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Permit 302 Camelia Street Lift Station � rr I i i � J a� I i I I I i. i ! m I : a I 1 f � J1 CITY OF ATLANTIC BEACH SS 800 SEMINOLE ROAD v) ATLANTIC BEACH, FLORIDA 32233 INSPECTION PHONE LINE 247-5826 lilt Application Number . . . . 04-00028077 Date 4/14/04 Property Address . . . . . . 505 CAMELIA ST Tenant nbr, name . . . . . . REPL FENCE Application description . . . FENCE PERMIT Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 3000 Owner Contractor -------------=------- --- ----------- ------------- JAMAES; ROBERT OWNER 505 CAMELIA STREET ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 (904) 878-2507 ------------------------------ ----------------------- ----------------------- Permit . . . . FENCE PERMIT Additional desc . . Permit Fee . . . . 35 . 00 Plan Check Fee . 00 Issue Date . . . . Valuation . . . . 0 ---------------------------------------------------------------------------- Special Notes and Comments MAXIMUM HEIGHT OF SIX (6) FEET. Fee summary Charged Paid Credited Due ----------------- --- ------- ---------- ---------- ---------- Permit Fee Total 35 .00 35 . 00 . 00 . 00 Plan Check Total . 00 . 00 . 00 . 00 Grand Total 35 . 00 35 . 00 . 00 . 00 BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. "FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. 0 ot, ( , qokk BUILDING OFFICIAL MAP SHOWING BOUNDARY SURVEY OF I I : I V1 4n rEF! 0' i OTC. !fl C)C< '23, SI C'10N "-s" A I ANTIC 11/X.A n(5 121 CORDED IN 'I^' ':)K :=, PA(l .54, Of THL' (:'_'ZIN N' i0UH11C •21"CCROS Of r)LVAI CQ;:N"', •I UINOA. CER I if 1r0 TO; ROF3LH. 1. ,IAMh$ ANI) RRAOLLY M. JON:S AIh21 III!'; MCH ICAC: COMPANY S;'tWA,tt• !!Ilk U::AUNT" CUMI)ANY RIC;IA:2D MOR17HEAC. .'.A. CAMEIIA SIKEFT (I(I:J II OF WAY-UNI)1'TCAMINi.3) KI Ohl WI+NIN 10.00PI AT fyJM1 1/Z•NLNAN N 9013'32" W .a.Jun J;jA•nLun,r :r Awln -.cY.Y DlGr 39.84 (MEASURED) :I:nwr•R •R,,.a•I _ _�._ 1 C14Y OF ATLANTIC BEACH UILD!NG & ZONING APR 0 9 2004 W I W BY: s S I RAMr DUI'I.X l ii Q 50` I IA�tt1 Beach W pmnnkv and Z DepartmeM I A This approwl vsrtiies Rance with applicable C zoning, subdivision nd other local land P development regulations put does not constitute o approval for the ksuen of permits. Compliance with Florida Building Cod and all other applicable local, State and Federal permitting requirements muat be verified by signs ur!s of the City of Atlantic wo x' f Beach Building 011ficiel to issuance of a Building Permit. D.,_. ` -• _�.� ON D ev opment (rector ^^' Data: 1^I.IV I I/j•Y+IR.•IN 6'20 W `•J'L'l N11/1'.aT.ON - • ^^-•^ND TIOEN'IrICAI til• ,/1, 4p0�^20' MEASURED) / 0.010• r'L A I n r u . til N..: It - RADL5 I rSVGI NOTES. 1.1!AR'NCS AIV IrAf7 Il :1N .. •��,iJMI rJ _IN ArIN(7 OF .; ROT)9':NT r ALONG I'll H!V;IONS N(71!II II RI Y COUNL;AKY IV' A: G,.I).{CT MAN.t.. 7.Its 4RnPl ll^p, CA--- A, IJI!:(7ItIV aDN .0 :iN(' .:t. 11!' fAf TldalO LANII!;III wl 11 rIN f rC�7 /UV: __ AG yMQwn UN III, NIr;NAL VLOQ; A!LI %r VrYAC ''n':C A"A. !/, Inrn, .'O.NIUN'Y NOMI:114 VANE. nO)I C _ .S 41S Sn"NI(;Jl I^.I''. A •AI,FMI N'':A,P C:I;,^.t.F WAV A,"I 1(It!(::Y? I).1 A?&SQA fl ILL (:OMN/IIMI N I ir IJI;U. ,1:>•An•;r >�A'LU.N,i 0•11I7 TIP r VrRll-I(;A ll'UN I,A!,III I.N rr Rrmur!I d" IML UNX:;r1C'NII7. 4• I 'SURYE. W:'I.'!„• CMUUNS)17 Gi A' :)r' T•.G CER III Y'VC; !i(!rN"D(Z .CL• .:A'1 Q(• '.rl D :il)HvE,: o9.0!S OU OATI n1 15sui,: 09-n7 nn S:;nL - 2J' �f I�� 'Ll' TIrICATr 2,117 t k 51 LYNIRT INaI INIR""'Y'RA:i NA —1-YY Rl..1 r 90LC 01ARCC y0CN6RPVllle. Fru t4,.1•)7(11 AV:1 w F.INC YINIYYY TE:IINI(;AI NIANIIAN^C aC�C-rorTll OT .R 1:(WII)A (�••Or<)901-1MI-Sn M1 JCANu 0 -01M LONA,,WAKYDn, mu NAlM Km IN(:m^t,rR 01017-6,-LDRJA (i 0R) !)DA .}BD (it/J A1YIN1,l'rNaN rLMyUAN� 1:l:il;:I'fl1"I'M,rLGRIDA SIAIV'..x 1 3�MIUMAL, `••I r•/17 RrrJ:Trrrn 3U4'AYUN ANJ V !7 M .671 STATr Ol' r'.UNIUA LAND SURVEYS O CONSTRUCTION SURVEYS O SUBDIVISIONS I F. Reuben Bennett, Sr. 280 Camelia Street Atlantic Beach,FL 32233 (904)249-8819 Via U. S. Mail August 13,2001 vv w r City of Atlantic Beach : 800 Seminole Road Atlantic Beach,FL 32233 City of A,tla'16c Beach Attn: Don Ford,Building Inspector Q,ilding and 7-01in' Re: Water Utility Station Easement 302 Camelia Street Atlantic Beach, FL 32233 Dear Don: I am writing you today regarding the easement at the above address. As you know my residence is located south of 302 Camelia Street, which is next door to the station. According to the codes I understand I will need an additional 5' to utilize my property possibly for a garage apartment under the new home I am planning to build towards the end of this year or possibly 2002. If the city could donate 5' of the easement this would allow my property to be accessible to plans regarding my new home. Please check into this for me & let me know your thoughts. I am hoping the city will work with me as I have worked with them over the 50 years I have been residing here at the beaches. If there is anything additional that Meds to be done. Please let me know so I can follow up on this request. Thank you for your time& consideration into this matter. Sincerely yours, F. Reuben Bennett,Sr. FRB/jb t CITY OF l*&stic Ve d - 94uz (a BUILDING PERMIT APPLICATION 716 OCEAN BOULEVARD REQUIRED SUBMITTALS P.O.BOX 26 ATLANTIC BEACH,FLORIDA 32233 Each application for building permit must be accompanied by two complete TELEPHONE(9041248-2386 sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq.ft. or more); and a recent survey of the land for new construction and additions. APPLICATION CHECKLIST 1. Building Application form 2. Two complete sets of plans 3. Detailed Site plan 4. Recent Survey, if required 5. Owner/Builder Affidavit" *Required when owner acts as contractor TIME REQUIRED FOR PERMITTING VARIES; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED. SCHEDULING INSPECTIONS Requests for inspection are taken from 8:00 a.m. until 4:30 p.m. Inspections are made the following working day; p -ease specify am or pm inspection. When calling in an inspection please have the -it number, Lob location and tivoe of inspection needed. Inspections are scheduled as fo lows• 1. Footing 2. Under slab plumbing/sewer 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up on building, use building permit number and reference other applicable permit numbers (electrical, mechanical, etc.) 5. Insulation 6. Final inspection/Certificate of Occupancy. ADDITIONAL PERMIT REQUIRED FOR ANY TREES REMOVED. BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $15 is charged for all reinspections. ` AROAh�RTY DESCRIPTION _ 716 OCEAN BOULEVARD Lot # Block #_�2S Section # 3P.0.BOX 25 ATLANTIC BEACH,FLORIDA 32233 TELEPHONE(904)249-2395 Subdivision:__��711--_14 --------------- Street Name � 1 Yl Q I I l a I� I�'^ DESCRIPTION OF WORK or Address:-------------- ------------------- If in a FLOOD HAZARD Flood Zone:--------------area complete page 3. Brief Description;--- C-2 Class of Work: (New/Remodel/Addition)_`t- ,2___ ZONING INFORMATION 14 C�lCYP )-)C SEP 9 Type of Construction:__ Zoning Proposed Building and Zoning 8 0� District:---------Use:_____________________ Estimated Value Exceptions or Materials: eY1wvl ------- ---------- Variances Granted:_________________________ Solid or Filled ------------------------------------------- Ground: 2`-1�2---Roof:mss?S�T_� OWNER INFORMATION Method of Heating: .................. Property Owners ut _Q -� �- - �=�=`�1�-- L'_`.�1-=--------- Phonel-------------- Mailing Address--------------------------------- ------------------------------------------------- Zip:------------•---- CONTRACTOR INFORMATION Contractor: ___ Phone: ----------------- Mailing t��,,, Address:----� =mac_ •==-�5.�^.� "1y/- Zl 2-Zg 2a Zip Expiratio License Number;- _ _-- �3 Z _____________--- Date:-- 330, 4LZ I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES HOT PRESUME TO ( GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE �+ PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS e` CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING Z!' DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. • � Owner Signature --------------------------------Date---------- Date_ Contractor Signature_ _ ___ ___________ L/ ��____ FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: Flood Zone• Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date--------------Applicant's Signature-------------------------- ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed Filed with Building Department ----------- ----------------------------------- Building Department Representative page 3 011 3 ' Ql�PARTMENT OF BUIL©1NO O1TY OF ATLANTIC BEACH' k y��yyy{{. ,,• 11Y� y,:rw w,+.w..s,,, i`#ArR771r+r:�s .�,ila +�1 . wir.'�Y■! w ......w W.r..e.,ww .i11m+ � +1�i:�WFFyii ��i r - low elftstL11r1It 71" x[ 1 + 5 J1tCtd7C'*s> A*s, X54"+w lax ''`t..� 1y+ 1"11IP C PRO I 1�..lS !`IMl1Ceal�L A�"�'LIM►NT`Z1C' ,lIIllaHyM ' ii#1t�kllkL�i .. . " y yyY #t't����:!!C 0pas y yai RµM. +i ywy�',#+ #Tyfi r _ rY wA7fi#n« �4 ; "`�t�1�l�1 k.1.R�#Ms ,�V 4i'�p�y� � � u, '. l�ld�� fi���1f•� '_���'��� ycy�: "�. CIO n 1 a 94I' �! C INGA1Ct lrlr`f ' t!, > ! > " tl*Von, 1w,0i vooar*1�ra�` 61 402 MMA I'M ki F. w NOTICE, AI,E,CdMCRE�E�OFiM8ANDFOOTINGSMUSTBEINSOS'T' ^F3EFCtl✓EPQktFll��i`i r PEIMIf VOID SIX MONTHS AFTER.DATE,QF ISSUE ; E UtI D-I.NG MATERIAL,RU$SfS�1 r4ND t���3Ri.&FROM THIS WORK MUST NOT BE LACi~fl IN.P(J04,1� OE;„AN[7 MIJSTa z ` CLEARED UP AND:HAULED AWAY I lY>:THEFI CONTRACTOR OR OWNER. °`« A►ILUR T 3 + flMoty ITH TME MECHANICS' L THS PRO—P " "if Q C111ER` PJAYING TWICE FOR«'F3 -�':ISiVEDACCORMN0,TO APPROVED PLANS WHICH ARE PART OF THIS'PgR,P 'IT AND SU RIrt1lC7CAT " 1t}OLATIOPI OF Af'P tGiBLE FiStt4SYt7N OF LAW. ATI:AIVTIC GM`B'1ILDI CITY OF ATLANTIC BEACH, FLORIDA Approwd by APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: 19� 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. ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE RIJOURNylueu NAME � "C104/'FNT _1 `C�`J,`� ADDRESS,; •2RFD BOX BLDG.SIZE -,� x /!xft� �g z 1` d F TC< cry• SFT `SST RES.( 1 APT. ( 1 comm.( i PUBLICN INDUS. ( 1 NEW( i OLD ( 1 REW. ( ) ADDITION ( ) TRAILER ( 1 TEMP. ( ► SIGNS ( ) SO. FT. S SERVICE: NEW( 1 INCREASE ( 1 REPAIR 1 ► FEE -- CONDUCTOR SIZE AMPS r0 COPPER 1 ALUM. ) /,5-,-, SWITCH OR BREAKER 4✓ AMPS V PH W oNf-')VOLT -Z RACEWAY EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED ,� OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL t9 0.90 AMPS. 31-100 AMPS. 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. I VOLTAGE PHS NO. 1 H.P. VOLTAGE PHs n MISCELLANEOUS OLTAGE PHS s D003008 QPAflNI>`NT OP BUi1L11N+13 CITY OF ATLANTIC BEACH Ir ltlk1�3l .«..."_.. AtIg Ir&awt t "I`yj'34'1 tI�"t2a "Y"> A1lLrLk.XA I6 �,, 'M/or Its 3 A'!`t AMT C" b1i�tA NR !a"Lf 1�k Ct!!► `s X ty 3reat lm ;KI*"it - . - >C• I:lAL Owiftht!" r, ti;.»M... ,... Lei,x �i N m t�X>I�xTT +1�4tt.'k'L.�tN� Z*jw x Ott 1I'It7 iBt out 4:31%P10%on'Yi aftet {' maya *vit i 'E 65 x`M 'W03 y �E fkw �. Ak i 1. yyyy Ir ^ �F— r s «.wltd V�1 LE�IF 2s: 1 r1.�7r `""#y"_y a yR9,+i u"9rai♦ ,.y"�..�#�1'TyyF�4►`�,. ' yewly lA00N � Aa, :. A ci r 'YCI bt I4 w, *►A'>*tn x'AP qty ► r it $L.� >ra �. �� ''YIPS Dr #Iy bltAU MltitllC. HCl, ? ftv -iaA. t -..xdfiMa avaro ..`.SSsw erv.�,:rtk "� %. NOTES. 1 } NOTICE—.ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POU4Q . PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE k } 1 BUfLDING MATERIAL,RUBBISH AND-DEBRIS FROM THIS WORK MUST NOT SE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED,UP AND HAULED AWA-Y,BY EITHER CONTRACTOR OR OWNER. ' AILURE TD COM WITH "THE r MECHANICS' tee LAWy p 1 THE PROPERTY C'�WNErf �'AY1NG TWICE FOR BUIL IO4 E "s., UKI#.II##I`#'IC1N tIRRtEz I 98 f ISSUE[?AGCQRO#NG TO.APPROVE© PLANS WHICH ARE rPART OF THIS PERMIT AND SUBJECT OCATION F VIOLATION Of APPLICABLE PROVISION$OF LAW. tt ! TWJX ATLANTIC BEACH-6UtLDtNG;DEPARTMENT By. .. . .,.<<.., F CITY OF 3006 AW4wric Ve4d - �7&%d4 BUILDING PERMIT APPLICATION 716 OCEAN BOULEVARD REQUIRED SUBMITTALS P.O.BOX 25 ATLANTIC BEACH,FLORIDA 82233 Each application for building permit must be accompanied by two complete TELEPHONE(9041249.2896 sets of plans, including a detailed site plan, indicating location of utilities, parking, size of yards and other data as required by code and/or the building, zoning or community development departments of the City of Atlantic Beach; one set of Florida Energy Efficiency Code sheets (on new construction or additions of 500 sq-ft. or more); and a recent survey of the land for new construction and additions. APPLICATION CHECKLIST L--�,. Building Application form 400 2 Two complete sets of plans 3 Detailed Site plan f• 4. Recent Survey, if required 7 /� _ 5. Owner/Builder Affidavit" "Required when owner acts as contractor TIMs REQUIRED FOR PERMITTING VARIES; APPLICATIONS ARE CONSIDERED IN THE ORDER RECEIVED. SCHEDULING INSPECTIONS Requests for inspection are taken from 8:00 a.m. until 4:30 p.m. Inspections are made the following working day; please specify am or pm inspection. When calling in an inspection please have the permit number, fob location and type of inspection needed. Inspections are scheduled as follows: 1. Footing 2. Under slab plumbing/sewer 3. Slab 4. Framing, rough electrical, mechanical, plumbing call for cover-up on building, use building permit number and reference other applicable permit numbers (electrical, mechanical, etc.) 5. Insulation 6. Final inspection/Certificate of Occupancy. ADDITIONAL PERMIT REQUIRED FOR AKY, TREES REMOVED, BUILDING CARD MUST BE POSTED OR NO INSPECTIONS WILL BE MADE Concrete cannot be poured and work cannot be covered up until the building card is SIGNED by the inspector. You may be required to uncover any work that has not been inspected. It is the responsibility of the BUILDER/CONTRACTOR to post the building card. A fee of $15 is charged for all reinspections. 1-ROFATY DESCRIPTION 1� �i GG eG�Gl2 7eazccca /, 716 OCEAN BOULEVARD Lot' # Block --------Section #-------- 3�v U 11.0.BOX 25 "'- ATLANTIC BEACH,FLORIDA 32233 I 1TELEPHONE(904)249-2395 Subdivision: ------------- Street Name �j DESCRIPTION OF WORK or Address: If in a FLOOD HAZARD Flood Zone:..............area complete page 3. Brief Description: Class of Work: (New/Remodel/Addition)---AE�-_2______ S E P 1 ? i '90 rte` ZONING INFORMATION Type of ""'`C'� �L Yp Building and Zoning Construction:__ 4&odt*..r________ Zoning Proposed District Use: Estimated Value Exceptions or Materials,.-- -- R�Sa1------ Variances Granted:---------- -------------- - Solid or Filled Ground:_ L%,C., Roof: �� OWNER INFORMATION Method of Heating:____v_/ __________ Property Owner: �? -Ate_ - ^ls �------- Phone:-------------- Mailing Address------------------------------------------------- ------------------------------------------------- Zip:---------------- CONTRACTOR INFORMATION Contractor: 1,PG,2 J/4L- - Phoney Mailing Address:--------- v ------ v Lv�"-J2f'•`. L�a-'Zg'�o ------------------------- P o �o w--4-'a-73� - LO-AH-Lf.1FL_a22c�3 --------------------- Zip:--------------- / Expiration License Number;-- C GX1123 Z� ____ Date:_ C1�19z ----- ------------------ --------- I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF THE LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH, WHETHER SPECIFIED HEREIN OR NOT. THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY FEDERAL, STATE OR LOCAL RULES, REGULATIONS, ORDINANCES, OR LAWS IN ANY MANNER, INCLUDING THE GOVERNING OF CONSTRUCTION OR THE - PERFORMANCE OF CONSTRUCTION OF THE PROJECT. I UNDERSTAND THAT THE ISSUANCE OF THIS PERMIT IS CONTINGENT UPON THE ABOVE INFORMATION BEING TRUE AND CORRECT AND THAT THE PLANS AND SUPPORTING 11F DATA HAVE BEEN OR SHALL BE PROVIDED AS REQUIRED. # Owner Signature _____________Date______-_____ -�� -9�-- • �� Contractor Signature____ _ _ -------Date_ FLOODPLAIN DEVELOPMENT INFORMATION Type of Development: -------------------------------------------- Flood Zone: ----------------------- Required Lowest Floor Elevation: If building is located within a flood hazard zone, a survey must be made AFTER THE SLAB HAS BEEN POURED, certifying that the LOWEST FLOOR ELEVATION is equal to or above the base flood elevation established for that zone. No final inspection will be made and no certificate of occupancy will be issued until the survey is on file with the Building Department. COMMENTS: Applicant Acknowledgement: I understand that the issuance of this permit is contingent upon the above information being correct and that the plans and supporting data have been or shall be provided as required. I agree to comply with all applicable provisions of Ordinance No. 25-7-11 and all other laws or ordinances affecting the proposed development. Date--------------Applicant's Signature__________________________ ---------------------------------------------------- Department Use Required Lowest Floor Elevation As Built Lowest Floor Elevation Survey Filed Filed with Building Department ----------------------------------- Building Department Representative page 3