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Permit 471 Irex Road CITY OF ATLANTIC BEACH BUIL AN ZONING 800 SEMINOLE ROAD ATLANTIC BEACH FLORID 32233 INSPECTION PHONE LINE 904 - 247 -5 826 Application Nu mber 02- 00024 Date 9/13/02 Property Add 47 IREX RD Application descp . P U MBING O NL Y Property Zoning 0 �° +.TD Application valuat ritio 0 o n ac r 4 Owner _ �� o -- _ T.D. t PR' T Y A � ��! r TG CO. 4 71 IREX • O .J ' 4 � , 'x' 631 g. ATLANTI' BE � 2233 t ; � LTA LE FL 32245 (904? , ' 993 43 Perm.' "UMB� IT 0 Addi Tonal 0" TE N SER. A A.HA Nl7LR` �� a F . 0 0' Plan k Check - . 0 0 Isse�� Valuat�an r ° aid Credited Fes�rnma - - - P1 = n � � f , •. .1 . 00 Gr zl. T t. 1 a 4 a 1 0 e . 00 E • .w BUILDIN MATE RUBBISH AND DEBRIS FROM THIS WORK 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS" ISSUED ACCORD TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO 441.cru..oikh.4b........ REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. C . BUILDING OFFICIAL • r U.a -11 -1955 10::; FROM: 24-' -5845, f TO:93480770 P:1'1 CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 4 / 7r //1f/ A OWNER OF PROPERTY: 7 Q • Av T,'r y i d) ,,,,TTELEPHONE NO. PLUMBING CONTRACTOR /9 ..$ J9 CONTRACTOR' S ADDRESS: , / ' _ a. /3 a,(/ 7-' STATE LICENSE NUMBER: FG G_Lc E2 TELEPHONE: HOW KANT OF TUE FOLLOWING FIXTURES INSTALLED SINKS / SHOWERS L... LAVATORY 1,+ WATER HEATERS f BATH TUBS / DISHWASHERS URINALS DISPOSALS CLOSETS / WASHING irMACHINE FLOOR DRAINS SHOWER PANS SE-ER WATER REPIPE OTHER T x $3.50 + $1.5.00 l,' a TONAL FIXTURES: MINIMUM PERMIT FEE - $25.00 SIGNATURE OF OWNER: SIGNATURE OF CONTRACTOR: INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANCARD PLUMBING CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247 -5826 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION PRIOR TO COVERING UP - (904) 247 -5834 DEPARTMENT OF BUILDING 4 012 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date 3/15 19 79 200 Fee $ 5.00 Valuation $ 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 Steven L. Worley a residential addition (carport) has permission to build Classification s/f residential Zone Owned by Steven L. Worley 3q . Lot 471 I rex Road House No, 'r According to approved plans which are part of this permit I{ NOTICE —ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE ■ X 0 Building material, rubbish and debris --� Z front this work must not be placed in public space, and must be cleared up and hauled away by either contractor or owner. Bill M. Davis Building official. FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER WATER siggl► l , TT n u - . _..2 ' r r7 7 t ": — - .57 vie a FOR OFFICE USE ONLY y � g .f1 ;3,�1iL i ;, r C �Y r ' ;: 4ryr Date3 /2 19 79 myna NG TWICE ir4n32 d Permit 4#g/'.,a/c:2 4#g/'.,a/c:2 -� Fee $ - - �0J0 F k ; I . i i I 'n ∎ . ∎ 'ITV OF Valuation $. FLORIDA House # - 7/ A- ..... . _.. APPLICATION FOR BUILDING PERMIT Application is hereby made for the approval of the detailed statement of the plans and specifications herewith submitted for the building or other structure described. This application is made in compliance and conformity with the Building Ordinance of the City of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the City of Atlantic Beach and all rules and regulations of the Building Department of the City of Atlantic Beach, shall be complied with, whether herein specified or not. 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 City of Atlantic Beach, Florida. To prevent delay or embarrasment regard- ing intermediate or final inspections it is suggested that a list of sub - contractors be submitted to this office so that licenses can be verified. Date 4// fj/ / 2. , 19..Z. .- Owner.-5 V LJV I. 1 , 9 12, . Z L / y Address 1 1 , 7 i . - X- z . . 1 ' � O 4 1 Telephone No..2. 0 _.,3 .1 � Architect Address- Telephone No. Contractor Builder au /L' e /. Address lephone No. Lot No. ! 7 Block No. /0 Sub Division , 40)o !t 0yo / Al/Y5 Zone Street___ 4EfC Side Between...1 r' and .elg 19 -4•0 Sts• Valuation $ 1 00, ©o For what purpose will building be used (.- /g4PPI r Type of construction 11 t2t2.D Dimensions of Building_ .. I +2' /9 /vR Cimensions of Lot Size of Footings Size of Piers Size of Sills Greatest Sill Span in ft Type Roof_ . How will Building be Heated? Will Building be on Solid or Filled Ground? Size of Ceiling Joists , Distance on Centers , Greatest Span ,, Size of Floor Joists , , Distance on Centers //' , Greatest Span / If Size of Rafters 2 ' 2 , Distance on Centers J.. , Greatest Span 1. aZ n 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. 1. When steel is in place and ready to pour footing. W 2. When steel is in place and ready to pour columns and /or lintel. Z a 3. When steel is in place and ready to pour beam. E, 4. When framing is completed. i . .° S 5. When rough plumbing is completed, and ready to cover up. ,-r _- w 6. When septic tank drain field or sewer is laid but before coy 4 41 l919 m 7. Electrical inspection by City of Jacksonville. 1` L J `y 8. Final inspection. Note: In case of any rejection, re- inspection MUST be called foNlyr 0F ATLANTIC BED, H corrections are made. , FRONT OF LOT 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 building regulations of the City of Atlantic Beach. Signature of Builder Address Signature of Owne :a4-"=•‘ . Address.. . 2 J X./P - V P ,6' 4,71/9%'72 G- k r= '`U I ! ° : '17 Cr G 0 -rt < Pt ^' CJ ob.\ ....__ ,..., X , -.'" ...' -. I lri_ A i! „ ,1 t r 7c ■ e i I 1 < N.. 1 To 4.- q ',' � \ R til 7 �� w. c . i J'�vu � y / � A \ . � 7T ---------�-----'------____� _ ' . 0 \ f°1- o O ~. \ �o - ----- ------- Y ------ -- (Ko/v/ 1 PS 3844 9292 DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH .F ERM I T IN Ji OPRMA ION °�` -- rn ie+� V CA ON ei N 'Q A ON Permit Number 9292 Address: 471 IREX RbAD t Lermit Type: PLUMEING ATLANTIC BEACLL, FLORIDA 32233 i " a ss of WOt'k: ALT RA IO 1 ` �_ -_ _ LEGAL DESCRIPTION _- -- 4 €.o�ptr. Type: WOOD FRAME Lot: Block: Section,: Propr sed Use SINGLE FAMILY Township: RNG: 0 , DweI 1 ings ' 1 Code: 0 Subd vi s i on : ROYAL PALMS .. ' Est ±rt.sted Val tte> $0.00 , . Improv, Cast: SO.00 Total F` - 4F. ` $18 S0 $18.5 oat. � • , r'' ` v . : � , 1 "riot' . �: r -. , t^ ... ... C" a CAT ION FEES .. ... «. i _� ** s.. ,, PERMTT S > 50 Address:, °` •AD WAT y t PA.CT 'EE �; - �D ;C , p FLORI t 3 , , , ' , s �, E e E IAD03 OAS-H.R.S. $ .00 C t ,. : A ' . �, ' QRMATI RADON C AB 5% BD . t Name: D'''' ID c: •T P UM8ING .,,I C _ .._ ` API'AL IMPROVE BO. - SEWER TAP :0 DI:? JACKS _ ¢ LE, FLORIDA 32239 CROSS CONNECTION 09 :} Lxe D 2 ry a Type SEC H IMPACT FEE S 00 CON ST SURCHARGE � D D ', mw NOTES: I NOTICE — ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE 1 BUILDING MATERIAL RUBBISH AND DEBRIS FROM THIS WORK MUST NOISE PLACED IN PUBLIC SPACE, AND MUST BE I CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER l "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN 1: " THE PROPERTY OWNER PAVING TWICE FOR BUILDING IMPROVERAENTS." } ISSU ED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FQR VIOLATION OF APPLICABLE PROVISIONS OF LAW. i 0000W4110 $1&50 14 '` ATLANTIC %EACH: BUILDING DEPARTMENT 61401 11 00 *Pk; 000718.3 1 . CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION: 1 .i" 7) 1R 5 X OWNER OF PROPERTY: s iiialAikiiiemeetteffreTelt: D lb G-, A a' P 1.e. / /V G PLUMBING CONTRACTOR / .•�. AND ADDRESS: TELEPHONE NUMBER: -7 l ei - 1/ - 7 °Z S STATE LICENSE NO: G F G O 6 TYPE OF BUILDING: A s / P N 7"i L - oti e F /t,.Y TYPE OF WORK: 1 O 5 e Zvi' 2 - E1-/. n - ;A'- HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT: _ x $3.50 + $15.00 = $ / f ) 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 SEWER CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP (904) 247 -5834 1 -- 7'5L CITY CAF ATLANTIC BEACH, , FLORIDA APPLICATION FOR ELECTRICAL. REKNIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:.... _. /' - IMPORTANT NOTICE: 19 �� IN CONSIDERATION OF PERMIT GIVEN FOR DOING THE WORK AS DESCRIBEQ� HEREBY AGREE TO PERFORM SAID WORK IN ACCORDANCE WITH THE ATTACHED PU�V g WHICH A PART S, CO DES ANa CITY OF HEREOF, AND IN ACCORDANCE WITH THE ELECTRICAL REGULATION IN THE FOLLOWING, WE ATLANTIC IC E A BEACH O HINANCES. AND SPECIFICATIONS, CODES g- ., ce p ELECTRICAL F - 11A; G ( y , � MAST'�'•,i���1i! CIA SI O NAME - _ S____ � : /��' ' ADDRESS; : t ; • . , BLDG. SIZE RES. 9‘.. BETWEEN: APT. 1 1 COMM. l ) PUBLIC ( 1 INDUS. 1 ) NEW 1 ) ADDITION 1 ) TRAILER 1 ) TEMP, ( 1 SIGNS ( ) 01 . 0 ,04_ AEW. 1 1 SERVICE: SQ. FT. NEW ( ) INCREASE REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ALUM. ,g_ / ITCH OR BREAKER G • . IIIMPIIM SERV- SIZE AMPS MIN 1.4 VOLT ' ' 'I' e 0 FEEDERS NO SIZE NO. SIZE NO. LIGHTING OUTLETS SIZE Mill CONCEALED 11.1 OPEN MI RECEPTACLES TOTAL CONCEALED OPEN ' e . TOTAL 0.30 AMw SWITCHES 31.100 AMPS. -- INCANDESCENT - FLUORESCENT & M. V. FIXED 0.100 AMP$. OVER �.-_ APPLIANCES _.11.111111111111 AIR H.P. RATING MEM. CONDITIONING COMP. TOR H.P. HP RATING 111111M2 MOTOR OTHER MOTORS AMPS CELL HEAT: KW -HEAT MMIIIIIIImm. aliiinninlin. MOTORS 0.1 H.P. VOLTAGE OVER NO. 1 N.P. VOLTAGE Eirla MISCELLANE•US .... 6 TRANSFORMERS• UNDER Ran v 0ss 3844 V DEPARTMENT OF BUILDING CITY OF ATLANTIC BEACH T N O `ION L O C A T ION II+i - I f � M PA' CAL d res ' A I ta FLORIDA 32233 Vi 4.. '',' , 1 4 ork . ALTERA I(:)N - --. . .r� L . � °ESC*IFTION ' - . --- --,* Ccrl tr *. Type'; WOOi) FFR.A))E Lot : 81. ► k; Se Proposed Use: SINGLE FAMILY Township , RNG: 0 wel in Radek O l d vl o : st.i,. cited Value: 8.0? r ).n Improv. 'Cost: .00 Tata1 Fe e.S: ,a37, 0 Arrmat t P, ,, t 4. i 37,00 Late `" "R 393 irk Deb '!�� . 4 ' : AND AIR ' HANDLE R APPLICATION FEES Nama , a � , „,s T � 4 RM IT 37 DD did � W i° ER • IMPACT FEE DD 0 g ., z F"LCRIDA 3 4 sgW PACT Q} £ D Pi " ''''h w1 gi p « � "? ' ' '°'` � � y c ` • a� � ''! y - - Co e _ORMAM`IO RADON GAS - 5% $$ .0O Name a ;C • �} t T AT & A CAPITAL IMPROVE $0.00 d dr e I A TIC BLVD ' ', SEWER -TAP . ._ _ -... _m�_ . 0 -. O ' - -_�. a W NEPTUN CH g_. FLORID 32'233 HYDRAULIC S $ 0 . AD I icon ; MNAR 7 , Type < 3 CROSS CONNECTI $�} ,0, 0 • � � b °` � ' SEC .14 IMPACT FEE . . ' dil�, d,k , M*7 ''-0 ,V0, ,,, I u' S OI , E '' ' - C1�ER $t {? t3 1. NOTES: ” f' 1 ^ , NOTICE --ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE .POURING : PERMIT VOID SIX MONTH$ AFTER DATE OF ISSUE OUILI IN'G MATERIAL, RUBBISH AND, ND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPAC,E,AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER • $$ FAI IRE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT IN . .THE PROPERTY OWNER RAYING TWICE FOR BUILDING IMPROVEMENTS," • 4 I SSU ED A CCORDING T O APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR • `IOLATION OF AF�PLICABLE PR OF LAW. , ATLANTIC BEACH BUILDING DEPARTMENT f ' ... :. �- t. Rw BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC REACH. FLORIDA 32233 APPLICATION FOR MECHANICAL PERMIT - CALL.IN NUMBER J. IMPORTANT — Applicant to complete all items in sections I, II, III, and IV. I. LOCATION Street Address: 4"/v „ -' •` ,: . OF Intersecting Streets: Between And BUILDING Subdivision 11. IDENTIFICATION — To be completed by all applicants In consideration of permit given for doing the work as described in the abcve statement we hereby agree to ce•ror» said wcri a_: :•oa- with the attached plans and specifications which are a pert hereof and in accordance with the Ct of Je_Is;r a ordinances a•7 :b•ae•as of good practice listed therein. Name of Mechanical Contractors Contactor (Print) �°" r . r-' (:::0, l^� -.41 '. MasN► ` f < ' '�.-� Name of i �+' �R, Property Owner r , 'Z. .--1.- , � ` �1 ,/ r': , / ., Signature of Own Signature of or Authori 0 nt .. _ .w. _.- - -' S+• ' ^: w, Architect or Engineer +snr4__ III. GENERAL A. Tyne of beefin j' Prat: „/ E1. If OTHER CONSTRUCTION EhNf INKING nc THIS BUILDING OR SITE? ❑ Gee — ❑ LP ❑ Natural ❑ Coat's, Utility ❑ 00 IF TEL GIVE NU$iIS a OF CgaimgyiOss PERMIT ❑ Otbor — Specify IV. MECHANICAL EQUIPMENT TO M INSTALLED TUNE OF WORK (Provide complete het of components en bed Ml. ism) Residential or C Commercial Heat ❑ Space ❑ Recessed Cenhtel 0 New ❑ New Building )i( Air Condrtiening: ❑ Reem C,° Centel _ Existing Building ❑ Duct System: Materiel Replacsmant of existing system Ma■imum epee ty tam. , ❑ New Installation (No system previously installed) ❑ Re/rigerefi re ❑ Extension or add-on to existing system ❑ Oth s — Speclf ❑ Cooling fewer: Capacity 111-11H- y ❑ Fire sprinkler: Number of heads ❑ Peyote* ❑ Menlift ❑ Escalate* . (aealber) ❑ Gasoline pump (number) THIS SPACE POR OPT USE ONLY (Raesslved ) ❑ Tank (number) Remarks ❑ LPG container (number) ❑ Unfired pressure mow ❑ &Awe Permit Approved by p ❑ Otber — Specify Permit fee+ LIST ALL EQUIPMENT AIR CONDITIONING AND REFRIGERATION EQUIPMENT Number Utatta Deeeriptiou, Metal Number Xsaviseturer (TM) AnZiat CITY OF ATLANTIC BEACH, FLORIDA Approved by I APPLICATION FOR ELECTRICAL PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE:. �`? � F )y �� 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. j �' /C `i 3 � F ELECTRICAL FIRM: {� M ER ELECTRICIAN SIGNATURE JOURNEYMAN NAME . I� E I-z%i 5 _ R (1 - J LDRESS:Y?/ 1 L, x . RFD BOX BLDG. SIZE BETWEEN: 7 I 1 �-t) g c 5r4/ 4/ RES.9 APT. ( ) COMM. ( ) PUBLIC ( ) INDUS. ( ) NEW ( ) OLDS REW. ( ) ADDITION ( ) TRAILER ( ) TEMP. ( ) SIGNS ( ) SQ. FT. SERVICE: NEW ( ) INCREASE ( ) REPAIR ( ) FEE CONDUCTOR SIZE AMPS COPPER ( ) ALUM. ( SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST. SERV. SIZE / 670 AMPS / PH 5 W 96 VOLT S 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 , 5755 1 DEPARTMEN OF BUILDING CITY OF AT BEACH . I - PERMIT -- PE INFORMATION .. PeriBit RNIT t NAT r ------ �. _ LOCATION INFORMATION 4 Address: 471 IREX ROAD Permit Type: RE-ROOF ATLANTIC BEACH, FLORIDA 32233 C l '� Constr. +�r�e +� Work: NEW : _ - ' `" LEGAL DESCRIPTION Type: WOOD PRANE Lot. - Block: Section: i Proposed Ue: SINGLE FAMILY Township: RNG: 0 Dwellings: 1 Code: 0 Subdivision: ROYAL PALMS F Estimated Value: *0.00 Iaapr . Coat: $0.00 Totel Peee :., *22. S0 [ Arnou ma P .: „, *22.50 • t)At ° , B/ 3/9 { c:at'k + - ;, r ., " , ,� . °"G# I QC MAT ISLB PELT - 20 -YEAR F /C3 SHINGLES � . _ 'w MATIOti - j 4 * "' ; APPLICATION FEES N �'' y ..4 ' ISTRATI# '' ' PERMIT 9 22 S 0 Ad ds ` . ROAD WATER IMPACT PEE I ' : °CR $LO.RIt A � 3 S „, ph ' fill 74 ,; . ':1,11.1:11 : "ii,,9 ... ''., - , ..,,, ';, 4 1 .: 0 - A te .11 1. • ' 1 RADON #SAS -H R 0 " - � - - x ` - y, Q Npt fAT N RA N GAS - 5`,G X10.00 --- H nme : QE ' GE` . O0 'IN „� WATER TAP $0 Addr ata -w- 4 , .- - VD,�`� --. , ., . SEWER TAP 0 .TACK . `ILLS, F'LQRIDA 32205 Lice � ei�, ��, OC1 -_ ~ r IIYflRAt1LIC SHARE �tt3, C?0 Type: 0 Re `FEE ,, p. 00 $ k SEC. H I.PIPACT FEE 40. �00 . "ter -° -rte NOTES: 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 SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITHER CONTRACTOR OR OWNER "FAILURE TO COMPLY WITH THE MECHANICS' LIEN LAW CAN RESULT THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS. VALI1lAilO$ D AT E :O /O4I' » RDfl -�r� * � � t Ili VIOLATION ISSUED ACCO OF.APPLICABLE ING TO PROVISIONS APPROVE OF PLANS LAW. WHICH ARE PART OF THIS PERMIT AND SUBJ ,t► , � r. ar `EVOC � i1CCCIPT * I i . tit341;6ATI $. tlt? ATLANTIC BEACH BUILDING DEPARTMENT By: 16 ' ' y ',-;' i'''---,,,.,..).-'---- . '' ' k • CITY OF ATLANTIC BEACH PERMIT APPLICATION ROOFING l ' Owner(s): , a i A., I 1 ' 6 p // 1/►/ OA Address: 1-19/ I/z eX J7 i2 r` ✓ e_ phone: ,3 99 Lot # Block or Unit # Subdivision Contractor: AA. if , i " Address: c 3 5 9 1/i° R./1/f? . fl /vee Phones /- Yt State License No. r c o V6/ 9 7 Describe work to be done: r.. Materials to be used: 1> s4 ,',V 7 /'s Signature OWNER: ' Date: $ - 3 - Y Signature CONTRACTOR: - f,