Permit 63 Forrestal Circle South . CITY OF ATLANTIC BEACH
s ;: 800 SEMINOLE ROAD
.;—, i " , ,4 ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247 -5826
Application Number . . . . 04- 00029121 Date 10/08/04
Property Address 63 FORRESTAL CIR
Tenant nbr, name NEW KIT,SHWR,EXT DOOR,WIN
Application description . . RESIDENTIAL ADD /RENOVATE /ALTER
Property Zoning TO BE UPDATED
Application valuation . . . 15000
Owner Contractor
BAILEY, DEBORAH OWNER
63 FORRESTAL CIRCLE
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 234 -7725
Permit BUILDING PERMIT
Additional desc .
Permit Fee . . . 105.00 Plan Check Fee . . 52.50
Issue Date . . . Valuation . . . . 15000
Fee summary Charged Paid Credited Due
Permit Fee Total 105.00 105.00 .00 .00 N
Plan Check Total 52.50 52.50 .00 .00
Grand Total 157.50 157.50 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
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CITY OF ATLANTIC BEACH D ord
Higgins
J BUILDI / ZONING DEPARTMENT L. L. oerr
•„� ' 5 j 800 Seminole Road
Atlantic Beach, Florida 32233
U - r (904) 247 -5800
ri _ (904) 247 -5845 Fax
PLAN REVIEW COMMENTS On ri
Permit Application # o'4 - 2.9 121
Property Address: 6 3 F O R RESfiP
Applicant: D • D A IISY
Project: NEW 1 , S O'$ , FRtNCH txT- DOQP , 61.Ps5 $SOCK
This permit application has been:
*iNDOW-
L12 Approved
Reviewed and the following items need attention:
Please re- submit your application when these items have been completed.
Reviewed By: Date: 10 1 ' te& /
CITY OF ATLANTIC BEACH
Jy 1 f BUILDING PERMIT APPLICATION
r a , i-6......,/c. - ' > {" `a ( 1 (Interior Remodel)
..._.
Date: (°/510
Job Address: 63 f G(2. -s ' - -(L--
Owner of Property: DE.s'GAM -h (L i(
Address: 23 i ( 34)Q-E -k- Telephone: ZS"( — ) ) Z-S
Legal Description: Block Number: Lot Number: Zoning District:
Contractor: ONAl N K State License Number:
Contractor's Address:
Telephone: Fax:
Describe proposed use and work to be done: ! ., `c:-L v& (Ue,w S h o ..uer EVE` -t 4 Q &c c..
dooc> C- ,�- {- e_c \o2 00x'+ n i N S, d e ary ,9. c ck - 51c,ts kl Li—, ■ n IC, L.) 1 ,� hc,.S t icof -.
Present use of land or building(s): . IA) 6 £ 'P'? im .r c S s 'J N CL,
Valuation of proposed construction: 4. i s, 01) A
New electrical or increase in service? 2ry Add plumbing fixtures? ,yE.,S
Add fireplace? ilia Add heating/air conditioning? 6 eS
Is approval of Homeowner's Association or other private entity required? ___ If yes, please submit with this
application.
Procedure: In order to expedite issuance of permits, please follow all steps and provide all information as appropriate.
Incomplete applications may result in delay in issuance of permit.
Please submit Building Permit Application, Energy Code Forms, Notice of Commencement, Owner /Contractor Affidavit if owner is contractor,
and two (2) complete sets of construction plans to the Building Department, which is located at the Atlantic Beach City Hall, 800 Seminole
Road, Atlantic Beach, FL 32233 Telephone: (904) 247 -5826
In addition to construction and engineering detail, plans must contain the following information as appropriate for the type of work being
performed. Scale of drawings should be sufficient to depict all required information in a clear and legible manner.
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Telephone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us
Page 2 Revised 1/04
C � CITY OF ATLANTIC BEACH
te~ ;.
<r3w OWNER/BUILDER AFFIDAVIT
Date: / ° / /° ,
Job Address: 3 �� eti s
CHAPTER 489, FLORIDA STATUTES, PART 1 "CONSTRUCTION CONTRACTING" REQUIRES OWNER/BUILDER TO
ACKNOWLEDGE THE LAW:
DISCLOSURE STATEMENT FOR SECTION 489.103(7), FLORIDA STATUTES:
STATE LAW REQUIRES CONSTRUCTION TO BE DONE BY LICENSED CONTRACTORS. YOU HAVE
APPLIED FOR A PERMIT UNDER AN EXEMPTION TO THAT LAW. THE EXEMPTION ALLOWS YOU, AS 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 FARM OUTBUILDING. YOU MAY ALSO BUILD OR IMPROVE A
COMMERCIAL BUILDING AT A COST OF $25,000.00 OR LESS. THE BUILDING MUST BE FOR YOUR USE AND
OCCUPANCY. IT MAY NOT BE BUILT FOR SALE OR LEASE. IF YOU SELL OR LEASE A BUILDING YOU HAVE
BUILT YOURSELF WITHIN ONE YEAR AFTER THE CONSTRUCTION IS COMPLETE, THE LAW WILL PRESUME
THAT YOU BUILT IT FOR SALE OR LEASE, WHICH IS IN VIOLATION OF THIS EXEMPTION. YOU MAY NOT HIRE
AN UNLICENSED PERSON AS YOUR CONTRACTOR. YOUR CONSTRUCTION MUST BE DONE ACCORDING TO
THE BUILDING CODES AND ZONING REGULATIONS. IT IS YOUR RESPONSIBILITY TO MAKE SURE THAT
PEOPLE EMPLOYED BY YOU HAVE LICENSES REQUIRED BY STATE LAW AND BY COUNTY OR MUNICIPAL
LICENSING ORDINANCES.
ORDINANCES ALSO ALLOW AN OWNER TO IMPROVE THEIR OWN PROPERTY WHEN IT IS FOR PERSONAL
OR FAMILY USE, AND LIKEWISE REQUIRE ALL WORK (EXCEPT MAINTENANCE UNDER $2,000) BE UNDER A
BUILDING PERMIT AND PASS ALL NORMAL INSPECTIONS. THE ORDINANCE STATES OWNERS MAY
PHYSICALLY DO WORK THEMSELVES; OR MAY HIRE UNLICENSED WORKERS PROVIDED SUCH WORKERS BE
UNDER "DIRECT SUPERVISION OF THE OWNER, WHO MUST BE ON THE JOB AT ALL TIMES WWI F, WORK IS IN
PROGRESS BY UNLICENSED TRADES PEOPLE" THIS DOES NOT ALLOW USE OF UNLICENSED CONTRACTORS.
SINCE OWNERS MAY BE LIABLE FOR INJURIES TO WORKERS THEY HIRE, THE BUILDING DEPARTMENT
SUGGESTS COMPENSATION INSURANCE BE PURCHASED UNDER THE HOMEOWNERS INSURANCE
POLICY TO CLEARLY PROTECT THE OWNER. OWNERS HIRING WORKERS BECOME EMPLOYERS AND
SHOULD ALSO OBSERVE IRS WITHHOLDING TAX AND /OR FORM 1099 REQUIREMENTS ON THE WORKERS
THEY EMPLOY ON THEIR IMPROVEMENT TRADES.
UNLICENSED CONTRACTORS CANNOT BE EMPLOYED UNDER ANY CIRCUMSTANCES. OWNERS BEING
SUBJECT TO $5,000 PENALTY UNDER FLORIDA STATUTE NO. 455 - 228(1). AN "OCCUPATIONAL LICENSE" IS
NOT ADEQUATE. THE OWNER SHOULD PHYSICALLY SEE THE COUNTY "CERTIFICATE OF COMPETENCY" OR
THE FLORIDA "CONTRACTORS CERTIFICATE" TO ASCERTAIN IF A PERSON IS A LICENSED CONTRACTOR.
TELEPHONE THE BUILDING DEPARTMENT (247 -5826) IF IN DOUBT.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THE ABOVE DISCLOSURE STATEMENT AND THAT I
COMPLY WITH ALL THE REQUIREMENTS FOR THE ISSUANCE OF AN OWNER - BUILDER PERMIT.
PROPERTY OWNER/BUILD !
t'L Al ,3906- - / 77 - 55 -- 7i Y - o
SWORN TO AND SUBSCRIBED BEFORE ME THIS 7 DAY OF OC to be 0b 2 ' "" '�,, l
r , ,.,'•��; �z My M. CALVERLEY
(;)Z ''��, ' EXPIRE i82 +,A kf� Bonded TipnN all pttpc
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COMMI•SIO. XPIRES:
NOTE: PHRASES UNDERLINED ABOVE.
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Note: This drawing is an artistic - { ,F Designed: 9122104
interpretation of the general appearance of .} 'o Printed: 9/22/04
the design. It is not meant to be an exact 4 '.
rendition. io e ` -N_
Design2 !Drawing #: 1
PERMIT WORKSHEET Certificate of Occupancy
Job Address: Type Work: A A
G3 NRtzt.51
Property Owner: Phone # 2 3 4 _ 7e2. 5
Contractor: Phone # '234
Permit #: 04" 19 i 2 ) Date Issued: R 1 {� ` `'
Building Inspections: Footing
Slab
Tie Beam
Lintel
Nailing / Sheathing
Framing / Cover Up
Insulation
Final Building -3/7/a5
Tree Permit # YES NO
Electrical Permit # Date / Copy to
JEA
Temp, Pole Permit # Date / Copy to
JEA
Temp. Power Letter Received: YES NO
Inspections: Rough Electric Released to JEA
Temp. Power Released to JEA
Temp. Pole Released to JEA
Final Released to JEA
Mechanical Permit # O' — 7 _ I 1 " 4
Inspections: Rough Final
Plumbing Permit # p`7 2 kT y8' kte-pi94 2 - 2 - oV
Inspections: Rough / Underslab Topout
Water / Sewer Final
Drainage Inspection:
Pool Permit #
Inspections: Steel Final
Grounding Final
Roofing Permit #
Inspections: Nailing / Sheathing Final
Fire Inspection:
Failed Inspections: Date Paid:
Date Paid:
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Book 12084 Page 728
5
5 MIN, RETURN f
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•
PHONE #9,Li f 1 Doc# 20043,23034
Book: 124
NOTICE OF COM ENCEMENT Pa e: 726
- Filed &Recorded
10/08/2004 12:42:06 PM
State of a Tax Folio No. JIM FULLER
County of ,44117/A1--- CLLKK G1I LU11 GUUKI
DUVAL COUNTY
RECORDING 8 5.00
To Whom It May Concern: TRUST FUND $ 1.00
REC ADDITIONAL $ 4.00
The undersigned hereby informs you that improvements will be made to certain real property, and in accordance
with Section 713 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT.
Legal description of property being improved:
Address of property being improved: (o • _ - — L 32.2-J3
General description of improvements: 77..e.G- -
P r
9 Owner: i1/zeal
E
Address: toy �
Owner's interest in si a of t�ovement: &ct c.. rat,- /Aar,,.,
Fee Simple Titleholder (if other than owner):
Name:
Address:
Contractor: SA iA ( OC,4J AJ E
Address:
Phone No: Fax No:
Surety (if any):
Address: Amount of Bond $
Phone No: Fax No:
Name and address of any person making a loan for the construction of the improvements.
Name:
Address:
Phone No: Fax No:
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other
documents may be served:
Name:
Address:
Phone No: Fax No:
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as provided in
Section 713.06(2)(b), Florida Statues. (Fill in at Owner's option). --
Name:
Address:
Phone No: Fax No:
Expiration date of Notice of Commencement (the expiration date is one (1) year from the date of recording unless a
different date is specified):
THIS SPACE FOR RECORDER'S USE ONLY OWNER
Signed: 4211.4zeoh, O Date: fie C/ 6 9
Before me this $ day of Cali, bc i ;OW in the County
fir': JANICE M. BOUNDS of uval, State of Florida, has personally appeared
,. MY COMMISSION # DD 331352
EXPIRES: October 12, 2008 1 �yOG� I ch ll) • �t31�11
'''
Bonded 7ivu Notary Public Underwriters Notary Public at Large, State of Florida, County of Duval
;� p F ��;;•
My commission expires: 1 1 a•°0
Personally Known: or
Produced Identification: FL DL# BOO Oct - S - 1 4 -0
C9
, CITY OF ATLANTIC BEACH
-' m ' IAN :. 800 SEMINOLE ROAD
. 9 -.7- f ,, : 4, . „ . , . ;-; ATLANTIC BEACH, FL 32233
{ INSPECTION PHONE LINE 247 -5826
Jj3 c-.
Application Number 04- 00029114 Date 10/06/04
Property Address 63 FORRESTAL CIR
Application description . . MECHANICAL ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
KNIGHT, JOHN AIR SYSTEMS OF FLORIDA INC
63 FORRESTAL CIRCLE 2815 ST.JOHNS BLUFF
ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32246
(904) 234 -7724 (904) 642 -9700
Permit MECHANICAL PERMIT
Additional desc .
Permit -Fee . 71.00 Plan Check Fee . . .00
Issue Date . . . . - Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 71.00 71.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 71.00 71.00 .00 .00
,
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
R alB
BU 'FFI L
,6' /'t, CITY OF ATLANTIC BEACH
`'�, ' MECHANICAL PERMIT APPLICATION
Date:
C5 f �o� /Pjjq(l 6( :/ 5 .
Property Address: /
Owner: 3064 /< , h Telephone #: 4 43 1 r " ? 72-
Contractor: AIR SYSTEMS OF FLORIDA LLC Telephone #: 904 - 642 -9700
CACO58757
Contractor Address: 2815 ST JOHNS BLUFF ROAD Fax #: 904- 642 -0401
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 Atlantic Beach ordinances and standards of
good practice listed therein.
Type of Heating Fuel: If other construction is being done on this building
or site, list the building permit number:
SY Electric
❑ Gas: _LP Natural _Central Utility
O Oil
❑ Other — Specify
MECHANICAL EQUIPMENT TO BE INSTALLED NATURE OF WORK
❑' Heat _Space _ Recessed /Central _ Floor R es id ential
Er Air Conditioning: _ Room /Central
❑ Duct System: Material Thickness ❑ Commercial
Maximum capacity c$n
❑ Refrigeration ❑ New Building
❑ Cooling Tower: Capacity gpm ❑ Existing Building
❑ Fire Sprinklers: Number of Heads
❑ Elevator: _ _ Manlift Escalator (Number) ❑ Replacement of Existing System
❑ Gasoline Pumps (Number)
❑ Tanks (Number) ❑ New Installation
❑ LPG Containers (Number) (No system previously installed)
❑ Unfired Pressure Vessel ❑ Extension or Add -on to Existing System
❑ Boilers
❑ Gas Piping ❑ Other - Specify
❑ Other — Specify
LIST ALL EQUIPMENT
AIR CONDITIONING, REFRIGERATION EQUIPMENT & CONDENSOR'S Approving
Number Units Description Model # Manufacturer Ton' s Agency
HEATING — FURNACES, BOILERS, FIREPLACES & AIR HANDLER'S Approving
Number Units Description Model # Manufacturer BTU's Agency
s7 u�
TANKS Nominal Capacity Type Liquid Serial Approving
How Many & Dimensions Contained Manufacturer No. Agency
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http : / /www.ci.atlantic- beach.fl.us
° iL�fr,
�S� iJ
_ ' `�' CITY OF ATLANTIC BEACH
t y x� S S 4
`' ` '� ) 800 SEIVIINOLE ROAD
! , -` .. ATLANTIC BEACH, FL 32233
INSPECTION PHONE LINE 247 -5826
'20ffl9'
Application Number 04- 00028998 Date 10/04/04
Property Address 63 FORRESTAL CIR
Application description . . PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
KNIGHT, JOHN DOUG'S DRAINS & MORE, INC.
63 FORRESTAL CIR 2453 BAYWAY CT
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 71 -0172
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 119.00 Plan Check Fee .00
Issue Date . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 119.00 119.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 119.00 119.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
00%.., C • 1 1/16jtki "'
BUILDING OFFICIAL
r - j�,jf /4x
CITY OF ATLANTIC BEACH
S � 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233
INSPECTION PHONE LINE 247 -5826
44 p
Application Number 04- 00028998 Date 9/14/04
Property Address 63 FORRESTAL CIR
Application description . . PLUMBING ONLY
Property Zoning TO BE UPDATED
Application valuation . . . 0
Owner Contractor
KNIGHT, JOHN DOUG'S DRAINS & MORE, INC.
63 FORRESTAL CIR 2453 BAYWAY CT
ATLANTIC BEACH FL 32233 ATLANTIC BEACH FL 32233
(904) 71 -0172
Permit PLUMBING PERMIT
Additional desc .
Permit Fee . . . 42.00 Plan Check Fee . . .00
Issue Date . . . Valuation . . . . 0
Fee summary Charged Paid Credited Due
Permit Fee Total 42.00 42.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 42.00 42.00 .00 .00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING
CODES.
B IC
s i 1�y ,`
t � CITY OF ATLANTIC BEACH
PLUMBING PERMIT APPLICATION
Date: / %
Property Address: 6 A> (e ft.- / T" '
Owner: �li iti z. L( / Telephone #:
Contractor: �a1-i7 `r' - 2 %:. /,- s - . " / U/'O�C,. :)--- Telephone #: cS7 'd 7
Contractor Address: 2 i 5 Zti y ,,,,G, y C-,/� 1 Fax #: 77 Z. - YZ/ -
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 Atlantic Beach
ordinance and standards of good practice listed therein.
Installation of plumbing and fixtures must be in accordance with the most recent edition of the Southern Standard Plumbing
Code.
Plumbing Type: If other construction is being done on this building or site,
. ae New list the building permit number:
❑ Re -Pipe
Number of Fixtures:
Bath Tubs / Showers
Closets Shower Pans
Dishwashers Sinks
Disposals Urinals
Floor Drains Washing Machine
Lavatory Water
Sewer Water Heaters
Other
Fees
Permit Issuing Fee: $35.00
Total Fixtures: 1 X $7.00 + $35.00 = Z ' Ov
800 Seminole Road • Atlantic Beach, Florida 32233 -5445
Phone: (904) 247 -5800 • Fax: (904) 247 -5845 • http :/ /www.ci.atlantic- beach.fl.us
Revised 1/04
CITY OF ATLANTIC BEACH
PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS
DEMOLITIONS
Owner (s): 't�✓t
P
Address : - r U ffc-S t ( C't r S (-# \ctrl i . c g d i Phone : 9 l - 2 7 c1275
Lot it 7 Block or Unit # I __. Subdivision: /47 SC G'l7c'
Contractor: 000 Gt--(s
Address: Phone No:
Describe work to be done: ((o 7 ' 7 on Toot S
Present use of building: ■OO -�--
Valuation of Proposed Construction: 4200.
Proposed use: • eVt
Is this an addition? /CS If yes, what are the dimensions of
the added space: Itx ft. X 7 ft. Will the added area
be heated and cooled? fib New electrical (or increase)? y
New plumbing fixtures? tt New fireplace? AO New Heat /AC? /tc7
SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY,
ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER /CONTRACTOR
AFFIDAVIT, IF OWNER IS CON RACTOR.
Signature OWNER: . ��t � fe Date: (X6 ?
Signature CONTRACTOR: Date:
P? 0 Nrj
• \ • &UV
,, MAR - 11993
Building and Zoning
CITY OF ATLANTIC BEACH
BUILDING PERMIT CALCULATION SHEET
Address 6; 3 Fo s ft c__ tE
Date 3 — - $3
Heated Square Footage ( @ $ ( per sq ft = $
Garag @ $ 6 per sq ft = $
Carport/Porch - p er sq ft =
Deck $ per sq ft = $
Patio @ $ per sq ft = $
TOTAL $
2 --
$ , fs,00
Total Valuation 1st $
Remaining Value $ . per thousand
or pOrtion thereof
TOTAL BUILDING FEE /c"
+ 1/2 Filing Fee
( ) Fireplaces @ $15.00 $
BUILDING PERMIT FEE $
BUILDING PERMIT
WATER CONNECTION
SEWER CONNECTION _
WATER METER/TAP $
CAPITAL IMPROVEMENT
( ) RADON (HRS) .0095 $
( ) RADON (CAB) .0005 $
SECTION H PAVING ( ) $
HYDRAULIC SHARES
OTHER
GRAND TOTAL DUE (9 -
ADDITIONAL PERMITS OR FEES: Mechanical ; Plumbing
Electric/New Electric/Temp ;SwimmingPool
Septic Tank ; Well ; Sign Finish Floor Elevation
Survey ; Other
CALCULATIONS and/or NOTES: ---
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MAP SHOWING BOUNDARY SURVEY OF LOT 7, BLOCK1, ATLANTIC BEACH VILLA UNIT NO. 1,
AS RECORDED IN PLAT BOOK 30, PAGE 56 OF THE CURRENT PUBLIC RECORDS OF DUVAL
COUNTY, FLORIDA.
CERTIFIED TO:
STEPHAN M. & WENDY J. KING
METROPOLITAN TITLE & GUARANTY COMPANY
NORWEST FINANCIAL
FORRESTAL CIRCLE SOUTH
(60' RIGHT OF WAY)
S 13366 E
S 69'31'25" E S • 9'31'25" E 66.66' , 0 . 3 '
17.7' 10.0' FOUND 3/4" R..130.4 FOU D 1/2"
490.0' PLAT IRON PIPE Le13.3 ' I IRO PIPE
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111 IN OY►LICATE1
CO fatont it nu% mutant:
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.
— .
Description of property ( --<? -1- /(� .. ( 4/(Q/14 c.c.. 6c A.
General description of improvements l is X 7 i af- ;1
Owner
oil' C f - e � i
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Owner's interest in tit• of the improvement..... .. ...............................
fee Supple Tide holder (if other than owner) ~_
Nam• .............
................... ............. ........................................................ ....................».......»...»»....... .......... ». ...................
Address .. .........._ ..... ........................................................................ ............... »...... 1........ »... » ..............
»
Surety (if a
............... ..... .....» .. ..... _ ».... .......
..
.............................................. ........................
Address.... ».» ............. »........... :.................. .
..........................».................. .........................Alna+n of boa 5 .................... _..........
be z -, td by owner up whom notices or otter
. ..... .... »... doawttents may
................... .»...._•.... ....»......»..........». ..»
...............
_.
si of the Lienor's Notice
OWNER BUILDER PERMIT AFFIDAVIT
STATE OF FLORIDA
COUNTY OF DUVAL ) ss
CITY OF ATLANTIC BEACH )
BEFORE ME, the undersigned authority, personally appeared
before me , who being by me
first duly sworn, deposes and says:
I, . K , am the legal owner of the
following property:
Lot s Block
Subdivision A _s ( c.-sk-, 4' t
A/ K/ A s 6 3 .r, r re S l et f $ ' + CA4■ LC_ ,rat c. � f
Street Address
I am applying for a building permit pursuant to the Owner
Builder exemption set forth in Florida Statute, Section 489.103.
Florida law requires that I have been provided with the following
DISCLOSURE STATEMENT:
DISCLOSURE STATEMENT
State law requires construction to be done by licensed
contractors. You have applied for a permit under an exemption
to that law. The exemption allows you, as 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 farm outbuilding. You may also -build or improve a
commercial building at a cost of $25,000.00 or less. The
building must be for your use and occupancy. It may not be
built for sale or lease. If you sell or lease more than one
bui)a; ^^ ..,., ,,,..� �,..,,. ..... -. ,� ...�,.� ”---
cor
i '
,
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3, ?our 3 -, f\ , o c i1 � ,_,,_) ( civv_ '' %_-\--1 -1-0 )'' �r uj 'i k�■ r / , ecArck
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1
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'i rksv`- d A-4 .4 (A r 64-42 ) e r
004 It tcJi it hi, j/1 Sit}f' /Fd /n ', 7'r ,, //s rryr
/
AP, r,� , � :
CITY OF ;a
BUILDING DF1
APR 1 3 '987
D EPARTM EN
l
I CITY of A TLANTIC OF B UILDING BEACH, FLORIDA
PERMIT TO
G M B UILD PERMIT N� 8 10
THIS PERN11t MUST BE POSTED ON JOB
{
Date A rIl
I
Val uat i o n $ 6 227. 16 19 87
IU
7 7.50 T
1v
T permit not valid Fee $ 3 T � 3� '1 t Li 4 /16/6
sub' until above fee has been f571 • C41.7.
subject to revocatio paid to City .
for violatio of a si Treasurer, 4/16/8
applicable a nd is
This is to provision of law.
certify that 1 ?t�!l
Mike Bo ,`
j has permissio to build
roots add '.
I C lassificati on `
Res gd ,� =�
Owned by 141ike Bottle, Zone RS-2
Lot 7
House No.
Block____ �
Accordin to a 63 S. Forrestal Cir '--5 .
pproved plans which are part of this p erm i t
Unit j
NOTI —ALL
PE D ED OTING� FORMS
I BEFORE PO UST BE IN
PERMIT VOID URING.
1
I �--� _� 1, AFT SIX MONTHS
Z Buildin AFTER DATE OF ISSUE and debri
1 &o $ material, rubbish
in pubic space must not be p a
up an apace and must be cl eared
trac ,
owner away by either con_
L rte
? f�
I USE OFFICE - d r `
ONLY P ERMIT
DATE
CO NTRACT
NUMBER %wilding Oy cm'.
' PL UMBING +
OR
ELECTRICAL Millil
SEWER nall
i WATER
i
I
ie
t .
CITY OF 'ATLANTIC BEACH
APPLICATION TO MAKE ADDITIONS OR AL'IERATIONS
9\4.
Owner , a Address • Ic.,6 Phone cf0 I
Architect
Address Phrzle
Contractor 5 Address
Phone ?-
- —
Contractors License/Certification Nuabers
Expiration Date
A
---
Property Address _ Sit ttl-Zoning
Lot or Unit # Sdjj ; Mb • ki
Valuation of Construction Type of Construction
• Describe Work to be Performed 111,. ' ‘z (AP is 4 ;
Materials to be Used al)04 11 2." Shs1+ RoLt - in
Present Use of Building r ft. OCTY
Proposed Use of Building • h.,/ 00)11
Flood Zone
Dimensions of New Area:
1' 4
HEATED
GARAGE OR STORAGE
CARPORT OR PORCH
DECK
PATIO
'YES NO NUMBER
,Will there be an increase in nurber.of trnits?
Will there be a decrease in number of units?
X
Any additional plumbing fixtures?
• Any new fireplaces? noi •
X
SUBMIT 214) COMPLEIE SETS OF PLANS INCLUDING SITE PLAN
At
Signature IN; Aft mr -14
Date 112L__
Signature CONTRA t'
Date
dress 6 _
Heated Square Footage l / @$ ‘ 31. (.6 per sq ft = $ /; �z / /
Garage /Shed �•
@$ � per sq ft = $
Carport /Porch @ $ per sq ft = $
Deck ,@ $ per sq ft = $
Patio @$ persgft =$
TOTAL VALUATION: $ (� a` C
•
6 J, ! /Z. /6 , ,(--. • $ /6 (' 11
Total Valuation 1st $ -'
9,:- 1 r / f . , i $ /,7:'-• ''''
Remainder Valuation '$ 72 ) ,(' per thousand or
portion thereof
Total Building Fee $ ,' , ( (-'
ADDITIONAL PERMITS and /or ILES REQUIRED
+ 2 Filing Fee $ /, -1;7, G
5
Mechanical Fireplaces @ 15.00 $
Plunbing BUILDING TERMIT FEE $ ,5"/ S
Electric /New
Electric /Tarp
Septic Tank BUILDING PERMIT $ .a ? 'Y
Well WATER R CHARGE $ j
Stsinming Pool SEWER IMPACT kEE $
Sign WATER IMPACT EEE $
Water Connection MIS OUS $r,
Sewer Connection $
Water Meter $
Elevation Certificate
GRAND TOTAL DUE $ J
7
J '
♦ -
CALCULATIONS and /or NOTES •
MAP SHOWING
BOUNDARY SURVEY OF LOT 7, BLOCK 1, AT'LAN'TIC BEACH VILLA UNIT NO. 1, AS RECORDED IN PLAT BOOK
30, PAGE 56 OF THE CURRENT PUBLIC RECORDS OF DUVAL COUNTY, FLORIDA.
CERTIFIED TO: LILLIAN & MIKE BOTTLEMY, AMERICAN TITLE &
PROFESSIONAL HOME MORTGAGE SERVICES
/ * C /.? 4'#.4 So yr y `yi3
Ica. oo /e/fre 3'
os
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•
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�I
� III
i ;`ti CITY OF
iithuttee Veael - 9wuda
~ 800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 32233 -5445
TELEPHONE (904) 247 -5800
.os FAX (904) 247 -5805
SUNCOM 852 -5800
March 9, 1998
Mr. Fred Thompson
Thompson Electric of North Florida, Inc.
108 East 27th Street
Jacksonville, FL 32216 -2118
Re: 63 Forrestal Circle South
Dear Mr. Thompson:
As promised, I discussed your concern regarding the work performed by your company at
63 Saratoga Circle with our City Attorney, after meeting with our Building Official. The
City Attorney feels that if the work started before the City issued a permit or
authorization, the company performing the work is required to pay a penalty of 100% of
the usual permit fee.
As we discussed, there were three trucks on site for over three hours working without a
permit or contacting the City. You may not have been aware that the Building Official
did talk with your electrician onsite informing him that a permit was needed. Since there
was not a response from your company after several hours, the Building Permits Clerk
called your company to again notify your company that a permit was needed for the Job.
In the future, you may notify the Building Department by phone or fax for authorization
to proceed if there is an unusual circumstance which would require work before a permit
is taken out. While I am sure it was your company's intention to do the work with a
permit there are some companies which try to avoid the permit process which is set up to
protect the property owner.
Page 2
Thompson electric of North Florida Inc.
March 9, 1998
It is the City's policy to strictly adhere to our adopted building codes for the safety and
benefit of our citizens. If you have any additional question please feel free to call the
Building Department at 247 -5800.
Sincerely,
James R. Jarboe
City Manager
JRJ:tl
cc: City Attorney
t 1
_ CITY OF
/*€auttic &sad -
800 SEMINOLE ROAD
ATLANTIC BEACH, FLORIDA 322:33 -5445
J
TELEPHONE (904) 247 -5800
4 4 P4
FAX (904) 247 -5805
SUNCOM 852 -5800
March 9, 1998
Thompson Electric of North Florida, Inc.
108 East 27th Street
Jacksonville, FL 32216-2118
Re: 63 Forrestal Circle South
Dear Mr. Thompson:
I met with Building Official Don Ford concerning your complaint regarding repair
work performed at 63 Forrestal Circle South. Mr. Ford informed me a permit had not
been taken out for this address prior to commencing work. Mr. Ford inspected the
grounding repair on Friday, March 6, 1998.
The policy of the Building Department is strict adherence to the adopted codes
to ensure the safety of all structures in Atlantic Beach. Section 104.7.2 of the Standard
Building Code (Work Commencing Before Permit Issuance) states "....a penalty of
100% of the usual permit fee in addition to the required permit fees."
Mr. Ford has interpreted the codes appropriately for this job.
Please feel free to call me at 247 -5800 if you have any questioned concerning
this matter.
Sincerely,
James R. Jarboe
JJR/pah
xc: City Attorney
File
�y7
��. • CITY OF
>*1afctic - 76xica
800 SEMINOLE ROAD
_ - - -- - - --_, ___ -- ATLANTIC BEACH, FLORIDA 32233 -5445
TELEPHONE (904) 237 -5800
FAX (904) 247-5805
�tw
April 26, 1996
Stephen M. & Wendy J. King
63 Forrestal Circle South
Atlantic Beach, FL 32233
Dear Mr. and Mrs. King:
Our records indicate that you are the owner of the following property in the City of
Atlantic Beach, Florida:
63 Forrestal Circle South
a /k/a Lot 7, Blobk 1, Atlantic Beach Villas #1
RE #171735 -0000
Investigation of this property discloses tht I have found and determined that you are
in violation of Chapter 24, Section 24163 , i.e., Trailer or motor home stored in front of front
yard setback line (front yard).
You are hereby notified that unless the conditions above described are remedied
withiin two (2) days from the date of your receipt hereof this case will be tumed 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 for a repeat violation.
Sincerely,
Karl W. Grunewald
Code Enforcement Officer
KWG /pah
cc: Public Safety Director
VIA CERTIFIED MAIL
RETURN RECEIPT REQUESTED
n.
m SENDER:
'y • Complete items 1 and /or 2 for additional services.
y • • Complete items' 3, and 4a & b. I also wish to receive the
e • Print your name and address on the reverse of this form so that we can following services (for an extra
return this card to you.
fee):
m • Attach this form to the front of the mailpiece, or on the back if space 1,
does not permit. Addressee's Address •
• Write "Return Receipt Requested" on the mailpiece below the article number. co
Tti
• The Return Receipt will show to whom the article was delivered and the date 2. Restricted Delivery G
G delivered.
v delivered. red. Article
� _ Add ssed to: Consult postmaster for f
cc
4a. Article o
// y_ , g �'
t0 3 T pj2 4b. Service Type m
FL El Registered ❑ Insured
CC
C CA 1113 t"' Z Z� ❑Certified El COD o/
m
c
cc
❑ Express Mail ❑ Return Receipt for CO
Merchandise
0
GI 7. at of Delivery o
M 5. Sr. : t:::
o
8. Addressee's Address (Only if requested ,Y
t j 4 � ►�t I. k r ! and fee is paid)
p 6. Signat y: (Agent W
0
B PS Form = 1, December 1991 >ru f#PO 1 ..35z7ta
s IC RETt1RM rtcr+iemT
BUI LDING AND ZONING INSPECTION DIVISION
CITY OF ATLANTIC BEA FLORIDA °'
ELECTRICAL PER IT
Fee. P e rm it No.
to _i . .. .`� w :
This is to certify; that arfcfi
tEt.caica! Contractor# - (Master Etectricrianj -" `
has perrrtission to instolt Electrical Construction as described herein in ; w
occprdonce with the pr«istons of, the Electricat Code and regulations
of the Cihy of Jocksonuille, and suject to the informotion shon on the
application, drawings and specifications whi are made 'a part of this "
`permit.
o f w 1110r a
O
Feeders:
Outlets: 8
Receptacles: v
'Switches: '
sn
incandescent:
Fi u or escert:
A pp li ances:
Air Conditioning:
Motors:
Tronsforrt►ers: '
MisteNaneous:
,,,r
T I � I" DURING ANY SiIX °` Is . suED BY
' , r...,
1 IOD, PE Ei`ctricai Inspection Supervisor
'' ,...-'-' f ir.
.,,„.,., ,... .. ,___..., .
, ,,
CITY OF ATLANTIC BEACH, FLORIDA .
t illtv
r r�.•'" • • (CATION FOR ELECTRICAL PERMIT
I TO / Q THE CHIEF ELECTRICAL INSPECTOR: DATE: � f r 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. ,
JZ hlrs hAv 1,/e)e),34 06-ti &
e
ELECTRICAL FIRM: MASTER ELECTRICIAN SIGNATURE JOURNEYMAN
NAME , -F - ' 3 7 ) C 9 / A D DRESS: 6 '3 Rit iee s` Ji Cf2 BOX
BLDG. SIZE BETWEEN: / / Y 1Z.7 /26 4 oil
RES. APT. ( ) COM ( ) PUBLIC ( 1 INDU ( ) NEW ( 1 OLD ( 1 REW. ( )
ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( 1 SO. FT ,
SERVICE: NEW ( 1 INCREASE ( 1 REPAIR Fe>c
CONDU ! l CTOR SIZE C AMPS COPPER ( ) ALUM. (
SWITCH ��
CH OR BREAKER /� 0 AMPS 7 PH W e..tWOLT A RACEWAY
EXIST. SERV. SIZE AO 0 AMPS / PH 3 W Z vOVOLT i RACEWAY
FEEDERS NO. SIZE NO. SIZE NO. SIZ
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0 -30 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
01 OVER
.94 TORS H.t*. <> VOLTAGE ,,.. , PHS NO. I •• ' VOLTAGE PITS
MISCELLANE S -
r
1p . 0 0
TRANSFORMERS! UNDER RAA V 11 I I AVVIP AAA v I
5904
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH
- PERMIT 1NF0RMATION �- _�- - LOCATION INFORMATION _ ._..
'er t "Number a 5904 AddrIstists $ 63 FORRESTAL CIRCLE SOUTH
l'ersisit Type s RE -ROOF ATLANTIC BEACH. 1 LORIDA 32233
LEGAL. DESCRIPTION.
Class of Worh x NEW Lcat i El.zk a Section
Constr. Type ► WOOD I� RAI!I> T RNE4
Proposed Use .a BINDLE rAIILX SubdiviSlcan`
Dwellings a 1 Code z 0
Estimated Valumt $0.00
I*prov. Coet s #0.;00
Total see; $22.50
Amour , .
*22.50
Da u 9 / , 1/92
Work ' : =� ��� � R OP W ITH NEW
APPLICATION FEES ___-
M PERM I T` $22. 5O
re wM � d k0 rt'��'S 3, � . � +. .r
H � TAL CH ` CIR FLt3IiID� d Z
LE SOUT WATER IMPACT FEE of SO.00
Adds t �� r _ P FE $ F 100 00
. . I
R�ADON GAS -H. R. S. $0.00
O
RADON GAS - 5% *0.00
,� =.NF'CIR?IAT3N RQ. 01
t� " IRO N mez SAE WATER TAP SEWER "TAP $0.00
HTDR A LILIC SHARE $0.00
L : "
00 Type: 0 RE- INSPECT FEE *O.
SEC. H XNNFACT PEE :-e° ri SO '41)0
% �. #�
NOTES:
NOTICE L CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING
PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE
1 BUILDING MATER AI., "RUBBISHAND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE, AND MUST BE
CLEARED UP AND HAULED AWAY SY EITHER CONTRACTOR OR OWNER
fI~ AILUFIE TO C0114PLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN
THE PROPER"T"Y OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS."
.4LIDATION tlA E: 09/21/92
1I!!E x.21
1t
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUB '*;� ± REVOCAT
VIOLATION OF APPLICABLE PROVISIONS OF LAW. r .
tax
4Tl.ANTIC BEACH OUILDING DEPARTMENT
Bye .+',
CITY OF ATLANTIC BEACH
PERMIT APPLICATION ROOFING
Owner( ) : '/ �:. .. 13,9yrt6
Address: 3 p 5 ,4. L C Phone:
Lot # Mock or tlnit if __________ Subdivision
Contractor: : /
Address: 3A e 7 5r4'11 k. 'Rd Phone:
State License No. TC Da,r./s -PQ_
Describe work to be done: eTig, , Pem P
•
Materials to be used:
Signature OWNER:' J �
4 Date :_ - 5 /
Signature CONTRACcOR: 0
CITY OF
"itegtotie &4C( - 94 edct
Coo BEACH, ROAD
FLORIDA
ATLANTIC ACH, 82233 -5445
TELEPHONE (904) 247 -5800
, ac. FAX (904) 247 -5805
SUNCOM 852-5800
November 11, 1997
Stephan & Wendy King
63 Forrestal Circle
Atlantic Beach, Fl 32233
Dear Mr. King:
Our records indicate that you are the owner of the following property in the City of Atlantic
Beach, Florida:
Re : 63 Forrestal Circle
A/K/A/ Lot 7, Bik 1, Atlantic Beach Villa, Unit 1
RE# 171735 -0000
Investigation of this property discloses that I have found and determined that you are in violation
of City of Atlantic Beach Ordinance Chapter 24, Section 24- 163 -2.
Recreational vehicles must be stored behind set back lines.
Chapter 12 -1 -7 outside storage of vanity sink, fire place logs strewn across driveway and other
miscellaneous debris.
You are hereby notified that unless the conditions above described are remedied within S days
from the date of your receipt hereof this case will be turned over to the Code Enforcement Board.
Under Florida State 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. Grunwald
Code Enforcement Officer
KWG /gah
cc: Public Safety Director
Certified mail
c.e.c. 6973
DATE: 2 z s P
PRE - SERVICE DIVISION
JACKSONVILLE ELECTRIC AUTHORITY
23 WEST DUVAL STREET
JACKSONVILLE, FLORIDA 32202
THE FOLLOWING FINAL INSPECTIONS) HAVE BEEN MADE AND ARE
SATISFACTORY:
1Cco e 7:azizt,b4231-
Enclosed are the blue copies of the permits.
SINCERELY,
/ de/z/z_4
BUILDING INSPECTION DIVISION
cc:FILE
DEPARTMENT OF BUILDING
CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. v 9 O J
V.!
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB , r? C 9C
91.7 1 r1 3/1W
Date March 17 19 88 1 o tll
Valuation $ F no fee
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 Mike Bott1emy
has permission toXUX remove 4 trees
Classification Residetittial Zone
Owned by Mike Entt l emy
Lot Block S/D
House No. 63 Forrestal Circle South
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
--- -� - -ir Z Building material, rubbish and debris
-1 from this work must not be placed
in public space, and must be cleared
up and hauled away by either con -
° a r r owner.
g Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
' 1 . : 4 4 ' -11-C /5E3
' � . . CITY OF
f ' iitieutric 'earl - 9wzida
\r, 716 OCEAN BOULEVARD
P. O. BOX 26
'!>; . ATLANTIC BEACH, FLORIDA 32233
, Olkfiv ,.i; y TELEPHONE (904) 249-2395
APPLICATION FOR TREE REMOVAL PERMIT
DATE 3
Applicant
NAME k \L`:- \ t 6ti\- ..
ADDRESS - `orC' ( d- c_\_`1
Owner i
NAME M, (.-A_ T=s-,A- I v -,/
ADDRESS 6 C S .
Location of tree if different from owner's address:
Reason for Removal : C ` `i cZ 6Ck. j (AD UC�
\1dvs ,k_ (Xsn(�m ..--\-- � AA-W - co r a kc.v - r_ .
� �
Rear Lot Line QA�S
a) 0 • • w
o a
indicate APPROVED
possition of '� ' � CITY OF ATLANTIC BEACH
tree on +' i 4J BUILDING OFFICE lot a 4 ti 3
A M R 1 E` 3
O . b b
�'YJ � �\�
rn
8;
Front Lot Line ,. <4, /
P \*)
\Jv c i C.
Building Official
ca �j00 s ' a and
address �+aglona1 s so
• Mce
Wr ite •g er u � � to t �Orn of the the reverse o this form
C s etw r � q ipt pe9 ueg mailpieoe o r on r that We :: f tp 3 A A show io°n the maiipi Aa s pats rn this ec eive
rticl dressed to: the artiot ased a d s� a nut ®) es ( or me an
� � � � d the d are 2 Ora
CI sh dre ssee' s Address
ai
v f% / frict
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