Permits 63 Saratoga Cir (vault folder) CITY OF ATLANTIC BEACH
800 SEMINOLE ROAD
.............
ATLANTIC BEACH,FL 32233
INSPECTION PHONE LINE 247-5826
Application Number . . . . . 09-00000145 Date 2/04/09
Property Address . . . . . . 63 S SARATOGA CIR
Application type description FENCE PERMIT
Property Zoning . . . . . . . TO BE UPDATED
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
6FT FENCE
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Owner Contractor
------------------------ ------------------------
FLOURNOY, ROY NATIONS FENCE INC.
63 SARATOGA CIRCLE S . 200 CUMBERLAND PARK LN
ATLANTIC BEACH FL 32233 ST.AUGUSTINE FL 32095
(904) 810-5259
----------------------------------------------------------------------------
Permit . . . . . . FENCE PERMIT
Additional desc . .
Permit Fee . I . . 35 . 00 Plan Check Fee . 00
Issue Date . . . . Valuation . . . . 0
Expiration Date . . 8/03/09
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Special Notes and Comments
*2004 FLROIDA BUILDING CODE W/ 105- 106 SUPPLEMENTS.
2004 FLORIDA BUILDING CODE - RESIDENTIAL.
2005 NATIONAL ELECTRICAL CODE.
*ALL FENCES OR ENCLOSURES OF LAND SHALL BE SUBSTANTIALLY
CONSTRUCTED.
*SCHEDULE FINAL INSPECTION ONCE FENCE HAS BEEN COMPLETED.
PERMIT AND APPROVED SURVEY MUST BE AVAILABLE FOR FINAL
INSPECTION.
*EMAIL INSPECTION REQUESTS TO BUILDING-DEPT@COAB.US
Roll off container company must be on City approved list
and cannot be placed on City right-of-way.
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Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35 . 00 35 . 00 . 00 . 00
Plan Check Total . 00 . 00 . 00 . 00
Grand Total 35 . 00 35 . 00 . 00 . 00
PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITY OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA
BUILDING CODES.
City of Atlantic Beach APPLICATION NUMBER
Building Department (To be assigned by the Building Department.)
800 Seminole Road
Atlantic Beach,Florida 32233-5445
Phone(904)247-5826 - Fax(904)247-5845
E-mail: buifding-dept@coab.us Date routed:
City web-site: hftp://www.coab.us I z
APPLICATION REVIEW AND TRACKING FORM
Qapadment review required Yes No
Property Address:
Tre inistrator
Applicant: CR q2amkc)
GWbk Utiliffle_�)
Project: jr Public Safety
U Fire Services
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified By
Florida Dept.of Environmental Protection
Florida Dept.of Transportation
St.Johns River Water Management District
I Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other
APPLICATION STATUS
Reviewing Department First Review: P%p�roved. [—]Denied.
(Circle one.) Comments:
BUILDING
Reviewed by: Date:
TREE ADMIN.
PUBLIC WORKS Second Review: FlApproved as revised. ElDenied.
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES Reviewed by: Date:
Third Review: DApproved as revised. Fbenied.
Comments:
Reviewed by: Date:
CITY OF ATLANTIC BEACH
09-
800 SEMINOLE ROAD,ATLANTIC BEACH,FL 32233
OFFICE:(904)247-5826 0 FAX NO.:(904)247-5845
P
BUILDING-DEPTOCOAB.IJS
BUILD
ING PERMIT APPLICATION DUVAL COUNTY
14 JQBADPRESS: Z VALUATION OF WORK� 13.SO.FT.UNDER ROOF
4
LmikE DESCRIPTION;1��,
54 CLASS OF WORK., 61 USE 6F StRrCTUIRE�
El NEW BUILDING 0 DEMOLITION 13 RESIDENTIAL
LOT_BLOCK_SU13 DIVISION 0 ADDITION 0 CONVERTING USE 11 COMMERCIAL
:,,1,.,DFr.cRtPnON OFWORK,
11 ALTERATION 0 ACCESSORY BLDG. TFIRFSPRINKLER.
0 REPAIR 0 POOL/SPA 11 YES NIA
EIMOVE 13 OTHER ONO
PROPERTY OWNER. CONTR CTOR. ARCHITECT I ENGINEER:
9.NAME: COMPANY NAME: 23.COMPANY NAME:
I F I V,0'D /V&�-4 Peice-
16.NAME: Lee- 24.LICENSEE NAME:
10.ADDRESS: 17.STATE OF FLORIDA LICBWE NO.: 25.STATE OF FLORIDA LICENSE NO.:
0 26.ADDRESS:
18.ADDRESS:
S-6 Atrj LIS j-'n v— --78.FAX NO.:
11.OFFICE PHONE: 12.FAX NO.� 19.OFFICE PHONE: 20.FAX NO.: 27,OFFICE PH37F
-70q-1- ,46--;1P6q I . I
13.CELL PHONE: 21,CELL PHONE: _t4.2q— 1�7q Te 29.CELL PHONE:
14.EMAIL ADDRESS: 22.EMAIL ADDRESS: 30.EMAIL ADDRESS:
E1 LE ME,,HOLDER:
MOR GAG
BONDINGCOMPANY: Ni
77
31.NAME: 33.NAME: 35.NAME:
32.ADDRESS: 34.ADDRES& 36.ADDRESS:
Application is hereby made to obtain a permit to do the work and installations as indicated. I cer* that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this
jurisdiction. This permit becomes null and void if work is not commenced within six(6) months, or if construction or work is suspended or
abandoned for a period of six (6) months at any time after work is commenced. I understand that separate permits must be secured for
EteWcal Worl�Plumbing,Signs,Welts,Pools,Furnaces,Boilers,Heaters,Tanks, Air Conditioners,etc.
OWNER'S AFFIDAVIT- I certify that all the foregoing inforrination is accurate and that all work will be done in compliance with all applicable
laws regulating construction and zoning. I will not occupy or use the referenced building or any part therof,until all inspections are finaliad and
prior to obtaining a certificate of occupancy or completion issued by the building official,as required by law.
WARNING TO OWNER:
YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR
PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND POSTED ON THE JOB SITE BEFORE THE
FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR
LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.
�OVMER.Or AGENT CTOR
j(If AgsM,PoWer of Attorney or Agency Letter Re�ulred) I
I`
4A�10
signed: Date: /0 Signed:" Date;
8010t��this 0 day of 2009 in the county of Before XX-2-W day Of 1 1 (A-A ,2009 in the county Of
Duval,S Fl?)rida,has personally ap
Duval,State of Florida,has personally appeared
72/ eZ.0 It CAM V
herin by himself/herself and affirms that all statements and decli'tions are herin by hir�se'if/herself and affirms that all statements and declarations are
true and accurate. true and accurate.
Notary Public at Large.State of County of Notary Public at Large,State of 67N A,County of 9-Jb�s
11 Peggrially Known -,f, �dpe mnally Known
alpfbduced Ide '54r 11 Produced Idrififi.ti
Notary Siqn r 1 )14 ly V Notary Signature:
DONNA LYNN HEM
f SHIRLE G i s Commission DD 808526
SHIRLE GRAHAM
F nda
10
Notary Public-State of Florida Expires July 24,2012
g)Crjolion Expires Feb 14,2010
BLDG01 Pernwh Appfl
8.W Thm Ty Fk huma 10411111111-MV
8
Commission#DD 518533
OF
F 'y ss
Bonded By National Notary]Assn.
FOR OFFICE USE ONLY
..........19 .7d
Permit #./e!�S__XPee
CITY OF ATLANTIC BEACH
Valuation $.... ... ..............................
FLORIDA House #_!�j.................... .......... .. ......
t
........................................................................
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 automdtically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlaniic 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..................Z/—.1_0..............................
Owner----D-ow-------)=�---------_- ......----------.--Address---7/,q-7---0.4&VN,96___eV__S---Telephone No—.23.3710ALr
Architect...J__C7� -----------------------------------------------Addres&__1VA/V.......54_tlD�...................Telephone
Contractor Builder!-------- ........04��.........Address..... _--------------------------Telephone No--------- -_---_-
Lot No-------_157_-----------------------------Block No---------q-----------------Sub Division__&r4A/JA/�C`-------REAC*--------UJA-LA------Zone.....I------
SARATP-COA------294-9--t-A--------Street-----Sao r14.....Side BetweenA./+._C/._,P,0AT.---_Pfo---------and---S*lk R,5,,'4....Ix............sta.
Valuation .........For what purpose will building be used--- Type of construct!on.CA4C_...,8X_.4t.....g#ICA
Dimensions of Building.---- -te -------..Dimensions of Lot.----�7 ;?4---11-0......................Size of Footings........ ----X-7---(��--------
Size of Piers...---____------------------Size of Sill's------- ------Greatest Sill Span in ft.......----------_-....Type Roof.5-NIN-61F-----ZJ-��
How will Building be Heated?_._047------- ---------Will Building be on Solid or Filled Ground?.......................................
Size ,of Ceiling Joists... Distance on Centers-......... ---------.................. Greatest Span............................................ It
Size of Floor Joists-...---------------------------_---------.-., Distance on Centers.......... -------------------------------- Greatest Span-------------------------------------------- to
Size of Rafters-----........-------------------------------_----Distance on Centers.. ..... ..... .........................-., Greatest Span........................................... it
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. till
f E-
4. When framing Is completed.
5. When rough plumbing is completed,and ready to cover up.
6. When septic tank drain field or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksonville.
8. Final inspection.
Note: In case of any rejection,re-inspection MUST be called for after .10
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 pl d specifications, which are a part hereof, and in accordance with the building
regulations of the City Atlanti�B%a
. . .. ....... .. ... .
e n Address.
Signature of Build r... ..10-A-A-------- ... ........ .. . ............ .. ------ 7----------OA-D�------
. . . .. ........ -------------------------------------_-_-_---_------------_--------__.................
Signature of Owner--------- ....... V------I..................... Address
A_y, --WOO'
CITY OF ATLANTIC BEACH, FLORIDA
APPLICATION FOR ILKTRICAL PIRMIT
?GTHE 7CHIEF ELIEECTRICAL INSPECTOR: DATE:—
IMPORTANT NOTICE:
IN CONStOERATION;0f, PERMIT'GIVEN- FOR DOING, THE WORK AS DESCRI ',40 TME,F0LL0W,,M,,WE
BE C,
HEREBY AGREE TO PERFORM I SAID-WO I RK IN ACCORDANCE WITH THE ATTACHED PLANS AND0iah&hONS
WHICH ARE APART-HEREOF, AND IN-'ACCORDANCE VITH THE ELECTRICAL REGULATIONS1,CODES AND CITY Of
ATLANTIC BEACH,ORDINANCES.
oll
yl%e�
ELECTRICAL MASTER ELECTRIC16N SIGNATUR9
RFD------BOX
NAM ADDRESS:
BLDG.SIZ BETWEEN:
RES.47 APT. V COM I M.( PUBLIC( INDUS.I I NEW( OLD k/ REW.
ADDITION (vi/ TRAILER TEMP. SIGNS ( SO*,FT
SERVICE: NEW 114CREASE REPAIR (
COPPER,I I ALU
C_ONDUCTOR SIZE AMPS
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EXIST.SERV.SIZE I!AC
NO. Sit
FEEDERS NO. size NO. SIZE
LIGHTING OUTLETS, CONCEALED OPEN 10TAI,
OPEN !TdTAL
RECEPTACLES CONCEALED1 "Mps, I
0.30 AMPS.
SWjTCj4ES
I!!5ANDUCE14T
FL!!2�-_ESCENT&M.V.,
1 0 100 AMPS. ova
FIXED
BELL TRANSO.
APPLIANCES
AIR H.P..RATING ".P.RATING
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A
ACH I IN
CITY or AIJUITIC DUCH
ROOFING PZRKIT APPLICILTION
Owner(s) : ko-f 1,0 U P-YV 0
Address:.(,o 2) Q), a-Lo Q,=,- (?L�cJ-t hone:
Lot # Block or Unit # _Subdivision:
Contractor: P's 0
Address: '�31 L gg�s eo��-r
City, State and Zi -ILA 2 -2- 1(-Phone__LLLY__9__?-_3_Y
State License C c),D 3,D
Describe work to be performed: -- ,ee Xvuf- t4ou S F
Valuation of Proposed Construction:
Materials to be used: L-t-1:74 wz; G C--�-v
L ec-1 /( U 16 rb C-
Signature of Owner;
Signature of Contractor:
Liability insurance Supplied- --
0-"Ow fe 11,4—t *4 6 e7z,1-1
Workers Compensation Insurance Supplie
License, informatlon--��
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233 -Tel: 247-5826- Fax: 247-5877
PLUMBING PERMIT I
............
...... .�-PERMIT:Ilsl tONAN150
Pe r.m it Number: 18134 Address: 63 SARATOGA CIRCLE SOUTH
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision: ROYALPALMS
Est. Value: Parcel Number:
'N
Improv. Cost: -::::::::::::::::::OWNER.INFORNATIO. �i!.
Date Issued: 4/26/1999 Name: ROY FI URNOT
Total Fees: 39.00 Address: 63 SARATOGA CIRCLE SOUTH
Amount Paid: 39.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/26/1999 Phone: (904)744-9238
Work Desc: REPIPE/8 FIXTURES
............ ..........
RACTOR(S)
-N ES
DAVID GRAY PLUMBING, INC. PERMIT 39.00
-11-.................... i*ftiis R uii*d .....................
FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACE, AND MUST BE CLEARED UP AND HAULED AWAY BY EITI�ER CONTRACTOR OR OWNER
"FAILURE TO COMPLY WITH THE CONSTRUCTION LIEN LAW CAN RESULT IN THE
PROPERTY OWNER PAYING rMCE FOR BUILDING IMPROVEMENTS"
ISSUED ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW. -
!39.08 14
Date: 4/26/99 81 Receipt. 8052406
ATLANTIC BEAC14 BUILD14Q,,DEPT. CHECKS
861.0899322me 19152
CITY OF ATLANTIC BEACH
DEPARTMENT OF BUILDING
800 Seminole Road -Atlantic Beach, FL 32233-Tel: 247-5826- Fax: 247-5877
PLUMBING PERMIT
-10
LOCCATIO INFORMA- M
PERMITWORMATION........
Pe:rmit Nu.m I ber: 1813-4 Address: 63' SARATOGA CIRCLE SOUTH
Permit Type: PLUMBING ATLANTIC BEACH, FLORIDA 32233
Class of Work: ALTERATION Township: 0 Range: 0 Book:
Proposed Use: Lot(s): Block: Section:0
Square Feet: Subdivision: ROYALPALMS
Est. Value: Parcel Number:
Improv. Cost: ::.:.:�:.:::::::::::.:::OWNERIINFORMATtON�,.:::::::::::::::
Date Issued: 4/26/1999 Name: ROY FLOURNOT
Total Fees: 39.00 Address: 63 SARATOGA CIRCLE SOUTH
Amount Paid: 39.00 ATLANTIC BEACH, FLORIDA 32233
Date Paid: 4/26/1999 Phone: (904)744-9238
Work Desc: REPIPE 8 FIXTURES
...... ...
T-1.0.8 ......
AMIC
DAVID GRAY PLUMBING, INC. PERMIT 39.00
.... ......
FINAL
NOTICE- INSPECTIONS MUST BE REQUESTED AT LEAST 24 HOURS PRIOR TO INSPECTION
BUILDING MATERIAL, RUBBISH AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC
SPACEI 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 WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION
FOR VIOLATION OF APPLICABLE PROVISIONS OF LAW.
ATLANTIC BEAC14 BUILDINkDEPT.
CITY OF ATLANTIC BEACH
APPLICATION FOR PLUMBING PERMIT
JOB LOCATION: t6�)
u
OWNER OF PROPERTY:_fv\k )Fl I-)L)r r\8
PLUMBING CONTRACTOR: lk�-
ci
CONTRACTOR'S ADDRESS:-
STATE LICENSE NUMBER:- ,," TELEPHONE:
HOW MKW OF THE FOLLOWINGfIMURES Ifk�14Ci-P
-SINKS SHOWERS
-LAVATORIES WATER HEATERS
-BATH TUBS DISHWASHERS
-URINALS DISPOSALS
-CLOSETS WASHING MACHINES
-FLOOR DRAINS SHOWER PANS
OTHER... ?Lq-. ;7,vk-,6)
TOTAL FIXTURES: X 3.50 + $:L5.00
MINIMUM PERMIT FEE $25-00
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR:-::�&wft
-----------------------------------------------------------------------------
INSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH THE 1994
STANDARD PLUMBING CODE.
CALL A DAY AHEAD TO SCHEDULE INSPECTIONS - (904) 247-5826
SEWER CONNECTIONS MUST BE CALLED IN TO PUBLIC WORKS FOR INSPECTION PRIOR
TO COVERING UP - (904) 247-5834.
,nEPARTMENT OF BUILDING
F ATLANTIC BEACH,FLORIDA PERMIT N0519
7
PERMIT TO BUILD Ottow
THIS PERMIT MUST BE POSTED ON JOB I A I
Date 12=05- 19 83
Valuation$ 2 ,2 5 5-00 Fee$ 19 . 50
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 Roy S. Flouzinoy
61 Saratoga Circle So.
has permission to FneInAp Gitsage as per plans submitfied
Classification Residential —Zone
Owned by Rn�Z S - Flournoy
Lot Block S/D_
House No. 63 Saratege Givele South
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 debris
_Z4 from this work must not be placed
in public space, and must be cleared
up and uled away by either con-
0,
Aracto , ner.
Building Official.
FOR OFFICE PERMIT DATE CONTRACTOR
USE ONLY NUMBER
PLUMBING
ELECTRICAL
SEWER
tATER
C�ITY OF
AW40 AWC4-0;"
Office of Building Official
REOUEST FOR INSPECTION
Date Permit No.
Time A.M. rict No,
Receiveg P�M.
job Address Locality
Owner's
Name —Contractor
BUILDING CONCRETE ELECTRICAL PLUMBING MECHANICAL
Framing 0 Footing 0 Rough Wiring 0 Rough 0 Air.Cond.& 0
Re Roofing 0 Slab D Temp Pole Top Out 0 Heating
Untel 0 Fire Place 0
Pre Fab
READY FOR INSPECTION A.M.
Mo� Tues. Wed. Thurs. Friday—P.M.
A.M.
Inspection Made 3-4F4,,1":; —P.M.
T-1
Inspector kd___� Final Inspection 0
Certificate of Occupancy
Date
I)I\G PERM IT
S
El
'ShEET _YCIRICAL Pl"K�l T
2 a per s. f
SQUARE FOOTAGE
�PRIVATE/SBED). per s.
GARAGE @
CARPORT @ $ per s. f. $
PORCHES @ $ per s. $
DECK @ per s. $
-----------TOTAL-VALUATION DATA. . . . . . . . . . . . . .$
PERMIT FEES
$
TOTAL VALUAT1 ON 16A�FE— is t $ 707
$
REMAINDER VALUATION
@ $ per thousand
TOTAL BUILDING PERMIT
PLUS 1/2 THE BUILDING PERMIT FOR PLAN FILING FEE $
TOTAL FEE DUE $
----------------------------------- -
PI-C,MBING PERMIT FEE $
WATER METER SIZE & FEE $
SE'l.:ER COYNECTION: SQUARE FOOTAGE FEE
I
.�ATER CONNECTION: FIXTURE UNITS @ $10.00 PER UNIT $
TOTAL BP & PC FEES DUE . . . . . . . . . .$
TOTAL WATER METER CHARGE . . . . . . . .$
APPROVE0
Cl.iy Olc A'R.'JNTiC BEACH TOTAL WATER CONNECTION CHARGE. . . .$
min-DING OFFICE
TOTAL SEI%IER CONNECTION CHARGE. . . .$
GRAND TOTAL DUE. . . . . . . . . . . . . . . . .$
FOR OFFICE USE ONLY
Date-_................................19 ......
Permit *..........---_---_-Fee$........................
CITY OF ATLANTIC BEACH Valuation $.-----------------------------------------------------
FLORIDAHouse #...........................................................
...........................................................................
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 Buildinir 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.
S)g Rxtz) elA C- .9.4y(0 140
Owner..... ...... ..... ...................
y.............................. ........K_--------.___Address_.4......_..............................................Telephone No...
Architect............ ........................................Address. ......Ok#!�ZTelephone No..1#1....Z�41'9
Contractor Builder....__O.!��4�"rz......I------------------_--_-----...Address....._4�WWIF..A-------------- ---Telephone No............. .......
----------- .....
LotNo................ ...........................Block No.................____....Sub Division......................----------_----- .................................Zone----_----------
---........._---------------------....6...U-------Street----------- ---------Side Between-----_-----_-- ..................................and....................--------------------------------Sts.
Valuation $..v0).,a00.t_-7—For what purpose will building be fsedv�----4.0A.J.Type of construction------Lao-a-0
Dimensions of Buildinglc?.. ...Dimensions of LOCI,? ...Y_...tap...................Size of Footings--------------------------------------
rl-N __1 val))VL T,4-9
Size of Piers............. ----------Size of Sills_---------------- _ ----------GTeatest Sill Span in ft.......... -------Type Roof.. !!n,7........................
How will Building be Hi-ated?--- ....... ......__-------....Will Building be on Solid or Filled Ground?.................... ...............-
---------- .........
Size of Ceiling Joists..--------_7�........ ---------- Distance on Centers... ....... ................................ Greatest Span_------------------------------_--------
Size of Floor Joists--------------_ ................ Distance on Centers.. ....... .. ..........................., Greatest Span..........................................
6
L-d—
Size of Rafters..----_---------- -r....... -- ------.--, 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. VE5 0
L'INTiC BEACIf
Inspections required. 0MCLY
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 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 or sewer is laid but before it is covered.
7. Electrical inspection by City of Jacksor.ville. C/1
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 th Cit Atla *c B
Signature of B:de ... . .. ................. .. ........... Address. . .. . ..........
Signature of Own .. .... . ..... . . ........ .............. . ... . ...... .00 ...........
Address..... .. .. ... . ... ...... ......._.A.........
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Office of Building Official
REQUEST FOR INSPECTI ON
Date Permit No. Ze
Time A�,�M
Received ,2:
-C e-
Job Address Locality
Owner's
Name Contractor
BUILDING CONCRETE ELECTRICAL (,—:P�WMBING MECHAN14?AL
Framing E Footing El Rough Wiring E A o—u—g T— E Air Cond. &
Re Roofing D Slab 17J Temp Pole E Top Out D Healing
Insulation 1-1 Lintel D Final E Sewer E Fire Place
READY FOR INSPECTION Pre Fab
Mon. Wed.
:T�h.:r.. Friday
Inspection Made
Inspector Final Inspection El
Certificate of Occupancy E,
Date
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