Permit 1610 Main (vault) FOR OFFICE USE ONLY y
Date _a 3 19 (/.. �
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Permit # I3 3-0 Fee $ 3 "
CITY OF ATLANTIC BEACH Valuation $ 3 SO' c
FLORIDA House # /6 (o 77 ' '
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 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. -f R3 r�
J > Date -•�" , 19..f
/ f f : , �(7 �f -. 5 " Telephone No.
Owner --l. -t , C .f "t . t- -�,,. Add i
Architect Address. Telephone No.
Contracto yuil9r / q ` d Telephone No.
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Lot No... _.. Block No. �ub Division Zone
Street Side Between , f � s and Ste.
�.-- ' For what purpose will building be used 13011 A ' type of construction + el-
Valuation $ P P g � >/ - i /
Dimensions of Building Dimensions of Lot Size of Footings. -.
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?
Size of Ceiling Joists •l 4 ' 4 , Distance on Centers / A ! , Greatest Span � y. / "
Size of Floor Joists , Distance on Centers , Greatest Span OP Size of Rafters ,.- 2...., ,.- 2...., Y i..
, Distance on Centers > , , Greatest Span ec J "
This rectangle is to represent the lot.
Locate the building or buildings in the
v right position. Give distance in feet from
COMPLETED: J all lot -lines and existing buildings.
, ���� REAR LOT LINE
AP
Two copies of plans and specifications shall pp E R
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be submitted with application.
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Inspections required. * -,'_ �:.
1. When steel is in place and ready to pour footing.
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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
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4. When framing is completed.
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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. A A
7. Electrical inspection by City of Jacksonville. m vi
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 Atl/anticach. / r,
Signature of Builder.. .. �..J () `1 r:C Address ( A / ( t
Signature of Owner
Address
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