Permit 23 Forrestal Cir N 0,002-66T,
DEPARTMENT OF BUILDING
CITY OP ATLANTIC BEACH
PERMIT INFORMATION ------
LOCATION INFORMATION ---- -----
t Nuabor s Addrwout 23 FORRESTAL CIR. NORTH
*It Types BUILDING A TLANTIC 89 CH, FLORIDA :32233
A
Works REPAIR LEGAL 09saaPTION
Type% NASGXRY/0RIlcK Lat I Block s Sections
ood Use s Slk"GLE jPA"ILY Townships RUG
""o
ow ingot 1�
Iti ed Valu��, kl&l
00.00
w l '0
-7
IN
Total F 6' so
vote P
V ME
Ww
Off ------
14 kow 2 PERMIT
NORTH
WATIRR IMPACT, PER *0.00
LAN LORIDA 04233
SEWER IMPACT VVE *0.00
00,
Ph. ' ZR",
. ...... WATER MET
iz ON`,,k!�
RADON OAS-H. R. S. *0.00
CONTRACTOR NATION RADON GAS 5Y.
0
kow I WATER TAP
ddr,
HYDRAULIC SHARX, *0.
low,0100 IP4 RE'4�lfffspwcl FEE
WOO
NoTts:
ENGINEERING *0.00
OTHER
00.00
NOTICE—ALL CONCRETE FORMS ANO�FOOTINGS MUST BE INSPECTED BEFORE POURING,
PERMIT VOID SIX K40NTHS AFTER DATE OF ISSUE
BUILDING MATERIAL,RUBBISH AND DEBRIS FROM THIS WOR K 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. MECHANICS' LIEN LAW CAN RESULT IN
SUILDIN
THE PROPERTY OWNER PAYING TWICE FOR G'IMPROVEMENTS.
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND CT TO REVC&.40N FOR
VIOLATION OF APPLICABLE PROVISIONS OF LAW.
WWI ""Kw;
PARTMENT
ATLANTIC ACH B:UlrLNG AD
By-.
J
CITY OF A1LANrIC BEACH 6e 60
APPLICATION FIDR BUILDING PEM1IT (a,/ rvc) I J__))
Phone
Owner Addres.§ -2-:5
Ardiftect Addre!§s zip_Phone.
ContractorAW�ki4,J Addres 6_j y
I yr le,-ZAer Z,_(/_Pt10ne wy
Contractor's License Nutber Copy on File
,1!21,Z Expiration Date
Lot J�_Block or Section Subdivision Zoning
Street Betweeri (!,ij�ind Zt, si,l�
Valuation Type of Construction
Purpose of Building Nunber of Units * Fireplaces
Utility Service: Water sewer
If the City if providi.tir, wnter or sower service,' do we need to nuke taps?
Dhimisions: Building__ Lot Size Footings
S7. Piers Sills Greatest Span Sills
Sz. Ceiling Joists Distance on Centers Greatest Span
Sz. Floor Joists —Distance on Centers Greatest Span
Sz. Rafters Distance on Centers Greatest Span
Method of Heating Solid-Filled Ground Foof
Flood Zone If located within a FLOOD HAZARD corTlete page 2
SUMILT: 1.%qo coiijilcLn neui of platts, including a detailed site plan.
Florida Energy Efficlei*y Code Sheet�
Recent Survey
hispections Required:
1. Mien steel is in place and ready to pout footings.'
2. Mien steel is in place and ready to pour colums/lititel.
3. Mien steel is in place and ready to pour bean.
4. Mien frainbig, nechanical, plud)ing, electri-cal, fireplace, is completed and ready
to cover up.
5. Final inspection. SETBACKS
NO INSPECrIM WILL BE 11ADE IF BUILDING CAR� IS NOT POSlED 014 JOB..
Rear WL Lhie
In case of re.1paion, reffispectim MUST bq, called for after
cotrections nrp. ni-trIn.
III cmaideration of pemit given for doing the EnF co
work as described in the above statEumt, we P.
,hereby agree to perform said work in accordance Rill
with the attadied plans and specifications,
Qiidi are a part hereof, and in accordance rt
wiUi the building regulations of Atlantic Bekh. rs
Signature Owner
ZZ___1
Signature Contractor in,2
F-ront Lo-=IFie