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Permit 74 Forrestal Circle South r.:,)- item, ,` . CITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ` ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247 -5826 Application Number 09- 00001955 Date 12/03/09 Property Address 74 FORRESTAL CIR / 3/09 Application type description RESIDENTIAL OTHER Property Zoning TO BE UPDATED Application valuation . . . 4241 Application desc WINDOW REPLACEMENT AND HURRICANE SCREENS Owner Contractor OUELLETTE AMERICAN WINDOW PRODUCTS 74 FORRESTAL CIRCLE 2633 POWERS AVENUE ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32207 (904) 731 -2247 Permit BUILDING PERMIT Additional desc . Permit Fee . . . 75.00 Plan Check Fee 37.50 Issue Date . Valuation . . . . 4241 Expiration Date . . 6/01/10 Special Notes and Comments *2007 FLORIDA BUILDING CODE W/'05 -'06 SUPPLEMENTS. 2007 FLORIDA BUILDING CODE - RESIDENTIAL. 2005 NATIONAL ELECTRICAL CODE. *REPORT ANY UNFORSEEN STRUCTURAL DAMAGE TO THE BUILDING DEPARTMENT IMMEDIATELY. WINDOW AND DOOR INSPECTION: *INSTALLATION INSTUCTIONS REQUIRED *ALL STICKERS ARE TO REMAIN ON THE WINDOWS *PROVIDE ACCESS TO ALL WINDOWS TO INSPECT FASTENERS Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total 37.50 37.50 .00 .00 Grand Total 112.50 112.50 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. w a - - - -ice .. w C ITY OF ATLANTIC BEACH , '� i � 08 r 800 SEMINOLE ROAD, ATLANTIC BEACH, FL 32233 - 1- I 1 I OFFICE: (904)247 -5826 • FAX NO.:(904)247 -5845 BUILD I NG- DEPT @COAB. US a BUILDING PERMIT APPLICATION 9"_ wMlg '' ,,,, , / ~ 9 DUVAL COUNTY / ,,L) ✓ Atlantic Beach, FL 32233 r LOT BLOCK /i SUB DIVISION 0 NEW BUILDING � 0 �� �.r1�SIDENTL4L ❑ ADDITION i °t � 7 ;< � i ❑ CONVERTING USE ❑COMMERCIAL �/� U % % , f n TERATION ❑ ACCESSORY BLDG.tei y - 9' `� V / 6 IJ { V p � ' � i t � ❑ R 0 ❑ WA ii ��-1 � -� - iL�I� �CI �I1� ❑MOVE 0 /SPA _ 777A'a+.gfiggo..'.w_..Ev ....._ 3 , a',, .t wsj,,,�ak�, ❑ OTHER 15, COMPAiAMERI CAN WI 1 I T T 23. COMPANY NAME: • - 9. Najb 02-i. - & ` ( e re. "' ODUCTS, INC. 16. NAME: 2633 POW - ' --- 24 . LI CENSEE NAME: JACKSONVILLE, FL 32207 10. ADDRESS: (� 17. STATE OF FLORIDA LICENSE NO.: 25. STATE OF FLORIDA LICE NO.: f l 3 . Faxes (! t 4 CO �° 18. ADD li 12.61 t/ _� - 3 -2 n ' Q_ G_� 26. ADDRES f ' 11.OF P I , 112. FAX NO.: 1 3 FF I -2`24-1 1 2 1 3G NO.: g � 27. OFFICE PHONE: 128. FAX NO.: 13. CELL PHONE: 21. CELL PHONE: 1 ' 29. CELL PHONE: /*----- 14. EMAIL ADDRESS: 22. EMAIL ADDRE5 /*----- 30. EMAIL ADD S: e644gn44ffs ► 1 , i ik ??Au V "R •SaAh 31. NAME: 33. NAME: 35. NAME: 32. ADDRESS: 34. ADDRESS: 36. ADDRESS: Application is hereby made to obtain a permit to do the work and installations as indicated. l certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null and void if work is not commenced within six (6) months, or if construction or work is cuspended or abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for . Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters, Tanks, Air Conditioners, etc. OWNER'S AFFIDAVIT - I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof, until all inspections are finaled and prior to obtaining a certificate of occupancy or completion issued by the building official, as required by law. ■ WARNING TO OWNER: ***- YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. Signed: !t,% .� `$ d A !4. Date: /a 2 8/1 y Signed: A i I 4„.,.i Date: /C ZS' z A p /� Before me this 2D p --day of _20811 the county of Before me this !mod day of (E d ' in the county . ;f Duval, State of Flo da, has personally appeared 2-O©e Duval, State of Florida, has personally appeared VC C �� '� e>1 / / fie, Ai,/ ,_. herin by himself / herself and affirms that all statements and declarations are herin by himself / herself and affirms that all statements and declarations are.,: , 1 true and accurate. �-'� j� true and accurate. Nota ubiic at Large, State of F C.. , County of Y Lk U N at Large, State of i , County of Dt/ i „ fi t ersonally Known Ib Known ? . 6 0 Produced Identification - rl ar r,, e t Idunriflrl(f an - t ip / Notary Signature: J` - . �(,' „� tea SiouR ? ,f 7.....2.-e„,--6 -z .' •P j I,ti.\ Pi,Ta LN �:. ., < @ CITY OF ATLANTIC B� nom ,6'.N'::...'4,,, BETTY i ELDE N 6E7 . Fl:i t)I: MY COMMISSION # DE 70275E SEE PERMITS FOR ADDiTI _, * MY COMMI (pN # pD 70275( * mo fi REQUIREMENTS AND CONDI ,. EXPIRES: ecember 7, 2011 i u i � ° EXPIRES: December' , 201 ■ �i' I COABFORMBt '.rbt'I3EViS5�d1f1V6', iervi 9r F O F,,F LO� \O Bonded d ge t N otary S ervice,' R EVIEWED BY:. / 2 . 7 r �- DATE: 12 G 2--J9 M • W ZO Florida Building Code Online Page 1 of 2 Gcirnm lr li y Affair BClS Home Log In User Registration 'Hot Topics fit!! I P cs t Submit Surcharge j Stets & Facts ! Publications j FBC Staff I BCIS Site Map p I Linea I Search Product Approval 1;11 USER; Public User Cori(' lontt y 4f fiE %r5 Product Approval Menu > Product or Application Search > Application Ust > Application Detail c. s; ;r,i , ruwri.nra FL # FL6163 -R1 Application Type Revision P1 Sbl,ilC 'N ,lgIF'r cEo irar Code Version 2007 Application Status Approved •.:- .%1E.ir Comments • Archived Product Manufacturer Silverline Building Products Corp. Address /Phone /Email One Silverline Drive North Brunswick, Ni 08902 (732) 435-1000 rickw @rwbldgconsultants.com Authorized Signature Craig Calderone rickw @rwbldgconsultants.com Technical Representative Craig Calderone Address /Phone /Email 1 Silverline Drive North Brunswick, NJ 08902 (732) 435-1000 Cr a i gCalderone @siiverilnewindow.com Quality Assurance Representative • Address /Phone / Emall Category Windows Subcategory Single Hung Compliance Method Evaluation Report from a Florida Registered Architect or a Licensed Florida Professional Engineer se Evaluation Report - HardcoPy Received Florida Engineer or Architect Name who developed the Evaluation Report Lyndon F. Schmidt, P.E. Florida License PE -43409 Quality Assurance Entity National Accreditation and Management Institute Quality Assurance Contract Expiration Date 12/31/2011 Validated By Ryan J. King, P.E. se! Validation Checklist - Hardcopy Received Certificate of Independence FL of INDEPENDENCE.pdf Referenced Standard and Year (of Standard) su ndaid AAhi /CSA101/LS.2/A440 tea ASTM E1300 2005 ASTM E1300 2004 TAS 202 2002 1994 Equivalence of Product Standards http: / /www. floridabuilding. org /pr /pr_app_dtl. a spx ?param= wGEVXQwtDgvJ %2b V ZhSN... 5/19/2009 l IU11UCl nuiiamg Code Online Page 1 of 3 C ,i S PA *Vr� . ommunity Affairs ,u H BCIS Home 11 Log In i if I. Aan'�I0 rCA 7 g User Registration Hot Topics ! Submit ! � l �`t c umit Surcharge Stats & Facts Publications FBC Staff BCIS Site Map races: !Links Search ,, Product Approval gyri USER: Public User Community Afii IIS Product Approval Menu > Product or Application Search > Application List > Application Detail CC /AWN/TY PLAN/4Nu FL # FL251 -R12 Application Type Revision Hots" l.*c M i"c'mmL ¢Itr Code Version DevaoPi Entr 2007 easeracvc Application Status Approved MANACEM Comments F OFFICE OF 'THE Archived ECRET R Product Manufacturer PGT Industries Address /Phone /Email 1070 Technology Drive Nokomis, FL 34275 (941) 486-0100 Ext 22318 druark @pgtindustries.com Authorized Signature Robert Clark bclark@pgtindustries.com Technical Representative Robert Clark Address /Phone /Email 1070 Technology Dr. Venice, FL 34275 (941) 480-1600 Ext 21106 bciark@pgtIndustries.com Quality Assurance Representative Address /Phone /Email Category Exterior Doors Subcategory Sliding Exterior Door Assemblies Compliance Method Certification Mark or Listing Certification Agency Miami -Dade BCCO - CER Validated By Miami -Dade BCCO - VAL Referenced Standard and Year (of Standard) Standard Year TAS 201, 202, 203 1994 TAS 202 1994 Equivalence of Product Standards Certified By Product Approval Method Method 1 Option A Date Submitted 05/07/2009 http: / /www,floridabuilding.org /pr /pr_ app_ dtl. aspx ?param= wGEVXQwtDgsEt2PTand5b... 11/24/2009 • • P pi A V 4 N M d M O "1' 3 v t C 1111 4 v ii SSSQP li ° $S g ww�w igE . sv x «:c - - " rc rg Q$2iYY5{ 1 :!! 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N d A otil, City of Atlantic Beach APPLICATION NUMBER Ar," Building Department (To be assigned blithe Building DePartment) 800 Seminole Road Atlantic Beach, Florida 32233-5445 : Phone (904) 247-5826 Fax (904) 247-5845 ...fr E-mail: building-dept@coab.us Date routed: City web-site: hftp://www.coab.us APPLICATION REVIEW AND TRACKING FORM 'roperty Address: ; Department review required Y7 No r Building kpplicant: 77Ae8ey-n A-2, `'"arrriffig & Zoning Tree Administrator 'roject: 924, ianche 7 Public Wdrks Public Utilities c5irif/S _Public Safety Fire Services " W rg rigi V4-472Ir' : 21151 WMOWTORMWISTGENtrefani Other Agency Review or Permit Required 0 f R p e e v r i e o i e f i c e e d i p y Date Florida Dept. of Environmental Protection Florida Dept. of Transportation St. Johns River Wa Management District Army Corps of Engineers Division of Hotels and Restaurants Division of Alcoholic Beverages and Tobacco Other: APPL,ATION STATUS Zeviewing Department First Review: 2Approved. DDenied. (Circle one.) Comments: BUILDJI" PLANNING & ZONING Reviewed by: 177 0 0, Date: /2 -07 TREE ADMIN. Second Review: ['Approved as revised. ODenied. PUBLIC WORKS Comments: PUBLIC UTILITIES PUBLIC SAFETY Reviewed by: Date: FIRE SERVICES Third Review: rlApproved as revised. IjIJDenied. Comments: ReA6evtred by: Date: vied 05114:109 Doc # 2009289687, Page: 1, Recordd 112 / 03 /2009at1:58 AM, JIM B FULLER e CLERK , CIRCUITrCOURTBDUVAL COUNTyeRECORDING $10.00 • NOTICE OF COMMENCEMENT • • Porn* No. ; • State of �, i County of The'undersJgned hereby aka notice that Improvements Outs made to. certain real accordance wlth•sectton 713,13 of the Florida Statutes, the following•laformadon b provided properly, and NOTICE OF COMMENCEMENT. • • ■ Legal — p' ,of pro •, Include 8 t , , 776 - O OOQ � at • • General des .. • Von of rnprovernbn Tl .. , .. Owner .' i . ! t a u_, „o, . • Address C 'LL "T • Owner's Interest in site of the Improvemen 2233 • Fee Slriiple Title holder. (If other than owner) PV . -• -SAVE. ly • . JACKSON Address • . . Y lre�ru matting *loan for he con t of bond $ • Any t oldie trapmvements . Person within th�r'State af�lO . e ms, , .. served Name 44 provided by Beogon 7t3,110Ka y►, • • corner lut no oss or other doc uMsnts inay be Address. Inadditton b#ilrnsoff, owns ;rte, b receivei copy • the Llano tlon,date of Notice of Comm '' ;\ rT , • iiff date �'- ' _ ' a a S • wording unless a d date Sloan °"°" ' _ 4 a IP e Ile • ; ; ... • • , r . Notrr Rubber Stec ip • Seal I iirY,a . . • , ♦j • '. . . .: 11":84;1:7011111rf Mia1 �k,a.�� * t NYc ONOoon�strr ' .. III �aoewrywb„ ' PSR•3844 _ DEPARTMENT OF BUILDI CITY OF ATLANTIC; BEACH _ . "" 7' I' _`fi t ERm 1 T „....�.. L'°C CE NMdA ON P Nu 1:1.0.14B/1,14,.., " 9 A dr .,ss p 74 Pt RI l2 N ST I L FC3R IR T ' TIAN 'I #® 3t 3 . ' ''''' t It * .ga t Wr'e 1. RA�IO3RL FL WOOD FRAME _ _ ?LEI DE CRIP 'I R' Pad' Q _� Is. �N F"A �l � ,�' cap � tt1t Saar =z; RNb 0 ,. DO R4XAL PALMS Imp rov , ' . t.'; DE i ,,,,. ; . Total Fees: ' 0 Ai `' , ' - . , I? REA41 I i , " , _14 , :,:. *.,-•A:.k„s.z.,1,,„1;„..,,,i,t„„,„&,.,„„4., ,,,,,,,,,, , y, 1. , ,, , ',- , ,, .4: 44 A CIRCLE 01.,,,', ,o °T' _ '• WATER NFAO FHR r kh g , 1 , '4 st .� ' ' " '" k , � 4 ' ,, ti ,, ' , ,� , . w � ri . " ., +` O , +� ' �` r RAI C? t .., . A$ H . R r , 0O ,tirotaivr " 'f� - RA r� ,„ w C A t; , ,, _x. , ., N F stw R . N R4 YL . aD , 00 i JAO ,, _ Lzi B A. N . RosR CON (.. �,k� �'� �""� ��� �' ( �, � „..,-,Ross �l�a€�N�it�t�►p"�'��ey;��i +�, �� r " e T ,X P e, " 0 ASwS' ' if II R C t s' . r�, � ���� ," L1R t�H i R t F S" , k°,, TES: ` Y,, 1 NOTICE -- ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISS UE BUILQING MATERIAL, RUBBISH AND D EBRIS FROM THIS WORK MUST NOT BE PLA BLEARED UP AND HAULED A WAY BY EITHER CONTRACTOR OR OWNER CEQ IN PUBLIC SPACE, AND MUST BE ii "FAI LURE TO COMPLY WITH THE MECHANICS' LIEN T HE P ROPER T Y O W BUIL DING PAYING TWICE FOR B LAW PR�VEMENT CAN RESULT IN G IMS�" ISSStU�,ACCORaING : H ARE PART OF THIS PERMIT A ND S UBJ E CT TO R »APPLICABLE TO PBOVISIAPPROVEDC)NS OF PLANS LAWHICW. I EVOCATION FOR A L ;BEACH BUILt3T 0 0000 ('000 $ 36,� ? ARTMENT X014 .� ,- ; gal:? °° f ° 11/ ° 3094 U! Kept. ;40177503 ,.��, , s .. 'F I4P43 d Ai,* - 1 N ya , i e d If ta'° ' , i ll "ii'• -4 n t� .a CITY OF ,..,..4' J' x''y, /ATLANTIC ;`BEACH = 's;. APPLICATION' FOR PLUMBING PERMIT x r„ e" u - (zi'es �'C �le. x r r � "" ` JOB f LOCATION: /. _ . c 5 "C , ' ` � ` O R ' OF PROPERTY: �� - ! ' '' .7, BUILDING BUILDING CONTRAcTOR: / M PLUMBING CONTRACTOR 1 'rlG L c -° �r��( k' 1.61 ` I 0 �, AND ADDRESS: , 3 /5" 1 74tf() *e, , , d /4 'C(3 , 7 6--- L .,„...„.„,..." , M _ „, 4 ,0,:t : W' ” TELEPHONE NUMBER : 7- V95 3/ ' "a21 '' ( , . 5 G 2 >, ,'` STATE LIC)N8E NO: , *" C ,: TYPE OF BUILDING: - ' T YPE OF WORK: r) f v1 o r' , ,- f 7 -- Wit, (- C_ '� � ' � (,fit- A � / s 1 ;, HOW MANY OF THE FOLLOWING FIX URES INSTALLED - r r SINKS SHOWERS Z LAVATORY ;� WATER HEATERS k/ F, BATH TUBS DISHWASHERS 4. " � URINALS DISPOSAL ' tea SHY Z CLOSETS Y , WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: x $3. 50 + $15.00 = $ INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 . . 0003273 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH ..�.___ retttrrr xtgrrottttAfi.ttatr t"+R�r * L ttul*b r s '321** •.. . • _ •. t, 1 t" t CiN I fftlN` 1tM15'f"I 1i Perth ?yp.; fl1l - ACtctx`E$'*lrt 7 4 AttttSICSDAL tt.tttr 'Lllt *Ott,' tt Closet car "cork* NOP* A M`1..tt taLAY:tt, 1�LC►tt * b!i c nsta . , r , rpe s t't1Go > Attlfr .. _ - L.t�t3 lCt t�GiCL>rt T •X'Cat! - - - ** _ Propossoat usse s stuout 1i"Att , LY - C ►t s *slack i /tteatl r$ $ ea 6t Yalu.* L"t iet p ivzritiors S Inti:trov. t' f 2« tit , *2. OVA Work y w w /ft r Ri a{�/Lrt° ttM } kk N y�.y 4601 *DWz t a �. �„ lr"*t'�tIC ' ,,. _ y { A * P . L.X0A'1° "01* �'wF�F.i �epas Q $ � { 'AL. '.fltc, 114". ;.ttf •IAA" Jr Plot d •Ir ••� f "W 4 n 1^I�ett •AS - 1.1 ».'L. $Rt'e r lci * ***Its a 144.L MA 4Ct SAC ; tft#ittht "t"AP ,. x La cam** h0 # ttYtsttAteLZ� .'�,tt tAltt � : " t. 'Pet• C3 Re - x *ti 1 a n NO Cty'hi�Ilt 0) 4,a ` TES: v �: NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SP CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER. ACE, AND MUST BE 'FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVE M SU S ' t IN W LIDATlflN DATE: E � ISSUED ACCORDING TO APPROVED PLANS, WHICH ARE PART OF THIS PERMIT AND S a'a;� TO " VIOLATION OF APPLICABLE PROVISIONS OF LAW. EVOC FOR ATLANTIC BE' CH BUILDING DEPARTMENT air K Y - _ 3 011-; CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING Owner(s) . ate l /�L 7 J y Address:'7 / �'P T L 64? : 9- 3d'/3 - �. Phone . Lot # Block or Unit # Subdivision Contractor: /4e/J1( 7ZW `1 D6A //6 409//UG .1.Aie Address: /Y// ' SF,P_c /e/-Y'r Phone: W/ g State License No. R(2/0(123 ��2 Describe work to be done: _ ^ ) A C C — c a?d <) /5" 5 %1d44/7 Materials to be used: Signature OWNER: Date: /7 --�G Signature CONTRACTS :_ i BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT CALL-IN NUMBER A IMPORTANT --- Applicant to complete all items in sections I, II, III, and IV. 1 • Street Address: f LOCATION and OF Intersecting Streets: Between BUILDING Sub -divi sion II. IDENTIFICATION - To be completed by all a pplicants art hereof and in accordance with the C ity of Jackso oraida and c ord n In consideration of permit given for doing th� h icoakeaa pescribed in the abcve statement we here agree to perform said work in accordance with the attached plans and specifications w of good practice listed therein. Contractors of Mechanical Master Co Contractor (Print) w Name of Property Owner riFIDOWIFYIPW‘,, /_.... ra. .�r OpplIPIPPIII"- _ Signature o f Signature of Own `�� Architect or Engineer or Authorised Ag A _ I 1: l i El= f'r ON / c A. T yPe of heatin fwl B. IS OTHER CONSTRUCTION BEING DO E N 1 v THIS BUILDING OR SITE? jk ar c O Gas _ ❑ LP ❑ Noland ❑ Central Utility I F YES, GIVE NUMBER OF CONSTRUCTION 0 Oil PERMIT -"—` Q Ofhr. — Specify AT IV. MECHANICAL EQUIPMM URE OF WORK T TO 11 INSTALLED AT $$ on beck this fora) Residential or ❑ Commercial ('rav complete lief of components New Building Meat CT Spice Recessed Control 0 Floc Existing Building Air Cond,twning: ❑ Room Centre, B /fr Replacement of existing system (0 - p S y st e m : Md er i a ickne New installation (No system previously installed) Maaimum cepaeify ❑ Extension or add -on to existing system O Refrigeration ❑ Other — Specify CI Cooling tower: Capacity g•Fa^• O Rea sprinkien: Number of hw D grater 0 M.^,ift ❑ Escsb$oe (fuMbsr) MS SPACE POR OFFICE USE ONLY (Received) O Gasoline pumps....—.--.--(nu (number) © Tanks—_— ■- Remarks O LPG contaimsrs , —._- - - (number) D Unfired pressure vow* Permit Approved by ate D Sellers ` Ps+rm ` Fe e O Other Specify LIST ALL EQUIPMENT AIIt CONDITIONING AND REFRIGERATION EQUIPMENT Ca � D eacriptfott Model Number InanufacWser Mow) Plumber Vnita :�� • FOR OFFI E USE ONLY - Date # I Permit 19 ry M Fee $. - - :Z/ -- - - - - -- CITY OF ATLANTIC BEACH Valuation $ a46 z FLORIDA House # 7. ``� APPLICATION FOR BUILDING PERMIT tion is hereby made for the approval of the detailed statement ent of the anlans andospecifications herewith ich submitted BgOre ore of Application lication is of Atlantic of building oo other is Beach, Florida, a all app Buildin Department of the City of Atlantic Beach, shall be complied with, whether the City of Atlantic Beach, lord, a�h provisions of the Laws of the State of Florida, all ordinances of the City Beach and all rules and regulations of herein specified or not. Permit rere nsi or emban asmeat ll sub - raC Contractor age b Owner re du who has n been e of Atlantic Blding FloridaaToapr responsible delay to ascertain that licenses gard contractors d oge or final him are duly licens in that a list of sub - contractors be submitted to this office the City inn intermediate or final inspections it is suggested be verified. Date if-s , 19.�$ 7 t� r cp g p,,, eg 7isaL �e1 Telephone No.�'`� 5.V.3 D U L F 'r T E Address Owner ()Telephone No. � � Address -2/71-6.540e) Architect ' 0 pu6' Cf- t e - -Tele hone No. Address � 3U ,f. t' .' P Contractor Builder �a�� ,(L 3 / Zone Block No. Sub Divisi ' 7 4 S Lot No Side Between and � � v �L +c Street gp " IG , a h•�r Valuation $ 2 4 90 For what purpose will building be used ,L. .. -.Type of constructs n Dimensions of Lot Size of Footings Dimensions of Building Type Roof Size of Piers Size of Sills Greatest Sill Span in ft Will Building be on Solid or Filled Ground 0 How will Building be Heated? , Greatest Span Distance on Centers Size of Ceiling Joists Greatest Span , Distance on Centers , » If Size of Floor Joists , Greatest Span Size of Rafters , Distance on Centers This rectangle is to represent the lot. Locate the building or buildings in the right position. Give distance in feet from all lot -lines and existing buildings. REAR LOT LINE Two copies of plans and specifications shall be submitted with application. Inspections required. W r"'� x 1. When steel is in place and ready to pour footing. r-�C1 �i 1 2. When steel is in place and ready to pour columns and /or lintel. 3. When steel is in place and ready to pour beam. 4. When framing is completed. W 5. When rough plumbing is completed, and ready to cover up. W q 6. When septic tank drain field or sewer is laid but before it is covered. *,,, 7. Electrical inspection by City of Jacksonville. _ -_. -._ 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called for after Gl r i&bl e. corrections are made. FRONT OF LOT id In consideration of permit given for doing the work as descrribee in t a apart hereof ent, we in a ebydagce perform build work in of sa ng with the attached plans and specifications, regulations of the City y Atl -n • Beach. 7 Signature of Builder . �.'. / Address. 2P ,(140 Signature of Owne '!.4` �! • /Z. Address ,. DEPARTMENT 3684 OF BUILDING PERMIT NIO• CITY OF OF ATLANTIC BEACH, FLORIDA PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB � Date ls Fee �---- vahjatlOII aid to City Treasurer, and is tee has been P of t vocation for violation of applicable Provisions This' Permit not valid until above subject [o re w This is to certify tha wtt- • - has permission to buil . .. . ne Clasaificatio re + S/D Owned by s • '- Bloc House No of this Perm CONCRETS t " roved Plans which are part NOTICE —AL MUST According to approved A ND FOOTINGS POGROM: SPECTED BEF; 4 q� ON e P ERMIT I E OF ISS AFTER W � '� . ` ' 1 bi pistil Bnildinft m� ' 4— ∎ Z from this work mnst not b � cleared up a nd l hailed space by either contractor or owner. ------ Bnfldtui Oti i. ACTOR CONTR PERMIT DATE FOR p ONLY NUMBER USE ONLY PLUMBIN ELECTRIC SEWER WATER IIIIIIIIIIIIIIIIII -------------_ \