Levy Road 1610 FOR OFFICE U$E ONLY
Date----- �-...s............19
Permit
CITY OF ATLANTIC BEACH
Valuation ...... ...............
FLORIDA House #------------- .................__-------
APPLICATION FOR BUILDING PERMIT
----------.............----------------
------------................I----------- ....................
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 Atlaniie 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---------- 19...........
...... -w--------------------
___/ Wele�6ne N,.e
YJ. . ............... --------Address..
Owner-------44�: ------ �T
Architect-
--------------------------------------------- ------__Address----------- ..............................�/............Telephone No............. ---------
Contractor Builder--- c,
--------t-�. .... ........Address..._............................ ----------------Telephone No----------------------------
Lot No.A_ I�Io c-k----- --------------------Sub Division-----------------------------------___....................................Zone-----------------
Street--------------------------Side Between----------------------------__.....................and....------------------------------- ............Sts.
...................
0
Valuation $--- - --C)4k---om�---For what purpose will building be used-------------------------- .............Type of construction....... - --------------------------
111 T,
Dimensions of Building--kJ�,X.,11/0-----Dimensions of Lot-&-c_--- /, 0 y 6')
............ ......
.....Size of Footing.
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?----- �eVz_!�................
Size of Ceiling ................. Distance on Centers-------4--- ---------- Greatest Span...... -------�7, -----
Size of Floor Joists----------------------------------------- Distance on Centers....... ...................... Greatest Span--------- ........................
Size of Rafters........... ...... .......... Distance on Centers... C/------o__(" .--, Greatest Span......_4�-----------------------
--- ------ ------
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. N
2. When steel is in place and ready to pour columns and/or lintel.
3. When steel is in place and ready to pour beam.
EA
4. When framing is completed.
5. When rough plumbing is completed,and ready to cover up. Pq
6. When septic tank drain field or sewer is laid but before it is covered.
5
7. Electrical inspection by City of Jacksonville.
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 City of Atlantic Beach
Signature of Builder------- Address------------ .......................... ---- -------------------1�---------------
.................
Signature of Owner....... Address_-..--/I6,`.--- ....... ...............
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