Permit 1750 Park Terrace E 2012 CITY OF ATLANTIC BEACH, FLORIDA
4
F—A pproved by APPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: May 9, 19 73
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.
743 5422
Vetta Eteettic o4 Jack6onvitte, Inc. J m os
im tj Am
ELECTRICAL FIRM: MASTER ELE6fRIClA-SIGNATUhE JOURNEYMAN
NAME EaLcan 13,LUAPAA ADDRESS: 1750 Pahh TohAaro FaA;t RFD-BOX-
BLDG.SIZE BETWEEN: lat 96 02 12 Se-fun Mizaina limit 8
RES.(X) APT. ( I comm. ( PUBLIC INDUS. NEWW OLD ( I REW.
ADDITION ( ) TRAILER ( ) TEMPA I SIGNS ( I SO. FT.
SERVICE: NEW(X) INCREASE ( REPAIR UNDERGROUND SERV rF FEE
CONDUCTOR SIZE 41() AMPS OW) COPPER I ALUM. ( Y) I
SWITCH OR BREAKER 240 AMPS I PH --3�W 930VOLT RACEWAY 4.00
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS 20 CONCEALED OPEN TOTAL 2.00
RECEPTACLES 43 CONCEALED OPEN TOTAL 4.30
0.30 AMPS._ 31-100 AMPS.
SWITCHES 28 2.80
INCANDESCENT 20 2.00
FLUORESCENT&M.V.
FIXED 0.100 AMPS. I OVER
APPLIANCES 9 1 BELL TRANSF. 4.50
AIR H.P. RATING H.P. RATING
CONDITIONING COMP.MOTOR OTHER MOTORS AMPS ICEIL HEAT: KW-HEAT
1 - 4 ton AIC 35. 1 .50
9 i.00
11 - 1OKW 1.00
0-1 OVER
MOTORS H.P. VOLTAGE PHS NO. I H.P. VOLTAGE PHS
MISCELLANEOUS
TRANSFORMERS: UNDER 600 V. OVER 600 V.
CITY OF ATLANTIC BEACH, FLORIDA
pproved by PPLICATION FOR ELECTRICAL PERMIT
TO THE CHIEF ELECTRICAL INSPECTOR: DATE: Mati 9. 1973
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.
743 5422
Dolta Flort-4,ir n4 TarbAnkiiLiFfo Tnt,-- TL=y Amol-
ELECTRICAL FIRM: MAiTER ELOICTRICIAN SIGNATURE
NAME FaYron Bu,�Zde&6 ADDRESS: 1750 PaiLk TeAA EaAt RFD-BOX-
BLDG.SIZE BETWEEN: I-ot 9A RfA 19
RES. (,v,) APT. ( comm. ( PUBLIC I INDUS. NEW(;-%') OLD ( I REW. I I
ADDITION ( ) TRAILER ( TEMP. M SIGNS ( I SO. FT.
SERVICE: N E W(/J INCREASE ( I REPAIR ( I UNDERGROUND SERVICE FEE
CONDUCTOR SIZE 413 AMPS 60 COPPER I ALUM. ( X)
SWITCH OR BREAKER 60 AMPS I I PH 3w 230VOLT RACEWAY 2.00
EXIST.SERV.SIZE AMPS PH W VOLT RACEWAY
FEEDERS NO. SIZE IND. SIZE NO. SIZE
LIGHTING OUTLETS CONCEALED OPEN TOTAL
RECEPTACLES CONCEALED OPEN TOTAL
0.30 AMPS. 31-100 AMPS.
SWITCHES
INCANDESCENT
FLUORESCENT&M.V.
FIXED 0.100 AMPS. OVER
APPLIANCES IELL 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
VISCELLANEOUS
TRANSFORI UNDER 600 V. OVER60OV. I
CITY OF ATLAN'rTC FEACR
Ajj'1ICA-!0N FOR 117"DIVI PERMTT
L
i
PIRMIT NO. Date :
LOCATION Street
LOT No.
FLOCK No. , 22 S/D Z"-Z'4/'44' 2.?Jqa#'AJ4
OWFER
MASTZR fLUMBER 1WJ - 77�--r-9fe5le4V L�?
Bldg.
BUILM OR CONTRACTOR
TYIF, OF BUILDIbG
LAVATORY BAT" TT.!P0" URTNALS -�-- CLOSETS
FLOOR DRAI .
I�Z� "HOWER'S 4XIER HEATERS DTSHKASHERS
DISPOSALS OTHER
TOTAL FIXTURES 1 00 61'd
NO WORK MUST BE DOYE UNT TT A I ERMTT HAS BEEN 1ROORREI)
PLANS AND SFECIFICATION3 must show n plan and description of the
size #Md location of all the soil and vent pipes, and the number and
location of all fixtures , (in accordance with Ordinance no. 188 of
the City of Atlantic Beach, Flurida ) must be shown on back of appli.
cation and be approved by the rlumbini7 Inspector.
DjRAd 11AN 61ECIFICATION OF ABOVE PIUMBING ON BACK.
Approved by
r1umBing Inspector
Date
(FOR OF?Ie'E U6E ONLY )
ROUGH-IN INSFECTED (i _MARKS
FIINAL IN 51jZOT TON: CERTIFICATE ISSUED:
FOR OFFICE USE ONLY
Date........ ..............
Permit *........................Fee
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 Buildinx Permit is automatically responsible to ascertain that all sub-
contractors engaged by him are duly licensed in the City of Atlanfic Beach,Florida. To prevent delay or embarrasment regard-
ing intermediate or final inspections it is suggested thata list of sub-contractors be submitted to this office so that licenses can
be verified.
Date...............M..At.Y.....
..................... 19...
.......W-------_------Address-3Z5_0..BM014.....Telephone No.... .....
..........
Architect-WAP.C;.... --------Address,...........................................................Telephone No...... .............
Contractor .....Z��_.......Address...........t' to-----!!-----------_----Telephone No........
--------------------- ........
Lot No----------------- ...................Block No-------------[2--------------Sub Division...510.v..()...... .........................Zone-----------------
CL X. Street...W-F-%—_......Side Between-----------1.70 S+ L4
. ..... ---------__and....!�..15. . ...........
-a V
Valuation .................For what purpose will building be used....1 --;de- Type of construction---- il-------------
Dimensions of Building---------QV3Y.-6-7........Dimensions of ....'__Z(0......................Size of ----0.....................-
Size of Piers_M_ _G.Patcq;.K-------Size of Sill's---_------- ----Greatest Sill Span in ft......... ---------Type Roof----A.ip.....................
How will Building be Heated?---Aqc&.3�wr--------------------------Will Building be on Solid or Filled Ground?....;52bl.....................
Size of Ceiling Joists---:z ...... Distance on Centers.............�Z41............... Greatest Span........25a. ...........I............. to
Size of Floor JoistsQ.U_.QV_A'.D9r---------- Distance on Centers.......... .......4V----------------- Greatest Span............................................ rp
Z-A LN to
Size of Rafters-.---------------7---------------------_------ Distance on Centers.......................................... Greatest Span............Z...9.........................
This rectangle is to represent the lot
Locate the building or buildings in the
right position. Give distance in fed from
all lot-lines and existing buildings.
REAR LOT LINE
Two copies of plans and specifications shall I
be submitted with application. k3r-
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. 27
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 0
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 6Atlantic e
. .. .. .... ..... kMz....................................
Signature of Builder...I....... 0. ....... ... .............. .......... Address......
U AA -W-7
. ..... ..* _
Signature of Owner. ........ Address......I...........
A�Le..,.(.........1--.3.9...................
.--N------------------- . . . . ..........4---------------- ............ ... . ......
OF BUILDINd
CITY OF ATLANTIC BEACH
RMIT
CATION INFORMATION
P; t ';NUM
bor: 14092, Address.' 117 50' PARK ItERRAC,
E EAST
Permit Ty :FLUMBIN0,
ATLANTI C BEACH FLORIDA 322-33
�",ClAs& Of W.0 t�t ALT'11"T I ON
142(m DESCRIPTION ----------
C-ons t r Type"WOOD
0-1
B1 ock: Lot: Tw,
ropos-ed use..S I gdj�t
If ILY :' S ction: o Subd:
e O'�
Dwe 11 ings 0
Subdivision $ELVA MARINA :
Value: 0.00
'T*pr*v. Cost : 0.00
Total Fe
Date
3,27
PAN
7-7 1 n,- ------------ -
APPG'ICATION FEZS �
Name. p
MIT 25.00
]EAST
ILORI
3,
Pax 1XV,
Phon-
7
Iva,
W2,
IQA ------- -
P L'UMB I$ 'TILE
JACXSO B
RACK, PI, 32250
2
zo
NOTtS:
NOTIC N
4—AtL CON; F-TE FOA"S AND FOOTINGS MUST BE IN CTOD SEFQ.RE P06fawe
PERMIT V016 SIX MONTHS AFTER DATE Of SSUE
BUILDING MATERIAL,RUBBISH AND DESAIS,FROM THIS-WORK MUST NOTBE PLACED IN PUBLIC$PACE,AND MUST BE,
CLEARED UP AND HAULED A-WAY BY EITHER CONTRACTOR OR OWNER
PROJ�'E" ' W CA LT,IN,
FAILURETO, COMPLY WI -ITH THE MEC14ANIC
8! LIEN' L A �,#cftgau
RT Y WNERPA IMPR�SXTS
YING TWICE FOR BUILD'
"UED ACCORDING TOAPPROVED,PLANS,WHICH ARE PART OFTHIS PERMIT AND SUBJECT TO Fie
VOCAITIONfOR
OFAPPLICABLt
ION$OF LAW.,
W�,
�,'�AT`LANT!d
H,61.11,L D4NG DEPARTME
NT
V�
CITY OF ATLANTIC BEACH
0000-1
APPLICATION FOR UMBING PE IT
B LOCATION: 73,od
WNER OF PROPERTY:. e
LUMB-ING CONTRACT e I\F,op
OR
P
"'4" ,
'S ADDRESS:
ONTRACTOR
p
T TE �LICENSE NUMBER: 7d TELEPHONE:
HOW MANY OF THE FOLLOWING FIXTURES INSTALLED
SINKS SHOWERS
LAVATORY ------YATER HEATERS
BATH TUBS DISHWASHERS
URINALS
DISPOSALS
CLOSETS WASHING MACHINE
SHOWER PANS
FLOOR DRAINS
OTHER
OTAL FIXTURES: x $3 . 50 $15 .00
INIMUM PERMIT FEE $25.00
"PIGNATURE OF OWNER:
IGNATURE OF CONTRACTOR:
-----------------------
-----------------------------------------
,lNSTALLATION OF PLUMBING AND FIXTURES MUST BE IN ACCORDANCE WITH
MOST RECENT EDITION OF THE SOUTHERN STANDARD PLUMBING CODE.
LL A DAY AHEAD TO SCHEDULE INSPECTIONS ( 904) 247-5826
ER� CONNECTIONS MUST BE CALLED INTO PUBLIC WORKS FOR INSPECTION
( 904) 247-5834
IOR TO COVERING UP
41- ......
5 02
DEPARTMENT OF BUILDING
CITY OF ATLANTIC 9EACH,
PERMIT 1XFORMATION, ------- L'OCATION INFORMATION
'Permit Number",
15,0
26 Address*. 11750 PARK TERRACE
EAST
Permit Type:RX-Roor ATLANTji� BEACH, I FLOWK,
0 1 32233
CilaIngs at work-ALTZRiTION
co S,tr,. ------- - LZOAL DESCRIPTION ------
ock Lot . - T
0 Use.-SINOLIt FAMILY Sectio'n., 0 Subd,.- wp ' 01
Dwel,11
nos Rng: 0
Subdivisiion;SELVA MARINA
� Zst,. Value:
0 00
Tmprov, Cost so, -0-6,
Total Pe
Amount
25
. .........I
Work
9"gr"
'JON A PLI AT, ON rS
ic I PEL
PERMIT 2,5 00
'ddr CE, -ZAIST
A
'OR
J,
P'ho
'ho CIA
Ar
I�G
N
e
ST
JACKSON
L .3 4Z 4)
�A,`Q�911,V
c
'T
0
,
11............
NOTES:
NOTICE INSPECTIONS MUST BE REOUESTED AT LEAST 24 URS-PRIOR TO INSPECT-ION
BLUILDlNG,k4ATERIAL,'.RUPOISH'AND DEBRIS FROM THIS WORK MUST NOT BE PLACED IN PUBLIC SPACE,AND MUST Be
CLEARED UP AND,HAOLED AWAY BY EiTHER CONTRACTOR OR OWNEA_
E T CSL!
, 0 Cot
"FAILUR WITH THE MECHANI OIENLAWICAWRESULTIN
THE P
R1 -PERTY OWNtERLPAYING TWICE.,FOR BUILOING I A bVP '#NTS*
M R
�ISP'UIEID ACCORDING TO APPROVED PLANS WHICH ARE PART OF THIS PERMIT AND SUBJECT TO REVO
L'X ION OF APPLICABLE PROVISIONS OF�LAW.
Datt: 645/47 #1 Dt
I D
ATLANTI EACH BU� ING EPXRTMENT
By
CITY OF ATLANTIC BEACH
ROOFING PERMIT APPLICATION
JOBLOCATION: 122 PV9 TFR�ftci5 de�i5�—
OWNER OF PROPERTY: -�-e;%4 v4. t-j'r4j.5,9)
CONTRACTOR: �5—( --5-()flws P1001:71,�4!!�:
CONTRACTOR'S ADDRESS: J4�-1 �6- /�RT74L),— IZP-
Fit"r- ZJP:
STATE LICENSE NUMBER: Rcoo !��-691LI TELEPHONE:
DESCRIBE WORK TO BE PERFORMED:--
VALUATION OF PROPOSED CONSTRUCTION
MATERIALSTO BE USED: Sdltf6le-�, cc—t' -DR ,.P PAIm 9(�Cr 'gc):�'Es
SIGNATURE OF OWNER:
SIGNATURE OF CONTRACTOR: c
SWORN TO AND SUBSCRIBED 13EFORE ME THIS- DAYOF ktkQM��L ig '37
XC�EN 1r-0
NOT4ARP:tl�LIC �j
Liability Insurance Supplied
MAUREEN KING
Nwary S:ate of Florida
Workers Compensation Insurance Supplied
kly Ginim. Lxp. ,.iar. 31, 1998
uumm. i�o. GC 359683
Contractor License Information Supplied
Av.
Occupational License Information Supplied N", MAUREEN KING
i.* Notary Public,State of Florida
My Comm. Exp. Mar. 31, 1998
OF 1; Comm. No. CC 359683
PrINAPdCIA%.PPINTfNC,,-r,,,pAN-y
Book 8689 P9 2313
of Commencement
(PREP"t IN DUPLICATK)
To whom it mav concern:
The undersigned hereby h3forms you 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
------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
General description of improvements --�k P od r
------------------------------------------------------------------------------------------------------
Owner
Address L/9
TE—Cla A
Owner's interest in site of the improvement
Fee Simple Title holder (if other than owner) --------
Name
Address
Contractor ----
- ------------------
Address
Surety (if any)
Address -----------------------------------------------------------------Amount of bond $
Name and address of any person making 2 loan for the construction of the improvements.
Name
Address
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents
may be served:
Name
Address
In addition to himself, owner designates the following person to receive a copy of the Lienor's Notice as
provided in Section 713.06 (21 [b], Florida Statutes. (Fill in at Owner's option).
Name
WINANCIA%.PPINTINC,�-,-�mpANN
Book 86ag P9 2313
of Commencement
(PREPARE IN DUPLICATE)
To whom it may concern:
The undersigned hereby informs You 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,
7—
Description of property --��-(Jkd--Mjg-/-?1"4-0
------------- -----------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------
General description of improvements Jk 'd r I r—
atz---- ----------------------
------------------------------------------------------------------------------------------------------------
Owner ---LIN-J�Al - H w,
-------------------------------L- -5-------
Address _,:-2 N jjtj
------------6--6! ____Zq
Owner's interest in site of the improvement
Fee Simple Title holder (if other than owner)
Name
�-n Address
------IAA-
Contractor
----------------
Address J 14
----------------- ..........
Surety (if any)
Address -----------------------------------------------------------------Amount of bond $
Name and address of any person making 2 loan for the construction of the improvements.
Name
Address
Name of person within the State of Florida, other than himself, designated by owner upon whom notices or other documents
may be served:
Name
Address
In addition to himself, owner designates the following person to receive a COPY of the Lienor's Notice as
provided in Section 713.06 [21 [b], Florida Statutes. (Fill in at Owner's option).
Name
14T,,It *rO BUILDER: 2X6 RIDGE
1/2" PLYWOOD DECKING
*IERE CEILING JOIST FRAME AT RIGHT ANGLES TO
Ri 2XG RAFTERS COUP.
RAFTERS PROVIDE 2X4 TIES 48"O.C. FOR FOUR 164 a C. 15 F
MST SAYS. PROVIDE SOLID BRIDGING UNDER.
WHEN TRUSS DET IS ATTACHED, DELETE INFORMATION
RELATING TO CONVENTIONAL ROOF FRAMING. ROOF GRACING
MAX C. 48*
URE 104 f EACH CELL FROM FOOTING THRU PLATE
A D FILL CELL WITH CONCRETE.
INSULATION c,J. wl�C,
Mid
INT. NEADERS 4X
2X6 RAFTERS UNLESS moTqj�
16" c. OTHERWISE ON PLANS;
STORM A"CHOR
INSULATION EA. RAFTER
2XG r-J, I
is" C.
2-2X4 DOUBLE PLATE WITH
4 X 10 HEADER
DID
ectu tr v9*T
144
-M PS
4�,6��11
. .. ..............
INT. FINISH
_�Xj STUDS Is* C.
1/21 INSt. BD.
I"AIR SPACE
BR I CK
"A
1/2* BOLTS 7e C.
C. THRU 2X4 P.T.IH
�",�4 OTUDS W 01!
EXT. WOOD SIDING
4" CONIC. SLAB
-2 X4 fo"r.L $"Off-
Thitu to 6 xg W. M.
ON VAP. BAR.*
EXT*
E_
MIN
EARTH
ICLEAN SANDFILL
SX20 CONC. FTG.,
2WI�# CONT.
T
P.T.
SECTION: FLOOR SLAB
J FRANIRVALL0, ISTILITY RM.
VAP. BAR.
axis co FTC
UNDISTURBED $OIL 20
j.!4 STUDS too C EXT. WD. SIDING BRICK VENEER WALL SECTIO-
11,11111s" 1/2*INS WITH RIDGE SECTION't NEARIN
M M FLASHINS
CALKIN4
BRICK ROLOCK
ry
F I r—L -
doe
VL
BeL
fz- A,C_ 7=
c)-r K - � 2 U
IG-, L v N4 /&..P. i
Ce. FLP,
l7c5-0 /��WX
Arl
or
BUILDING PERMIT APPLICATION
JURISDICTION OF
APPLICANT TO COMPLETE SECTION A ONLY SECTION A
JOB ADDRESS
/7.0 /4ieW
LEGAL LOT TRA _r
DESCR.
(D SEE ATTACHED SHEET)
MAIL A DDRESS ZIP PHONE
2 7X;�� - 7 3 3_� '�?
/7.0 jW '44�
CONTRACTOR fMAIL ADDRESS PHONE LICENSE NO.
3 462�L
ARCHITECT OR DESIGNER MAIL ADDRESS PHONE LICENSE NO.
ol
462i4__
ENt;IN ER MAIL ADDRESS PHONE LICENSE NO.
5
6 CLASS OF WORK: [:]NEW []ADDITION MALTERATION E]REPAIR F-JMOVE [:]REMOVE
7 BUILDING CHARACTERISTICS C.PRINCIPAL TYPE OF FRAME G.DIMENSIONS
A. PROPOSED USE GROUP k/-MASONRY NUMBER OF STORIES
RESIDENTIAL NON-RESIDENTIAL -WOOD FRAME TOTAL SQUARE FEET OF FLOOR
-STRUCTURAL STEEL AREA,ALL FLOORS.BASED ON
NE FAMILY DWELLING E]ASSEMBLY —REINFORCED CONCRETE EXTERIOR DIMENSIONS—
—OTHER -SPECI F'V�_ TOTAL LAND AREA,SQ. FT.
[:]TWO OR MORE FAMILY DWELLING; F BUSINESS (OFFICE)
NO.OF UNITS H.NUMBER OF OFF-STREET
F-]EDUCATIONAL D.TYPE OF HEATING FUEL PARKING SPACES
[]HOTEL,MOTEL,DORMITORY, ENCLOSED ca
NO.OF UNITS FACTORY-INDUSTRIAL —GAS OUTDOORS
OIL
E]GARAGE [:]HAZARDOUS ViLECTRICITY 1. RESIDENTIAL BUILDINGS ONLY
—COAL
F_]CARPORT INSTITUTIONAL —OTHER -SPECIFY NUMBER OF BEDROOMS
OTHER-SPECIFY ME RCANTI LE E.TYPE OF SEWAGE DISPOSAL NUMBER OF BATHROOMS
'Z�
[]STORAGE FULL 9
L
p
_&O"PUBLIC OR PRIVATE COMPANY
[-]OTHER-SPECI FY_ _PR I VATE (SEPTIC TANK,ETC.) PARTIAL
/47 V v
4 F.TYPE OF WATER SUPPLY
epUBLIC OR PRIVATE COMPANY
—PRIVATE (WELL,CISTERN)
B. NON-RESIDENTIAL- DESCRIBE IN DETAIL THE PROPOSED USE OF THE BUILDING.
8 VALUATION OF WORK
A. BUILDING$ B. PLUMBING$
C. MECHANICAL$ D. ELECTRICAL$ Ae
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 LAM 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.
SIGI�4T�&F. OFCONTRAgTORffRj8Uj
IJORIZED AGENT (DATE)
fIGINATURE OF OWNER (IF OWNER f3UILDER) (DATE)
DEPARTMENT OF BUILD114G 3191
CITY OF ATLANTIC BEACH, FLORIDA PERMIT NO.-
PERMIT TO BUILD
THIS PERMIT MUST BE POSTED ON JOB
Date 10/1Z la 76
Val,ation$ 4 0 0.0 0 Fee S 3 .00
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 Robert White
has permission to build screen in patio on existing slab
Classification residence
Owned by Robert White
Lot 26 Block 12 /D S/M
House No- 1750 Park Terrace, East
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
;9
0 Building material, rubbish and debris
from this work must not be placed in
public space, and must be cleared up
and haxiled away by either contractor
or owner.
R. C. Vogel
Building official-
FOR OFFICE PERMIT
USE ONLY NUMBER