viluat �PeApplication ,for Permit for Misciellaneous Alterations, ard Repairs `j DESCRIBE Ad Jq J�!&-169101ieV (State if 'to repair, alter, add to or move butlidiii ' e" e Bu' l.lding ont I No:.' Bik No. wot, .Sub,.DI,-vl 0 A ��e S A��i�l I - -41) as luation 0 Owmer 's N�x�e IL B VILDINGS AND OCCUPANCY',.,",:", i B1441din Residential or Business -g Use What Pl6mb-ing work -to be done?- Size Of Present Bldgi. Size of Xxteniidfi' ' go. of stories now ...��_after altered 4at r al, o, -ftesent Building.14ateriail of Material ot. Vj,�S§�kR'Y PLANS TO B0 ,S UBMITTS0, OL7 XT. �BLIFN=)- OR (:UU, a%lrl Name of Oil Burner 'or Gasoltn Name and Address of �Mar wfacturer I a cenirctioh herewith, applicatic' �.74-17;1147 made"- a 1-_cApaoi;ty- (a) mad.e b-,f 4 01 T ground- (Name of Manufacturer) 7 of building. For (Insl2lUtr (.5ut Name" OT lnxrcb� THIS BIAM SIGNS Size ----�ClaOsification (State wheth5f grouM, r of, poww- )' Material of Construction Illuminated? "-Ypee of illumination 13ta Wneth will sign be -d'ver. public property? CONS- TERMT.109 OF S121--A=:A*t)�� WRTTE ADDITIONAL INFORMATIOW (For canvas awnings p-ovide dimensioned drew CZ.- IXPORTAW ,90 EX In con iderati6n, of p Vox ermit given f or doin4 � in the abo t Ve s men , urer hereby, agree to pe d' accordance e attached plans and specific4�ti6fisj' Vft, art accordance with the building ity Of AtlantiC B ,hr 'C e (Southern StarAard But-ldi, gns rw �—f5,4 M!"7 Signature of Bu;L Ider Or- Oum�ex Addres