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Permit 115 Donner Rd cc ,�J z CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5826 r Application Number . . . . . 05-00030358 Date 5/17/05 Property Address . . . . . . 115 DONNER RD Tenant nbr, name . . . . . . REPL (2) WINDOWS Application description . . . RESIDENTIAL ADD/RENOVATE/ALTER Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 180 Owner Contractor ------------------------ ------------------------ THOMAS, ELSIE OWNER 115 DONNER ROAD ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233 --------------------------------------------------------------------------- Permit . . . . . . W/W/O BUILDING PERMIT Additional desc . . Permit Fee . . . . 70 . 00 Plan Check Fee 35 . 00 Issue Date . . . . Valuation . . . . 180 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70 . 00 70 . 00 . 00 . 00 Plan Check Total 35 . 00 35 . 00 . 00 . 00 Grand Total 105 . 00 105 . 00 . 00 . 00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILD ODES. BUILDING OFFICIAL CITY OF ATLANTIC BEACH cc: D For T BUILDING / ZONING DEPARTMENT L. Hi ins r ; 800 Seminole Road y-r' S. Doerr Atlantic Beach,Florida 32233 (904)247-5800 (904)247-5845 Fax s www.coab.us Y 16, 2005 PLAN REVIEW COMMENTS Permit Application # C6 - 30 Sg r , Property Address: i �J TT;1>b�.� Applicant: 44-�A,S , a-5-lE Project: ]R(Za C-Z=) c LbU-Q This pe it application has been: VV Approved Reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed By: Date: Date Contractor Notified: CITY OF ATLANTIC BEACH HTS, GARAGE DOORS,HURRICANE SHUTTERS LA5Date: L Job Address: Owner: L In Address: Phone: -q1C1C) Legal Description: Block Number: Lot Number: Zoning District: Contractor: S .`'� State License Number: Address: Phone: City: State: Zip: Fax: Describe proposed use and work to be done: 1 Z Present use of land or building(s)--,�CkryY l`� Valuation of proposed construction: Is approval of Homeowner's Association or other private entity required -ecIf yes,please submit with this application. Required Building Data: Mean Roof Height (Lfj' (ft) Building Width ft) Building Length r ft Roof Slope 0, Window Height r (ft) Window Width . ' 5/,4ft) Window Elevation from Grade63 1 (ft) Measurement from corner of building to window (ft) �-- t �/ �►�1 1 e Number of windows being installed _ 1� 0 f el Mean Q Height 0 a i a 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 • Fax: (904)247-5845 • http://www.ci.atlantic-beach.fl.us Page 1 Revised 1/27/03 Procedure: In order to expedite issuance of permits provide all information as anpronriate. Incomplete applications may result in delay in issuance of permit. In addition to the building data,the following information is required: I. Manufacturer's Test Report with Uniform Structural Load(psf) 2. Installation Procedures 3. Window Description/Type 4. Garage Door Description/Type 5. Skylights Description/Type 6. Hurricane Shutter Description/Type 7. Elevation View of Window Locations I hereby certify that a formation provided wi this atiblication is correct. Signature of Own, Date: • 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 property. I understand that the issuance of this permit is contingent upon the above information being true and correct and that the plans and supporting data have been or shall be provided as required. Signature of Contractor. Date: Address and contact information of person to receive all correspondence regarding this application(please print). Name: Mailing Address: Telephone: Fax: E-Mail: AS TO OWNER: Sworn to and subscribed before me this day of 520 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced AS TO CONTRACTOR Sworn to and subscribed before me this day of )20 State of Florida,County of Duval Notary's Signature: ❑ Personally known ❑ Produced identification Type of identification produced 800 Seminole Road Atlantic Beach,Florida 32233-5445 Phone: (904)247-5800 Fax: (904)247-5845 http://www.ci.atlantic-beach.fl.us Page 2 Revised 1/27/03 NOTICE To: All General Contractors Subject: EXTERIOR WINDOWS AND DOORS As of March 1, 2002,the Florida Building Code requires exterior windows and doors to meet the design wind load pressures of Chapter 16, FBC 1707.4.1 & 1707.4.3. The following minimum requirements will be necessary for inspections: - VVDMA Label identifying the manufacturer, performance characteristics and approved product testing entity—FBC 1707.4.2.1 - Installation plans to achieve product testing performance FBC 1707.4.4.1 - Plan details for anchors system to wood buck. FBC 1707.4.4.2 - Plan details for mullion testing, installation and safety factor(1.5). FBC 1707.4.5 - Door and window schedule - Manufacturer and model number - Garage Door installation details and data sheet showing compliance wind load requirement, Chapter 16 FBC. LARRY HIGGINS Deputy Building Official AAMAffiRW WDA 101g S.2-97 TEST REPORT SUMMARY Rendered to: MI HOME PRODUCTS,INC. SERI ES/MODEL:740/744/3740 TYPE.Aluminura Single Hung g Window with Flange II Title of Test Results tin 552x71 Overall Design Pressure +45.0 psf ratio -47.2 `17.2 f Air Infiltration 23 lb max. Water Resistance 0.10 cfin/ft= 6.75 sf structural Test Pressure +675 psf De Iazin -70.8 sf Passed Forced Entry Resistance Grade 10 Reference should be made to Report No.01 sPecimen description and data. _40656.03 for complete test For ARCHITECTURAL TESTING,INC. Mark A.Hess,Technician .600005991000 Item+0711 22Manh 2M Series 740/3740 Single Hung - 1/2" Flange Frame THIS FENESTRATION PRODUCT COMPLIES*WITH THE NEW FLORIDA BUILDING CODE FOR RESIDENTIAL BUILDINGS WITH A MEAN ROOF HEIGHT OF 30 FT.OR LESS, EXPOSURE"B"(WHICH IS j INLAND OF A LINE THAT IS 1500 FT. FROM THE COAST), AND WALL ZONE"5"(INSTALLED NEAR THE CORNER OF THE BUILDING). „ PER ASTM E1300,THE CORRECT GLASS THICKNESS, ' BASED ON THE NEGATIVE DESIGN PRESSURE (DP) LISTED BELOW, HAS BEEN INSTALLED IN THIS UNIT.THE GLASS THICKNESS IS BASED ON ITS'WIDTH, HEIGHT, AND ASPECT RATIO, WIND ZONE: 140 MPH � DESIGN PRESSURE (DP): + 45.0 / -47.2 THIS PRODUCT MEETS THE REQUIREMENTS FOR STRUCTURAL LOADS,WATER AND AIR INFILTRATION PER ATTACHED AAMA PERFORMANCE LABEL.BE ADVISED THAT IF LOADS ARE PLACED UP TO OR EXCEEDING THE TESTED LEVELS,THIS PRODUCT MAY BE ALTERED IN SUCH A WAY THAT FUTURE PERFORMANCE WILL BE REDUCED. * COMPLIANCE MUST INCLUDE INSTALLATION ACCORDING TO MANUFACTURER'S INSTRUCTIONS AND FLORIDA CODE REQUIREMENTS. BetterBilt, Division of M.I. Home Products 12495 MPARTAllE1SIT OF mnul me CITY OF ATLANTIC"BEACH -77 �.. PR +t °, fi 3 AT C?tt �w� . - .,.� _.. LOCATION I NF`OR AT I ON � � �.--� Ortumbr:: Add r6ROAD P+ rmft "T1�P :RL-R4?4F ATLANTIC''BBACB, FLORIDA 32233 dia of >Work SIW �i �_. _ LIWAL DLSCRIPTI©N ---------- Bl r "" + ;W4QItAI! B B1k: Lot Twp Q Proposed Use: 0 SubdO Rng, 4. I wet inga 1 Subdiv siow Eft . ' V Yue; 0.00 IrAprciv. ' cost ; 1,512 .00 01,00, a - 'IOt APPLICATION FEEo --- - Rhe. IT 0100, FLORIDA 3 R FORATI ft ► LA AL $ ' MCCLENN ? II►A �2t3b 3 C. / :T 13 nom, t 41 NOTES. 1 t+tQT : t-*;lam II#t F 34TtWt S I t E9 l iP1 `fi D SEFO t t��IT nC BIX MONTHS AFTER,DATE O IWE #11f3tNQ IvIATERIAI, �! F +t THIS WORK MUST NEST BE PLACED Ilii'PUBt iG AND MUST-#g,'` CI EA Q UP AMC3 F At LEi Y BY "CONTRACTOR OR OWNER Rt '1 iS E© C NVii #IARE P�R � Is PERMIT AND I I AT tQ( OF ONP,qf Li E A BEICyi Bt$1Lal lE iii ,. CITY OF ALARTIC BBACH ROOFING PSMIT APPLICATION Owner(s) : Address: ©n n P r 9n cx-e0 Phone: Lot # Block or Unit # Subdivision: Contractor: - � c � 1 )e � t �a I Address: 13 City, State and Zip„ ' 'Onwl P Z . o�C?Co3 Phone 91 .59��Ol� State License # C o-�j l'� 19 7 Describe work to be performed: OeTOOQ,na Valuation of Proposed Construction: 1 �a bCO Materials to be used: $10, 5S ��►; n4 ��S Signature of Owner; Signature of Contractor: -ct� Liability Insurance Supplied Workers Compensation Insurance Supplied Y License Information y 125 op, DEPART:WENT OF SWUNNG CITY OF ATLANTIC'SEACH ,.. F IT ;I aRI i TxaN LOCATION IN1�1 M&TION ..---- - ' Number: 12502 Address: 115 r DONN t ROAD t: kp*:* ZXOOELING ATLANTIC NEAGH, FLpRTLiA. 32233 I ors4 ; ,' ` P fNt>at FNAE Hl c Ltt 'wg Section-, 0 � ubd;O Hmg We �; 0,013 Xmprov Cosi « Total F's : 0.00 Amount 13<QtJ 0,0k De VAT IONS HUD HZIHAS TION, APPLICATION FEF Name 1,T f1 .0 '.. M1rY ♦ 'iD FLOA.IA3V , AL e AL JACKS LE, < 'L 3221] Lic: 37, Ex "NO ES K NI*0E—ALL,MJMM PORW AW FOOTINt>RWIlllW®E INSPECTED EEFORE POURINQ P",MIT VOIO SIX MONTHS AFTER DAT,EOF ISSUE I UILDINO MATERIAL,RUSBISti AN RtS FROM rh(IS WORK MUST NOT BE PLACED IM1t Pt1ScIC SPACE; AND MUST BE tEA►RE[3 UP ANO HAULED AWAY BY EITHER CONTRACTOR OR OWhIER. � L 1 � L TH ECHANIP' LIES LAW CAN RESULT, IN ', FOR rH1, Lb O AC ORDINi TO AERP 11(!~C?PLANS�WHICH ARE PART OF'T'HIS PERMIT AND SUByI�TTO A9VOCAk IOF ;APPi:ICABLE Pon OF LAw. p AXL ANTIC H 1111,D E i IEIdT a �Y- �'► ���S`�'� �(fid" '� 1996 " CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL , ADDITIONS OR A3Pt ' LJn( ! DEMOLITIONS owner(s) : iv,� Address : � ���-�✓ie"L Phone: Lot # Block or Unit # Subdivision: Contractor: ,F'_�y 1+"f c" State License # c—XC ? -7 Address :%( Phone No: Describe work to be done: Z`L-f Present use of building: Valuation of Proposed Construction: Proposed use: ��s. �-, f ,L04- Is this an addition? If yes , what are the dimensions of the added space: ft . X ft . Will the added area be heated and cooled? New electrical (or increase)? New plumbing fixtures? New fireplace? New Heat/AC? SUBMIT MV&Z COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY , ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER: ;��; ,'�'� t��C ���_�-�'`-`�'�) Date: Signature CONTRACTOR: �L�--f c.� �J���� Date: License Supplied: Liability Insurance: Worker's Compensation Insurance: FLA'1967 L^WS MANGO/OwM A" rs 11$ 13 ,a tre of T.-nmutrurenwnt 4"BPAA6 M UUMICA7t1 Wh= it =me= The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. c� Description of property................ zc........... ,:r ........................�....G...........................�'...1....r!.1 ...................... ry ........... s,..L... ...... .". ...........................................................................................»........_.................._................. General description of kwovarnenit........... .. :....c:;._......................./.....Uf.:.�..%.c� ��...Y`�..�............................ /L- �7 1 ...... .................................................................................................................................................................................................................................. .... 1... ....{..J............. C.Owner................fiz .... ,........:1...:?��:.'�........................,......,.................,............................................................................. Address................� ............... ::'....:? `` :`..............I....<.:.`.Z .................»....»....»»...»»»».»» »_».........».»........_........ ..... Owner's interest in site of the irvrovemeN........................................................................................».......»..... ..»»................................. fee Simple Title holder (if other than owner) Name................................................................................................................................................................................................................................... Address.............._.................................................................................................................»............................... . ........_.....»......».»_.................. » Corursdor..................0. .!. �:_.............. `......-..................................»....»..........».. ........»...»......._...,._ Address.......... ....... F ..«f(....1>:............... � z �:..... U,d................��_... .............. ..... Surety (if any')........................................».».......................................................................................................... .,...» ... .._.....».....»._...».... . Addrew............_...........»............................................................................»............................................Amowd of bond S...._............._.......... Name of person within the State of Awidi das*Wed by owner upon whom talus or other doamwnls they be served: Narn. .......... ........_..............._.............»...........»......................................................................................................._»... ._ ..» »... ._......... , Address............................................................................................................................................................................»».....».........,......,......... ........... In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in Section 713:13 (1) (F), Florida Statutes. (Fill In at Owner's option). Name ...................................................................»...................................................................................................»... .»... »».................................. Address ..............................................................................................................._....... . .h... . ...._._.. .........».__.»»».................... ............ Twe e►Aes FOR escoaoat•e Yet ONL V 12468 DEPARTMENT OF BEl LWNa CITY OF ATLANTIC BEACH KB IT IN `C1 �T` 4N - .... -- LOCATION ,IN1�ORNATTON p6rmi t .Number: 0 00 Address; 115 ,SJpN»ER ROAD Permit Type:PLUMIl INO ATLANTIC, BEACH, FLORIDA 32233 'ass of 'Nark*ALTE"T,ION LEGAL VESCRIPTION -- onst r. 'Typ t IRQ©D PRAML B cock t Lot 'Twp O 'R 61 sed ,Use: S+act ,on: ubd-tl Rng; Dwellings ,:_ 1 Subdiv si=: Est . Value: Q 00 Improv. Cost : 4.QEr Total Fs, ` ' 0.00 Amount I TTON - --- APPLICATION FEE'S ---- * IT 0.00 CAS 's F-LORIDA A _ JACK .` P'Ll 322 21 NOTICE='ALL 10100 E FORMS AND FOOTINGS MUST BE 1NSPECT1006FORE PANG PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE i �LC311vG MATERIAL' RUBI�ISH AN©DE 115 FROM THIS WORK MUST NOT$E PLACED IN PUBLIC$PACE,AND MUS I"BE Ir EAREi)WiNU HAULS AWAY 3Y EITHER C*(*TRACT©R OR OWNER LIEN 1I CA ISSUED ACCORDING TO,APPRQV D PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO R�ATf VItJLATIC3N APPLiCA81. PR1511N •4F,LA►W i. ;.: . >Iate•., "I!/^c1C91's �� ;,li��l~pt�;w, ,PEACH BUWNGIDEPARTMENT A CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: //, h- Z` OWNER OF PROPERTY: ArWe,& i'�f7 dti PLUMBING CONTRACTOR: f" CONTRACTOR' S ADDRESS: STATE LICENSE NUMBER: �/�� Q �j�/J' _TELEPHONE: Zn HOW MAIN OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORIES WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINES FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURES: X 3.50 + $15.00 MINIMUM PERMIT FEE _ $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: ----------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994 STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826 SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247-5834. s WMENT OF 4011W,NO CI1 Y OF ATLAN!itC rii IAdd ��jj �,..�:°�., �r �t iM E *fir s322 I + rlait T Wort, ) »I AT�.AE'TY BE 'Gl i 1 A t�. tEP � Pre��ao�+�.d � r+ 3.in sc�dea aubc fig on , Xmprov� C�s *Q 00 ;r Tal F'ee�a: ECJ.QCl 401,00 "��rk-4.1 X63 APP41CA TON FEES AT t der -1NP T 'FEE "� Std.C►�p " F' fi3taPh � ' E ECS. 04 yA "6AW .y so.0 ... �». it-,'iiT """" JY *0. V'. y Name s d4 . E�" TANK *AUR'� , P ## . ' so.00 ,?AGK x ..L;IGs`: P 32221 N T? C icl t E Q.'00 L« nrsF` Tyr 0 iter i ;F" :' 3 :T 'ACT F E #�0. %t1wr NOTES: f 4 I I 1 N&ICS--ALL GoWCFiE7 t'E RS AN©FOOTtNQS MtlST.BE tN$ 31*b B FQ,�tS"PSL{R1AiG Pl I MfT VUIt?SIX MONTHS AFTEf#DATE C3F I f BUILD NG MATERIAL,RU081.$H *N OOMS,FROM THIS WOAk MUST N,QT�t� IN,�*l�E3L�G'SPACE,ANS MUST BE i,FAR1=C)#J 'A1vfp''H11ty#L1 t�A1�Vf#Y BY 1 Hl�F ;CONTRACTOR OR f7W�lEfi: *� /r+' L,� •� /�++ i� , { +fir 4ALW . !w► � » T TMS i�ffirii �N.' ;/CE��� PA'I 'C; T'#�il l + # i `1 ► t " .' 1yftj D 1S ED ACCORD !#I Pi 1 lE#3,;Pk.At+1 V4tHtCW ARE SART QFlHI$ P 11# A1�1D'SiJBJ E1�C3C:A'�tt i ' TIQN;QRAF'F�IICAL I4,PRtfSICIxIS Of LAW. -7777777777 7 £TEACH,BIJt(.a1N pEfiAtT1 ENT CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION:- PLUMBING OCATION:PLUMBING CONTRACTOR: LICENSE NUMBER: OWNER: BUILDING CONTRACTOR: TYPE OF BUILDING: , `'' SINKS SHOWERS LAVATORY �- WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS OTHER TOTAL FIXTURE COUNT: + $15.00 = ------------------------------------------------------------------------------- INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CITY OF ATLANTIC BEACH, FLORIDA AA....r...r APPLICATION FOR ILKTRICAL 1KRMIT TO THE CHIEF ELECTRICAL WAVOCT01h DATE:,.... IMPORTANT NOTICE: IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING. WE HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PLANS AND SPECIFICATIONS. WHICH ARE A PART HEREOF, AND IN ACCORAANC[WITH THE EL,ECTW-AL REGULATIONS.CODES AND CITY OF ATLANTIC BEACH ORDINANCES. ELECTRI NAME.. N l� E'N, t a o� ADOAEBA� ts7 D6.&i )e BLDG.N/2E BSTUOEN: RES.Iv Art.t 1 COW&t 1 RUM; 1 WMA 11 WW( 1 OLD I Lf REW.14 ADDITION I I TRAILER I I TBS.i I SIGNS t l ��• SERVICE: NW( I 01CIIEA01 t t� AFFAIR 1 1 FEEon2mmoall 40 116 AMF@ 'S""" ILS ISTARV ! _3 Z;gr�l FEEDERS NO. NZE N0. SIZE NO. SIZE pUTLETs CONCEALED OPEN TOTAL RECK"AtLES CONCEALED OPEN TOTAL O•N AMM. i GWITCHKS ANDGWAM FLUORESCENT a M.v. FIxiD AMMANC199 . I i I I SELL TRANSF. AIR H.P.RATING N.P.RATING CONDITIONING COM M MOTOR OTHER MOTORS AMPS CEIL HEAT: KW-HEAT i1 MOTORS H.F. VOLTAGE PIIS NO. VOLTAGE MIS MNSCEL ANEM ' pEpaTRAIEWT OF Btlt N''i CITY OFATLAN1'ICBCH . CtC On LOCATION,« P r p t Muter a ' r n Addri�e' a t C 1 T ROAD Prtait "T ' T3t; T� " ►TLA ' . F" CT#IpA A F'T109 ..�. :. C1 cat work a REPAIR Lit a �1 �a +����►�a Co tr�. Type a -W + t ` a 0 Propca t+ d l r G FAR, LY Su 00 9rt * t d VAlu�.a ► , . imp Total ilk Kiln � w O. Ad�fra �� - ROAD" A IPA P, st7. a0 .yyy.y� FL any , �� `°� � 2 'k 4, �S' 'u,Y `'.$S° .' 5 P) T Imp x. #O":00 t�IF�3RflAT t+T — _ RAOyy '00 a ST, SET ,QAC I :.i:F. F'L 322Qtw► AR O.OQ l -� F T_ F`ZE ,,.Oa.00 o. d Tfm NOTES- Y 4 NQTICE--ALL COI�ICSE 4:FORMB AND,FOOTINGS MOTU �R�NC PERMIT Volt)SIX MONTHS AFTER MATE Q i ISSUE' BUIlC3tNG MATERIAL,RUBBISH ANp`DEBRIS PROM THIS WORKMUST N©T"S�"�' ACEC,iN i�LIS1.IC 51�ACS,`RND MUST 6t CLEAREDUP ANO HAUt_ "b ASNAY'BY EITHER CQNTRACTOA OR O%iN"Eta. yrylGi W7iR �PAYtNG. TWICE��Ok 1,14 14, PR as ISSiE[3 ACCORDING TO APPROVE© PLANS WHICH ARt! PART C?I` TH1S PERMIT ANSI S REVAI ` F ' 11l4TIt3N„ OF AF'I�I.ICASLE PRC?t!#81ON5 QF LAW. 4 ,. .. . , A7tANTtC$SACH BUILDiNC DEPA"RfMNT ` r rw CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS Owner(s) : --- -Address: � J-�1V st-- A----------Phone: Lot #______ Block or Unit,#------ Subdivision:_________________ Contractor:--- -------------------- Describe Mork to be done:_ _Gc d- ------ ---------------------- k - ---------- --- ----------- -----=--- - ------------------------- Present useof building: Valuation:_--�--� -� ------------------------------------- Proposed use:__________ b I es what are the dimensions of Is this an addition?_ f y , f nsions the added space:---------ft. X ---------It. Will the added area be heated and cooled? New electrical (or ncrease) 1 New plumbing fixtures?_ New fireplace?---- New Heat/AC?________ - . ��.,, � \10SUBMIT TWO COMPLETE SETS OF PLANS, IN&AUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. Signature OWNER.:__ _ _ = Date: Signature CONTRACTOR: Date: /711 � JUN 1 1991 Building and Zoning