Permit 1830 Main (vault) FOR OFFICE U ONLY
&/719 Permit # Fee SE Date
CITY OF ATLANTIC BEACH Valuation $._
FLORIDA House ##
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.
Date April 21 , 19.75
Owner George W. Stansell Address Mai* St l• Telephone No. 2 4 9 '4 7 4
Architect ----- Address. ----- Telephone No. — --
Contractor Builder Geerge W, St angel]. Address1 Mail. St* Telephone No. 214.9•4414.7.4 _
Lot No Pt _•____.P___,Sea.w__..ia_Block No._2W]l__2._.S_o..... Division .... age___29_._ EaS. . Zone
Street Side Between and Sts.
Valuation $ For what purpose will building be used. Duplex. Type of construction.MaE16111L!y_._B1k.
Dimensions of Building 33 z 32. Dimensions of Lot 9 X 111 Si ze of Footings $ " z._. 20"
Size of Piers Size of Sills Greatest Sill Span in ft. Type Roof Asphalt Skil l
How will Building be Heated? Eles rte Wall II>di c- "I* Pilled Ground? BeZid
Size of Ceiling ? Span /I " JACKSONVILLE
Size of Fl Tor JACKSONVILLE, FLORIDA
Span "
Size of RE FEE $5.00 O 5 9 64 Span "
SEWAGE D ISPOSA L FACILI :tangle is to represent the lot.
building or buildings in the
i Name of Owner: G. W. Stansell ion. Give distance in feet from
1630 Main St and existing buildings.
Address: .Atlantic Beach, Fla. 32233 REAR LOT LINE
une
19
Two copi Date: 4
be submit Installation At: Lot B NU Main St. r �»
Inspectioi Installation By
NOTE: This certificate does Y W
1. When t — . ,
functioning not guarant the successful < } x
2. When g of this unit and theoccu ant will be respon- �g�
3. Wheel Bible for its satisfactory sanitary operation at all times. . �� , . ,
4. Wher; Septic Tank Capacity ___ 12Q0 �' H
r
,---- Dosing Tank Capacity . i
5. When Drain Field: 4 80 S f t . g W , ;
6. Whezj q
7. Elect
f
8. Final AD IST ATO
CONSTRUCTION ENVIR■ ENTAL HEALTH i'"'"` -- ji
Note: r _ r
•
q PERMIT By: R li H erndon
J , San. II
In 1 TIT FRONT OF LOT
VOID SIX MONT AF TER ABOVE DATE IF NOT START
we hereby agree to perform said
work in accordance with the attached plans am aF.c...—_ nd in accordance with the building
regulations of the City of Atlantic Beach.
Signature of Builder Address 1610 Maim Street
16
Signature of Owner Address 3 Mail Street