Loading...
Permit 1723 Park Terrace E (vault) 0 F E4,N SOULEVARD-DRAWER 25 TIC PEACH. Fi-o;�IDA 32233 �0411 2-29-2,395 R 31, 19 81 nole Beach Road, Atlantic Beach, Florida, ing plans for 1723 Park Terrace East this hem, intact, within seven (7) days. r4t DICK COLE Plans checked our by: M. L. Dombrowski Reason: To give the builder copy so that he can build the same house on a different lot. CXTY OF ATUUqTIC MCH ACCOUNT JUXAT ION BLOCK 90. so Oe autu,"';XG AASV, ER PLUMB ZaTE INSPEL-TED By �zz, CITY OF ATLANTIC BEACTI WATER CONNECTION CHARGE DATE- 3Z16/79 LOCAT jolq 1723 'Park Terrace East O71Q.TE Charles F. Hardman PLUMBING FlEw MASTER PLUMBE BUILDER OR COM- ORACTO rdman TYP2 OF BUILDING sZf Dwelli ncj Residential BATHROOM GROUP CONSISTING OF SHOWER STALL, DOMESTIC 2uni- WATER CLOS=, LAVATORY &. BATHTUB OR SHOWER STALL (6 units) SHOWERS GROUP PER HEAD 3uni- BATHTUB. jWITIA OR WITHOUT OVER -PURGEONS S.M (3 units) HEAD SHOWER) (2 units) FLUSHING RIM SIP units) �BIDL"f (3 units) SERVICE S21=RAP STAND' 314i�* COMBINATION SINK AND TRAY (3 units) POT, SCALLERY SINK (4 unitt, COMB3VATION SINK & TRAY W/FOOD DIS. (4 units) URINAL, PEDESTAL. SYPHC.N JLM (a units) DENTAL UNIT OR CUSPIDOR (I unit) BLOWOUT DENTAL LAVATORY unit)- UR=kT,,. WALL LIP (4 units) : .'-1 DRINKING FOUNTAIN (h unit) =�.*-LL, VASHOUT 4 u-Ai. DISHWASHER (.2 -'units) URINAL TROUGH EACH 2-Ft.SPO 2 units FLOOR DRA- .. jI unit) __./ WASHING MACHINE RES. (3uniti KITCH; EN S%0�; '(2 units) WASH SINK# BACK SET Or. FAUCI (2units) jp�,ITCgW. SINK tq/WOD WAS�o GRINO.Eg (3 unitis) WATER CLOSETS, TANK OP*, ' 4UnJ .,�LAVA'k.ORY il unit) WATER CLOSETS, VALVE OP.Suni LAVATORY- MRIBER, BEAUTY PARLOR (2 un its) LAUNDPZ TRAY (2 lglit%), LAVATORy, !�uj,.I�GEWS (2 un� t' ) SHOWING SURVEY OF WT 29 BlDCK 14t-SILVA MARM Oft NO. So AS RZMZD lN FLAT BOOK 34 PAGE 85 OF THE CUMUMT11 PUBUC RMRDS,OF DUVAL COMlTt*"_ll=MA. IZZ *0 A 4' &A Nq 5 DEPARTMENT OF BUILDING 4013 CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO. PERMIT TO BUILD THIS PERMIT MUST BE POSTED ON JOB D te 3/16 19 79 62,638.00 162.50 Valuation 1p Fee S This pemit 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 Chuck Hardman Bldrs. has permission to build s/f dwelling . . r*sidential 17- Classific 0 Owned b Charles H. Hardman 14 SM Untit 8 Lot i Block _S/D 1723 Park Terrace East House No 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*&9*8 T AFTER DATE OF 14PVVJ�itT x 0 Building mikeA�l, rubbkA& &I�Vh Z from this wokk#*st not be public spac *4 'Rust il�� and haifledlAy by eith* or owner. Bill M. Davis Building Official. -------------- FOR OFFICE PERMIT DATE CONTRACTOR USE ONLY NUMBER PLUMBING ELECTRICAL SEWER W ER "TOR OFFICE USE ONLY �'A Date------ ..............197 LLN LA'�, Permit ......Fee OWNER Pki iiA�4,3 -ATUNNTIC.DEN VF30.TSP�VOF QRL' ............ Valuation W-O) - FL.ORIDA House #._27-Z 4- ..................................................... 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 regulationsof 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 Atlaniie 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 ve hed -7 9� f 19............ Da%l...................................................................... .....Telephone ........................ Owner.. .....................................Address.---_------------- -----------------Telephone No----------------------------- Architect.--------------------- .................................. /6 />/ 2� J11-1-- 4`/..Telephone Contractor Builder_(4,T?!�� _��tnt�.... ......Address......................................................... Lot No. -------------Block No----------Z�_4.............Sub Division-JW-,& U�kl/�T......F _Zone._�.��-3_3 --------------------------- ......................................... ...............I.................. 4 ,/7 ........and......... .........................sts. ...... ...Street........ ----2Side Between_..----------------------------------------- Valuation $ .......For what purpose will building be used......... .....Type of construction--- .............. .e�o.o Z .........Size of Footings > Dimensions of Building.49>cll....................Dimensions of Lot.... ...... ... 7....Q............ ... .... ............... .........Type Roof--- ------:-------------- Size of Piers..------- .......................SiTe of Sills.............. .....Greatest Sill Span in ft............... iew 41 r� 4- A ....... ................. How will Building be Heated?-..............................................................will Building be on Solid or Filled Ground? ......... ............ ...................., Greatest Span........... .......................... Size of Ceiling Joists----- .......... Distance on Centers pf Size of Floor Joists..............................................,Distance on Centers......_.. ....... ................................. ......................... Greatest Span-----------— ........ .. /­" _111_0_1...................... to Size of Rafters-_5;?�.X-.O..---- ..........Distance on Centers ..................., Greatest Span-------- ._,4.?7i� 772,u_.5'_5 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. MAR 111979 Inspections required. 1. When steel is in plaee and ready to pour footing. [N) 2. When steel is in place and ready to pour coluiGJ&KrJW*ANT1C BEACH \3 3. When steel is in place and ready to pour beam. 0 4. When framing is completed. F Bm� 5. When rough plumbing is completed,and ready to cover up. 6. When septic tank drain f ield or sewer is laid but before it f�d ered. 7. Electrical inspection by City of Jacksonville. 8. Final inspection. Note: In case of any rejection,re-inspection MUST be called for corrections are made. I A L-.-- 97�0 BA FRONT OF LOT In consideration ofror doing t1he work as described in the above statement, we hereby agree to perform said work in accordanc attached pla's and s,ecifications, which are a part hereof, and in accordance with the building a e n p :rs la L6 regulations of the ity lantic Beach. of ................... Address... ... ---- Signature of B r.............. --------------------------------------- nll .......................... Address .... .............. ............ . ........................ --------------- ................ . ....... ...... ----- ...... Signa of Own .. .... t Z pr----------------1:7� 4016 F j3UIj _VtmI _DING IF -r No. XC CITY OF ATLANTIC SE ".FLORIDfl' p1mmist OT 0 su ILD THIS PEP-MIT MUST BE POSTED ON JOB 79 �3/20 19--- D Fee$ 13 -00 ,0'1 Imabiag d is Valustion d to City Tressurcr- 'to Titis POmit not "Ild nIII bolc I.. has been Pa' I law- ,..V.�.tjon tot violation ., .,ipliemble P-ov's" 0 aublect to Carl* s PjLUVbi"9 This is to certifY bath tVIDS 3 lavatories s to .install I sink S er* sposa h pe issioll to b . ert .f I C oset I# classification— , 11�an S/D own e d 140 Tetr&Ce RaSt ljouse 140 17 23 P& swIlich are Part 0'this per'nit ALL CONCRETE Foltus According to approved Plan NOTICF-- TINGS jjUST BE IN- AND FOO EFORE pOUp_1NG. SPECTED B-- SIX%ONT11S pERMIT VOID AFTF,P.DATE OF ISSUE - h and debris rubbis :0 Building Mate"" t lot be Placed in 0 fro. this work van' t be cleared OP space, and mull public qAthem� ,,, L and hailed away by eith 5, or owner- t 41 DaV!-'g CONTRACTOR .zRtAIT FOR FFICE NFUM13ER us UY PLUmBING FLFCTRICAl- SEWER WATER CITY OF AT LMT1 C BEACH APPLICATION FOR PLUMBING PERMIT IVJCAT lolq P14m4BING FIRM MASTER PLUMBER 0. �­TY/COUNTY OCCUPATIONAL LICENSE N Ij:"PAI.'?E CERTIFICATE NO. 3UXLDER OR CObVfFL,,',."r0R A(A r-17PE OF BUI.LDlNq__ 1pk4lln� I_14,INKS S_q0WERS J .VATORY WATER HEATERS A BATH TUBS DISHMSHERS _VIRINALS DISPOSALS Cl"OSLVS WASHING MACHINE I—P,LOOR DRAINS OTHE)�, aTOTAL FIXTUrZ COUNT 'j.HSTALIATION OF PZUMBING A14D FI)VfURES 14UST BE IN ACCORDANCE WITH THE MOST PX,,CrM MrPION OF THE SOUlfHERV STANDARD PLUMBING CODE. CITY OF oftm& &494 - Rai& 716 OCEAN BOULEVARD-DRAWER 25 ATLANTIC BEACH, FLORIDA 32233 (904) 249-2 39 5 DECEMBER 31, 1981 TO WHOM IT MAY CONCERN: I, Dick Cole, of 1759 Seminole Beach Road, Atlantic Beach, Florida, have checked out the building plans for 1723 Park Terrace East this date. I agree to return them, intact, within seven (7) days. DICK COLE Plans checked our by: M. L. Dombrowski Reason: To give the builder copy so that 'he can build the same house on a different lot. 3/4 Tap 85.00 2.00 Const. Water 1723 Park Terrace East 2 14 Selva Marina Unit 8 Charles H.Hardman 1644 Park Terrace West 0 v 0 u 09 o 1 00 00 00 to F4 !TIT IT 00, 00 0000 00 00 0000 r. .0 :- . . % U.� H = 0 - 0,*4 0 n!nl U-J n u-, n u n uon u rTo co 01010 0 I ;.� ul� 0 00 �c mi I , I r-4 00 Ul\ U_A 0 Ln C) C\J t-- - 4) col\ MIN (N U,� C) OQ N x e Q) �llc rn 0 Q4 r_4 F4 00,00 1' Vic -44, - - k > 0 Cd I(,) I n Cn (N CNJ r-4 4) 0 44 E-4 A w �) 04 00 O-Z CW) (n m N N C4 4, 1 i EO;;D loo I't 0 0 ou 1 1 P.� P.4 k - - I 161W .0 E I m Un Lm CN \�D Z E-4 44 93 C: W H �H CL,a 3" I I 'N (n M CNJ C\l W. 4=� -4 ki cd p E 04 P-4 x 4 -- i 3 Q) w 4-4 4-4 4-4 400 m m m m (:d P4 P4 ;n4 ,I > prj % 4, 2 a) Q) Z k 1 0 0 (niN C\j N +') Cd 94 0 �4 9z - z . . 0 t M m-4 > 0 ;4 X rs-r— F. (3)l F.4 Ad W +D I +; col &0 1 H 0 Ul m w 9z I "C 1:$ '0 4-) N cf) C/) cn 1 0 > 0 0 ro Q 01 9z k (1) 0) ; i = $4 -r V k cc $.q �L4 0 a gzl= w = 4:11 c x (2) 0 X o 0 0 0 Lmd 9z X: --4 1.41 f_� 4 rX4 Z C) I JCN ou r-4 cn cc n c) c", C4 4J +J 0 0 04 0 &4 m m cc 00 00 IT WIT loo 00 00 00 00 00 7. U"W-1 L-N L-N U-% Ln U-\ C%j (10 a -A 0- E-1 00 00 C)I,,I, ,I- q.,0 ': bee sk, 100 r.. -kt VH V.h 0 x t-) I C-0) rn Cni fn M M (n N .0 d Lr\ 0000 A Lr\i k tfN C.) (1) N C\l U Q X�=i k, A4 0*he Ike ei- . AS,; UZ 3i <D :.: -Z g C,^, Ul cni V2 J: N b el Cd L LIS-* I 9f 0 .....--.'S*A" 00 00 CCIT T�oo seem, 2* A !o 64.1 ell U-� U*�I un U-� cn 0 0000 F4 - - L7."Of d 00 r= a Lr% 0 -A- &.A. x lnlf^ L.-..d- eip N pc Lm k1b > X:oo 0 Lr., c) Cnin Uld CC I ri i ;� r� ?I +,., :d 'r 0 x c C'i 7) cl cj eii f- OP ow-ja 0,Building 0"'Clal 01tice. FoFt It4sPVC-TION vteou EST permit No. If District NO, A M Date is� Locality -Time I� ) Received. ICAL 6at Ci CV4AH contractor d.8, job Address PLUfABlt4G o AHI;ItCIIZ1, Rough 0 Fire place owner's rr_LF—C v4iring 0 -Top Out pro Fab T,iarne-i��Cot4CFte-TE 0 flough pole 0 A.M- BU,Lt)ING 0 Footing C TeMP p.bA. Framing Slab C) 4Sprr_CTj014 Lintel Re Fooling rroR it v\Nj ed- A.bA- J,ues. / 0 . N4on Tu -7-1 Final InspactIon pancy co,titlat-ot 0-cu inspection Made C inspector Date IVISION t— AN D ZONI SpECT N D BUILDING Ic WEAC14,FLORIDA CITY OF ATLANT �ITER ELE-C-TRICK d 70 Permit No. Date A-9-86 Fee $ 1.77.3 761* Location Between v that t Smith 'This is to certif Actric ROW i.ctricion) Cod _ --- (master bed herein i LU 0 (filec rical it trac r) It I ctrical Construction as descri lations has permissiO to I of thd­&vrical Code ond regu -- rovisions own on the accordance with th subject to the information sh cks ille, n O­­---��h- _l"_ore mode a port of "is of the C.itY Of Jo ings.1 and specificiiii"I ns W Ic applic tion, draw LU permit. for vlimt* Type of work: > SERVICE: Feeders: cc Outlets- Receptacles- Switches: incandescent- fluorescent: Appliances. Air Conditioning' motors: Transformers: Signs.. Miscellaneous, IS DONE Ur4DW' ISSUED BY: Su. if V40 'NO NY WX QRING THIS PERMIT.:'I'l MON.THS P 0,-PERMIT._' BECOMES V JIMOING DIVISION CITY LANTIC "ORIDA 0 MAIN 4 law ELE R M I .7*n tfs Date ermit No. Location- en Between This is to certify that (Electrical Conrr -,AAaster Electrician) has permission to insto lie P' l Con described herein in im CKC0rdance with the p !n$ Of the ode and regulations v Of the City of Jocksonvi sub. z lect otion shown on the WW application, drawings otions", :made a part of this permit. for Type of Worit: 0. SERVICE: U! Feeders: UA outlets: Receptacle$: Switches: Incandescent: x Fluorescent: M7 Appliances: 'Air Conditioning: xiv 0 V -2 Transformer$: E,� sqns; Amileolloneous: IF NO WORK IS DONE THIS PERMIT DURING "WIX MONTHS'PE OD, PER VOILD., 8 EW- MES .......... BEACH, FLORIDA ON FOR IMTRICAL PIRMIT �'i"ll V, kVii TO THE CHIEF E ,T"ICAL IN DATE: 190,0 IMPORTANT NOT#* IN CONSID :. I ON'Of EN FOR DOING THE WORK AS DESCRIBED IN THE FOLLOWING, WE HEREBY AGREE RFORM IN ACCORDANCE WITH THE ATTA HED PLANS AND SPECIFICATIONS, C WHICH ARE A P "HEREOF, TH,THE ELECTRICAL REGULATIONS, CODES AND CITY OF I RDANCE WI "E ATLANTIC BEAC c ELL9,TRICAL FIRIk2rT. MER ELEGIUI IAN SjgNATUfjE '­','ql�­' – JOURNEYMAN 'nv NAME por J�00RESS /6 7�� RFQ—BOX_ BLDG.SIZE 41 —BETWEEN: RES. ';JWLIC INDUS. I I NOW( OLD t,� REW. COM L 90 SIGNS I SO. FT. ADDITION SERVICE: REPAIR ( FEE 2"RUCTOR Sizial ALUM.I AMPS SWITCH 0 BREAL"", PH W . VOLT RACEWAY P91 K"-11'111�: ,"R.Pt S Ii PH W VOLT RACEWAY EXIST.SERV. IZ FEEDERS N SIZE - SIZE NO. SIZE '012 LIGHTING OUTLEii,"," LED OPEN TOTAL RECEPTACLES OPEN TOTAL 31-100AMPS SWITCHr m 111"t, "A INCANDESCENT FL!nRESCENT St, FIXED AF*LlAf4CF.9 BELL TAANSF. AIR, RATING RATING CONDITION HER MOI ' ,MOTOR�� Vo MqTORS PHS NO. I ILP. AGE PHS VIOLMNEOUS01 r TRANSFORMERS , MNDE OVER OW V. CITY OF ATLANTIC BEACH APPLICATION FOR PLUMBINO PZRXIT JOB LOCATION:— OWNER OF PROPERTT:___ _!��P,+k�-tr, (sc e- BUILDING CONTRACTOR: PLUMBING CONTRACTOR E� '2- P-i AND ADDRESS: TZLZPHONE NUMBER: i c STATE LICENSE NO: CFC TYPE OF BUILDING: TYPZ OF WORK: OCAC 110" MANY OF THE FOLLOWING PIXTURRS INSTALLED --SINKS LAVATORY WATER HEATERS —BATH TUBS DISHWASHERS --URINALS --DISPOSAL$ CLOSSTS AsHING MACHINE --FLOOR DRAINS —SHOWER PANS TOTAL FIXTURZ COUNT: $3.50 + 615.00 $_/Up ---------------------------------------------------------------- INSTALLATION OF PLUMBINO AND rIXTURIS MUST Bl 'IN ACCORDANCE WITH THE MOST RECENT EDITION OF THE SOUTHERN STANDiMD' PLUMBINo CODE. CALL A DAY AHEAD TO SCHEDULE INSPECTION$ - (904) 247-$826 SEWER CONNECTIONS MUST 8Z CALLED INTO PUBLIC WORKS FOR INSPECTION BEFORE COVERING UP - (904) 247-5034 46 61 PARTMENT Of BUILDING ITY OF ATLANTIt 6eACH "N . OCATION I PERM MA LE NPORMATION Pormit Numb' Addrellso: 1�1723 PAI* TERRACE 'EAST 1+ T" Peralt Tyll E- ATLANTIC BEACH, ��A, FLORIVk :32233' 'aligg of w C.1 ---------- LEGAL DESCRIPTION Lot: Blockt Coostr. Ty D F roposed Lf jibLE To4nahip. Subdivjsio� -00 otiasted �V �00 'T 00 xcg4 AND -AIR APPLICATION FEES PERMIT *41.00 AddreaV,,,-ag, T AST ,p 8$, IMP 7 00 00 WAT ACT FEE PA rjm RADON GAS- , . R. S. $0. 00 T RADON GAS, 5% $0.00 IF E VATER TAP *0-00 ddf 47 S4WER, TAP to.00 "Ac A 3223,11 P HYDRAULIC �SHARE *0.00 X Li _4 3 RE-INSPECT FEE 001 SEC. )t inp T OTH j ES.- �z, -4 NOTICE- T FOOTINGS MUST BE INSPECTED BEFORE POURING ,SIX MONTHS AFTER DATE OF ISSUE J0 'BUILDING MATERIA I*ki AND M THIS WORK MUST NOT BE PLACED I,NPUBL I IC SPACE,AND MUST BE CLEARED UP AND H �#Ay B i TRACT I OR OR OWNER LURIE T �THE- MECHANICSL EN LAWCAN RESU IN MPL LT TH.S�P,ROPE IN G TWICETOR RUILDINO IMPAOVEMENTS. , I surm ACCORDIN CH AREPART OF THIS,PERM: OVE IT AND SUBJWATO REV6& OL 1 O�APP L TEMM I'M IPT VV 041=' T -7, 4" 'A L BUILDING AND ZONING INSPECTION DIVISION CITY OF ATLANTIC BEACH ATLANTIC BEACH, FLORIDA 32233 0. APPLICATI N FOR MECHANICAL PERMIT CA!-L-114 NUMBER IMPORTANT — Applicant to complete all items in sections 1, 11, 111, and IV. Street Address: -7'Zv?A C f LOCAT107N 17,22 OF BUI I OF Intersecting Streets: Between,_____________ And BUILDING Sub-division 11. IDENTIFICATION — To be completed by all applicants . In consideration of permit given for doing the work as described in the abcve statement we kereby agree to perform said work in accordance with the attached plans and specifications which are a part hereof and in accordance wit� the City of Jac�sonvdle ordinances and standards of good practice listed therein. Name of Mechanical Contractors in 40 C eiiavV Contractor (Pr f odq Master <f'Aco VF,?/o Name of Property Owner APW e Signature of Own! Signature of 0! ri�or Authorized Ag Architect or Engineer III. GENERAL lt&�N A, Typo of heating fuel: B. IS OTHER CONSTRUCTION BEING DONE ON X Electric THIS BUILDING OR SITE? 111/co E3 Gas—0 LP [3 Natural [I Central Utility IF YES, GIVE NUMBER OF CONSTRUCTION 0 Oil PERMIT 0 Other — Specify IV. MICHAN11CAL EQUIPMENT TO BE INSTALLED TURE OF WORK 1111'rovidis complete list of components on back of this form) Residential or L] Commercial 26. Heat 13 Space 13 Recessed J( Central 0 Flocw New Building Air Conditioning: 0 Room entrel Existing Building 0 Duct, System: Mat"I Thickness.— Replacement of existing system Maximum capacity c.f.m. New installation(No system previously installed) C3 Refrigeration El Extension or add-on to existing system • Cooling tower: Capacity g.p.m. F] Other — Specify • Fir* sprinklers: Number of heads • Elevator 0 manlift 0 Escalato (number) THIS SPACE FOR OFFICE USE ONLY 0 Gasoline pumps (number) (Ro"ivodl [3 Tanks (number) Remarks C3 LPG contain* (number) (3 Unfiredl pressure vessel 0 Boilers Permit Approved by Date.- 0 other — Specify Permit Fee LM ALL EQUIPMENT AUt CONDITIONING AND REFRIGERATION EQUIPMENT C4Lnmity A IWAAC Number UnItA Description 31odel Number 39&nufscturer cone<f F �SXM44 "401 RTMENT OF BUILDING A.'I I T OF ATLANTIC BEACH PERM I Tj -------- LOCATION INFORNATION --------- 00 Address: 1723 PARK TERRACE EAST Permi t Numb, erm Ty E-R Q 1:") ATLANTIC BEACH , FLORIDA 32233 as t of wo Ew ---------- LEGAL DESCRIPTION ---------- Cqns t r. Ty D 11 Lot , i Block: Section: P-rop9sed U rNOLE:4, 00hship: RNG: 0 T ;'iz Subdivision; Codc SELVA MARINA Estimated VI"�"-!" :j,, 0 0 00 ' Imp ov Total 50 APPLICATION FEES N or, �";'i 'PERMIT $22 - 50 � Addrers - "T AST ....... 't , WATAIII IMPACT FEE,,,A- $0 .00 $0 "Izp, FEE TAP V w & RADON GAS-H. R�s. $0,00 '4AB 5% RADON (7 $0 .00 N me R INC, CAPITAL IMPROVE. $0 . Addreo-s-'-1,44i Ry- SEWER TAP 'aw S i �;O .00 JAC ILLE 211 CROSS CONNECTION $0.00 SEC H IMPACT FEE CONST.SURCHARGE $0 'qo --we 44OTES-,' 10, 1A NOTICE— RET �AND FOOTINGS MUST BE IN SP9CTED BEFORE POURING SIX MONTHS AFTER DA It:UF 15SUE 4", - P, BUILDING MATERIA 0 1 S'H AN D', ROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UPANDH D'AWAY B NTRACTOR OR OWNER T THE MECHANICS9 LIEN LAW CAN RESULT IN "FAILURE L ;V THE PA P E G TWICE FOR BUILPING IMPROVEMENTS. 16SU''0 ACCORDIN WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOL:ATION OF APPL F�,ROVISI ATLANTIC BEACH BUI �DOART 00000M W50 14 Wiliam 00 00M. Z4 CITY OF ALANTIC BEACH 7FING PERMIT APPLICATION owner(s) : Address : C> -Z ?a- -i-� Phone: Lot # Block or Unit # Subdivision: Contractor: �MO Address : / Sc�-,Lz U City, State and ',Zip -izZ. Phone State License Describe work to be performed: - D -A cx) Valuation of Proposed Construction:_-�,5�V /0, 00 Materials to be used: Signature of Owner; Signature of Contractor:- Liability Insurance Supplied Workers Compensation Insurance Supplied-- __ License Information MK"44 032, - MENT OF BUILDING EPART OF ATLANTIC BEACH CITY PERMI 1"TORMAittl` -------- LOCATION INFORMATION ---------- to i t N u M b 90 il� Address - 1723 PARK TERRACE EAST BEACH . FLORIDA 3223 Permit Ty ATLAVT I C ----------- LEGAL DESCRIPTION ---------- a 3 r� of wo, Block, 'Section: Constr. Ty OOD Lot ', Proposed U N, L T FJw n s h i p PNG -Y Subdivision: SELVA 14ARINA ' Dwellings : Estimated V Improv 00 Total 50 50 APPLICATION FEES ----- PEK14 I T S18 . 50 A Ad r'esz , MAST W AT Q IMPACT FEE $0 .00 % 'T FEE -,06 ��f- bR I "Id ism, Z -41","Fli" TAP RAD-014 GAS-H P . S $0 .00 -ON RADON CAR 5* $0 . 00 'Name, FLOR UA CAPITAL IMPRO - 0�00 i'R' T AP, $0 .00 r"*�--s� ;,170 7 S $0 00 Li All is 4 SEC H IMPACT FEE 00 (-*0N4T SURCHARGE RZ�21-! 57H'ARY3E ATL�`B` W. iNOTES:, 0� "V NOTICE CONCR AND FOOTiNGS MUST BE I NSPECTED BEFORE POURING ID SIX MONTHS AFTER DATE OF ISSUE BUILDING MATERI BBISH AN FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST BE CLEARED UP AND y CONTRACTOR OR OWNER THE MECHAN-ICS' LIEN LAW CAN RESULT IN 'LURE T!49,,PRO,P NGTWICE FOR BUILDING IMPROVEMENTS." ISSUED ACCORDI --APPRO .�WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVOCATION FOR VIOLATION OF,API LE:PROV 'LAW. 14 �Tig,B A H ' GDEPA ATLA E C a MeX; 0 VO 9)W kj)b 008 DECKS 2M 44 4