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Mayport Road 2055 FOR OFFICE USE ONLY Dt-------- --—---- Permit ..Fee $------ J.-10.. TOWN OFATLANTIC13EACH Valuation ----7_e!:2610--------- FLORIDA House #---------------- --------------------- .. ------------------------------------------ .... ..4--- ---- - 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 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 fice so that licenses can be verified. Date------------ 71 -Y - ---------------------------------119-.J--- Owner---,.4y/? 'D........ �-----------------Address-----------------------------------------------------------Telephone No------ ------------- - ------------------------- ----------------- Architect------------- ------------------------------___--------------------------------------------Address---------------------------------------------------------Telephone No------------------------- Contractor Builder.----=Z�/77_-&-----------------------------------------Address- ------- TelephowNo 2, 4r Lot No----------------------------------------- -----_-Sub Div 4 1 _------Block N00110T- ------- is—-_-------- ------ ------ W/1 _7---k4one--------------- --------------------------------------Street----------------------.-SideBetween.---------------�;--------------------------._--and---------I--- - ------ 'Sts. 00 -------- - ___F------------ Valuation $__7,00o_I�For what Wrpose will building be used------ ----------Type of construct /� �K f Dimensions of Building_'_-0'4?_X_4__'(--------------Dimensions Qf LoL.,�ZZ-)(Ja-5/---------------Size of Footings--- Size of Piers_% _,�__Si,e of Sill Span in ft.__4___'-(=--'/Type .0 How will Building be Heated?__,0 Ae6l4t4�64------Will Building be on Solid or Filled Ground? ----------- Size of 'Ceiling Joists-.--.--:!Y-x...(.0-----------_, Distance on Centers..----- ----------------------- Greatest Span------------------------------------ Size of Floor Joists.------ ------.-, Distance on Centers.--------- 4, ------------.--, Greatest Span-----------_---------------------------- Size of Rafters------------------*1X_A----(0------------, 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. 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. 4. When framing is completed. 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain field is laid but before it is covered. 7. Electrical inspection by City of Jacksonville. S. Final inspection. Note: In case of any rejection,re-inspection MUST be called forafter corrections are made. POW^ 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 Atlantic Beach. Signature of Builder...... -----------/1-----­------V....................; Address------------------------------ Signature of Owner ---- Aodress...--------------------------------------------------------------------------------------------- b AA e:.� k��,4 r Instructions to Builders and Contractors building or working in the Town of Atlantic Beach 1. No work on any building *hall. be started without obtaining the necessary permit. 2, No changes in the approved plan shall bemade without the approval of the building Inspector, 3,, Inspection#; The folLowing inspection* shall be called for: A� Foundation, wben, steel is in place, B. Plumbing, rouqh" C. Lintle, whan steel in in place. D. Framing, before any wall covering is placed. Z. 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 iosu*d. No building shall, be occupied, before said certificate is issued. 5� Plumbing permit does not cover Sewer connection permit. 6� All contractors and sub-contzactors shall have occupational license issued by Town of Atlantic Beach before doing any work within the Town. Limits. Contxactorm 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 fine not exceeding $500.00 or imprisonment for not exceeding 90 days, or by tvDth 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 & 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 furniabed a copy e-�f a abgve instructions '0-e in connection with Building Permit go. Date Signed