Loading...
Permit 75 Lewis St (vault folder) js r j, CITY OF ATLANTIC BEACH .-, 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233 INSPECTION PHONE LINE 247-5826 Application Number . . . . . 03-00025679 Date 3/14/03 Property Address . . . . . . 75 LEWIS ST Tenant nbr, name . . . . . . REPLACE ROOF Application description . . . ROOF Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 2300 Owner Contractor ------------------------ ------------------------ COHEN, SAMUEL CROSBY ROOFING 11222 PINE STREET ATLANTIC BEACH FL 32233 JACKSONVILLE FL 32258 (904) 655-6156 ---------------------------------------------------------------------------- Permit . . . . . . ROOF PERMIT Additional desc . . Permit Fee . . . . 68 . 00 Plan Check Fee . 00 Issue Date . . . . valuation . . . . 2300 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 68 .00 68.00 .00 .00 Plan Check Total . 00 .00 .00 . 00 Grand Total 68 .00 68 .00 . 00 . 00 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 CONSTRUCTION LIEN LAW CAN RESULT IN THE PROPERTY OWNER PAYING TWICE FOR BUILDING IMPROVEMENTS"ISSUED ACCORDING TO APPROVED PLANS WHIM ARE PART OF THIS PElIt41T AND SUBJECT TO REVOCATION FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. W TIT mmn nrvirTAT. . CITY OF ATLANTIC BEACH PERMIT . CALCULATION SHEET Address Date Heated Square Footage 4 per sq ft .= $ t Garage/shed $ per .sq ft = $ Carport/Porch 11 per sq ft .= $ Deck @ $ per sq ft = $ .Patio @ $ per sq ft = $ TOTAL VALUATION: S .Total Valuation 1st i3 $ ( 0 'Remaining Value . $ 5: per thousand or :portion thereof TOTAL BUILDING FEE 747. + 1/2 Filing Fee $ ;23 (. ) F.ir.eplaces . @ . $15 . 00 $. BUILDING PERMIT FEE $ WATER IMPACT FEE $ SEWER IMPACT FEE $ WATER' METER/TAP $ CAPITAL .IMPROVEMENT, $ SEWER TAP $ ( ) RADON . (HRS) .0050: $ SECTION H PAVING ( ) $ HYDRAULIC SHARES $ CROSS CONNECTION. $ ( ) SURCHARGE .0050 $ - OTHER $ GRAND .TOTAL DQE $ ADDITIONAL PERMITS OR FEES : ,Mechani,cal ; Plumbing Electric/New Electric/Temp ;SwimmingPool Septic Tank Well Sign Finish Floor Elevati.on Survey Other CALCULATIONS and/or NOTES : f Q 1 r^^r t... (E 1 "•1� ! MAR 1 2 200') s� CITY OF ATLANTIC BEACH ROOFING PERMIT APPLICA IST Date: �Z ZQ— j r Job Address: 2 5: C / f S I—RwTl Owner of Property:SAN—CALL Cy/IAZ Address: Lew " 5 St 14M+ Telephone: Contractor: State License Number: G no 5 L G j G RGVED Contractor's Address: g �' L L1TY OFATLAi, r, Telephone: Fax: Scope of Work: ' � 20 Deck Slope: t Z12 Greater than 2:12 Less than 2:12 Valuation of work: Product Name(Example: Timberline): Manufacturer(Example: GAF): ASTM Designation(s): Required Inspections: Sheathi and Final ` Signature of Owner: Date: Signature of Contractor: Date: (j AS TO OWNER: f p Sworn to and subscribed before me this day of A�l (/\Cq State of Florida,County of Duval Notary's Signature: ePei Soon W ❑ Personally known �'h'�0'""1ii8i0" ❑ Produced identification ExW"oclotw 8,2005 Type of identification produced AS TO CONTRACTOR: Sworn to and subscribed before me this Z day of ,200 -3. State of Florida,County of Duval Notary's Signature: L OW Soon W Chang Personally known ok• W Conk"00083248 El Produced identification Kvku owabw 6,=5 Type of identification produced 800 Seminole Road •Atlantic Beach,Florida 32233-5445 Telephone: (904)247-5800 •Fax: (904)247-5845 •http://www.ci.atiantic-beach.fl.us Page 1 Revised 2/21103 'w 1 yLAJ` CITY OFATLANTIC BEACH u� 800 SEMINOLE ROAD ATLANTIC BEACH,FLORIDA 32233-5445 TELEPHONE: (904)247-5800 �} FAX:(904)247-5805 SUNCOM: 852-5800 http://ci.atiantic-beach.fl.us PLAN REVIEW COMMENTS Permit Application # 03 -a S(c 7 9 Applicant: O ro.5 Address: '7 S Le. Project:_ re-- roO F o Your application is approved o Your permit application has been reviewed and the following items need attention: Please re-submit your application when these items have been completed. Reviewed by Signed Date Contractor Notified Date i I DEPARTMENT OF BUILDING 6404 O /1 4 CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. y PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB February 26 84 7J 1 L 1 r„ MU Date 19 1 U00 Valuation$ RENEWAL Fee$ NO Charge This permit not valid until above fee has been paid to City Treasurer,and is jsubject to revocation for violation of applicable provisions of law. This is to certify that Roberts Temple Church 75 Lewis Street Atlantic Beach has permission to� Remodel/Renovate Classification Zone I Owned by Woberts Temple Church l Lot Block S/D i House No. 75 Lewis Street, Atlantic Beach According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE --► ��--i O Building material, rubbish and debris � Zi from this work must not be placed in public space, and must be cleared up and hauled away by either con- tractor or owner. John M. Widdows Building official. ,2 i FOR OFFICE PERMIT DATE CoN TOR USE ONLY NUMBER PLUMBING ELECTRICAL I SEWER WATER I I , i i DEPARTMENT OF BUILDING. Q i CITY OF ATLANTIC BEACH,FLORIDA PERMIT NO. 4 9 0 5 PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB .WJCAC DateTANUARY 26 1982 k229 ( A 1 JcU/U I UUU1 I Valuation$ N/A Fee$ EXEMPT 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. I This is to certify that ROBERT TEMPLER CHURCH has permission to build ADDITION TO EXISTING QMCH (DINING ROOM) AS PER PLANS SUBMITTED I Classification CHURCH Zone DONNER (RD) Owned by ROBERT TE14PLER CHURCH Lot 15 Block 2 S1D DONNER House No. 75 LEWIS STREET According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIX MONTHS „ AFTER DATE OF ISSUE 0 Building material, rubbish and d is from this work must not be pl d in public space, and must cl ed up and hauled a e t n- tractor or o .-r. A WTI LlI guilicUng Official. ` FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER I PLUMBING i ELECTRICAL SEWER WATER > DEPARTMENT OF BUILDING 3549 CITY OF ATLANTIC BEACH.FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date Dec A 19 7? Valuation$ NA Fee$ No Charge This permit not valid until above fee has been paid to City Treasurer,and is subject to revocation for violation of applicable provisions of Lw. This is to certify that Robert Templer Church hall permission to build addition to existing church (dining room) Classification Church Zone Owned by Lot Block ,�jD House No 75 Lewis Street According to approved plana which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE x 4 10 4 ► 0 Building material, rubbish and debris i ,ZI from this cora d m not be placed in public space, and const be cleared up and hatiled away by either ceettractor or owner. Paul R. Steckla Building Official. FOR OFFICE PERMIT �ryryry USE ONLY NUMBER AitLr S ,,.� TR R PLUMBING ELECTRICAL All BEWER WATER FOR OFFICE USE ONLY Date ::7;'Y7--199T TOWN OF ATLANTIC BEACH Permit #-4.0.�'_%osee $---- 0 0 Valuation $---_3Q_r---�-7r_ -1.............. FLORIDA House #-------------------------------------------------- ---------•---,jam--------- C­­------­--------- 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----- "O';?------- -------------__-, Idliff. ----------._------------------- --- ------•---Telephone No----------_---------------- Architect------------ ---------------------------------- ----------•--------------------•---Address.-----------•-------------------------------------------Telephone No.----.--•---------........- Contractor Builder._-------_---------------------------------------------------------------Address-------------_--------------_------- ----Tell --Tel h No.-----_------------------- Lot O_---------------­-------- A 7,o Lot No--------------- S_�----------------------Block No---------- ----------- Sub Division._40'0/"_ e/----------------- -------.Zone.----------- - - ..... ------- --------Zone.----------- --------- --------------------Street-----------------------'Side Between----------------------... --------------and-------_--------------------------- Sts Valuation what purpose will building be used.__C_J�71�� _._--_Type of construction- Dimensions of ,--____---Dimensions of --..__.__._-.Size of Footings--_ -------- Size of Piers___-.-___.__ ____-_.-_-.___Size of Sills__..__.- ---------- Greatest Sill Span in -- ------ -----------Type _ - How will Building be Heated? .X -..____.._Will Building be on Solid or Filled Ground? Size of Ceiling Joists------!rX--- -------------- Distance on Centers_._...._/-6,*"/ Greatest Span---/3--- --------------------- Size of Floor Joists___-__.-- ---------- Distance on Centers...... ------------ Greatest Span..--/- ------------------------ Size of Rafters----------------- F_ '7!t ------------------ Distance on Centers ------ ------------------------ Greatest Span----- -----•------------•--• This .....----------- 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. Z 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 for after corrections are made. FRONT OF LOT In consideration of permit given for doing the work as-deicribed in the above statement, we hereby agree to perform said work in accordance with the attached plans and pecificati ons, which area part hereof, and in accordance with the building regulations of the Town o ir,.Beach. Signature of Builder-*--, -1--- ------- -­---­ ---------- Address----------•--------------•- --------------- Signature of Owner_------------------------------------------------ - --------...... Address-- ;' E :� �'s V x`4.3-�� ti .. _ ? --... .,.._..__... ,.,......,ni ,�_......_ w. .. _.. � .. ,� i �-- .. t fx� l j � _ '� i 4 ` F ^��. �' $"+; r ..,...»..... �a.y .... ' � }'-. N" .«uvn<3.ea�, x .....y. �. .....� ;5:*.F:: k �i y c 5 � .,. O , _ _. ---.._..____ ({} � . a � t ;. ` Y k � a S � Y � � "' " r: �... �►. . �_ •� F r E 1 w - :.A �... .... -,-�..,.., '�'n"`^".-w^ .... .e-ten... .:...Ws.:xrr.... i _sem...._,-. ',. .. ., ......e..w .. �.e '0.H (' r W,..w,..Yy d. ,� _i 4� F" x - fj} s .__ �j - i>�� ay u.. �.r rtlr.:: �. .. DEPARTMENT OF BUILDING 3549 CITY OF ATLANTIC BEACH. FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB Date x)Qr' 19 � Valuation$ WA - ---- Fee $ No Charge This permit not valid until above fee has been paid to City Treasurer, and is subject to revocation for violation of applicable provisions of Lw. i This is to certify that Robert Templer Church I has permission to build addition to existing Church (dining room) Classification Church Zone_ Owned by Lot Block S/ House No 75 Lewis Street According to approved plans which are part of this permit NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST BE IN- SPECTED BEFORE POURING. PERMIT VOID SIR MONTHS AFTER DATE OF ISSUE � � ► 0 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. Paul R. Steckla Building Official. FOR.OFFICE PERMIT USE ONLY NUMBER 7P PLUMBING PLUMBING ELECTRICAL SEWER WATER REAP GROUND *� .EYE tV CitYqa�f Atlantic Beach +� tlSTOMER RECEIPT *** — r — Dper: DSMITH Type: OC Drawer: I Date: 3/14/03 01 Receipt no: 420% y EXIS TINCT Des ion atAmount 25679 L04,4� BUILDING PERMITS 1 $68.00 der detail CASH $IN.00 al tendered $100.00al payment $68.00 nge $32.�ns date: 3/14/03 Time: 9:14:4fi i r h 1 1 1<— AP-PROVED CITY OF ATLANTIC BEACH BUILDING OFF)CE DEC 6 1977 fi d t BUILDING PERMIT APPL# ATION + V JURISDICTION OF APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL LOT NO. G(/I BLK. TRACT 1 DESC R. ([:]SEE ATTACHED SHEET) ,L OWN � / MAIL ADDRESS ZIP + PHONE _jeel CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 ARCHIT CT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 !o H� %a ems' 5 ENGINEER MAIL ADDRESS PHONE LICENSE NO. G CLASS OF WORK: [-]NEW ADDITION ALTERATION E REPAIR MOVE REMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A.PROPOSED USE GROUP > )MASONRY c_kJ NUMBER OF STORIES. RESIDENTIAL NON-RESIDENTIAL —WOOD FRA(fle TOTAL SQUARE FEET OF FLOOR —STRUCTURAL STEEL AREA,ALL FLOORS.BASED ON —REINFORCED CONCRETE EXTERIOR DIMENSIONS ]ONE FAMILY DWELLING ASSEMBLY —OTHER -SPECIFY TOTAL LAND AREA,SQ. FT. []TWO OR MORE FAMILY DWELLING: R BUSINESS (OFFICE) NO.OF UNITS H.NUMBER OF OFF-STREET EDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES []HOTEL,MOTEL,DORMITORY, ENCLOSED NO.OF UNITS FACTORY-INDUSTRIAL —GAS OUTDOORS _OIL []GARAGE HAZARDOUS —ELECTRICITY 1. RESIDENTIAL BUILDINGS ONLY _COAL OTHER-SPECIFY NUMBER OF BEDROOMS CARPORT INSTITUTIONAL — APPROVE D []OTHER-SPECIFY []MERCANTILE CITY OF CH E.TYPE OF SEWAGE DISP0l§0I4 D N��TIC dQF BATHROOMS []STORAGE PUBLIC OR PRIVATE.C{ ANY FULL []OTHE -SPECIFY —.PRIVATE (SEPTICTAUtbrc.)6 1977 {PARTIAL 00 F.T'jvYPE OF WATERB UP G _PUBLIC OR PRIVATE COMPANY _PRIVATE (WELL,CISTERN) B. NO rhIhQA DESCRIBE IN DE�yE PROP ED �S�i! /E EB UI DFS Gr! 'CA 8 VALUATION OF WORK A. BUILDING$ B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F. TOTAL VALUATION I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT- CONSTRUCTION OR THE PERFORMAN E OF CONSTRUCTION. a( /SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) _ r w ,Ad'dress - 1 eeatted Square Footage sq ft = $ garage/Shed @ $ Per sq ft = $ , - $ Carport/Porch 1: , @ $- per sq ft = Deck �` t @ $ per sq ft $ Patio ` 1 ' f @ $ per sq ft = $ TOTAL VALUATION: $ n Total Valuation 1st $ Remainder Valuation per thousand or portion thereof ------------------------------------------- Total Building Fee $ - ADDITIONAL PER11TS and/or FEES REQUIRED ; + zFilm, Fee $ ;�Fireplaces @ 15.00 $ _ Mechanical - BUILDING PERM FEE $ PlLrbing — Electric/New ------------------------------------------------- Electric/Tem Septic Tank BUILDING PERMIT $ WATER METER CHARGE $ - c Well -r -- SEWER IMPACT FEE $ r� _ Sid ming Pool -- WATER DTACT FEE Sign MISCELLANEOUS Water Connection Sewer Cormection Water Meter $ Elevation Certificate -- GRAND TOTAL DUE $ ---------------------------------------------------------------------------------------------- CALCULATIONS and/or NOTES r o" IV � y CITY OF ATLANTIC BEACH PERMIT APPLICATION REMODEL, ADDITIONS OR ALTERATIONS DE LITIONS Owner (s ) :_W©6,57tR-TS _ t /vt PLS {-EuQcl4 ______ __ __ _ 7� ----------------- -____------------Phone .---- Address s --5* Lot # Block or Unit # Subdivision Contractor : V W 1,1E ___________________ CA121 l(_o__ t_L Describe work to be_ r done pig r -~i o.J- -rc) W o2st- a_LA N u -c i------------------------- ---------------------------------------------------------------- Present use of building : C_Q�t 2C_,L4__ Valuationof Proposed Construction: _ _ __ 3�`," ---------------------- ----•--------------------------- Proposed use c=_4LLR_C•E ------------------ ------------------------ Is this an addition?_L{r_5___- If yes, what are the dimensions of the added space: I a%_1f t. X ft. Will the added area be heated and cooled? C= s New electrical (or increase) ? NO__ New plumbing fixtures?N_o__ New fireplace?No_New Heat/AC?________ SUBMIT THREE COMPLETE SETS OF PLANS, INCLUDING SITE PLAN, SURVEY, ENERGY CODE FORMS, NOTICE OF COMMENCEMENT, AND OWNER/CONTRACTOR AFFIDAVIT, IF OWNER IS CONTRACTOR. /I � fzrt 1 GIY�O�ILC �tt�fC Signature OWNER _ __-- _Signature CONTRACTOR : _CONTRACTOR : _______-___ Date:___________ '' '" ' RCSVE✓d 1 LANTIC BEACH Y ZONING OFFICE 2 r 1392 5�• AUG 21992 '�' TLA. 1*47 LAws nAMCO IOIIM Ise /f 71!.17 N�t`tr a Of Iff amm ettremrnt sM[►AR9 1M au►LIGAY61 The undersigned hereby informs all concerned that improvements will be made to certain real property, and in accordance with section 713.13 of the Florida Statutes, the following information is stated in this NOTICE OF COMMENCEMENT. Description of property....7n....L Ey4.f.s......�-�...f:»K e.g....1......................................»..............................»....»......»..w.....».................. .........................».......................................»................._.............................».......................»................................ ».............»......_... ....».._. ......... _.........................................»..............................................................................................................................»..............».»......._..._.�»..........» . ....... General description of imiprovements... }.. .?�...'•.�...'•.°^ .....T...Gi,....�:�.�:���2e.a�..».»...... .................................................................».........................................................................................................».....»...»................................... Owner....TIP. TI'f LV e.-.. ........ U....S c....N................................................................»........»..................»...»............ Address.. ......d- .► ?.t... ...:............................................................».......................»...... ..............»... ..........................._.......... Owner's interest in site of the improvement......... ».......... .....» �i�.P 4.»................................».....»»......». .....�.................. Fee Simple Title holder (if other than owner) Name....... :?.`E:....................................... .................................................... ............................................ ............. ......................... Address...... ..........................................................................................................».................................»........»..............................._.........., Contractor.......,: ? ..r ....»................................»...........................................................................................»........»............»»._....._...... Address..........................»....................».....................................................................................................................»..................... .»»..._ Surety (if any).... . . .».».............................»..............».............................................................................. »........»..............»..........................» Address............................................................................................................................AF11010'" of .................._......... Name of person within the State of Horide designated by owner upon whom notices or other downents .nay be serve& Name........ti»t ..................................................».................................................................».....................»......».....................»...»....».».»..._. Address............»...»................».....................................................................................................................................»........................................... In addition to himself, owner designates the following person to receive a copy of the Lienors Notice as provided in Section 713.13 (1) (F), Florida Statutes. (Fill in at Owners option). Name.... .. ................................................................»...................»..»....................».. ....................................._.................».».....»........»..... Address....................................................».................................................... . _..............,.......� ._»...................................»...... This op"s Von anconotnY uet ONLY 1 t i OWNER BUILDER PERMIT AFFIDAVIT�-'' Stute of Florida ) City of Atlantic Beach BEFORE ME, the u' dersigned authority, personally sppearvd who upon fix at being duly sworn, deposes and' sayst -Jow�( 1 I, _CD t�2L:.__� --------------� and the legal owner of the following propertys Subdivision _ Block _ Lots"_ AKA I am applying for a building permit pursuant Lo Ltse Owner Builder exemption not forth in Florida Statute, Section 483. 103. Florida law requires that I have been provided with ttsw following DISCLOSURE STATEMENT: DISCLOSURE STATEMENT •State law requires construction to be done by licensed contractors. You have applied for a permit under an exemption to that law. The exemption allows you, as the owner of your property, to ,act as your own contractor even though you do not have a license. You must supervise the construction yourself. You may build or improve a one - or two family residence or a farm outbuilding. You may also build or improve a commercial building at a cost of $25,000.00 or less. The building must be for your use and occupancy. It may not be built for sale or lease. If you well or lease more than one building you have built yourself within one year after the construction is complete, the law will presume that you built it for sale or lease, which is a violation of this exemption. Your construction must be done according to building codes and zoning regulations. Yt is your responsibility to �._...� �....,._ L{-.♦ .—�....�.t w .�..�...1 wuwd hu uw.• he.u� 1 j wa��ee m r � m } i Ap,PROVED CITY 9,F ATLANTIC BEACH BUILDING OFFICE SEP 0?, 1 92 AR O V D CITE LDINLGNTFFBCECH SE 2 81992 39 h. _ ti r ryh , ► 1 rop(?Scot iris a 7o $e- 3040 P ► cw��� �� t x C o j S k.L7iIaili� 3 c\ e� } e\ (l 1 I I k i i �I I APPROVED CITY OF ATLANTIC BEACH BUILDING OFFICE, SEP 0 2 1092 � 1 Cif ' i i "IT il i � . / AQ I profosed >�..dd�� n no�cs C-- Q. sk 6 To 8e- 3000 C-ah�-+ c UC.v a E n II��Ya 6l' l�rr T-- -T T 0 A 101 -7/1 1 TO7 Exi \ W � � s i v 6 pPROj1C 6 ASK Z p;PPRCOV � D PaQ�7OsEd P� CITY OF ATLANTIC B£AC`I ( s PLANT NINS R 10�1ic1^ �FFirE IA 27 1992 !D E- ol By vt a� v 7i �Z ��fili Y6 kxf2E .� SI 6 l f D Ex fie &wc6!, L.-tic j 71 6 AE!j &uceiw d a i f s O m v N LJ1 ti � r 3 G._ck it;--j Z O C."'1 x OWu rn � ag z o CL w �, ;t r MINUTES OF THE COMMUNITY DEVELOPMENT BOARD OF THE CITY OF ATLANTIC BEACH, FLORIDA August 18, 1992 7 :00 P. M. CITY HALL PRESENT Gregg McCaulie Mark McGowan Robert Frohwein Pat Pillmore AND Alan Jensen, City Attorney George Worley, II, CD Director Pat Harris, Recording Secretary ABSENT Samuel Howie Ruth Gregg Dari Wolfson Chairman Gregg McCaulie, called the meeting to order and asked for approval of the minutes from the meeting of July 21, 1992. Upon motion duly made and seconded said minutes were approved. NEW BUSINESS: I. Application for Variance filed by JoAnn Agosta to allow an arbor-type structure to remain on the property located at 702 Cavalla Road. Ms. Agosta introduced herself to the board and explained the reasons the Variance was requested. She explained that her daughter resided at the residence and due to a serious health problem the arbor-type structure allows her to venture outside the building. After discussion, Mr . McGowan moved to approve the variance for as long as the daughter resides at the property. Mr. Frohwein seconded the motion and it was unanimously passed. II. Application for Variance filed by Dorothy and Stan Jones to park a motor home in the front yard setback of property located at 2051 Seminole Road. Mr. Jones introduced himself to the board and stated the reasons a variance was being requested. He explained that the motor home had been parked in said location for several years in violation of the codes of the City and there had been no complaints until recently. He stated he had filed an application to construct a new residence on Beach Avenue and he would be able to move the motor home to the new location and bring the violation into compliance. Also present at the meeting were Windsor Bissell, Warren Anderson, individually, and on behalf of Dr. L. A. Masters, Becky Church and several other residents of the community who voiced objections to the application. After discussion, Mr. McGowan moved to approve a limited variance permitting the parking of the motor home at its current location for 3 months during which time Mr. Jones will be constructing his new home and would then move the motor home to the new location. This item will become an automatic agenda item at the November meeting. Mr. Frohwein seconded the motion and the motion was passed unanimously. III. Application for Variance to construct an addition that encroaches the rear yard setback requirements at Roberts Temple Church located at 75 Lewis Street. Carl Howell, deacon at Roberts Temple Church, introduced himself to the board and explained that the Church needed the extra space for seating purposes. He stated that many members were now standing. He also advised that constructing the addition elsewhere would further reduce the available parking on-site. After discussion, Mr. Frohwein moved to approve the variance as applied for, Ms. Pillmore seconded the motion and the motion was passed by a vote of 3 - 1. IV. Application for Variance filed by William H. Morris to construct an addition to a non-conforming structure at property located at 1433 Beach Avenue. Mr. Morris introduced himself to the Board and explained why the variance was being requested. Specifically, Mr. Morris requested to retain the bathroom which encroaches the side yard setback. }ie presented pictures and plans to the Board. After discussion, the Chairman moved to deny the application, Mr. Frohwein seconded the motion which failed by a tie vote. After further discussion, Mr. McGowan moved to approve the application, Ms. Pillmore seconded the motion and it was passed by a vote of 3 - 1. V. Application for Variance filed by Michael Rinaldi and Sophia Winter to allow construction of an 8-foot privacy wall at property located at 155 Oceanwalk Drive South. Mr. Rinaidi introduced himself to the Board and explained that the reason the variance was being requested was that he had redesigned the construction and footprint of the home on the Property to comply with the request of the Tree Board to save several trees. He presented to the Board a letter from the Homeowners Association consenting to the variance. Chuck Hardman introduced himself to the Board and stated he was the builder and explained that the wall would be constructed to conform with the construction of the home and would be an attractive addition to the neighborhood. After discussion, Mr . Mcgowan moved to approve the variance, Ms. Pillmore seconded the motion and the motion failed by a tie vote. After further discussion Mr. Frohwein moved to approve the variance as requested, Mr. McGowan seconded the motion and it passed by a vote of 3 - 1. ULD BUSINESS: Mr. Frohwein brought up the subject of a previous variance that had been denied and presented a plan for proposed construction which involved encroachment of side yard setback line. City Attorney Jensen stated that the Board could adopt rules to govern proceedings which could contain a method to reconsider a previously denied application. He stated that the item should be on the agenda and properly noticed. There being no further business to come before the board, on motion made and seconded the meeting was adjourned. SIGNED: ----------------- ATTEST: ----------------- ?884 DEPARTMENT OF EUIL.DINO CITY OP%ATLANTIC 6EA0H r 7.7 -------- LOCATION INFORMATION ------ 7884 _. , _ 788P Address. 75. LEWIS STREET Permit Type HUILbI"NG ATLANTIC BEACH, FLORIDA 32233 ,",ass of work: REPLACMT PERMIT LEGAL DESCRIPTION `Constr. Type. WOOD FRAME Lest : Block: Sect 'i r Proposed idr Use: +"HtTRC ! '�`�►WTII'�"��.p: RNG. 0 Dwell", i gs. 0 Code: 0 Subdivision: sti1iiiead; Value. S0.00 r Improv. Cast : $0.00 Tota ` $01.00 Work .L s IT NO. 5850 TION APPLICATION FEE PIa CHURCH PERMIT # .130dtlr ss. STREET IT IMPACT FEE tllrt �',q ��jyyl(��y FLORID , m`k Ph,M dtAW A£ ?�' 1 9 'rh• W � A RADON GAS-H.ft.S. .: �,.=..., R ORMATI RAIIQI!1" CAH 5 $td.4!3 name, QP t ER CAPITAL IMPROVE. .rUtD S�iT ...`1~ P $O .rt� HYDRAULIC SHARE $0 .0o Type: ' l CROSS CONNECTION ",�0 SEC.H� "IMPACT FEE #3 .C NOTES: l i 7t P l l NOTICE+—ALL.CONCRETE FORMS AND FOOTINQ►S MUST BE INSPECTED BEFORE POURING { PERMIT VOID SIX MONTHS AFTER DATE OF lS, r i iUII.DING MATERIAL,RUBBISH AND DEBRIS P40t.4"THIS WORK MUST . Mfr`PLACED IN,PUBLIC SPACE,AND MUST BE r , EARED UP AND HAULED AWA1'"f31°EI -HSR CONTRACTOR pig OWNER " s: f`�AI .iJRE TQ COMRL.Y.WiTM THE MECt1AN16i� LIEN LAW CAN RESULT IN THS' ';,T PEAT OWNER PAY1i1ia TWICE �tJR �iL.�1�� IiU►iPRO�/E�iE I�"S.'' a s tS 77 I;E? ACCORDING TO APPROVED PLANS WHICH ARE PART QF THIS PER AND"SUBJECT TO REV -,F— I { ' O OF APPLICABLE PROVISIONS OF LAIN. ICg4t+5f W 'c •� ALANT " BEACH BUILDING DEPARTMENT 00000000 0004000p0 't.tl0 14 Date! V14/94 01 IIrpI:: 00 187 y' A I (11-i Y Aji E}il`sGt' G°f �.L!iiS:�S4"EC'; C..4ii�4 REQUEST FOP, INSPECTION Date___._.__ Permit No. Time ,LI) f7 A-V: Received RIV, J dress ca!ity Owner's Name — Contractor BUILDING RETE ELECTRICAL PLUMBING INIECHANiCAL Framing oo,ing Rough Wiring Rough Air Cond. & Re iRoofing S'ab Temp Pole Top Out Heating Insulano i Lintel Final Sewer __ Fire Place Pre Fab READY FOR iNSPECT{CN Mon_ Tues- Wed. Thurs. Friday AhJ:. Ir�spec?ion Made _--�_ '� P Fina!Inspection Certificate of Occupancy - Gate _ _ 1 CiT 3 OF r-'S•±>syi-r.i.�%t-^ !,..�7 a��s j,o.��:�.'Y°v�,ii . Oi;ice of BuEd-ing Official REG- T 'FOR 1NSPIOC! Permll No. Date A.r'. Time � P. Received _ Locality Job Address Owner's Name — �LcCTR!CAL PLUt'BING MECHANICAL U{ CO,.CRcTE Rough Air Cond. Fcopmc Framing - Top Out - Healing Re RooFina{ting Slz.b Fi r'l Sewer Fire Place r Insulalior; Lintal Pre Fab R >:D't` PO {\SPCT40i A.M. Tl—;urs, Friday --P.M. Mon. Tues •;' ---'? {non Mac,. -- - - - - - - _ nspcion i ,ate r'Occupancy CITY OF 12"4Z4-I ja r Office of Building Official REQUEST FOR INSPECTION Date _ �' Permit No. Time A.M. Received1�_ P.M. Job Address Locality Owner's + Name Contractor LAJt CONCRETE ELE CAL__-----PLUMBING MECHANICAL � Footing — ough Wiring ._ — ugh "`#+�..Cond. __ Re Roofing S!ab Pott, Top Out � _.t`ieafing Insulation _ Llnte! C Final r ePILY"- Fire Place _ Pre Fab READY FOR INSPECTION A.M. Mon. Tues Wed. Thurs. Friday P.M. A.M. Inspection Made �c� �_ �� P.M. inspector__ ,/ Fina! Inspection C �..=--� / Certificate of Occupancy //�� Date CITY OF Yq&aa4c B -99&uda � Office of Building Official { REQUEST FOR INSPECTION Date Permit No. J Time / A.M. Received P.M. Job Ad s cality Owner's Name f � -� Contractor BUILDING CONCRETE ELECTRICAL r'��.t1Nt81- MECHANICAL Framing - Footing - Rough Wiring Air Cond. & Re Roofing Slab Temp Pole Top Out Heating Insulation _ Lintel _ Final Sewer - Fire Place Pre Fab READY FOR INSPECTION Mon. Tues. Wed. g Friday Inspection Made _ _ —.PM, n.spector C _ Final Inspection Certificate of Occupancy _ Date - — --- // CITY OF 4d w 4c Ae"4-I&W44 Office of Building Official REQUEST FOR INSPECTION Date �( Permit No. Time r /1 Aim. Received P.M. Job ddres cality Owner's Name on ractor BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL Framing ❑ Footing Rough Wiring ❑ Rough ❑ Air Cond. & Re Roofing ❑ Slab Temp Pole E Top Out ❑ Heating Insulation ❑ Lintel ❑ Final _ Sewer E: Fire Place Pre Fab READY FOR INSPECTION A Mon. Tues. Wed. Thur Friday F Inspection Made inspector Final inspection ❑ Certificate of Occupancy ❑ Date t�P IC -- �e ci H Ar //CITY O -f FOTF-V Pef-m CF4 - IYkLsf> /3P444-"9k'LLt6ti ONC BU s��tn � Office of Building Official REQUEST FOR INSPECTION Date ��` � Permit No. Time A.M. Received P.M. Job Address Locality Owner's N�ct �� Contractor r BUILDING CONCRETE ELECTRICAL MBING MECHAN F ng — C F ❑ Rough ging ❑ Rough ❑ Air Cond.& Re Roofing ❑ lab Temp Pole ❑ Top Out E, Heating Insulation ❑ el ❑ Final ❑ Sewer Fire Place Pre Fab READY FOR INSPECTIO Mon. Tues. Wed. T r Ff * A.M. Inspection Made ( P.M. Inspector / Final Inspection ❑ Certificate of Occupancy❑ Date r ' OF ADDITIONSor • • • • NOT REMOVE oat ;r H1S JOliAS NOT BEEN COMPLETED The followin itions or corrections shall be mode be - "'t iob wkil be accepted l , -�te1` f,i"�f• "y�Tr�'i 'r y,a�rp""s'Z.y It is unlawful or any carpenter, convoaot. Budder, or other persons, to cover or souse to be covered. any port of the work with flooring. loth. earth at other material. until the prope, inspector hos had ompie time to approve the installation. }y After additions or corrections have been made, ciill,�W— smgrsuildinp 0•portttt•nt for on inspection. Field Inspectors are in the office from jVaIr to j�Monday through Friday. P_ji S,%, fel, 4K 6i0G i ,.PSA•3EJ49' 9145 DEPARTMENT OF BUILDING CITY.OF ATLANTIC BEACH I'I RMIT INFORMATION .._, --- _.»_- LOCATION INFO�'TION .---.._---- Addr4,ss : 75 LEWIS STREET Permit: PLUMBING AT'LANTTC BEACH, FLORIDA 32233 Class Of Work: ADDITION s DESCRIPTION t.r,, Type: WOOD FRAMr, Lot : , Rl ock: Section* U CHURCH Tc��rxtsh��i RNLI: � rI;I n 0 Cade: 0, Subdivision. a Inesr. Cost Amou LAI" I I~k MB ING I N ADDITION TO 'CHURCH, . .. TION ."w .. ....� . APP? I CA `I ON FEES .. ._». .. `TV— HURCH RM4D AceSTREET WAT`, IMPACTFEE gasv O .00 FLOR T�� b � ` w '' FEE . � DOr . ., . RAD GAS'H'.R.S $0 .'00 ------ - RADON CAB St SO ,00 Ir u ISO CAPITAL 'IMPROVE .OQ ;a �O. , N SEETro, ua ' SEP CI�� 00 ATLA BLAGB FLORIDA 32233 CROSS CONNECTION $0.00 Q 3 Type r 4 SES Ii IMPACT FEIN QO ;. COBS .MCHARGE 5IJ Oft 'p'hF RC. g . NOTES, i NOTICE—ALL CONCRETE FORMS AND FOOTINGS MUST-041NSP�C -ED BEFORE POURING PERMIT VOID SISI MONTHS AFTER DATE OF ISSUE BUtLDIMG MATERIAL,RUBBISH AND DEBRIS FROM THIS WORK MUST NOT.BE PLACED IN PUBLIC SPACE,AND MUST BE e:LEARED UP ANO'HAULE©`AWAY BY EITHER CONTRACTOR OR OWNER " ` AILURE TO COMPLY WITH THE MECHANICSLIEN LAW CAN RESULT IN 7`I`E'PROPERTY OWNER PAYING TWICE FOR jq1�11�t�� IIA OVEMtNT .�! __"'LiSM bACCORDING;TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TOFAION FOR 1t{�It OF APPLICABLE PR©VISIONS OF LAW. ATLANTIC BEACH BUILDING DEPARTMENT 77 ar CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBING PERMIT JOB LOCATION : �s f-t'/,c>r S J 7- OWNER OF PROPERTY : BUILDING CONTRACTOR: 1 PLUMBING CONTRACTOR7- AND ADDRESS: TELEPHONE NUMBER: STATE LICENSE NO: C'f-Cb 37/Y6 TYPE OF BUILDING: TYPE OF WORK: �- HOW MANY OF THE FOLLOWING FIXTURES INSTALLED SINKS SHOWERS �- LAVATORY WATER HEATERS BATH TUBS DISHWASHERS URINALS DISPOSALS \..3 CLOSETS WASHING MACHINE FLOOR DRAINS SHOWER PANS OTHER TOTAL FIXTURE COUNT : x $3 . 50 + $15 . 00 = $ ---------------------------------------------------------------- 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'• 911 DEPARTMENT OF BUILDING CITY OF ATLANTIC LEACH 4 1 PE�t 1 T I NkORMAT ION -_ _ _ -------- LOCATION I NI {�?E�MAT'T CIN -_ rrni t Number Address: 75 LEWIS STREET P+ r iilri �'Y I I EC'TRICAL ATLANTIC BEACH, FLORIDA 32233 C3A f Work:k. ALtL�L' I N .._�,.�,�...--- LZOAL DESCRIPTION Type; WOOD FRAME I, t Bl cock Y S+ cti,o Proposed Use: CHURCH 'Township: 0 'Dwellinx q : 0 Cadet 0 Subdivision: ttt al ed Value: < Improv. Cort, S?.CJI? Tot $0 .00 y{t� ;R4n.LLLi' 'axe qT D a"*w Work ;w OICADDITION TO CHURCH METERJ 19 405 337 .- � - " ATION .. °� --- APP .. LICATION FEES 0,1 It k FIRST BO itku C .� PERMIT $0 .00 Ad s STREET, t A' E I FACT FEE C► � SQ � I rM FLORA � � 'EE SCAr tQ TL RADON OAS-H.R. S. $0 .00 J 'C32!t T IS N RADON CAS, $0,00 LV mLL . M N ELEC'�iC CEJ, 14c , CAP ITAL IMPROVE. r , ., _. �n n ATLA BEACH, FL 32233-OISD CROSS CONNECTION $0 .00 L i ew 0 S Type�� 2 SEC H IMPACT FEE . m CO $T SUICHARGECHAR.G3E � #�o w NOTI= I NOTICE.--ALL CONCRETE FORMS AND FOOTINGS MUST BE INSPECTED BEFORE POURING PERMIT VOID SIX MONTHS AFTER DATE OF ISSUE '.` BvILbINC 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 OA OWNER 1 FAILURETO COMPLY WITH THE MECHANICS' LIEN LAIN CAN RESULT IN TH PROPERTY OWNER PAYING BUILDING IMPROVEMENTS." ACCQRI3INQ TO APPROVED PLANS WHIGH ARE PART OF THIS PERMIT`AMD SUBJECT TO REVOCATION FOR -:. . N t}F"AP LtCABLE PROVISIONS OF"LAW, AIL.A BEACH BLJFLDINCi dEPARTMEP3T . CITY OF ATLANTIC BEACH, FLORIDA Approved by APPLICATION FOR ELECTRICAL, PERMIT TO THE CHIEF ELECTRICAL INSPECTOR: DATE: " 19 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. BILL THWOPSCN ELECTRIC CO., INC. P. 0. BOX 330150 ATLANTIC BEACH, Fi U213-01.5g ELECTRICAL FIRM: MASTER LECTRICI SIGNATU E JOURNEYMAN 1?Oea -r 1-F"t✓ NAMEFL?ST L3D�il�l�1�U ADDRESS: _ ��uJIS > - .RFD-BOX- BLDG. FDBOXBLDG.SIZE BETWEEN: RES.( ) APT.( ) COMM. ) PUBLIC ( ) INDUS. 1 ! NEW( ! OLD ( ! REW. ( ) ADDITION ( ) TRAILER ( ) / TEMP,t ) SIGNS ( I SO. FT. SERVICE: NEW( 1 INCREASE ( ) REPAIR ( 1 FEE CONDUCTOR SIZE AMPS COPPER ALUM. SWITCH OR BREAKER AMPS PH W VOLT RACEWAY EXIST.SERV.SIZE AMPSI PH j W L VOLT RACEWAY FEEDERS NO. SIZE NO. SIZE NO. SIZE LIGHTING OUTLETS CONCEALED OPEN TOTAL RECEPTACLES CONCEALED OPEN TOTAL 0.90 AMP8. 91.100 AMPS. SWITCHES INCANDESCENT FLUORESCENT&M.V. FIXED 0.100 AMPS. I OVER APPLIANCES I I - BELL TRANSF. AIR H.P.RATING H.P.RATING CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT 0.1 OVER MOTORS H.P. VOLTAGE PHS NO. 1 H.P. VOLTAGE PHS MISCELLANEOUS o - Robert Trmpte fimt horn Cburcb, �Onc. 75 Lewis Street rr Atlantic Beach, Florida 32233 Septem6ea /9, /994 To: /ion Fond BuLldLng Depaafinent o� 4flant Lc Beach f aom: Caal #owell ' The addLtLon Ln the wean o� Ro6enf Temple FLAAf Evan Chuach Z Lnatalled two pLecea o� iaon ae6aa, ILSe /0/7 x 5314, LnAide o� the �oofen aA aequLAed 6y the City o� 4f. anfLc Beach. D P T NTE C BEACN l (! I CI OLpING OFFICE B R-- r .PATRICIA AMONETTE STATE OF FLOROA NSR �2 � 11 1 ,999 9.195'4 ;F Building and Zoning rr BUILDING PERM I N�PPLICATION JURISDICTION OF APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL LOT NO. BLK, TRACT 1 DESC R. ([:]SEE ATTACHED SHEET) 2 OWNER MAIL ADDRESS ZIP PHONE CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. 4 ENGINEER MAIL ADDRESS PHONE LICENSE NO. 5 6 CLASS OF WORK: F�NEW ADDITION ALTERATION REPAIR MOVE REMOVE ( 'A 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A.PROPOSED USE GROUP MASONRY NUMBER OF STORIES RESIDENTIAL NON-RESIDENTIAL -WOOD FRAME TOTAL SQUARE FEET OF FLOOR _STRUCTURAL STEEL AREA,ALL FLOORS.BASED ON _REINFORCED CONCRETE EXTERIOR DIMENSIONS ❑ONE FAMILY DWELLING ASSEMBLY `OTHER -SPECIFY TOTAL LAND AREA,SQ. FT. E]TWO OR MORE FAMILY DWELLING: BUSINESS (OFFICE) NO.OF UNITS H.NUMBER OF OFF-STREET EDUCATIONAL D.TYPE OF HEATING FUEL PAR KING SPACES y [ HOTEL,MOTEL,DORMITORY, ENCLOSED NO.OF UNITS FACTORY -INDUSTRIAL -GAS OUTDOORS OIL GARAGE HAZARDOUS _ELECTRICITY I. RESIDENTIAL BUILDINGS ONLY _COAL CARPORT INSTITUTIONAL -OTHER-SPECIFY NUMBER OF BEDROOMS OTHER-SPECIFY M MERCANTILE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS []STORAGE FULL _PUBLIC OR PRIVATE COMPANY OTHER-SPECIFY _PRIVATE (SEPTIC TANK,ETC.) {PARTIAL F,TYPE OF WATER SUPPLY _PUBLIC OR PRIVATE COMPANY -PRIVATE (WELL,CISTERN) B. NON-RESIDENTIAL - DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDING$ B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F. TOTAL VALUATION I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULAT- ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION, SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER (IF OWNER BUILDER) (DATE) BUILDING PERMIT APPLICATION JURISDICTION OF APPLICANT TO COMPLETE SECTION A ONLY SECTION A JOB ADDRESS LEGAL LOT NO. K. TRACT DESC R. (❑SEEATTACHED SHEET) OWNER MAIL ADDRESS ZIP PHONE CONTRACTOR MAIL ADDRESS PHONE LICENSE NO. 3 ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO. ENGINEER MAIL ADDRESS PHONE LICENSE NO, 5 6 CLASS OF WORK: NEW ']ADDITION DALTERATION QREPAIR [3MOVE DREMOVE 7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS A.PROPOSED USE GROUP MASONRY '. NUMBER OF STORIES RESIDENTIAL NON-RESIDENTIAL WOOD FRAICHE TOTAL SQUARE`FEET OF FLOOR _STRUCTU'RAL STEEL- AREA,ALL FLOORS.BASED ON [DONE FAMILY DWELLING ASSEMBLY REINFORCED CONCRETE EXTERIOR DIMENSIONS —OTHER-SPECIFY TOTAL LAND AREA,SQ.FT. F�TWOOR MORE FAMILY DWELLING; F-1BUSINESS(OFFICE) NO.OF UNITSH.NUMBER OF OFF—STREET F�ERUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES' []HOTEL,MOTEL,DORMITORY, ENCLOSED NO.OF UNITS F�FACTORY-INDUSTRIAL —GAS OUTDOORS _01L GARAGE HAZARDOUS ELECTRICITY I. RESIDENTIAL BUILDINGS ONLY —COAL [CARPORT INSTITUTIONAL —OTHER-SPECIFY NUMBER OF BEDROOMS QOTHER-SPECIFY QMERCANTILE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS STORAGE _PUBLIC OR PRIVATE COMPANY FULL Q _PRIVATE (SEPTIC TANK,ETC.)OTHER-SPECIFY. {PARTIAL F.TYPE OF WATER SUPPLY a PUBLIC OR PRIVATE,COMPANY —PRIVATE(WELL,CISTERN) B. NON-RESIDENTIAL- DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING. 8 VALUATION OF WORK A. BUILDING$ B. PLUMBING$ C. MECHANICAL$ D. ELECTRICAL$ E. OTHER$ F. TOTAL VALUATION I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT, THE GRANTING OF A-"PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY'OTHER'STATE'OR LOCAL LAW REGULAT -ING CONSTRUCTION OR THE PERFORMANCE OF CONSTRUCTION. SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT (DATE) SIGNATURE OF OWNER.<IF OWN R lIIJ►LDERS,. (DATE)`