Permit 1552 - 1554 Francis Avenue FOR OFFICE USE ONLY
Date_ �`
- ------ - - - - -- - -dam
r TOWN OF ATLANTIC BEACH Permit °
Valuation $__A as °
FLORIDA
House #
APPLICATION FOR BUILDING PERMIT /`�J -1, /� f
Application is hereby made for the approval of the detailed statement of the plans and specifications
building or other structure described. This application is made in compliance and conformity with the Building
the Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinance of the submitted tla the
Beach and all rules and regulations of the Building Department of the Town of Atlantic Beach, shall be c lding Ordinance of
herein specified and all h r or complied with, whethehether
not.
ordinances of tp Town of wr
h
The Contractor or Owner - Builder who has been issued a Building Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the Town of Atlantic Beach, Florida. To
prevent this delay f or embar
b intermediate or final inspections it is suggested that a list of sub - contractors be submitted to bhis office so that licenses
e verified.
lice can
re
t can
Owner_
Date C' 7 -*I/1r , 1A.ri
Address Telephone No
Architect
Address Telephone No
Contractor Builder
cpla
!?!L
/� 1 � Address Telephone No
Lot No.. fli L Q T - /-- -- o. -- -- - -- -- -Block N
���„ � Sub Divisi�c7,�!jl�^,°
� i/ c ) Sid
Street Zone
Side Between
Valuation $ --lJ ? O ° O For what purpose will building be used'',.', Type of construction _ - /Cal/ire" Sts.
Dimensions of Building '0 X 0 Dimensions of Lot
Size of Piers Size of Footings
Size of Sills_. Greatest Sill Span in ft
How will Building be Heated? Type Roof
Will Building be on Solid or Filled Ground?
Size of 'Ceiling Joists , Distance on Centers
Greatest Span Pt
Size of Floor Joists , Distance on Centers
Greatest Span PI
Size of Rafters , Distance on Centers
Greatest Span „
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.
Two copies of plans and specifications shall REAR LOT LINE
be submitted with application.
Inspections required.
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to pour columns and /or lintel. W W
3. When steel is in place and ready to pour beam. Z
11- a
4. When framing is completed.
5. When rough plumbing is completed, and ready to cover up. O
6. When septic tank drain field is laid but before it is covered. W
7. Electrical inspection by City of Jacksonville. A q
co
to
8. Final inspection.
Note: In case of any rejection, re- inspection MUST be called for after
corrections are made.
e
In consideration of permit FRONT OF LOT
work in accordance with the attached plans and specifications, which are a part in hereby
with the build ng , we
regulations of the Town of Atlantic Beach. g
Signature of Builder -
"^ ,, i Address
Signature of Owner:_ Y' ,, • - Y'-r1 +�Q 1 �
Address
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DEPARTMENT OF BUILDING n n
CITY OF ATLANTIC BEACH, FLORIDA 6 ` PERMIT NO. V G [}
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB T.
Date 2/27 19 85 7 • J CK T
6656 I A /27/t5
Valuation $ 162.00 Fee $ 7_ S() I • Li UCAC 3
This permit not valid until above fee has been paid to City Treasurer, and is 113001
subject to revocation for violation of applicable provisions of law.
This is to certify that REVA 17AE SII2 DN
1554 Frmvcis Avenue
has permission to build Stnragp adds t-i on to YLCIIS>rca
Classification residential Zone
Reva Owned by Mae Silmon
Lot Block S/D
House No. 1154 FRANCIS AVENUE
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
4 —■ 4 O 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 -
t or o 7 ner. r
• Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
WATER
CITY OF ATLANTIC BEACH
,,`� APPLICATION FOR BUILDING PERMIT
Owner ,4/./e".. tJ� / S
Addres ('-5317/e__, phone
Architect
Address
Address
Phone
Contractor 0e01 e42 -
License Number Address
Phone
Lot # Expiration Date
Block # o ____Subdivisi
Street Zoning
Between and
Valuation $ Purpose of Buildin side
Dimensions: Building g � � e _TYPe Const._
Sz.Piers Lot Sz.Footings
Sz.Sills Greatest Span Sills
Sz.Ceiling Joists Distance on Centers
Sz.Floor Joists Di _.____ _Greatest Span
Distance on Centers
Sz.Rafters Distance on Centers Greatest Span
Heating Solid- Filled Ground Roof
Span
Flood Zone Roof
If located within a FLOOD HAZARD ZONE fill out
reverse of this application.
Inspections Required:
1. When steel is in place and ready to pour footing.
2. When steel is in place and ready to
3. When steel is in place and ready t pour beam.
4. When framin F� O v E D
g, mechanical, rough plumbing and fire p�ry , N ± G o FFIcE CH
is completed and ready to cover up.
5. Rough electrical.
6. Final inspection. B ? 19.8
In case of rejection, reinspection MUST /
for after corrections are made. be called � '''
SETBACKS
In consideration of permit given for doing
the work as described in the above statement, Rear Lot Line
we hereby agree to perform said work in
accordance with the attached plans and r„ � � t
specifications, which are a part hereof, and °k q N•
in accordance with the building regulations
H. H.
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of the City of Atlantic Beach. 1V �"
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C f o
rt
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H. , fir
CD - - _ -'11
Signature OWNEk �� j
Signature BUILDER
Nu
Frdn`t Ltot Line
ADDRI,SS
MECHANICAL PERMIT#
PLUMBING PERMIT ##.:::::::= BUILDING PERMIT WORKSHEET ELECTRIC PERMIT
Square Footage @ $ , C; 6 TEMPORARY ELECT. # Garage /Sh er sq -
$
G arage/Shed
q ft - �l� , ��zJ
Carport @ $-- --------- per sq ft = $
Porches @ $
er sq ft = $
Deck @ $ er sq ft = $
Patio @ $ Der sq ft
@ $ er sq ft
TOTAL VALUATION $
/C eP , Cf d $
C FC)
Total Valuation Data
1st $ $ Cr6
Remainder Valuation
@ $ • $
per thousand
or portion thereof
TOTAL BUILDING FEE
+ 2 FILING FEE $ 3
FIREPLACE @15.00
----- ------------ - - - - -- TOTAL BUILDING PERMIT $
PLUMBING PERMIT FEE$ ----------------------------------------------
�LECT. TEMPORARY $ MECHANICAL PERMIT FEE$
LATER METER SIZE ELECTRICAL PERMIT $
EWER IMPACT FEE $ $� -- ACCOUNT NUMBER
ATER CONNECTION $
( @10.00 per fixture unit)
PPROVED B P R O V E D TOTAL BUILDING /PLAN FILING FEE iCBEACH
DUILDIt�IG Gr L '(r E $
C�,;=VI _..
TOTAL WATER METER CHARGE
mr - j TOTAL SEWER IMPACT FEES $
TOTAL WATER CONNECTION CHARGE $
dr MISCELLANEOUS CHARGES $
GRAND TOTAL DUE: $ S