Permit 195 Jackson Road \ FOR OFFICE USE ONLY
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• ` Date__ 195 -
` / /00
Permit # I e3Fee $___. .)-
TOWN OF ATLANTIC BEACH , ,.,/ o
r Valuation $ ! e' 0 0
FLORIDA House #
✓ e' S O ff
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 Town of Atlantic Beach, Florida, and all provisions of the Laws of the State of Florida, all ordinances of the Town of Atlantic
Beach and all rules and regulations of the Building Department of the Town 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 Town 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 / f' - -3) , 10
Owner ----
/__ / rC Address Telephone No.
Architect Telephone No
Contractor Builder__ . / Telephone No.
Lot No. __ < P1 27,0 dl K. O la 7 Sub Division Zone
,,C ,/'r Gc_ Gk_ S oi'1 i Street Side Between and ��''' Sts.
Valuation $_._'_1%L�00 �--s For what purpose will building be used Type of construction /-C ..�c/ 7e.
ow Dimensions of ‘ . 1 ( of Lot AO 0 X /42J Size of Footings _ iffiX `✓C9
Size of Piers - ` '',,.C -- = Size of Sills ‘9 Cm - __ Greatest Sill Span in ft. Type Roof A.C- /1 1 e
How will Building be Heated? // Will Building be on Solid or Filled Ground?
Size of Ceiling Joists 1' x_(cs , Distance on Centers , Greatest Span "
Size of Floor Joists '1 ' x a , Distance on Centers , Greatest Span PP
Size of Rafters le X t, , 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.
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 W
2. When steel is in place and ready to pour columns and /or lintel. Z Z
3. When steel is in place and ready to pour beam. i=i : 1
4. When framing is completed. O
5. When rough plumbing is completed, and ready to cover up. 3
W W
6. When septic tank drain field is laid but before it is covered. A A
7. Electrical inspection by City of Jacksonville. rn
8. Final inspection.
Note: In case of any rejection, re- inspection MUST be called for after
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 Town of tlantic Bea
Signature of Builder. )
*Meat. _ _. ddress L7 y � 'Ll�l C �� ° �''
Signature of Owner �� Address
Instructions to Builders and Contractors banding or working in thc
Town of Atlantic Beach
1. No work on any building shall be started without obtaining the
necessary permit.
2. No changes in the approved plan shall be made without the approval
of the building inspector.
3. Inspections: The following inspections shall be called for:
A. Foundation, when steel is in place.
B. Plumbing, rough.
C. Lintle, when steel is in place.
D. Framing, before any wall covering is placed.
E. Electrical, City of Jacksonville.
F. Septic tank or sewer, before covering.
G. Plumbing, final.
H. Final, when all work is complete.
Any concrete poured or work covered without the necessary inspection
shall be removed or uncovered at the request of the Building Inspector.
4. After the final inspection and upon submission of a drawing showing
the size and location of completed building on lot to the Building
Inspector a Certificate of Occupancy shall be issued. No building
shall be occupied before said certificate is issued.
5. Plumbing permit does not cover sewer connection permit.
6. All contractors and sub - contractors shall have occupational license
issued by Town of Atlantic Beach before doing any work within the
Town Limits. Contractors shall furnish certificate of liability
insurance when obtaining license.
7. The penalty for violation of any provision of the Building Code or
of Ordinance #186, shall upon conviction thereof be punished by trine
not exceeding $500.00 or imprisonment for not exceeding 90 days, or
by both such fine and imprisonment.
8. Copies of The Southern Standard Building Code and Ordinance #186
are available at the Town Hall for reference.
9. When a sidewalk exists across front of building lot, said sidewalk
shall be placed in first class condition before final inspection
is requested.
I have read and been furnished a copy of the ve instructions
in connection with Building Permit No.
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Date - v-1d.S f��/
O Signed / /�� •
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40,
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