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Permit 1930 George Street I —pav al County Health p D 3252 D UVAL COUNTY COURT HOUSE JACKSONVILLE, FLORIDA SEPTIC TANS PERMIT FEE $5. Name of Owner :_ ---N ` - -- Address : __ 19 },�9 _ Date.:_---- �— #'f''"� Installation At Installation By h i s P gu a r antee the successful func- NOTE: to n g omit does n d oration at a pi n tionin� of this unit and the occupant will be responsi ble for its satisfactory sanitary op „__Gallons. Septic Tank Capacity :_ - -2 11 -- [)rain F �q" HE • EQ T. DIRECTOR -DUVAL COUNfP (� CONSTRUCTION 1'y , TITLE PERMIT VII) SIX MONTHS AFTER ABOVE DATE IF NOT STARTED DEPARTMENT t F BUILDING FOR T E II ONLY Date — - 1 TOWN OF ATLANTIC BEACH. FLORIDA ; Permit Na. +k 3 ifee ""— Valuation $ „-^ Application f t r Perm for House N a. _ r APP Miscellaneous Alterations, and ' Repairs .i9 N &. 9 , 195 To the Sum of BIdiug: / The undersigned * applies. f permit rO i CL. Jt_e_& _____C y��yicer.A.r io c:k Q,d „,l ,,, tst. i f - eto, nst ait hot er, eiexatos, etc. .1p. (State if to r, attar, add to o re building: erect a in s, stall, _ '�r44�r°' Hattlding on _. -.Lat ° No. _Block No. —__�_ __.Sub. Div. (Stitt: f rsctionat Dart) Sts. At _Side ��No. / q 3 o ‘-.1 C ..._5t. Between - _.._._ -_-- _ and, .- ___ _ _. — - -- Valuation * ! D ©• D % - — (State cost of improvanent) BUI LDINGS AND OCCUPANCY 'i$hat is present use of building Residential Business ? -- .. 1- -1 -'2 -c -..E.... . ” - if residentiai, what type- Dwelling, Garage Apartment, Rooming or H ouse? ,+ -44' c How many families accommodated now? / _ __.How many when altered? -- - _ ......-Will food be prepared for sale on premises ? What pluznbiitg work o ta be ? ✓ LW � e -"' ` , - . ate+ ,'1 )( L Si of extension .X .4 . S ize of lo t... ./ X - Q N t oy be o f s t stories icting . Materiml of roaf vi�x� p ®0er� , . .. a fter a ltered . ... ._ Number of ataries now ..., ...... �' �! Ill � �. Material of present bul 1V-L•-` 5LX Material of extens - -+: — Alma NECESSARY ' PLAINS IN DUPLICATE TO BE SUBMITTED HEREWITH OIL BURNER OR GASOLINE EQUIP Name of Oil Burner or Gasoline Pump......... .- Type or Model....__^, Name and Address of Manufactures - ------ gallon capacity tank (s) i conttectian herewith, application 1* also made to install: _ (Bow mom)) r -�- made by of g e metal ground 04.m. Of lSsmntaaturer) ( oder orabov of building. For_ :anew or outside) :: (Name of Purchaser) FIIRNISH DRAWING SHOWING ENTIRE LAYOUT ON REVERSE SIDE OF THIS BLANK SIGNS ClaaeaifIea wh �... _ . _ w _ ,Size .-.. - ( - ;wound, roof, wail, projaattne, banner, apocial, Ea.) Weight, .... .Material of conntruction- --- -. Illuminated? Type illuhrinat totate w Lamps or Neon) Will sign be over public property ?_..__. --- - - - - -- — __ - — SUBMIT DRAWING IN DUPLICATE SHOWING CONSTRUCTION OF SIGN. AND METHOD OF .HANGING WRITE ADDITIONAL INFORMATION BELOW L', (F canvas awnings provide yl ianed drawing on reverse side) IMPORTANT NOTICE: '' In consideration of permit ven for do' the'wwk - a4 $eribed in the above statement, we hereby agree to perform said work in 'accordance with the attached`" s and • spe i catio , 77 a part e h f, and in accordance with the building regulations of , Tow of / T ti ach rya Signature. of Builder --«r-- yr ° , Phone Na ' t Signature of `Ownler 4 B > Address.. -_... r