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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